Allergic reactions of the upper respiratory tract during use of powder
ed latex rubber gloves have been recently associated with sensitivity
to latex. We have studied the ability of cornstarch powder to bind lat
ex proteins and evaluated allergenic properties of the bound protein.
Allergenicity was determined by competitive inhibition of human anti-l
atex IgE binding to solid-phase latex antigen. Cornstarch extracted fr
om powdered latex products and clean cornstarch exposed to latex prote
in extracts were evaluated in comparison with clean unexposed cornstar
ch. Both exposed cornstarch preparations inhibited specific binding of
anti-latex IgE antibodies to latex proteins in a dose-response manner
. Latex-exposed cornstarch diluted 50% vol/vol produced complete inhib
ition, whereas greater dilutions exhibited variable levels of inhibiti
on, depending on the source of cornstarch-bound proteins, insolubilize
d latex proteins, and IgE antibody-containing human serum used. Cornst
arch not exposed to latex had no inhibitory activity. The study demons
trates that cornstarch indeed binds allergenic latex proteins and supp
orts the causative relationship between allergic reactions in individu
als with latex sensitivity and the exposure to airborne particles from
powdered latex products.