Occupational asthma caused by grass pea used in the industrial processing of parquet

Legume Allergens Pea, Chickpea, Lentil, Lupine and Beyond

PURPOSE OF THE REVIEW

In the last decade, an increasing trend towards a supposedly healthier vegan diet could be observed. However, recently, more cases of allergic reactions to plants and plant-based products such as meat-substitution products, which are often prepared with legumes, were reported. Here, we provide the current knowledge on legume allergen sources and the respective single allergens. We answer the question of which legumes beside the well-known food allergen sources peanut and soybean should be considered for diagnostic and therapeutic measures.

RECENT FINDINGS

These "non-priority" legumes, including beans, pea, lentils, chickpea, lupine, cowpea, pigeon pea, and fenugreek, are potentially new important allergen sources, causing mild-to-severe allergic reactions. Severe reactions have been described particularly for peas and lupine. An interesting aspect is the connection between anaphylactic reactions and exercise (food-dependent exercise-induced anaphylaxis), which has only recently been highlighted for legumes such as soybean, lentils and chickpea. Most allergic reactions derive from IgE cross-reactions to homologous proteins, for example between peanut and lupine, which is of particular importance for peanut-allergic individuals ignorant to these cross-reactions. From our findings we conclude that there is a need for large-scale studies that are geographically distinctive because most studies are case reports, and geographic differences of allergic diseases towards these legumes have already been discovered for well-known "Big 9" allergen sources such as peanut and soybean. Furthermore, the review illustrates the need for a better molecular diagnostic for these emerging non-priority allergen sources to evaluate IgE cross-reactivities to known allergens and identify true allergic reactions.

Identification and Characterization of β-Lathyrin, an Abundant Glycoprotein of Grass Pea ( Lathyrus sativus L.), as a Potential Allergen

Grass pea, a protein-rich, high-yielding, and drought-tolerant legume, is used as food and livestock feed in several tropical and subtropical regions of the world. The abundant seed proteins of grass pea are salt-soluble globulins, which can be separated into vicilins and legumins. In many other legumes, the members of vicilin seed proteins have been identified as major allergens. However, very little information is available on the allergens of grass pea. In this study, we have identified an abundant 47 kDa protein from grass pea, which was recognized by immunoglobulin E (IgE) antibodies from sera drawn from several peanut-allergic patients. The IgE-binding 47 kDa protein was partially purified by affinity chromatography on a Con-A sepharose column. Matrix-assisted laser desorption/ionization-time-of-flight mass spectrometry analysis of the 47 kDa grass pea protein revealed sequence homology to 47 kDa vicilin from pea and Len c 1 from lentil. Interestingly the grass pea vicilin was found to be susceptible to pepsin digestion in vitro. We have also isolated a cDNA encoding the grass pea 47 kDa vicilin (β-lathyrin), and the deduced amino acid sequence revealed extensive homology to several known allergens, including those from peanut and soybean. A homology model structure of the grass pea β-lathyrin, generated using the X-ray crystal structure of the soybean β-conglycinin β subunit as a template, revealed potential IgE-binding epitopes located on the surface of the molecule. The similarity in the three-dimensional structure and the conservation of the antigenic epitopes on the molecular surface of vicilin allergens explains the IgE-binding cross-reactivity.

Crystal structure and functional insights of hemopexin fold protein from grass pea

A regulatory protein from grass pea (Lathyrus sativus), LS-24, a close homolog of albumin 2 from garden pea (Pisum sativum) that is associated with polyamine biosynthesis, was characterized and the structure of a hemopexin-type fold among plant proteins illustrated. Crystal structure of LS-24 determined at 2.2 A resolution by multiple isomorphous replacement phasing showed four-bladed beta-propeller structure having a pseudo 4-fold molecular symmetry along a metal ion-binding central channel. The structure represents typical mammalian hemopexin fold with discernible features correlated with the possible functional variations. The protein was found to exist in the dimeric state. While LS-24 dimer binds to spermine in the crystal structure as well as in solution, binding of heme in solution resulted in the dissociation of the dimer into monomers with concomitant release of bound spermine. Interactions of heme and spermine with LS-24 bear physiological implications. While binding of spermine to LS-24 can be linked with polyamine biosynthesis that of heme correlates with oxidative stress. Mutually exclusive binding of heme and spermine in different oligomeric states suggest a role for LS-24 in sensing oxidative stress through a ligand-regulated monomer-dimer transition switch.

Occupational rhinoconjunctivitis and asthma by exposure to Lathyrus sativus flour

We report the case of a 42-year-old non-smoking man, who had worked as a carpenter for 6 years and who reported a history of rhinorrhea, paroxysmal sneezing, nasocular pruritus, lacrimation, wheezing and dyspnea attacks while preparing a mixture to seal the junctures between wooden panels. Allergy study consisted of skin prick testing (SPT) to inhalants, foods and Lathyrus sativus flour (LSF) extract, specific bronchial provocation test with LSF extract, cytological analysis of sputum, specific IgE antibodies against LSF, and histamine releasing test with dilutions (1:5, 1:25, 1:125, 1:625) of LSF. The results demonstrated occupational rhinoconjunctivitis and asthma due to LSF exposure. We provide a review of published reports to date.