Background: Wheat flour proteins are allergens for 60% to 70% of bakers wit
h workplace-related respiratory symptoms.
Objective: The aim of the study was to investigate the variability of IgE a
ntibody patterns of wheat flour-sensitized bakers and to identify the most
frequently recognized allergens.
Methods: Water/salt-soluble wheat flour proteins from the cultivar Bussard
were separated by using 2-dimensional gel electrophoresis with immobilized
pH gradients. IgE-reactive proteins were identified by means of immunoblott
ing with sera of 10 subjects with baker's asthma. Mass spectrometric finger
printing was used to identify the proteins most frequently recognized by Ig
E.
Results: The IgE immunoblots obtained with 10 different sera exhibited a re
markable heterogeneity. Each patient showed an individual IgE-binding patte
rn with 4 to 50 different allergen spots. Altogether, more than 100 IgE-bin
ding protein spots were detected. Nine of the predominant IgE-binding prote
in spots were identified by using mass spectrometric fingerprinting. The ob
tained masses matched 2 different isoforms of glycerinaldehyde-3-phosphate
dehydrogenase from Hordeum vulgare, triosephosphate isomerase from H vulgar
e, and serpin, a serine proteinase inhibitor from Triticum aestivum.
Conclusions: The results show a great interindividual variation of IgE-bind
ing patterns of wheat flour proteins in baker's asthma, The clinical releva
nce of the identified 4 new allergens will be further investigated in the n
ear future.