Bovine Serum Albumin: a double allergy risk.

We analyse two cases of Bovine Serum Albumin (BSA) allergy. The first regards a female laboratory technician with a history of bronchial asthma due to cat allergy, who developed an exacerbation of bronchial symptoms as a consequence of BSA powder inhalation at work. To date, sensitization to BSA as a cause of occupational asthma has rarely been reported in the scientific literature. The second case concerns a woman with a similar cat sensitivity, who presented an oral allergy syndrome-type clinical reaction, gastric pain and diarrhoea immediately after eating cooked pork meat. Subsequently, she developed the same reaction after eating goat meat and goat cheese, and then also after eating beef. Both patients resulted specifically sensitized to BSA and to other mammalian serum albumins which play a role as panallergens in animals. The two cases show that BSA, a well known cause of food allergy in childhood, may also provoke symptoms of food allergy in adulthood, though in case of powder inhalation, it may provoke respiratory symptoms. Prior animal sensitization appears to represent a risk factor.

IGF-1 abuse in sport: clinical and medico-legal aspects.

The frequent revisions of prohibited substances list established by WADA are aimed at keeping up with those drugs that, being increasingly used in medicine and in sports, play on one side a therapeutic role and, on the other, a doping role. Among the various hormone substances widely used in sports, the authors draw particular attention on IGF-1, a growth factor that is rapidly widespreading among athletes. Moreover, IGF-1 diffusion is not exclusively correlated with the doping phenomenon, being various the pathological conditions that may require the therapeutic use of this substance. As a consequence, during pathologies or medical treatments of various nature, the athletes should be informed of the IGF-1 administration because, if they are not duly apprised, they risk undergoing unjust sanctions from the competent authority. In fact, the athlete is given the possibility of communicating, before using, he is taking a medication of the WADA list for therapeutic reasons by applying for a TUE (Therapeutic Use Exemption). If this application is accepted on certified clinical grounds, the athlete will be allowed to use that substance even during sports competitions. However, the IGF-1 detection in the athlete's body shows, at the present state-of-art, two different problems: the first one has a technical character and concerns the differential diagnosis between the quantity of the physiologically produced substance and the quantity of the exogenously administrated substance; the second problem has an economic character and regards to the high cost of the analysis and, consecutively, the necessity of finding a well-equipped laboratory centre.

Assessment of aflatoxin exposure of laboratory worker during food contamination analyses. Assessment of the procedures adopted by an A.R.P.A.L. laboratory (Liguria Region Environmental Protection Agency).

BACKGROUND: Aflatoxins are mycotoxins derived from foodstuffs colonized by fungal species of the genus Aspergillus; they are common food contaminants with immunosuppressive, mutagenic and carcinogenic activity. Aflatoxins are heat-resistant and are thus easily transmitted along the food chain. They are hepatotoxic and have the potential to induce hepatocellular carcinoma. Agri-food industry workers are thus at risk of ingestion as well as transmucosal absorption or inhalation of toxins released during product preparation or processing. OBJECTIVES: To measure the levels of airborne mycotoxins, particularly aflatoxins, in a laboratory analysing imported foodstuffs for mycotoxin contamination. METHODS: The protocol used to analyse a batch of shelled peanuts from Vietnam, especially the grinding phase, which is held to be at the highest risk ofgenerating airborne toxins, was assessed at the A.R.PA.L. laboratory (Liguria Region Environmental Protection Agency) of Genoa, Italy, which participates in a European aflatoxin monitoring project. RESULTS: Wet grinding was performed to avoid production of large amounts of dust. Comparison of airborne concentrations before and after grinding with legal thresholds disclosed that the analytical procedures involved negligible aflatoxin levels for operators (environmental burden 0.11 pg/ m3). CONCLUSIONS: Given the toxicity of aflatoxins, worker protection measures should be consistently adopted and enforced. Threshold limit values for working environments should be introduced besides the existing ones for public health.