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Exercise and aspirin increase levels of circulating gliadin peptides in patients with wheat‐dependent exercise‐induced anaphylaxis
Abstract
Summary: Background Food‐dependent exercise‐induced anaphylaxis (FDEIA) is an allergic reaction characteristically induced by intense exercise combined with the ingestion of causative food. Recent reports have shown that aspirin intake is a contributing factor in some patients with FDEIA. Wheat is known to be the most frequent causative food, and the IgE‐binding epitopes of a major wheat allergen (ω‐5 gliadin) in wheat‐dependent exercise induced anaphylaxis (WDEIA) have already been clarified. However, the mechanism of eliciting the symptom in WDEIA remains not fully understood. Objectives The aim of this study was to examine the relationship of serum gliadin levels and allergic symptoms induced by exercise or aspirin in patients with WDEIA. Methods Six patients with a history of recurrent anaphylaxis associated with wheat ingestion were diagnosed as having WDEIA by the provocation test, which included wheat ingestion, exercise, aspirin intake and a combination of these challenges. During the tests, serum levels of gliadins were monitored by gliadin‐specific sandwich ELISA. The effects of exercise and aspirin on serum gliadin levels were also investigated in four healthy subjects. Results Immunoreactive gliadins appeared in the sera of patients during the provocation test with both wheat‐exercise and wheat‐aspirin challenges in parallel with allergic symptoms. Serum gliadin levels also increased under the two same challenge conditions in the healthy subjects, although they exhibited no allergic symptoms. However, low levels of gliadin were detected in the sera of both patients and healthy subjects when challenged with wheat alone. Conclusion We demonstrated for the first time that blood gliadin levels correlate with clinical symptoms induced by exercise and aspirin in patients with WDEIA. These findings suggest that exercise and aspirin facilitate allergen absorption from the gastrointestinal tract.
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Effect of running intensity on intestinal permeability
Pals, K. L., Chang, R.-T., Ryan, A. J., & Gisolfi, C. V. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.82.2.571 · Cited by 282
Exercise induces gastric ischemia in healthy volunteers: a tonometry study
Otte, J. A., Oostveen, E., Geelkerken, R. H., Groeneveld, A. B. J., & Kolkman, J. J. (2001) · Journal of Applied Physiology · doi:10.1152/jappl.2001.91.2.866 · Cited by 138
Cited by
Anaphylaxis—a practice parameter update 2015
Lieberman, P., Nicklas, R. A., Randolph, C., Oppenheimer, J., Bernstein, D., Bernstein, J., Ellis, A., Golden, D. B. K., Greenberger, P., Kemp, S., et al. (2015) · Annals of Allergy, Asthma & Immunology · doi:10.1016/j.anai.2015.07.019 · Cited by 474
Review article: the diagnosis and management of food allergy and food intolerances
Turnbull, J. L., Adams, H. N., & Gorard, D. A. (2015) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.12984 · Cited by 306
Carter, M. C., Metcalfe, D. D., Matito, A., Escribano, L., Butterfield, J. H., Schwartz, L. B., Bonadonna, P., Zanotti, R., Triggiani, M., Castells, M., et al. (2019) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2018.10.063 · Cited by 72
Food Allergies and Food-Induced Anaphylaxis: Role of Cofactors
shin, M. (2021) · Clinical and Experimental Pediatrics · doi:10.3345/cep.2020.01088 · Cited by 36
Cofactors in Food Anaphylaxis in Adults
Bartra, J., Turner, P. J., & Muñoz-Cano, R. M. (2023) · Annals of Allergy, Asthma & Immunology · doi:10.1016/j.anai.2023.03.017 · Cited by 30
Metadata
- Authors
- Matsuo, H., Morimoto, K., Akaki, T., Kaneko, S., Kusatake, K., Kuroda, T., Niihara, H., Hide, M., & Morita, E.
- Venue
- Clinical & Experimental Allergy
- Publisher
- Wiley
- Published
- 2005-04
- Volume
- 35
- Issue
- 4
- Pages
- 461-466
- ISSN
- 0954-7894 (ISSN-L)
- 1365-2222
- OpenAlex
- W2049204547
- Cited by
- 241
- References
- 2
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- Matsuo, H., Morimoto, K., Akaki, T., Kaneko, S., Kusatake, K., Kuroda, T., Niihara, H., Hide, M., & Morita, E. (2005). Exercise and aspirin increase levels of circulating gliadin peptides in patients with wheat‐dependent exercise‐induced anaphylaxis. Clinical & Experimental Allergy. https://doi.org/10.1111/j.1365-2222.2005.02213.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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