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and Environment Safety - Journal of Faculty of Food , Ştefan cel Mare University – Suceava Year IX, No. 4 - 2010

ASSESSMENT OF MILK ALLERGENS INTO FOODSTUFFS

Mihaela BEGEA1, Elena BĂLĂUŢĂ1, Alexandrina SIRBU2

1 ICA Research&Development, Bucharest, 202 /S6 Splaiul Independentei St., Romania, [email protected] 2 Constantin Brancoveanu University, FMMAE Ramnicu Valcea, 39 Nicolae Balcescu Bld, Valcea County, Romania, [email protected]

Abstract. Allergens represent specific substances, such as certain , that are able to give an immune reply very dangerous in the case of the sensitive individual. Food allergens are normally harmless for the non-allergic individuals; but for some people these allergies result in severe symptoms, reasons for which these substances have engendered issues. Allergens represent biological hazards for animals and people as well. It is obvious necessary to detect the presence of allergens in agri-food raw materials, food products and fodder for their entire monitoring of the food and feed chain, also taking into account the major financial losses generated by contamination. Food producers must protect allergic people using clear labelling for their food products. As regards the food allergens, in the EU legislation there are no limits specified in the legislation, only the mention of their likely presence on the labels is compulsory. The paper shows the incidence of certain compounds with potential allergen activity in foodstuffs containing milk by using the S-ELISA Veratox method. We tested milk allergens from a few types of food matrix containing undeclared milk or its derivatives (wafers with cream, instant coffee, sauces). The results indicated different degrees of contamination with potentially allergenic proteins depending on the food matrix type.

Keywords: food allergens, food safety, milk , ELISA, label

Introduction stable molecules in the sense that they are resistant to processing, cooking, and 1. Food allergens digestion. In the case of allergic Allergens are specific substances, such as individuals, these substances stimulate the pollen, food or drugs, which introduced immune response by inducing the into the body through the digestive, air production of allergen-specific IgE. [2] etc.., produce pathological manifestations Experience shows that the immune caused by hypersensitivity reactions of the response can be initiated by eating a food, immune system. Generally speaking, the which contains traces of that allergen. The substances with allergenic potential in food amount of allergen that can generate are certain proteins or glycoproteins [1]. In immune response varies from one allergic fact, contain many proteins, but only individual to another one. a small fraction is allergens. It seems that food matrix can influence the Although the structural properties of responses to individual proteins; proteins that cause allergic reactions have consequently, the food matrix must be not been characterized completely, known taken into account when developing food allergens in general have molecular models for allergenic potential assessment weights between 10 and 70 kDa, and are [3]. Moreover, any type of food is

25 Food and Environment Safety - Journal of Faculty of Food Engineering, Ştefan cel Mare University – Suceava Year IX, No. 4 - 2010

potentially allergenic, but the majority of be compulsory mentioned on the food food allergies are caused by a small group label. [5] of foods, such as: cows' milk, ground Laws regarding the labelling of food peanuts and tree nuts (almonds type, allergens in the U.S. came into force in pistachio etc.), wheat, vegetables, eggs, January 2006, as following the regulations fish and other seafood, soybean and other of the Act on Food Labelling and ingredients that contain protein derived Consumer Protection (FALCPA) of 2004. from these food groups (over 90% of In this sense, it requires that food allergic reactions are induced by array of manufacturers use in their plants such protein compounds of these types of processes that reduce or even eliminate foods). Over 170 foodstuffs have been cross-contact among the non-allergenic identified as having potentially allergenic foods and food allergens. The U.S. Federal compounds in composition, fruits included Food, Drug, and Cosmetic Act was (strawberries, plums, etc.), sesame seeds, amended and the document imposes new sunflower seeds, poppy seeds, mollusks, requirements for the labelling of foods peas, lentils, beans, with its different containing major food allergens. [6, 7] varieties. Therefore, it is necessary to test Besides protein allergens, foods may compounds potentially allergenic food for contain also haptens, which are substances any of the following purposes: (small molecules), different from the  It is necessary for their identification proteins that may become allergens only and assessment; food manufacturers are when attached to a large carrier such as a required to protect allergic people through protein. [4] a clear labelling of their products, with the World’s statistics figures show that complete list of the food ingredients; approximately 4% of adults and 8% of the  It is a measure that an ingredient children are allergic to different foods. potentially allergen, which is not The adverse effects induced by food mentioned on the foodstuff’s label should allergens, even when they are ingested in not accidentally have entered into product, very small amounts, range from rash and saying it does not contain any; tingle to anaphylactic shock and in severe  It is a tool for identification of the cross cases to death. For this reason, assessment contamination sources among allergens of food allergens became part of risk and non-allergic products during food assessment in the framework of food safety processing. management system. Since 2005, according to EU Directive 2. Milk Allergens 2003/89/EG of 10 November 2003, in the Milk allergy is , which has as EU countries all food products must main symptoms gastrointestinal, comply with the changed labelling dermatological and respiratory ones. These directive. In that way, the allergen can be skin rash, hives, vomiting, and ingredients must be declared on food gastric distress such as diarrhoea, labels, since they can induce allergic constipation, stomach pain or flatulence, or reactions. A list of 12 allergens, namely other clinical disorders. The symptoms gluten containing grains (e.g. rye, wheat, may occur within a few minutes after barley), shellfish, eggs, fish, peanuts, soy, exposure to immediate reactions, or after milk, nuts, celery, mustard, sesame seed, hours or even after several days in delayed sulphur dioxide and sulphites in reactions. Although the symptoms and concentrations over 10 mg SO2/kg, must treatment are similar to milk allergy and

26 Food and Environment Safety - Journal of Faculty of Food Engineering, Ştefan cel Mare University – Suceava Year IX, No. 4 - 2010

milk protein intolerance, is not the same lactoglobulin reactivity is lower, but disease. through the heat treatment of milk, it In general terms, milk allergy is one of the interacts with lactose, which makes its most popular food allergies. Moreover, reactivity increase. Allergenic factors Høst (2002) expressed that milk allergy is generally occur in the early stages of the most common food allergy in early heating, when premelanoidins are formed, childhood, and it affects approximately compounds involved in these phenomena. 2…3% of infants in developed countries. It is considered that the casein products are The prognosis of cow's milk allergy is with responsible for allergies in adulthood, a remission rate of around 85-90% of the while β-lactoglobulin is mainly responsible affected children once they surpass 3 years for children's allergies to milk. of age, but there is the risk to develop Other authors, based on molecular adverse reactions to other foods, later in characteristics and expected exposure of childhood. [8] milk basic proteins, expresses opinions Cow's milk has 3.2% protein composition, according to which protein components in consisting of: milk are unlikely to present any increased  80% caseins ( S1-, S2-, β- and κ-) risk of allergy for milk allergic subjects or (main part of coagulum/ curd), of cross-reactivity for other allergic  20% lactoserum (β-lactoglobulin, subjects. [11] -lactalbumin, bovine serum albumin) However, food products containing milk (main whey protein). proteins (caseins, lactoglobulins etc.) need Milk basic proteins provide nutritionally to be labelled as containing milk as a important benefits if used as a food caution to warn milk allergic subjects of ingredient for dairy products, as well as in the potential risk of allergic reactions. In other foods. Sometimes, milk or its that way the food labelling directives in the derivates may be present like food US and the European Union are clear, as contaminant of raw materials or certain long as it has not been demonstrated that processed foodstuffs. milk proteins are free from milk allergens. Regarding the cow’s milk allergenicity, In conclusion, it is recommended to there are studies on milk proteins identified evaluate the presence of caseins and β- as allergens and their epitopes were lactoglobulin in various foods with the aim characterized. The results indicated that to prevent food safety issues and for a most milk proteins, even proteins present suitable labelling of foodstuffs. in low concentrations, are potential allergens, but no particular structure or Materials and methods function is associated with milk allergenicity [9]. In fact, molecules of The purpose of this study was to survey the bovine milk proteins have numerous natural occurrence of the milk allergens in epitopes, which are located in hydrophobic food products declared as not containing parts of the molecules where they are milk or milk derivates. inaccessible for IgE antibodies in the Different food matrices were tested, native conformation of the proteins but namely cream wafer, instant coffee, and become available after digestion. [10] dressings/ sauces. For this study 17 As examples of allergenic compounds we samples were assessed. can mention -S1-S2-caseins, - The testing of presence of milk allergens lactoglobulin, -lactalbumin, was performed by using the Neogen immunoglobulin, and lactoferrin in milk. Veratox kits (Quantitative Milk Allergen Referring to the milk allergens, - Test Kits, code 8470). The allergens test is

27 Food and Environment Safety - Journal of Faculty of Food Engineering, Ştefan cel Mare University – Suceava Year IX, No. 4 - 2010

based on the sandwich ELISA (S-ELISA) . Relative standard deviation (STD) technique. [12] rel, % - 0.3. The milk residues are extracted Criterion for acceptance/ rejection of the from samples by using a buffered salt results is the following: curve correlation solution (PBS) through stirring into a coefficient r ≥ -0.980. If the curve bath at preset temperature of 600C. The correlation coefficient is r <-0.980, the extracted milk residues thus obtained are analysis is repeated. collected and then added into the capture The general procedure to determine antibody wells and incubate. The unlinked allergens in milk is briefly shown in figure residues are then washed and the linked 1. ones are treated in a second stage with a detector antibody linked to the specific Sampling . The detector antibody is bound to the residue already linked by capture antibody. After a second washing step, the specific substrate is added and the Preparation of the extraction substrate reacts with the bound enzyme solution (PBS) conjugate to produce coloured reaction. Then the reagent stops ass the colour reaction is added and the test wells with Extraction (5 g / 5 ml sample) standards and samples are analyzed. The results are read by using a microwell reader with a filter at 650 nm as optical density, in equipment Stat Fax. type 321 Filtration / separation Plus, from Awareness Technology Inc., SUA. Based on the optical densities curves, milk allergens concentration is calculated using a software Neogen type Analysis itself log/logit. The equipment and apparatus required to perform these experiments is the Figure 1. Procedure for the determination of following: analytical balance, accurately milk allergens weighing 0.0001 g; reader Veratox State Neogen Fax 303 Plus, 650 nm filter, mill The reagents used in the kits contained for grinding solid samples; UNIMAX specific solutions (standard solutions of orbital shaker 1010, equipped with different concentrations, extraction thermostatic chamber (1000 Heidolph solutions, buffers, substrate incubator) or water bath and thermostatic solutions, conjugate solutions, solutions to mixing at 60 ˚ C ± 1 ˚ C; timer. stop), powdered concentrated solvent The performance characteristics for extraction of PBS 10 mM, concentrated Neogen Veratox kits (Quantitative Milk washing buffer PBS-Tween, extraction Allergen Test Kits, cod 8470) are the additive, deionised or distilled water. following: Whole milk powder NIST, code RM 8435 . Range of quantitation 2.5 to 25 was used as reference material. But the ppm samples used for determination of the food . Standard deviation (STD) – 0.1 allergens are end-products, not ingredients. . Uncertainty (Ua) – 8.3 For data interpretation we used analytical . Repeatability, r – 0.1 software SPSS for Windows.

28 Food and Environment Safety - Journal of Faculty of Food Engineering, Ştefan cel Mare University – Suceava Year IX, No. 4 - 2010

The analysis method using ELISA kits represents a viable alternative to HPLC 2.5 and fluorimetric methods for the determination of allergens, which are more 2.0 expensive methods and require much more 1.5 time working and more sophisticated equipment as well. 1.0

Certain specific conditions are imposed in .5 order to determine the milk allergens in foodstuffs, namely: 0.0 HIGH_COF LOW_COFF  milk allergens must be extracted -.5 COFFEE separately from those for other food 1 2 3 4 5 6 7 8 9 10 11 allergens, like peanuts or egg residues; Case Number reagents are specific for each target food Figure 1. Low-high chart of set of coffee samples allergen, too; Table 1.  although partially digested milk Statistics of coffee set proteins may be undetectable by ELISA Descriptive Statistics analysis, the residues of allergenic proteins Std. could be active; N Minimum Maximum Mean Deviation  cross contamination must be COFFEE 11 .00 2.30 .7455 .5854 Valid N 11 avoided. (listwise)

Results and Discussion The results obtained from the analysis of The samples evaluated during experiments vinaigrette sauces with milk contaminants consist of different food matrices, as are listed in the table 2. Figures indicated a follows: contamination with more than 1 ppm milk 1. instant coffee assortments, allergen for each sample. 2. dressings – vinaigrette sauces, and 3. wafer with lemon and chocolate Table 2. cream. Quantitative determination of milk allergens in The analysis samples were taken from the vinaigrette sauces foodstuffs available in stores. No. Matrix Results (ppm) The overall results indicated lower values 1 vinaigrette sauce 1.0 for milk allergens present in the above- natural -1 2 vinaigrette sauce 1.4 mentioned samples and were registered in natural -2 instant coffee, while the highest values were registered in cream wafers. The highest contamination with milk As it is shown in figure 1 and table 1, the allergen was registered in cream wafers. majority of values obtained in determining For the set of samples the minimum value milk allergens from coffee varied between was 15.3 ppm, while the maximum one 0 and 1 ppm, with an average around 0.745 was 57.4 ppm, and the mean reached ppm. Exception made the eighth sample, 38.875 ppm (see also figure 2). Generally namely instant coffee C-3, in which a speaking, the wafers with chocolate cream higher concentration of 2.3 ppm milk had a higher content of milk allergens in allergen was registered, as well as the comparison with lemon ones. seventh sample, instant coffee C-2 that was free from milk allergen.

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70 not described on the label goods in accordance with the law. 60

50 References

40 1. Gary A. BANNON, What makes a food 30 protein an allergen?, Curr. Allergy Asthma Reports, 2004, 4, 43–46 20 2. Samuel B. LEHRER, W. Elliott

10 HORNER, Gerald REESE, Steven TAYLOR, Why REF are some proteins allergenic? Implications for 0 WAFER 1.00 1.00 1.00 1.00 biotechnology, and , 1996, 36(6), 553–564 HIGH 3. Frank van WIJK, The effect of the food matrix on in vivo immune responses to purified peanut Figure 2. Graph for set of cream wafers samples allergens, Toxicological Sci., 2005, 86(2), 333–341 4. Haptens(http://medical.dictionary.thefreedictio Conclusion nary.com/Haptens), last accessed on: August 2010 5. Directive 2003/89/EC of the European Parliament and of the Council of 10 November The testing of milk proteins occurrence in 2003 amending Directive 2000/13/EC as regards foodstuffs ensures food manufacturers that indication of the ingredients present in foodstuffs, a potentially unsafe/allergenic ingredient, Official Journal of the European Union, 2003, L unspecified on the label is not really found 308/15-18 6. Federal Food, Drug, and Cosmetic Act in those foods. (http://www.fda.gov/regulatoryinformation/legislati In this purpose, some types of foodstuffs on/federalfooddrugandcosmeticactfdcact/default.ht declared as not containing milk or its m) last accessed on: August 2010 derivates were tested for milk allergens. 7. Food Allergen Labeling And Consumer Consequently, several samples of instant Protection Act of 2004 (FALCPA) (http://www.fda.gov/Food/LabelingNutrition/Food coffee, dressings and cream wafers were AllergensLabeling/GuidanceComplianceRegulatory assessed by using VERATOX ELISA Information/ucm106890.htm) last accessed on: Sept method for determining the total milk 2010 allergens. 8. Arne HØST, Frequency of cow's milk allergy After analysis performing, there was solely in childhood, Ann Allergy Asthma Immunol., 2002, 89(6 Suppl. 1), 33-7 a coffee sample free from milk allergen. 9. Jean-Michel WAL, Bovine milk allergenicity, The lowest values for milk allergen natural Ann. Allergy Asthma Inmunol., 2004, 93 (5 Suppl. occurred in samples were registered in 3), S2-S11 coffee samples, in general less than 1 ppm. 10. Jean-Michel WAL, Structure and function of The analyzed vinaigrette sauces samples milk allergens, Allergy, 2001, 56, 35–38 11. Richard E. GOODMAN, et al, Assessment of were characterized by a maximum the potential allergenicity of a milk basic protein contamination of 1.4 ppm milk allergens. fraction, Food Chem. Toxicol., 2007, 45(10), 1787- Also the data showed an allergen milk 1794 contamination at maximum level in the 12. VERATOX ELISA method for determining case of wafers samples. the total milk allergens Although the prevention of cross- contamination with food allergens is a major component of HACCP system, our results indicate that there is plenty of foodstuffs in stores that could be contaminated by food allergens, which are

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