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Wheat allergy: clinical and laboratory findings.

BACKGROUND: Food allergy affects 6-8% of infants and wheat allergy is one of the common food allergies among children. The clinical and laboratory manifestations of wheat allergy were evaluated in this study. METHODS: Thirty-two children (< or =12 years old) with suspected wheat allergy were evaluated for wheat allergy. The patients underwent wheat skin prick test (SPT), measurement of wheat-specific IgE and wheat challenge test. The patients with a convincing history of anaphylaxis following ingestion of wheat or with a positive challenge test, and those with a history of immediate hypersensitivity reaction following ingestion of wheat in addition to a positive wheat SPT and/or positive wheat-specific IgE were considered wheat allergic. Then, the laboratory and clinical manifestations of their disease were studied. RESULTS: Among patients with suspected wheat allergy, 24 patients with definite wheat allergy were identified. Anaphylaxis was a dominant clinical feature, accounting for 54.1% of acute symptoms. Chronic allergy symptoms like asthma and eczema were noted in 50% of the patients. Wheat-specific IgE was higher in patients with anaphylaxis (p<0.02) and the risk of anaphylaxis was 14.4 times more in patients with wheat-specific IgE equal to or more than 3+. CONCLUSIONS: Anaphylaxis had occurred in a remarkable number of patients repeatedly, which demonstrates the severity of the reactions, poor knowledge of the disease and probable existence of more patients with mild reactions. Regarding the higher level of wheat-specific IgE in patients with anaphylaxis, wheat-specific IgE could be used to predict the severity of symptoms.

Anaphylaxis↗

Purification and characterization of dihydrodipicolinate synthase from wheat suspension cultures.

Dihydrodipicolinate synthase, the first enzyme unique to lysine biosynthesis in higher plants, was purified about 5100-fold from suspension-cultured cells of wheat (Triticum aestivum var Chinese Spring). The synthase has an average molecular weight of 123,000 as determined by gel filtration and exhibited maximum activity at pH 8.0. The kinetics of the condensation reaction are compatible with a "Ping Pong" mechanism in which pyruvate reacts first with the enzyme to form a Schiff base. Pyruvate and l-aspartic-beta-semialdehyde (ASA) have respective K(m) values of 11.76 and 0.80 millimolar. Allosteric inhibition was observed with increasing concentrations of l-lysine and its structural analogs, including threo-4-hydroxy-l-lysine and S-(2-aminoethyl)-l-cysteine, with respective I(0.5) values of 51, 141, and 288 micromolar. These amino acids were competitive inhibitors with respect to ASA and noncompetitive inhibitors with respect to pyruvate. We propose that the binding site for lysine overlaps with the ASA binding site, possibly by an attachment of the common alanyl moiety. The wheat enzyme was inhibited by Zn(2+), Cd(2+), and Hg(2+) and also by sulfhydryl inhibitors, p-(hydroxymercuri)benzoic acid and p-chloromercuribenzenesulfonic acid.

Journal Article↗

Diagnosis of flour-induced occupational asthma in a cross-sectional study.

The diagnosis of occupational asthma is usually performed in epidemiology using a combination of symptoms and bronchial hyperresponsiveness, while in a clinical setting the 'gold standard' for the diagnosis of occupational asthma is the specific bronchial challenge test in the laboratory The aim of this study was to detect new cases of flour-induced occupational asthma (OA) in a group of workers exposed to grain and/or flour dust, by means of a step-by-step approach, as used in a clinical setting. In an epidemiological study, III millers and 186 bakers were examined by means of questionnaire, pulmonary function tests and skin-prick tests (SPT) to common allergens and to wheat flour dust extracts. From the whole sample, 82 subjects who showed asthma-like symptoms in the questionnaire and/or low forced expiratory volume in 1 sec (FEV1) were selected. Selected subjects underwent methacholine challenge test, and hyperreactive subjects underwent specific bronchial challenge with flour dust in the laboratory. Sixty-two of the selected subjects performed the methacholine challenge test, and 22 (33 8%) were hyperreactive (PD20 FEV1 <1 mg of methacholine). Fifteen of 22 hyperreactive subjects underwent specific bronchial challenge test (s BCT) with flour dust; a positive response was elicited in six subjects. These subjects can be diagnosed as having flour-induced occupational asthma. Atopy and skin sensitivity to flour was partially related to the response to flour bronchial challenge. Bronchial hyperreactivity can be observed in a small percentage of subjects with asthma-like symptoms and/or low FEV1, and a positive response to s BCTwas observed in a subgroup of hyperreactive subjects.Therefore, using these selection criteria, a diagnosis of flour-induced OA, as commonly performed in a clinical setting, can be performed in few previously undiagnosed subjects.This approach could be relevant for an early diagnosis ofoccupational asthma.

Adult↗

Comparison of the coat protein, movement protein and RNA polymerase gene sequences of Australian, Chinese, and American isolates of barely yellow dwarf virus transmitted by Rhopalosiphum padi.

Barely yellow dwarf luteovirus-GPV (BYDV-GPV) is a common problem in Chinese wheat crops but is unrecorded elsewhere. A defining characteristic of GPV is its capacity to be transmitted efficiently by both Schizaphis graminum and Rhopaloshiphum padi. This dual aphid species transmission contrasts with those of BYDV-RPV and BYDV-SGV, globally distributed viruses, which are efficiently transmitted only by Rhopaloshiphum padi and Schizaphis graminum respectively. The viral RNA sequences encoding the coat protein (22K) gene, the movement protein (17K) gene, the region surrounding the conserved GDD motif of the polymerase gene and the intergenic sequences between these genes were determined for GPV and an Australian isolate of BYDV-RPV (RPVa). In all three genes, the sequences of GPV and RPVa were more similar to those of an American isolate of BYDV-RPV (RPVu) than to any other luteovirus for which there is data available. RPVa and RPVu were very similar, especially their coat proteins which had 97% identity at the amino acid level. The coat protein of GPV had 76% and 78% amino acid identity with RPVa and RPVu respectively. The data suggest that RPVu and RPVa are correctly named as strains of the same serotype and that GPV is sufficiently different from either RPV strain to be considered a distinct BYDV type. The coat protein and movement protein genes of GPV are very dissimilar to SGV. The polymerase sequences of RPVu, RPVa and GPV show close affinities with those of the sobemo-like luteoviruses and little similarity with those of the carmo-like luteoviruses. The sequences of the coat proteins, movement proteins and the polymerase segments of BYDV serotypes, other than RPV and GPV, form a cluster that is separate from their counterpart sequences from dicot-infecting luteoviruses. The RPV and GPV isolates consistently fall within a dicot-infecting cluster. This suggests that RPV and GPV evolved from within this group of viruses. Since these other viruses all infect dicots it seems likely that their common ancestor infected a dicot and that RPV and GPV evolved from a virus that switched hosts from a dicot to a monocot.

Australia↗

Uses of wheat aneuploids.

There is available in wheat a unique series of aneuploids ranging from all 21 possible monosomics to complex types that are simultaneously deficient for one chromosome and duplicate for another. Furthermore, lines with chromosomes from related alien species either added to or substituted for wheat chromosomes are in common cytological use. This contribution condiders the use of this range of material in studies designed to elucidate the evolutionary relationships of the species, in investigations of the genetics of a polyploid with cytological diploidization, and in potential breeding manipulations.

Breeding↗

The use of aneuploids in studies of genetics, breeding, and evolution in wheat.

In wheat a unique series of aneuploids is available, ranging from all 21 possible monosomics to complex types which are simultaneously deficient for one chromosome and duplicate for another. Furthermore, lines with chromosomes from related, alien species either added to or substituted for wheat chromosomes are in common cytological use. This contribution considers the use of this range of material in studies designed to elucidate the evolutionary relationships of the species, investigations of the genetics of a polyploid with cytological diploidization, and in potential breeding manipulations.

Aneuploidy↗

Acid hydrolysis of native and annealed starches and branch-structure of their Naegeli dextrins.

Eight commercial starches, including common corn, waxy corn, wheat, tapioca, potato, Hylon V, Hylon VII, and mung bean starch, were annealed by a multiple-step process, and their gelatinization characteristics were determined. Annealed starches had higher gelatinization temperatures, reduced gelatinization ranges, and increased gelatinization enthalpies than their native starches. The annealed starches with the highest gelatinization enthalpies were subjected to acid hydrolysis with 15.3% H2SO4, and Naegeli dextrins were prepared after 10 days' hydrolysis. Annealing increased the acid susceptibility of native starches in the first (rapid) and the second (slow) phases with potato starch showing the greatest and high amylose starches showing the least changes. Starches with a larger shift in onset gelatinization temperature also displayed a greater percent hydrolysis. The increase in susceptibility to acid hydrolysis was proposed to result from defective and porous structures that resulted after annealing. Although annealing perfected the crystalline structure, it also produced void space, which led to porous structures and possible starch granule defects. The molecular size distribution and chain length distribution of Naegeli dextrins of annealed and native starches were analyzed. The reorganization of the starch molecule during annealing occurred mainly within the crystalline lamellae. Imperfect double helices in the crystalline lamellae improved after annealing, and the branch linkages at the imperfect double helices became protected by the improved crystalline structure. Therefore, more long chains were observed in the Naegeli dextrins of annealed starches than in native starches.

Amylopectin↗

Nutrient composition and biological evaluation of an unconventional legume, Canavalia cathartica of mangroves.

Seeds of an unconventional legume, Canavalia cathartica from the mangroves of the southwest coast of India, were screened for proximate composition, minerals, protein fractions, amino acid profiles, fatty acids and some anti-nutritional factors. The seeds consisted of 31.2%, 1.86%, 61.4% and 1580 kJ crude proteins, crude lipid, crude carbohydrates and calories, respectively. The crude protein content of seeds was higher than common cereals, whole-wheat flour (8.55%), parboiled rice (7.7%) and egg (12.6%). Essential amino acids, threonine, cysteine + methionine, isoleucine, tyrosine + phenylalanine and lysine were higher than Food and Agricultural Organization of United Nations/World Health Organization patterns. On comparing the amino acid profile of mangrove and sand dune C. cathartica seeds, the latter were found to be superior (total amino acid content, 123.5% versus 60.8%), while the result was vice versa with respect to the polyunsaturated/saturated ratio (105.9 versus 2.52). The seeds possessed 1420 mg/100 g total phenolics and strong hemagglutination activity, while tannins and trypsin inhibition activity were absent. Physical, nutritional and anti-nutritional features of seeds of C. cathartica of the mangrove have been compared with those of C. cathartica of the sand dunes of the southwest coast of India. A significant difference (P < 0.05) was observed between the physical, proximal and mineral composition except for ash, magnesium and copper. The protein efficiency ratio, food efficiency ratio, net protein retention, protein retention efficiency, biological value, net protein utilization and true digestibility of C. cathartica seeds were significantly different (P < 0.05) from casein. In spite of the high protein content, animal-feeding trials indicated low nutritional quality. Nutritional, anti-nutritional factors and protein qualities of seeds C. cathartica have been discussed in comparison with other species of Canavalia.

Amino Acids↗

Visual field defects in epidemic dropsy.

UNLABELLED: Epidemic dropsy is a multi-system disease involving the cardiovascular, hepatic, renal, ocular and other systems. It is a toxic disease caused by the unintentional ingestion of Argemone mexicana (prickly yellow poppy) seeds as an adulterant of wheat flour or more commonly of cooking oil such as mustard oil. PURPOSE: To investigate the occurrence of visual field defects in patients suffering from epidemic dropsy glaucoma. METHODS: Visual field analysis was performed to ascertain the field defects, in patients suffering from epidemic dropsy. Group I consisted of 35 patients (69 eyes) whose intraocular pressure (IOP) was > or = 22 mmHg. Ten dropsy patients (20 eyes) with normal IOP (<22 mm Hg) formed Group II. Ten healthy unexposed volunteers (20 eyes) constituted Group III. All the patients were tested using the Armaly full field glaucoma screening test on the Humphrey field analyzer. RESULTS: Forty seven of the 69 eyes (68%) suffering from epidemic dropsy glaucoma, and 18 out of 20 (90%) eyes in dropsy patients with normal IOP, showed field defects. In the control group, 15% eyes had only nasal field defects. The difference between Group I and II was not significant (p = 0.054), though the field defects were significantly more frequent in dropsy patients as compared to the controls (p < 0.01 in either case). The results suggest that visual field defects in epidemic dropsy occur independently of the rise in intraocular pressure. Field defects were detected more frequently in patients who underwent visual field analysis early in the course of disease, as compared to those who underwent screening later on in the disease course. CONCLUSIONS: In epidemic dropsy, acute visual field defects occur independent of rise of intraocular pressure and more frequently in the early stage of the disease.

Adolescent↗

The effects of dietary fiber on gastrointestinal motor function.

For normal individuals and probably for persons with diverticular disease, dietary fiber affects stool bulk and decreases transit time. The unproven rationale for the use of fiber in irritable colon and diverticular disease assumes that these diseases are the result of increased intraluminal pressure caused by excessive segmentation over a period of years. In short-term experiments, certain fibrous materials do decrease intraluminal pressures, usually in response to a stimulus such as food but sometimes under resting conditions as well. It seems likely that the physical and probably chemical characteristics of fiber influence the motor responses of the alimentary tract. Anecdotal testimonials to the merits of fiber abound, but firm evidence that even wheat bran, the most commonly studied fiber, is effective is difficult to obtain. Controlled clinical trials have been attempted and to date have given conflicting results. Careful studies using a number of well-defined fibrous materials are urgently required to determine the physiological mechanisms of action of different fibers on gastrointestinal motor activity.

Cellulose↗

Celiac disease.

Celiac disease (CD) is a common autoimmune disorder, induced by the intake of gluten proteins present in wheat, barley and rye. Contrary to common belief, this disorder is a protean systemic disease, rather than merely a pure digestive alteration. CD is closely associated with genes that code HLA-II antigens, mainly of DQ2 and DQ8 classes. Previously, it was considered to be a rare childhood disorder, but is actually considered a frequent condition, present at any age, which may have multiple complications. Tissue transglutaminase-2 (tTG), appears to be an important component of this disease, both, in its pathogenesis and diagnosis. Active CD is characterized by intestinal and/or extra-intestinal symptoms, villous atrophy and crypt hyperplasia, and strongly positive tTG auto-antibodies. The duodenal biopsy is considered to be the "gold standard" for diagnosis, but its practice has significant limitations in its interpretation, especially in adults. Occasionally, it results in a false-negative because of patchy mucosal changes and the presence of mucosal villous atrophy is often more severe in the proximal jejunum, usually not reached by endoscopic biopsies. CD is associated with increased rates of several diseases, such as iron deficiency anemia, osteoporosis, dermatitis herpetiformis, several neurologic and endocrine diseases, persistent chronic hypertransami-nasemia of unknown origin, various types of cancer and other autoimmune disorders. Treatment of CD dictates a strict, life-long gluten-free diet, which results in remission for most individuals, although its effect on some associated extraintestinal manifestations remains to be established.

Anemia, Iron-Deficiency↗

[Directed fragmentation of tobacco mosaic virus RNA: excision of 3' terminal sections, containing coat protein genes of tobacco mosaic virus].

The present work demonstrated that RNA of different Tobacco mosaic virus strains (common; A14; Ni118, U2; wheat strain) are selectively cleaved by RNase H from E. coli in the presence of oligodeoxyribonucleotide d(TTTTTTTCCGG) complementary to the stretch of TMV RNA from the 842-nd to the 852-nd nucleotide from 3'-end, e. g. corresponding to the region adjacent to the 3'-terminus of origin of assemble of TMV. Such cleavage yields two main products. One of them--the short S-fragment--is the 3'-terminal part of TMV RNA. This conclusion is based on its ability to accept histidine and its molecular weight is about 0.28 X 10(6). The other main product of TMV RNA cleavage by RNase H is the L-fragment. L-fragment is the 5'-terminal moiety of TMV RNA, as follows from its ability to direct the in vitro synthesis of p110-130, which is known to be encoded in the 5'-terminal TMV RNA region.

Antigens, Viral↗

Cross-allergenicity among the grasses.

RAST inhibition was employed to determine the allergenic relationship of five common western grasses (brome, quack, western wheat, salt, and grama), three southern grasses (Bermuda, Johnson, and Bahia), and six common northern grasses (timothy, June, rye, red top, meadow fescue, and sweet vernal). The patterns of cross-allergenicity suggested by these studies were compared to those suggested by the botanical classification of these grasses. There was significant cross-allergenicity among the grasses studied. Brome, western wheat, and quack grasses demonstrated RAST inhibition patterns similar to the northern grasses. Salt and grama grasses exhibited close allergenic relationships to Bermuda grass, which was allergenically distinct from the northern grasses. Johnson grass appeared to share allergenicity with both the northern grasses and Bermuda grass. Bahia shared allergenicity with the northern grasses, but also possessed some unique allergens. Timothy and Bermuda grass appeared to account for all of the RAST-inhibiting activity contained in the other grasses studied with the possible exception of Bahia grass.

Cross Reactions↗

The higher plant nad5 mitochondrial gene: a conserved discontinuous transcription pattern.

The single copy nad5 gene has been identified in the mitochondrial genomes of cauliflower, chicory, potato, fennel, and common bean. In these five dicot species the same organization as in Oenothera, Arabidopsis, wheat, and maize has been found for the gene: it consists of five exons organized into three independent groups. The first group comprises exons I and II, separated by a highly conserved group II intron, while the second group consists of exon III only. In the third group exons IV and V are separated by a group II intron of variable, species-specific, length. Transcription analysis of the nad5 gene in chicory and in cauliflower shows that the five exons are assembled as a mature mRNA through intermolecular interactions and multiple splicing events. Comparison of transcription in the gene with that of wheat and maize suggests that a common mechanism exists in higher plants for nad5 transcript processing.

Base Sequence↗

RNA editing site recognition in heterologous plant mitochondria.

RNA editing is a process that modifies the information content of mitochondrial messenger RNAs in flowering plants changing specific cytosine residues into uridine. To gain insight into editing site recognition, we used electroporation to introduce engineered wheat (Triticum aestivum) or potato (Solanum tuberosum) mitochondrial cox2 genes, and an atp9-containing chimeric gene, into non-cognate mitochondria, and observed the efficiency of editing in these contexts. Both wheat and potato mitochondria were able to express "foreign" constructs, and their products were properly spliced. Seventeen and twelve editing sites are present in the coding regions of wheat and potato cox2 transcripts, respectively. Eight are common to both plants, whereas nine are specific to wheat, and four to potato. An analogous situation is found for the atp9 mRNA coding regions from these species. We found that both mitochondria were able to recognize sites that are already present as T at the genomic level, making RNA editing unnecessary for that specific residue in the cognate organelle. Our results demonstrate that non-cognate mitochondria are able to edit residues that are not edited in their own transcripts, and support the hypothesis that the same trans-acting factor may recognize several editing sites.

Arabidopsis Proteins↗

The dietary effect of different wheat cultivars for broiler chickens.

1. An experiment was conducted to examine the variability in chemical composition of 16 wheat cultivars and to study how this variability affected the performance of broiler chickens given diets containing 650 or 815 g wheat/kg diet during the first 3 weeks of life. Intestinal viscosity, apparent fat digestibility and apparent metabolisable energy were determined with all diets. Intestinal pH and the relative weight of different parts of the intestine were measured in chickens fed on diets with the high wheat inclusion. 2. The 16 wheat cultivars varied in chemical composition, with protein content ranging from 112 to 127 g/kg dry matter, starch content from 658 to 722 g/kg dry matter and non-starch polysaccharides from 98 to 117 g/kg dry matter. The effect of the different wheat cultivars on the measured parameters was most pronounced in chickens fed on diets with 815 g wheat/kg diet (P<0.001). However, significant (P<0.001) differences between cultivars were still present at the lower wheat content. 3. Milling-quality wheats resulted in better performance (P<0.001) than feeding-quality wheats at the high inclusion, whereas such an effect could not be registered in diets at the lower wheat inclusion. These results indicate that some of the feeding wheats are comparable in quality to milling wheats when included at the concentrations which are more common in practical broiler diets. 4. Decreasing the wheat content in the diets resulted in significantly (P<0.001) better performance and considerably (P<0.001) lower intestinal viscosity (jejunum; 2.4 to 5.9 cps, ileum; 4.6 to 10.9 cps) than in chickens fed on diets with the higher wheat inclusion level (jejunum; 9.1 to 38.4 cps, ileum; 20.8 to 82.0 cps). 5. Diets with 815 g wheat/kg influenced pH in the caeca, but not in the ileum and gizzard. The relative weights of the gizzard and ileum differed significantly (P<0.05) between treatments, whereas those of duodenum, jejunum and caeca were not affected by dietary addition of the different wheat cultivars. 6. The present study demonstrated that the chemical composition and the nutritive value of Danish wheats for broilers vary markedly. The results indicated that the non-starch polysaccharide and especially the arabinoxylan content of wheat are important factors in the discussion of the result obtained. Poor correlations were seen between performance and AMEn and care should be taken when using AMEn values alone to predict the nutritive value of wheat and wheat-based diets.

Animal Feed↗

Food hypersensitivity and atopic dermatitis: pathophysiology, epidemiology, diagnosis, and management.

Laboratory and clinical investigations over the past two decades have demonstrated that food allergy plays a pathogenic role in a subset of patients, primarily infants and children, with atopic dermatitis (AD). Approximately 40% of infants and young children with moderate to severe AD have food allergy, but identifying this subset of patients and isolating the relevant food allergens requires a high index of suspicion, the use of appropriate laboratory tests, and, in some cases, physician-supervised oral food challenges. Removal of the causal food protein(s) leads to clinical improvement but requires a great deal of education because most of the common causal foods (egg, milk, wheat, soy, peanut, and so forth) are ubiquitous in the food supply, and food elimination diets risk causing nutritional deficits. Fortunately, most food allergies resolve in early childhood, and food allergy is not a common cause for AD in older children and adults.

Adult↗

Spectrum of unnatural fatalities in the Chandigarh zone of north-west India--a 25 year autopsy study from a tertiary care hospital.

A 25 year (1977-2002) autopsy study of 5933 unnatural fatalities from a tertiary care hospital of north-west India revealed an abrupt rise in unnatural deaths (3050; 51.4%) since 1997. 84.2% subjects were between the age group of 16 and 45. Accidental deaths (79.3%) constituted the majority of unnatural fatalities followed by suicidal (13.9%) and homicidal (6%) deaths. Road traffic accidents (RTAs), burn, poisoning, accidental falls from height and firearm injury were responsible for 94.5% of the total unnatural deaths. A male preponderance (73.4%) was seen in all causes of deaths except for burns where females (61%) outnumbered males (39%). The incidence of fatalities due to poisoning and burns had increased from 5.7% and 22.6% to 12% and 24.3%, respectively, whereas due to fire arms and machinery accidents decreased from 4.5% and 1.2% to 1.2% and 0.4%, respectively. The proportion of mortality due to road traffic accidents (50.3%) and accidental fall from height (6.9%) remained almost static. Two-wheeler occupants (motor cycles, etc. 33.3%) were the main victims in road traffic accidents. Pouring of kerosene oil (36% dowry death), malfunctioning and bursting of kerosene oil stove (43.5%) were the most common factors in burn deaths. Between 1977 and 1987 barbiturates (33.3%), organophosphates (23.8%) and copper sulphate (14.3%) and in 1987-1997 organophosphates (45%) and aluminium phosphide (26.5%) were the major fatal poisons. Since 1992 aluminium phosphide (80%), a fumigant pesticide used for wheat preservation was the most common poison. The incidence of suicidal deaths increased from 10.9% (1987-1992) to 15.7% (1997-2002) with a peak incidence of 18.2% in 1992-1997, when this pesticide with no effective antidote was made freely available in the market.

Journal Article↗