RESUMEN
Cryopreservation involves exposing sperm to stressful conditions that affect cell viability. The high quality of the Azerbaijani water buffalo's by-products, such as buffalo milk, makes it a species of significant importance. Our focus is on protecting its genetic resources by preserving its sperm, as their numbers will decrease in the coming years and they are at risk of extinction. This study's goal was to ascertain how apigenin (A) and trans-ferulic acid (t-FA) affected the semen quality of Azari water buffalo bulls under cryopreservation. Pooled buffalo sperm (n = 35 ejaculations) were diluted in a Tris-based diluent also containing varying amounts of apigenin (0.2, 0.4, 0.6, and 0.8 mM) and trans-ferulic acid (2.5, 5, 10 and 20 mM). Following a freeze-thaw procedure, samples were assayed for total antioxidant capacity (TAC), catalase (CAT), superoxide dismutase (SOD), malondialdehyde (MDA), glutathione activity (GSH), glutathione peroxidase (GPx), progressive motility and total motility, motility properties, plasma membrane functionality, and viability. Sixty days after insemination, the rectal examination was performed on 38 buffaloes that had undergone sexual breeding to confirm pregnancy. The results of the study show that the addition of A-0.2, A-0.4, and t-FA-10 to buffalo semen increases the percentage of intact plasma membrane, motility, and sperm viability, as well as the levels of GSH, GPx, CAT. and TAC. In addition, there is a decrease in MDA and DNA damage after cryopreservation. Furthermore, the results show that 0.4 mM apigenin significantly increases conception rates compared to the control group. The base extender of Tris supplemented with A (0.4 and 0.2 mM) and t-FA (10 mM) improves the antioxidant indices of both frozen and thawed buffalo sperm, which in turn improves post-thawing sperm quality and in vivo fertility improves buffalo sperm.
Asunto(s)
Apigenina , Búfalos , Ácidos Cumáricos , Criopreservación , Crioprotectores , Estrés Oxidativo , Preservación de Semen , Motilidad Espermática , Espermatozoides , Animales , Criopreservación/métodos , Criopreservación/veterinaria , Masculino , Preservación de Semen/métodos , Preservación de Semen/veterinaria , Apigenina/farmacología , Estrés Oxidativo/efectos de los fármacos , Motilidad Espermática/efectos de los fármacos , Crioprotectores/farmacología , Espermatozoides/efectos de los fármacos , Espermatozoides/metabolismo , Ácidos Cumáricos/farmacología , Femenino , Antioxidantes/farmacología , Antioxidantes/metabolismo , Supervivencia Celular/efectos de los fármacos , Catalasa/metabolismo , Semen/efectos de los fármacos , Semen/metabolismo , Superóxido Dismutasa/metabolismo , Malondialdehído/metabolismo , Glutatión Peroxidasa/metabolismo , Análisis de Semen , Glutatión/metabolismo , Membrana Celular/efectos de los fármacos , Membrana Celular/metabolismoRESUMEN
OBJECTIVE: The diagnosis of primary SjÓ§gren's syndrome still relies upon a constellation of clinical, laboratory, imaging, and pathological findings. We aimed to evaluate the relation of the disease activity with the results of diagnostic tests for primary SjÓ§gren's syndrome. METHODS: A principal component with cluster analysis was performed to classify 69 patients with primary SjÓ§gren's syndrome based on the results of diagnostic evaluations. RESULTS: Anti-SSA autoantibody was the most represented feature on the principal components. The anti-SSA and ultrasound score were positively correlated (p=0.001). We identified two distinct clusters of low or high disease activity (p<0.001). Except for disease duration and serum beta2-microglobulin, the clusters were significantly different in salivary flow (p= 0.004), ultrasound findings (p<0.001), IgG (p= 0.001), and salivary beta2-microglobulin (p= 0.048). Also, positive findings were significantly different between the clusters in rheumatoid factor, antinuclear antibody, anti-SSA, and anti-SSB (all p≤0.013). CONCLUSION: Patients with higher syndrome activity were best recognized with serological and ultrasound assessments. However, patients with lower syndrome activity had a longer disease duration, higher stimulated salivary flow rate, and a positive biopsy of minor salivary glands (56%).
Asunto(s)
Síndrome de Sjögren , Humanos , Síndrome de Sjögren/diagnóstico , Síndrome de Sjögren/patología , Autoanticuerpos , Anticuerpos Antinucleares , Factor Reumatoide , Análisis por ConglomeradosRESUMEN
AIM: The purpose of this study was to clarify the mechanism of the antibacterial action of two high potential and natural food additives, epigallocatechin gallate (EGCg) and theaflavin-3,3'-digallate (TF3), on Clostridium perfringens. METHODS AND RESULTS: Minimal inhibitory concentrations were determined by the serial dilution method. Afterwards, the cells were treated with 250 or 1000 mg l-1 of EGCg and 125 or 500 mg l-1 of TF3 and morphological changes were observed and cell sizes were also measured under fluorescence microscopy. Our results showed that TF3 had a twice stronger antibacterial activity than EGCg against C. perfringens. Phase-contrast and fluorescence microscopy confirmed that the bacterial cells elongated without DNA segregation and septum formation in the presence of 250 mg l-1 EGCg. While in the higher concentration of EGCg and TF3, cell growth was suppressed. Bacterial cells reached to around 12 µm after the 24 h incubation with 250 mg l-1 EGCg, but the cells were shorter than the control at 1000 mg l-1 of EGCg. After washing and incubating the elongated cells in fresh medium, DNA segregated at 2 h of incubation. The average cell length decreased gradually and reached the normal size at 8 h. CONCLUSION: It seems that EGCg at a low concentration affected the proteins involved in the septum formation, DNA segregation and cell division. Furthermore, the high concentration of EGCg and TF3 seemed to cause stronger cellular damage to C. perfringens. SIGNIFICANCE AND IMPACT OF THE STUDY: These polyphenols are widely distributed in all higher plants especially in tea plants, and people tend to use natural food additives rather than synthetic ones. EGCg and TF3, as natural food additives, can prevent C. perfringens food poisoning along with other potential health benefits.
Asunto(s)
Antibacterianos/farmacología , Biflavonoides/farmacología , Catequina/análogos & derivados , Clostridium perfringens/efectos de los fármacos , Catequina/farmacologíaRESUMEN
OBJECTIVE: To examine the disutility of tooth loss. It compared how people value their teeth in two countries which are culturally similar in order to explore the effect of culture on self-perceptions of oral health. BASIC RESEARCH DESIGN: Cross sectional study. PARTICIPANTS: Participants were recruited from subjects attending two hospitals in Turkey and in Iran. INTERVENTIONS: Nineteen descriptions of mouths with varying degrees and types of tooth loss were presented to the participants. They were shown mouth models of partially edentate dentitions and the teeth missing were explained in relation to the participants own mouth. The participants were specifically asked to consider the role their teeth played in function (chewing), communication (speech) and aesthetics (looks) along with "all the other things that make your mouth important". MAIN OUTCOME MEASURES: The participants were asked to indicate on a visual analogue scale how they would value the health of their mouth if they lost the tooth/teeth described and the resultant space was left unrestored. RESULTS: Overall 152 subjects participated, 78 in Turkey and 74 in Iran with 83 being female and 69 male. Their mean age was 29.5 years (SD 9.3), 62.5% had experienced tooth loss and 37.5% had complete (or completely restored) dentitions. Although there were no differences between the two countries in the degree of utility people attached to anterior teeth, Turkish participants attached significantly more disutility than Iranians to the loss of premolar and molar teeth (p < 0.003). CONCLUSION: Country of origin had an influence on the value placed on certain parts of the dentition and this effect is independent of the number of missing teeth, gender and age. This implies that attitudes to oral health are influenced by prevalent cultural attitudes more than by function.
Asunto(s)
Actitud Frente a la Salud , Cultura , Estética Dental , Salud Bucal , Medio Social , Pérdida de Diente/psicología , Adulto , Factores de Edad , Diente Premolar/patología , Estudios Transversales , Diente Canino/patología , Femenino , Humanos , Incisivo/patología , Irán , Arcada Parcialmente Edéntula/etnología , Arcada Parcialmente Edéntula/psicología , Arcada Parcialmente Edéntula/rehabilitación , Masculino , Mandíbula , Masticación/fisiología , Maxilar , Diente Molar/patología , Autoimagen , Factores Sexuales , Habla/fisiología , Pérdida de Diente/etnología , Pérdida de Diente/rehabilitación , Turquía , Escala Visual AnalógicaRESUMEN
By advancing of molecular imaging techniques, magnetic resonance imaging (MRI) is becoming an increasingly important tool in early diagnosis. Researchers have found new ways to increase contrast of MRI images.Therefore some types of drug known as contrast media are produced. Contrast media improve the visibility of internal body structures in MRI images. Gadodiamide (Omniscan®) is one of these contrast media which is produced commercially and used clinically. In this study Gadodiamide was first synthesized and then qualitative and quantitative methods were carried out to ensure the proper synthesis of this drug then to increase the efficiency of this contrast medium use dendrimer that is one kind of nano particle. This dendrimer has a polyethylene glycol (PEG) core and citric acid branches. After dendrimer attached to Gadodiamide to ensure the proper efficient connection between them the stability studies were carried out and cytotoxicity of the drug was evaluated. Finally, after ensuring the non-toxicity of the drug, in vivo studies (injected into mice) MR imaging was performed to examine the impact of synthesis drug on the resolution of image.The result obtained from this study demonstrated that the attachment of Gadodiamide to dendrimer reduces its cytotoxicity and also improved resolution of image. Also the new contrast media (Gd3+-DTPA- bis [N-methylamine] - Dendrimer) - unlike Omniscan® - is biodegradable and able to enter the HEPG2 cell line. The results confirm the hypothesis that using dendrimer to synthesize this new nano contrast medium increases its effectiveness.
Asunto(s)
Medios de Contraste , Dendrímeros , Gadolinio DTPA , Imagen por Resonancia Magnética/métodos , Dendrímeros/síntesis química , Dendrímeros/química , Gadolinio DTPA/síntesis química , Gadolinio DTPA/química , Células Hep G2 , HumanosRESUMEN
In this paper, results of an experimental and modeling of separation of oil from industrial oily wastewaters (desalter unit effluent of Seraje, Ghom gas wells, Iran) with mullite ceramic membranes are presented. Mullite microfiltration symmetric membranes were synthesized from kaolin clay and alpha-alumina powder. The results show that the mullite ceramic membrane has a high total organic carbon and chemical oxygen demand rejection (94 and 89%, respectively), a low fouling resistance (30%) and a high final permeation flux (75 L/m2 h). Also, an artificial neural network, a predictive tool for tracking the inputs and outputs of a non-linear problem, is used to model the permeation flux decline during microfiltration of oily wastewater. The aim was to predict the permeation flux as a function of feed temperature, trans-membrane pressure, cross-flow velocity, oil concentration and filtration time, using a feed-forward neural network. Finally the structure of hidden layers and nodes in each layer with minimum error were reported leading to a 4-15 structure which demonstrated good agreement with the experimental measurements with an average error of less than 2%.
Asunto(s)
Cerámica , Residuos Industriales , Membranas Artificiales , Modelos Teóricos , Redes Neurales de la Computación , Aceites/aislamiento & purificación , Contaminantes del Agua/aislamiento & purificaciónRESUMEN
In this research, results of an experimental investigation on separation of oil from a real oily wastewater using an ultrafiltration (UF) polymeric membrane are presented. In order to enhance the performance of UF in API separator effluent treatment and to get more permeation flux (PF), effects of operating factors on the yield of PF were studied. Five factors at four levels were investigated: trans-membrane pressure (TMP), temperature (T), cross flow velocity (CFV), pH and salt concentration (SC). Taguchi method (L(16) orthogonal array (OA)) was used. Analysis of variance (ANOVA) was applied to calculate sum of square, variance, error variance and contribution percentage of each factor on response. The optimal levels thus determined for the four influential factors were: TMP, 3 bar; T, 40ËC; CFV, 1.0â m/s; SC, 25â g/L and pH, 8. The results showed that CFV and SC are the most and the least effective factors on PF, respectively. Increasing CFV, TMP, T and pH caused the better performance of UF membrane process due to enhancement of driving force and fouling residence. Also, effects of oil concentration (OC) in the wastewater on PF and total organic carbon (TOC) rejection were investigated. Finally, the highest TOC rejection was found to be 85%.
Asunto(s)
Residuos Industriales/análisis , Membranas Artificiales , Eliminación de Residuos Líquidos/métodos , Contaminantes Químicos del Agua/química , Purificación del Agua/métodos , Análisis de Varianza , Monitoreo del Ambiente , Análisis Factorial , Petróleo/análisis , Polímeros/químicaRESUMEN
Investigations were carried out for purification of oily wastewater by a combined of ultrafiltration/reverse osmosis (UF/RO) processes. Laboratory-scale UF using polysulfone (PS) and polyacrylonitrile (PAN) membranes were employed with typical oily wastewater collected from API unit of Tehran refinery. The PAN membrane showed higher rejection, more permeation flux and less fouling resistance than the PS membrane. Both membranes produced permeate with oil and grease contents generally less than 5 ppm. Rejection of chemical oxygen demand (COD) and biological oxygen demand (BOD5) were found to be 65% for UF treatment. In this work, Hermia's models were used to investigate the fouling mechanism involved in UF of the oily wastewater. The results showed that the best fit to experimental data corresponds to the cake layer formation model followed by the intermediate blocking model for both the UF membranes. For further treatment of the UF permeates, RO was applied using a thin film composite polyamide membrane. The rejection of COD, BOD5 and total dissolved solid (TDS) after UF/RO treatment increased up to 98%, 98% and 95%, respectively. The results showed that the final permeate has very high quality and even better than that is currently introduced to the cooling towers in Tehran refinery.
Asunto(s)
Residuos Industriales/análisis , Membranas Artificiales , Petróleo/análisis , Eliminación de Residuos Líquidos/métodos , Contaminantes Químicos del Agua/química , Purificación del Agua , Reactores Biológicos , Monitoreo del AmbienteRESUMEN
The study aimed to assess the value placed on oral health states by measuring the utility of mouths in which teeth had been lost and to explore variations in utility values within and between two contrasting cultures, UK and Iran. One hundred and fifty eight patients, 84 from UK and 74 from Iran, were recruited from clinics at University-based faculties of dentistry. All had experienced tooth loss and had restored or unrestored dental spaces. They were presented with 19 different scenarios of mouths with missing teeth. Fourteen involved the loss of one tooth and five involved shortened dental arches (SDAs) with varying numbers of missing posterior teeth. Each written description was accompanied by a verbal explanation and digital pictures of mouth models. Participants were asked to indicate on a standardized Visual Analogue Scale how they would value the health of their mouth if they had lost the tooth/teeth described and the resulting space was left unrestored. With a utility value of 0.0 representing the worst possible health state for a mouth and 1.0 representing the best, the mouth with the upper central incisor missing attracted the lowest utility value in both samples (UK = 0.16; Iran = 0.06), while the one with a missing upper second molar the highest utility values (0.42, 0.39 respectively). In both countries the utility value increased as the tooth in the scenario moved from the anterior towards the posterior aspect of the mouth. There were significant differences in utility values between UK and Iranian samples for four scenarios all involving the loss of anterior teeth. These differences remained after controlling for gender, age and the state of the dentition. With respect to the SDA scenarios, a mouth with a SDA with only the second molar teeth missing in all quadrants attracted the highest utility values, while a mouth with an extreme SDA with both missing molar and premolar teeth in all quadrants attracted the lowest utility values. The study provided further evidence of the validity of the scaling approach to utility measurement in mouths with missing teeth. Some cross-cultural variations in values were observed but these should be viewed with due caution because the magnitude of the differences was small.
Asunto(s)
Comparación Transcultural , Salud Bucal/normas , Garantía de la Calidad de Atención de Salud/normas , Pérdida de Diente/epidemiología , Adulto , Encuestas de Salud Bucal , Femenino , Humanos , Irán/epidemiología , Masculino , Persona de Mediana Edad , Reino Unido/epidemiologíaRESUMEN
OBJECTIVES: The aim of the study was to examine whether the removal of carious teeth affected children's growth relative to that of a standard population. DESIGN: Longitudinal prospective observational study. SETTING: Manchester Dental Hospital (MDH), U.K. PARTICIPANTS: Five- and six-year-old children who attended for extraction of carious teeth under general anaesthesia. MAIN OUTCOME MEASURE: Change in height, weight and BMI standard deviation scores during the six months after extraction of carious teeth. METHODS AND MATERIALS: The children's dental caries levels, weight and height were measured prior to extraction using standard criteria and a single trained examiner and they were then re-measured six months later. The body mass index of the children was calculated and all measurements were converted to standard deviation scores (SDS) using the U.K. 1990 growth reference. Changes in growth SDS during the six months subsequent to the extractions were then calculated. RESULTS: Two hundred and eighteen children, mean (range) age 5.9 (5-6) were examined initially, of whom 131 were successfully followed up a mean 7.1 (0.13) months later. The participants had a mean dmft of 7.18 (SD 3.27) at baseline and were not shorter than expected (8.3% <10th percentile), or more underweight (6.9% <10th percentile for weight). At follow up children showed a statistically significant gain in BMI SDS (mean (SD) 0.26 (37) p < 0.001) and a small gain in height SDS (0.05 (0.38) p = 0.05). CONCLUSION: This study suggests that the extraction of carious teeth in five and six year old children promotes weight gain and possibly growth.
Asunto(s)
Estatura , Peso Corporal , Desarrollo Infantil , Caries Dental/terapia , Salud Bucal , Extracción Dental/efectos adversos , Niño , Preescolar , Estudios Transversales , Índice CPO , Femenino , Humanos , Estudios Longitudinales , MasculinoRESUMEN
BACKGROUND AND OBJECTIVES: A universal quantitative real-time polymerase chain reaction (PCR), based on bacterial 16S rDNA, to detect bacterial contamination of platelet concentrates (PCs), was developed previously and compared with automated culturing. In the present study, this real-time PCR method was evaluated to determine the optimal sampling time for screening of bacterial contamination in PCs. MATERIALS AND METHODS: Routinely prepared PCs were spiked with suspensions of Escherichia coli, Bacillus cereus, Staphylococcus epidermidis, Pseudomonas aeruginosa and Propionibacterium acnes to 1, 10 and 100 colony-forming units (CFU)/ml and stored at room temperature for 7 days. The presence of bacteria in these PCs was monitored by quantitative real-time PCR. As a reference method (additional control), BacT/Alert automated culturing was used. For PCR, 1-ml aliquots were drawn from all (spiked) PCs on days 0, 1, 2, 3, 6 and 7 of storage. As a control, triplicate samples (10 ml) were inoculated into aerobic and anaerobic BacT/Alert culture bottles immediately after spiking (day 0) and after storage for 1, 2, 3, 6 or 7 days. RESULTS: With quantitative real-time PCR, all bacterial species tested were reproducibly detected on day 1 after spiking at original concentrations of 10 and 100 CFU/ml. Bacteria were also detected on day 1 from PCs spiked with an initial concentration of 1 CFU/ml, except for E. coli, which was detected in only one of the three samples and P. aeruginosa, for which analysis was not performed on day 1. With the reference method, bacteria were detected in culture bottles (inoculated on day 0) within a mean time of 20.1 h, with the exception of P. acnes which was detected at a mean time of 102.3 and 49.3 h (for original spiking concentrations of 10 and 100 CFU/ml respectively). CONCLUSIONS: PCR enables the rapid detection of low initial numbers of bacteria in PCs. For reliable detection, our results support that sampling of PCs for real-time PCR screening should not be carried out earlier than 1 day after preparation (48 h after blood collection). Importantly, the real-time PCR approach has the potential to be used before the release of PCs from the blood centre or shortly before they are transfused in the hospital.
Asunto(s)
Bacterias , Plaquetas/microbiología , Conservación de la Sangre , Contaminación de Medicamentos , Reacción en Cadena de la Polimerasa , ARN Ribosómico 16S , Bacterias/genética , Técnicas de Tipificación Bacteriana/métodos , Humanos , ARN Ribosómico 16S/genética , Sensibilidad y Especificidad , Factores de TiempoRESUMEN
Propionibacterium acnes is implicated in most cases of bacterial contamination of platelet concentrates (PCs). To determine the source of contamination, amplified-fragment length polymorphism (AFLP) analysis was applied. This DNA fingerprinting technique was used to study the molecular relationship of 44 isolates derived from 22 PCs and 22 corresponding red blood cells concentrates (RBCs) from the same whole blood donations. The AFLP results together with sequencing analysis of the 1,200 bp of the 16S ribosomal RNA gene revealed the existence of three main groups: two groups (groups 2 and 3) (55%) consisted of isolates that did not originate from skin flora and another group (group 1) (45%) comprised bacteria belonging to the skin flora. This latter group showed complete homology with reference strains of P. acnes. Therefore these isolates can be considered as P. acnes strains. In contrast, contaminants from groups 2 and 3 were shown to be molecularly unrelated to the P. acnes found on the skin surface. The AFLP is reproducible and gave invaluable information about the nature of Propionibacteria contaminating PCs. To gain more insights into the source of contamination, this technique could be exploited in further studies to determine the molecular relationship of different bacteria commonly found in blood products.
Asunto(s)
Sangre/microbiología , Propionibacterium/aislamiento & purificación , Técnicas de Tipificación Bacteriana , Plaquetas/microbiología , Transfusión Sanguínea , Dermatoglifia del ADN/métodos , ADN Bacteriano/análisis , Genotipo , Humanos , Técnicas de Amplificación de Ácido Nucleico , Propionibacterium/clasificación , Propionibacterium/genética , Reproducibilidad de los ResultadosRESUMEN
BACKGROUND: Lipid transfer proteins (LTPs) are stable and highly conserved proteins of around 10 kD. They have recently been identified as allergens in fruits of the Rosaceae family. OBJECTIVE: The aim of this study was to investigate whether the highly conserved structure of LTPs justifies a designation as a true pan-allergen, and to study the role of protein stability in allergenicity. METHODS: Thirty-eight patients with a positive skin prick test to Rosaceae fruit extracts were characterized by interviews and skin prick tests. To investigate IgE cross-reactivity between Rosaceae and non-Rosaceae LTPs, RAST and RAST inhibition as well as ELISA and ELISA inhibition were performed, using whole food extracts and purified natural and recombinant LTPs. To address the role of protein stability in the allergenicity of LTP, fruit extracts and LTPs were digested with pepsin. RESULTS: IgE antibodies to Rosaceae LTPs cross-reacted with a broad range of non-Rosaceae vegetable foods. Inhibition studies with purified natural and recombinant LTPs confirmed the role of LTP in this cross-reactivity. Many of the patients with this type of cross-reactive IgE antibodies had a clinical food allergy. In contrast to the typical birch Rosaceae cross-reactive patients, the oral allergy syndrome was frequently accompanied by more severe and systemic reactions. IgE reactivity to LTP was shown to be resistant to pepsin treatment of the allergen. CONCLUSION: LTP is a true pan-allergen with a degree of cross-reactivity comparable to profilin. Due to its extreme resistance to pepsin digestion, LTP is a potentially severe food allergen.
Asunto(s)
Proteínas Portadoras/química , Proteínas Portadoras/inmunología , Reacciones Cruzadas , Hipersensibilidad a los Alimentos/inmunología , Frutas/efectos adversos , Alérgenos/química , Alérgenos/inmunología , Antígenos de Plantas , Proteínas en la Dieta/efectos adversos , Hipersensibilidad a los Alimentos/diagnóstico , Humanos , Inmunoglobulina E/inmunología , Pepsina A/química , Proteínas de Plantas/química , Proteínas de Plantas/inmunologíaRESUMEN
BACKGROUND: Lipid transfer proteins (LTPs) are small molecules of approximately 10 kD that demonstrate high stability. They have recently been identified as allergens in the Rosaceae subfamilies of the Prunoideae (peach, apricot, plum) and of the Pomoideae (apple). They belong to a family of structurally highly conserved proteins that are also present in non-Rosaceae vegetable foods. OBJECTIVE: The aim of this study was to investigate the cross-reactivity to non-Rosaceae LTPs, and to study the role of protein stability in allergenicity. METHODS: Thirty-eight patients with a positive SPT to Rosaceae fruit extracts enriched for LTP were characterized by interview and SPT. To investigate IgE cross-reactivity between Rosaceae and non-Rosaceae LTPs, RAST and RAST inhibition as well as ELISA and ELISA inhibition were performed, using whole food extracts and purified LTPs. Both purified natural LTPs (peach, carrot and broccoli) and Pichia pastoris recombinant LTPs (carrot and wheat) were included. Pepsin digestion was used to address the role of stability in the allergenicity of LTPs. RESULTS: IgE antibodies to Rosaceae LTPs reacted to a broad range of vegetable foods, including Gramineae (cereals), Leguminosae (peanut), Juglandaceae (walnut), Anacardiaceae (pistachio), Brassicaceae (broccoli), Umbelliferae (carrot, celery), Solanaceae (tomato), Cucurbitaceae (melon), and Actinidiaceae (kiwi). Binding and inhibition studies with purified natural and recombinant LTPs confirmed their role in this cross-reactivity. Many of these cross-reactivities were accompanied by clinical food allergy, frequently including systemic reactions. Antibody binding to LTP was shown to be resistant to pepsin treatment of whole extract or purified LTP. CONCLUSION: LTP is a pan-allergen with a degree of cross-reactivity comparable to profilin. Due to its extreme resistance to pepsin digestion, LTP is a potentially severe food allergen.