Two-dimensional (2-D) electrophoresis followed by immunoblotting and N
-terminal protein microsequencing were used to characterize and identi
fy the IgE-reactive proteins of Hevea latex that are the main cause of
the latex type I allergy affecting especially health care workers and
spina bifida children. This approach generated a comprehensive latex
allergen database, which facilitated the integration of most of the la
tex allergen data presented in the literature. The major latex allerge
ns Hev b 1, Hev b 3, Hev b 6 and Hev b 7 have been localized on our 2-
D maps. Moreover, we were able to identify six previously undescribed
IgE-binding latex proteins, namely enolase, superoxide dismutase, prot
easome subunit C5, malate dehydrogenase, triosephosphate isomerase and
endochitinase. The generated latex 2-D maps will provide valuable inf
ormation to develop strategies for the isolation of the novel IgE bind
ing proteins in order to study the frequency of sensitization among bo
th risk groups. Detailed knowledge of all proteins involved in latex a
llergy will allow better diagnosis of latex allergy and to monitor the
success of prevention strategies that are needed to reduce the high p
revalence of latex allergy among both risk groups.