Abstract

Cow’s milk is considered the best wholesome supplement for children since it is highly enriched with micro and macro nutrients. Although the protein fraction is composed of more than 25 proteins, only a few of them are capable of triggering allergic reactions in sensitive consumers. The balance in protein composition plays an important role in the sensitization capacity of cow’s milk, and its modification can increase the immunological response in allergic patients. In particular, the heating treatments in the presence of a food matrix have demonstrated a decrease in the milk allergenicity and this has also proved to play a pivotal role in developing tolerance towards milk. In this paper we investigated the effect of thermal treatment like baking of cow’s milk proteins that were employed as ingredients in the preparation of muffins. A proteomic workflow was applied to the analysis of the protein bands highlighted along the SDS gel followed by western blot analyses with sera of milk allergic children in order to have deeper information on the impact of the heating on the epitopes and consequent IgE recognition. Our results show that incorporating milk in muffins might promote the formation of complex milk–food components and induce a modulation of the immunoreactivity towards milk allergens compared to milk baked in the oven at 180 °C for ten minutes. The interactions between milk proteins and food components during heating proved to play a role in the potential reduction of allergenicity as assessed by in vitro tests. This would help, in perspective, in designing strategies for improving milk tolerance in young patients affected from severe milk allergies.

Highlights

  • The introduction of cow’s milk (CM) in the human diet has been a very long tradition, for approximately 9000 years

  • Syringe filters in cellulose acetate (CA) from 1.2 μm were obtained from Labochem Science S.r.l. (Catania, Italy) whilst 0.45 μm syringe filters in polytetrafluoroethylene (PTFE) were purchased from Sartorius (Göttingem, Germania)

  • The stability of milk proteins submitted to baking treatment either as matrix-free liquid or included into a food matrix, such as a muffin, was investigated by sodium dodecyl sulfate (SDS)-PAGE analysis

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Summary

Introduction

The introduction of cow’s milk (CM) in the human diet has been a very long tradition, for approximately 9000 years. The reported prevalence of cow’s milk allergy (CMA) varies considerably between studies probably due to the different methods used for diagnosis or the differences in the ages of the studied populations [2]. It has been reported that nowadays 0.6% to 3% of children under the age of 6 years, 0.3% of older children and teens, and less than 0.5% of adults suffer from CMA [3]. 15% of affected children remain allergic throughout adulthood, the majority of milk allergic infants seems to be able to consume milk and its by-products with a total resolution of CMA in 19% of the children by 4 years of age, in 42% by 8 years of age, in 64% by 12 years of age, and in 79% by 16 years of age.

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