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Almond allergy

 

Tree nuts are rich source of health-enhancing bioactive compounds and considered as an important food in healthy diet. Almonds (Prunus dulcis) are among the world’s most popular tree nuts belong to Rosaceae family, a medium-sized family of flowering plants that includes 4,828 known species in 91 genera. Almonds are a high energy snack containing 50-55% fat, 90% of which is unsaturated oleic or linoleic acid. Further, almonds contain no cholesterol or sodium and are an abundant source of magnesium, phosphorus, and copper. They are generally consumed raw, toasted or as an integral part of other foods.

Regular consumption of almonds has been associated with reduced risk of chronic-degenerative diseases such as cardiovascular disease and type 2 diabetes. They are highly nutritious and rich in healthy fats, antioxidants, vitamins and minerals. Almonds are also an excellent source of melatonin, a hormone that helps regulate the sleeping and waking cycle and phytoceramides, a lipid that keeps skin hydrated and plump. Almonds are comprised: Protein (g) 6.0: (20% protein, containing adequate amounts of all essential amino acids with the exception of methionine), Total Fat (g) 14.2: (Saturated Fat (g) 1.1, Polyunsaturated Fat (g) 3.5 , Monounsaturated Fat (g) 8.9), Carbohydrates (g) 6.1, Dietary Fiber (g) 3.5, Vitamin E (mg) 7.3, Calcium (mg) 76, Iron (mg) 1.1, Magnesium (mg) 77, Copper (mg) 0.3, Potassium (mg) 208, Zinc (mg) 0.9, Folate (mcg) 12, Niacin (mg) 1.0, Calories 163.

Despite their prominent economic, nutritional, and consumer value, almonds are capable of eliciting allergic reactions in sensitive individuals. Most of the people experience respiratory and cutaneous symptoms after eating almonds. Several almond proteins have been recognized as allergens. Six of them, namely: Pru du 3, Pru du 4, Pru du 5, Pru du 6, Pru du 8, Pru du 10 have been included in the WHO-IUIS list of allergens. One particular protein in almonds, amandin, accounts for nearly 70% of almond’s total soluble protein content, is a known allergen. It is the major storage protein and allergen in almonds. Amandin is a member of the cupin superfamily, namely the 11S seed storage globulin family. Studies on the Pru du 6 isoforms, Pru du 6.01 and Pru du 6.02, showed that the 6.01 isoform is more broadly recognized than the 6.02 isoform. Pru du 6 polypeptides are highly resistant to heat treatment, which is one of the most common strategies to decrease or even eliminate the allergenic potential of foods. Due to its heat resistance, contamination of food with Pru du 6 polypeptides presents a serious threat to sensitized patients. A study by Florida State University also found that heat treatment potentially alters the structure and allergenic properties of amandin but its denaturation has only slightly effects on IgE-binding intensity in sensitive subjects. Due to its heat resistance, contamination of food with Pru du 6 polypeptides presents a serious threat to sensitized patients. 

Regarding strategies for prevention and therapy for an almond allergy, the main method is dietary avoidance. According to Bezerra et al (2021), individuals sensitive to almonds should take special attention looking at packages and labels to prevent the ingestion of almond or almond-based products.

Sources

Bezerra M, Ribeiro M, Igrejas G. An Updated Overview of Almond Allergens. Nutrients. 2021; 13(8):2578. https://doi.org/10.3390/nu13082578

Zhang Y., Liu C., Su M., Roux K.H., Sathe S.K. Effect of phenolics on amandin immunoreactivity. LWT. 2018; 98: 516-523.


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