Abdominal distension after eating lettuce: The role of intestinal gas evaluated in vitro and by abdominal CT imaging.

BACKGROUND: Some patients complain that eating lettuce, gives them gas and abdominal distention. Our aim was to determine to what extent the patients' assertion is sustained by evidence. METHODS: An in vitro study measured the amount of gas produced during the process of fermentation by a preparation of human colonic microbiota (n = 3) of predigested lettuce, as compared to beans, a high gas-releasing substrate, to meat, a low gas-releasing substrate, and to a nutrient-free negative control. A clinical study in patients complaining of abdominal distention after eating lettuce (n = 12) measured the amount of intestinal gas and the morphometric configuration of the abdominal cavity in abdominal CT scans during an episode of lettuce-induced distension as compared to basal conditions. KEY RESULTS: Gas production by microbiota fermentation of lettuce in vitro was similar to that of meat (P = .44), lower than that of beans (by 78 ± 15%; P < .001) and higher than with the nutrient-free control (by 25 ± 19%; P = .05). Patients complaining of abdominal distension after eating lettuce exhibited an increase in girth (35 ± 3 mm larger than basal; P < .001) without significant increase in colonic gas content (39 ± 4 mL increase; P = .071); abdominal distension was related to a descent of the diaphragm (by 7 ± 3 mm; P = .027) with redistribution of normal abdominal contents. CONCLUSION AND INFERENCES: Lettuce is a low gas-releasing substrate for microbiota fermentation and lettuce-induced abdominal distension is produced by an uncoordinated activity of the abdominal walls. Correction of the somatic response might be more effective than the current dietary restriction strategy.

Lettuce Allergy Is a Lipid Transfer Syndrome-Related Food Allergy With a High Risk of Severe Reactions.

BACKGROUND AND OBJECTIVE: Lipid transfer protein (LTP) sensitization is the most common cause of food allergy in the Mediterranean area, with peach allergy acting as the primary sensitizer in most cases. Lettuce has been described as a common offending food in patients with LTP syndrome. The aim of the study was to investigate the frequency and clinical expression of LTP syndrome in a sample of lettuceallergic patients. METHODS: We determined specific IgE to Pru p 3 and lettuce in a sample of 30 patients with a diagnosis of lettuce allergy. Symptoms elicited by other LTP-containing plant-derived foods and the presence of cofactors were assessed. RESULTS: The clinical symptoms of lettuce allergy were frequently severe, with 18 of the 30 patients experiencing anaphylaxis. All the patients had allergic reactions to other plant foods. Cofactors were involved in the clinical reactions of 13 of the 30 patients. Sensitization to pollens was found in 90% of patients. CONCLUSIONS: Lettuce allergy is found not as an isolated condition but in the context of LTP syndrome and it is characterized by severe reactions and frequent cofactor association.

Lettuce contact allergy.

Lettuce (Lactuca sativa L.) and its varieties are important vegetable crops worldwide. They are also well-known, rarely reported, causes of contact allergy. As lettuce allergens and extracts are not commercially available, the allergy may be underdiagnosed. The aims of this article are to present new data on lettuce contact allergy and review the literature. Lettuce is weakly allergenic, and occupational cases are mainly reported. Using aimed patch testing in Compositae-allergic patients, two recent Danish studies showed prevalence rates of positive lettuce reactions of 11% and 22%. The majority of cases are non-occupational, and may partly be caused by cross-reactivity. The sesquiterpene lactone mix seems to be a poor screening agent for lettuce contact allergy, as the prevalence of positive reactions is significantly higher in non-occupationally sensitized patients. Because of the easy degradability of lettuce allergens, it is recommended to patch test with freshly cut lettuce stem and supplement this with Compositae mix. As contact urticaria and protein contact dermatitis may present as dermatitis, it is important to perform prick-to-prick tests, and possibly scratch patch tests as well. Any person who is occupationally exposed to lettuce for longer periods, especially atopics, amateur gardeners, and persons keeping lettuce-eating pets, is potentially at risk of developing lettuce contact allergy.

Efecto biofertilizante del preparado: residuos vegetales - bacteria nativa diazótrofa, sobre las variables biométricas en plántulas de Rhapanus sativus / Biofertilizer effect of the prepared from vegetales wastes - diazotroph native bacterium on biometrics variables of Rhapanus sativus seedlings

El uso de bioinoculantes a base de microorganismos con potencial biofertilizante representa una alternativa económicamente viable y de producción limpia para el sector agrícola. El objetivo del presente trabajo fue evaluar el efecto biofertilizante de un preparado elaborado con residuos sólidos vegetales (RSV) procedentes del mercado y la bacteria nativa diazótrofa Azotobacter A15M2G. Se elaboraron biopreparados utilizando diferentes concentraciones de bacteria (106, 107 y 108 UFC) en un medio de cultivo obtenido a partir del 25% p/v de cada uno de los siguientes RSV: Brassica oleracea (repollo), Lactuca sativa (lechuga) y Allium fistulosum (cebollín). Los biopreparados fueron evaluados en plantas de rábano (Rhapanus sativus) en invernadero, utilizando un diseño estadístico completamente al azar de 5 tratamientos con 3 repeticiones: T1, control; T2, semillas pregerminadas tratadas con RSV al 25% p/v; T3, semillas pregerminadas con bioinoculante de 106 UFC; T4, semillas pregerminadas con bioinoculante de 107 UFC; T5, semillas pregerminadas con bioinoculante de 108 UFC. Se evaluó: número de hojas, área foliar, longitud de la planta, longitud de la raíz y peso seco de toda la planta (ensayos por triplicado). Se observó un incremento altamente significativo en peso seco para T5 (0,88 g) y T4 (1,10 g); y diferencias significativas en el área foliar, para los mismos tratamientos, con un valor superior a 2000 cm2. El biopreparado con bacterias nativas y RSV mejoró el crecimiento y desarrollo de las plantas de rábano, pudiéndose dar un valor agregado a estos residuos y de esta manera obtener un biofertilizante potencialmente utilizable en otros cultivos.

The use of bioinoculantes from microorganisms with biofertilizer potential, represents an economically viable alternative and of clean production for the agricultural sector. The aim of this study was to evaluate the effect of biofertilizer preparation obtained from vegetable solid waste (RSV) of the market and the native bacteria Azotobacter A15M2G diazotroph.Biological cultures were prepared using different inoculum concentrations, 106, 107 y 108 UFC in a culture medium obtained from 25% w / v of each of the following substrates: Brassica oleracea (cabbage), Lactuca sativa (lettuce) and Allium fistulosum (chives). The microbial inoculants were evaluated in radish plants (Rhapanus sativus) in greenhouse using a completely randomized design of 5 treatments with 3 replicates: T1, pre-germinated seeds without any treatment; T2, pre-germinated seeds treated with the dye waste vegetables 25% w / v; T3, pre-germinated seeds treated with bacterial concentration bioinoculants to 106 UFC; T4, pre-germinated seeds treated with bacterial concentration bioinoculants to 107 UFC, and T5, pre-germinated seeds treated with bacterial concentration bioinoculants to 108 UFC. Assessed variables were: number of leaves, leaf area, plant length, root length and dry weight of the entire plant (all assays in triplicate). The results showed a highly significant increase in dry weight, for T5 (0.88 g) and T4(1.10 g); and significant differences in leaf area for the same treatments, with a value greater than 2000 cm2, compared to others. The biopreparado from native bacteria and RSV improved the growth and development of the radish plants, being able to give a added value to these residues and to obtain a potentially usable biofertilizer in other cultures.

Lettuce-induced anaphylaxis. Identification of the allergen involved.

BACKGROUND: Only 2 allergenic proteins have been described in lettuce allergy: a 16-kDa protein (putative profilin) and a lipid transfer protein (LTP) named Lac s 1. OBJECTIVE: Our aim was to identify the allergens involved in the anaphylactic reactions of 2 patients who had eaten lettuce. METHODS: The study was performed by Ig (immunoglobulin)-E immunodetection and immunodetection-inhibition assays. RESULTS: Both patients' sera showed specific IgE binding to a single protein from the crude lettuce extract (apparent molecular weight of 14 kDa). To characterize the allergen detected, the lettuce extract underwent proteolytic digestion and heat treatment and was highly resistant to both. The patients' sera also recognized the major peach allergen Pru p 3 by immunodetection. When the lettuce allergen was incubated with both Pru p 3 from peach peel and recombinant Pru p 3, the immunodetection-inhibition assay indicated that patients were sensitized to the lettuce LTP Lac s 1. CONCLUSIONS: The allergen involved in the lettuce-induced anaphylaxis of our patients was the LTP Lac s 1.

Lettuce anaphylaxis: identification of a lipid transfer protein as the major allergen.

BACKGROUND: Allergy to plant-derived foods is associated with birch pollinosis in central and northern Europe. Symptoms elicited are usually limited to the oropharyngeal system. By contrast, in the Mediterranean area, allergy to the same foods manifests more frequently with systemic reactions caused by nonspecific lipid transfer proteins (nsLTP), independently of an associated pollinosis. OBJECTIVE: We sought to investigate the pattern of immunoglobulin E (IgE) binding protein bands implicated in lettuce allergy, in particular the presence of an nsLTP. METHODS: Consecutive lettuce allergic patients were selected. Determination of serum-specific IgE, immunoblot, and inhibition experiments were performed in order to study the pattern of IgE binding proteins and the potential cross-reactivity to pollens. Inhibition studies with recombinant allergens were conducted to identify the lettuce allergens. The major allergen was subjected to N-terminal amino acid sequencing. RESULTS: Fourteen patients were diagnosed as being allergic to lettuce. All were sensitized to Platanus pollen. Ten of them showed specific IgE to a lettuce protein of 9-kDa. The IgE binding to this protein was completely inhibited by the cherry-LTP and peach extract. The N-terminal sequence of the 9-kDa protein showed a high degree of amino acid sequence identity to other nsLTPs. A clear partial cross-reactivity was observed between lettuce-LTP and Platanus-pollen extract. CONCLUSIONS: An LTP has been demonstrated to be a major allergen in patients suffering from lettuce allergy.

Study of a case of hypersensitivity to lettuce (Lactuca sativa).

BACKGROUND: Allergic reactions to lettuce (Lactuca sativa) are not too frequent and few cases of systemic adverse reactions after its ingestion have been described. OBJECTIVE: We report a case of clinical sensitization to lettuce on a patient who presented mucocutaneous manifestations after its ingestion, with positive skin tests, histamine release test and serum specific-IgE to lettuce. The allergens responsible for this sensitization were also characterized by means of SDS-PAGE immunoblotting. MATERIALS AND METHODS: We performed skin tests, histamine release test, serum specific IgE determination and CAP inhibition with lettuce and mugwort (Artemisia vulgaris) extracts. An aqueous and enriched lettuce (from loose leaf type) extract was subjected to SDS-PAGE immunoblotting for determination of its IgE-binding components. RESULTS AND CONCLUSIONS: CAP inhibition showed antigenic community between lettuce and mugwort. Four protein bands from the lettuce extracts with molecular weights of 50, 43, 39 and 16 kDa exhibited IgE-binding properties.

Occupational allergic contact dermatitis from spices.

About 1000 patients were investigated at our clinic during 1991-1995 for occupational skin disease, and 5 had occupational allergic contact dermatitis from spices. The patients were chefs, or kitchen, coffee room, and restaurant workers. All patients had hand (or finger) dermatitis. The causative spices were: garlic, cinnamon, ginger, allspice and clove. The same patients also had allergic patch test reactions to foods: tomato, lettuce and carrot. Paprika elicited a weak allergic patch test reaction in 2 patients. Occupational allergic contact dermatitis from spices is relatively rare, but needs to be taken into consideration in patients who have hand dermatitis, and work with spices and foods. Patch testing with spices as is is useful, but testing with dilutions in pet, may be needed to confirm that the patch test reactions are allergic. Patients also need to be prick tested with spices and foods.