DISCUSSION
A diet containing immunogenic proteins is extremely important for the
maintenance of the immune system homeostasis [19]. But what makes a
dietary protein a food allergen? This has not yet been fully
established. The knowledge about the factors that determine the
allergenicity of food proteins is still incomplete. In theory any
protein contained in foods could induce allergy, however, as stated
before 14 are responsible for over 90% of all allergies.
From the immunogenicity point of view peanut is one of the best studied
seed. The World Health Organization/International Union of Immunological
Societies (WHO/IUIS) Allergen Nomenclature Subcommittee recognizes 17
distinct peanut allergens.
In order to perform in vivo or in vitro diagnostic tests,
standardized antigens are fundamental. Early characterization of peanut
allergen utilized serum from allergic patients to prepare affinity
columns. The study of the eluted proteins permitted the molecular
characterization of the major allergens [20]. Since the 1980’s
several molecular biology strategies were developed and are currently
being used to produce purified proteins both from food in naturaas well as recombinant proteins. Purified antigens in diagnostic allergy
tests are not necessarily more effective than complex protein solutions
[21]. Albeit all efforts there are still inconsistencies between
manufacturers of food allergens which may turn the tests unreliable in
the clinical setting [22].
We prepared peanut extracts using four different buffers ranging in pH
from 6.8 to 10.0. Quantitively, the highest yield was obtained with the
alkaline borate buffer with the addition of β-mercaptoethanol, a
disulfide bond reducing agent. Regarding the other three buffers we
observed that neutral SB extracted more peanut protein than both
alkaline BB and acid TB. We did not find in the literature explanation
for this fact.
The Brazilian Table of Food Composition (TACO) research group obtained
each food from the five Brazilian macro regions, then analyzed its micro
and macro elements [23]. The food table refers to the average value
of each component contained in the respective foods. It is important to
note that the analytical method used to quantify may overestimate or
underestimate the protein content of the foodstuff. Protein
quantification in the TACO study was performed by the Kjeldahl method
that determines the total nitrogen contents which was then converted to
protein concentration [24-26]. Our results using the Lowry [11]
protein quantification method agree with the TACO results [23]. We
can argue that the use of β-mercaptoethanol may have better exposed
reactive sites of the protein content than the other three buffers.
Having obtained the protein extracts we determined the immunogenicity of
each extract by performing a routine sensitization protocol with alum,
an adjuvant typically used to induce TH2 responses [27] in contrast
to Freud adjuvant that is typically used to stimulate TH1 responses
[21]. The two mouse strains used - C57BL/6 and Balb/c - were chosen
due to their Th1 and Th2 profiles, respectively[28]. To study the
intrinsic immunogenicity of allergens and the influence of the food
matrix, van Wijk, Nierkens (29) compared the in vivo(subcutaneous) response to purified peanut allergens and to CPE similar
to the extracts used in this work. These authors inform that none of the
purified allergens induced significant immune activation while, CPE
induced an increased immune response to the individual allergens. In
accordance with the authors, one must argue that purified proteins
injected in the subcutaneous tissue without an inducer of inflammation
may be immunogenic in the long run but, most probably, not after a
single inoculation. For example, as seem in the clinical scenario, with
the use of bovine or porcine insulin by diabetic patients that
frequently develop resistance to the daily injected insulin [30].
Although defatting the milled seeds is a common procedure in protein
purification, we did not include this step prior to the extraction
procedures, taking in account that the ingested food is, in general, not
in a defatted condition. However, during the extraction process
(incubation and centrifugation) most of the fat was removed as it comes
out of phase. The amount of reminiscent fat may have influenced the
immunogenicity of each extract. A frequently used immunopotentiator is
incomplete Freund’s adjuvant, a mineral oil, in which antigen solutions
are emulsified [31]. The possible influence of the different buffers
on the separation of the fat contained in the seeds was not calculated.
Both cooked and raw food undergo harsh physical and chemical reactions
before it can be absorbed by the gut. The majority must be broken down
to the elemental components for absorption, however, to continue
immunogenic and induce allergy some of the molecules must resist
processing. Only to site a few, potential influencers of allergenicity
are: food matrix [29], protein stability during processing [32],
and the immunological status of the entry port as has been previously
demonstrated by our group [33].
In general, our data agree with those of the literature [34, 35]
regarding the ionic strength of the buffer used in the extraction of
peanut proteins. However, different from these authors the use of the
reducing agent increased the extraction efficiency in our model. The
difference between the two protocols consists in the buffer and the
reducing agents used. We used an acid while they used an alkaline tris
buffer and we used βME and they used SDS and other reducing agents. As
proposed by these authors the CPE is immunogenic as it is a complex
mixture of proteins, carbohydrates, and fatty acids. The latter be
responsible for the adjuvant effect due to their inflammatory potential.
[29].
As can be seen in the gel electrophoresis the profile of protein bands
is influenced by the extraction buffer used. Although similar molecular
weight proteins are extracted by each of the extraction buffers, none of
them successfully extracted all proteins from peanuts. In our
experiment, all protein extracts are immunogenic. All animals produced
significantly more antibodies to the Ag-alum solution than their sham
counterparts. Irrespective of which protein extract was inoculated or
adsorbed to the Elisa plate positive reactivity was observed. However,
the intensity of serum reactivity varied. C57BL/6 mice sensitized with
one of the four peanut extracts did not show significant differences
when the plates were adsorbed with CPE- BB2ßME or CPE-TB/HCl. These
results suggest a dominance in the immunogenicity of the protein profile
that was obtained by these two buffers. On the other hand, the same sera
show distinct reactivity profiles when the plates are coated with CPE-BB
or CPE-SB. Our hypothesis is that the immunogenicity of each CPE differs
and induces distinct antibody profiles. This hypothesis has not yet been
tested. We are currently performing further experiments to elucidate
this fact.
Each CPE induced different intragroup variability. C57BL/6 mice
sensitized with CPE-SB presented more homogeneous reactivities when
compared to those sensitized with CPE-TB/HCl which presented quite
heterogeneous reactivities. Some individuals with high levels and others
with low levels of anti-peanut antibodies. This pattern of response was
less prevalent in Balb/c mice, being visualized only in animals
inoculated with CPE-2βME and tested with plates adsorbed with the
homologous extract. In populations with a heterogeneous genetic profile,
one would expect a pattern of intragroup discrepancies however the
experiments were undertaken with inbred mouse strains. We found no
similar findings in the literature and our working hypothesis is that
the animals’ microbiota may be influencing their responses, since the
animals used were neither SPF nor germ-free.
The mean reactivity of sera from the C57BL/6 and Balb/c mice sensitized
with one of the four peanut extracts varied according to the extract
used for adsorption on the plates. The mean reactivity titers of sera
plated on CPE-2βME were lower than the remaining plates suggesting that
either its adhesion is less effective or that 2βME decreases the
immunogenic capacity of this extract as it dissociates disulfide bonds.
The latter is supported by the fact that immunizations with this extract
also yields lower antibody titers on plates covered with the extracts
obtained with other buffers (CPE-BB, CPE-SB and CPE-TB / HCl).
The immunoblotting revealed that the pattern of sera reactivity to the
corresponding extract used to sensitize also varies according to the CPE
used. Astuti et al found that peanut allergen induced individual
specificity patterns, suggesting that it is better to use CPE rather
than purified proteins as a tool for diagnosing allergies, since
immunodominance may vary due to food processing, absorption and
physiology therefore, each individual may be allergic to different
allergens of any food [36].
We did not observe differences in the comparison of the mean
reactivities of sera from C57BL/6 mice sensitized with one of the four
peanut extracts and tested on an ELISA plate adsorbed with the
homologous extract. In this lineage although the average reactivity for
the peanut was not significantly affected it is possible to observe the
great intragroup dispersion with some animals responding more than
others. This observation is not the result of possible inter-plate
variations because all the sera from a same group were evaluated on the
same plate suggesting the interference of biological factors in the
response to the peanut by C57BL/6 mice.
This scenario is different for the Balb/c mice sensitized with the
peanut extracts. The form of extraction clearly alters the reactivity.
CPE-TB/HCl showed the lowest titers. In this lineage only those
inoculated with CPE-BB2βME showed a large dispersion in anti-peanut
polyisotypic IgG titers. Although CPE-TB/HCl yielded the lowest protein
concentration, this fact does not justify the low antibody titers since
all the animals were inoculated with 100 μg of antigen independent of
the extract, suggesting that genetic factors of the lineage associated
with the differentiated immunogenicity of the extracts influenced the
observed immune response.