Background Cow's milk allergy is quite frequent in the first years of human
life. When breast-feeding is not possible, a cow's milk substitute must be
provided for allergic subjects. Different alternatives to cow's milk have
been suggested as protein sources (soy, hydrolysed proteins, goat's milk, e
tc.), but all these dietetic solutions are not without risks for polyallerg
ic or more sensitive subjects.
Objective To obtain new information on the suitability of other mammalian m
ilks for allergic children, we evaluated the cross-reactivity between milk
proteins from different animal species.
Methods Milk samples were analysed by sodium dodecyl sulphate polyacrylamid
e gel electrophoresis (SDS-PAGE). To detect antibody-antigen complexes, imm
unoblotting was performed by using sera from children allergic to cow's and
ewe's milk (RAST class greater than or equal to 4) and monoclonal antibodi
es (MoAb) specific for bovine proteins (caseins and beta-lactoglobulin).
Results IgEs from children allergic to cow's milk are capable of recognizin
g most part of milk proteins from mammals bred in European countries (ewe,
goat, buffalo), while no serum used in this study contains IgEs reacting wi
th camel's milk proteins. Camel's milk was also not recognized from circula
ting IgEs from a child specifically allergic to ewe's milk. Specific antibo
vine monoclonal antibodies cross-reacted with proteins from other mammalian
species, apart from those of camel.
Conclusions Homologies in amino acidic composition could justify the cross-
reactivity observed between proteins from different animal species. On the
other hand, the phylogenetic difference could be responsible for the failed
recognition of camel's proteins by circulating IgEs and monoclonal antibod
ies.