본문 바로가기
KERD
논문KCI 등재

저항원성 조제분유의 개발과 특징

Development and properties of hypoallergenic infant formula

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류소아과학

초록

Milk proteins are composed of casein, further classified into αS1-casein, αS2-casein, β-casein, and κ-casein, and whey protein, which is separated into α-lacatalbumin, β-lactoglobulin, serum albumin, and some minor proteins, such as lactoferrin and immunoglobulin. To reduce the allergenicity of protein, heat treatment and enzymatic protein hydrolysis by endopeptidase are necessarily required. Additionally, membrane technology should be applied to produce a protein hydrolyzate, which has consistent molecular weight of peptide and low in free amino acid without allergenic peptide or protein. Extensive casein hydrolyzate and whey protein hydrolyzate are used for protein source of mainly extensively hydrolyzed protein formula (eHF) intended for the treatment of cow’s milk allergy. Also, partially hydrolyzed formula (pHF) is developed, which is using a single protein source e.g., whey protein hydrolyzate. The allergenicity of infant formula can be determined according to molecular weight profile and antigenicity reduction compared to intact protein. More than 90% peptides are present in eHF have a molecular weight of <3,000 Da. Peptide molecular weight profiles of pHF range mainly between 3,000 and 10,000 Da, but have a small percentage of >10,000 Da. Generally, antigenicity reduction in eHF and pHF is 10-6 and 10-3, respectively. Even if protein hydrolyzate is manufactured under strict quality control, there is still a risk of cross contamination of allergenic milk components through environmental conditions and the shared manufacturing process. Thus, quality assessment of protein hydrolyzate formula must be performed routinely.

Abstract

Milk proteins are composed of casein, further classified into αS1-casein, αS2-casein, β-casein, and κ-casein, and whey protein, which is separated into α-lacatalbumin, β-lactoglobulin, serum albumin, and some minor proteins, such as lactoferrin and immunoglobulin. To reduce the allergenicity of protein, heat treatment and enzymatic protein hydrolysis by endopeptidase are necessarily required. Additionally, membrane technology should be applied to produce a protein hydrolyzate, which has consistent molecular weight of peptide and low in free amino acid without allergenic peptide or protein. Extensive casein hydrolyzate and whey protein hydrolyzate are used for protein source of mainly extensively hydrolyzed protein formula (eHF) intended for the treatment of cow’s milk allergy. Also, partially hydrolyzed formula (pHF) is developed, which is using a single protein source e.g., whey protein hydrolyzate. The allergenicity of infant formula can be determined according to molecular weight profile and antigenicity reduction compared to intact protein. More than 90% peptides are present in eHF have a molecular weight of <3,000 Da. Peptide molecular weight profiles of pHF range mainly between 3,000 and 10,000 Da, but have a small percentage of >10,000 Da. Generally, antigenicity reduction in eHF and pHF is 10-6 and 10-3, respectively. Even if protein hydrolyzate is manufactured under strict quality control, there is still a risk of cross contamination of allergenic milk components through environmental conditions and the shared manufacturing process. Thus, quality assessment of protein hydrolyzate formula must be performed routinely.

참고문헌 (90)

  1. Report of an expert consultation on the optimal duration of exclusive breastfeeding, "World Health Organization", World Health Organization, ~ (2012)
  2. Institute of Medicine, "Infant formula: evaluating the safety of new ingredients", pp.22~43 (2004), National Academies Press
  3. Aas K, "Food allergy", pp.1998, Vevey
  4. Zeiger RS, "Effectiveness of dietary manipulation in the prevention of food allergy in infants", J Allergy Clin Immunol, 78(1 Pt 2), pp.224~238 (1986)
  5. Schoch G, "Milk proteins: nutritional, clinical, functional and technological aspects", pp.299~301 (1988), Stenikoff
  6. Heppell LM, "Immunoassay in food analysis", pp.115~123 (1985), Elsevier Applied Science Publishers
  7. Ratner B, "Studies on the allergenicity of cow's milk. I. The allergenic properties of alpha-casein, beta-lactoglobulin and alpha-lactalbumin", Pediatrics, 22, pp.449~452 (1958)
  8. Ratner B, "Studies on the allergenicity of cow's milk. II. Effect of heat treatment on the allergenicity of milk and protein fractions from milk as tested in guinea pigs by parenteral sensitization and challenge", Pediatrics, 22(4 Part 1), pp.648~652 (1958)
  9. Kilshaw PJ, "Effects of heat treatment of cow's milk and whey on the nutritional quality and antigenic properties", Arch Dis Child, 57, pp.842~847 (1982)
  10. Ratner B, "Studies on the allergenicity of cow's milk. III. Effect of heat treatment on the allergenicity of milk and protein fractions from milk as tested in guinea pigs by sensitization and challenge by the oral route", Pediatrics, 22(4 Part 1), pp.653~658 (1958)
  11. Jakobsson I, "In vitro digestion of cow's milk proteins by duodenal juice from infants with various gastrointestinal disorders", J Pediatr Gastroenterol Nutr, 1, pp.183~191 (1982)
  12. Asselin J, "Immunogenicity and allergenicity of whey protein hydrolysates", J Food Sci, 53, pp.1208~1211 (1988)
  13. Asselin J, "Effect of in vitro proteolysis on the allergenicity of major whey proteins", J Food Sci, 54, pp.1037~1039 (1989)
  14. Pahud JJ, "Allergenicity of whey protein: its modification by tryptic in vitro hydrolysis of the protein", J Pediatr Gastroenterol Nutr, 4, pp.408~413 (1985)
  15. Okamoto M, "High pressure digestion of food proteins: selective elimination of β-lactoglobulin in bovine milk whey concentrate", Agric Biol Chem, 55, pp.1253~1257 (1991)
  16. Schmidt DG, "Development in dairy chemistry", pp.61~86 (1982), Applied Science
  17. Wal JM, "Cow's milk proteins", allergens, 2002, pp.89(6 Suppl 1), 3~10
  18. Farrell HM Jr, "Nomenclature of the proteins of cows' milk--sixth revision", J Dairy Sci, 87, pp.1641~1674 (2004)
  19. Steinke M, "Perceived food allergy in children in 10 European nations. a randomised telephone survey", Int Arch Allergy Immunol, 143, pp.290~295 (2007)
  20. 박미란, "Prevalence of Immediate-Type Food Allergy in Early Childhood in Seoul", Allergy, Asthma & Immunology Research, 6(2), pp.131~136 (2014), 대한천식알레르기학회
  21. Høst A, "A prospective study of cow's milk allergy in exclusively breast-fed infants. Incidence, pathogenetic role of early inadvertent exposure to cow's milk formula, and characterization of bovine milk protein in human milk", Acta Paediatr Scand, 77, pp.663~670 (1988)
  22. Gjesing B, "Allergen-specific IgE antibodies against antigenic components in cow milk and milk substitutes", Allergy, 41, pp.51~56 (1986)
  23. Restani P, "Molecular aspects of milk allergens and their role in clinical events", Anal Bioanal Chem, 395, pp.47~56 (2009)
  24. Bernard H, "Specificity of the human IgE response to the different purified caseins in allergy to cow's milk proteins", Int Arch Allergy Immunol, 115, pp.235~244 (1998)
  25. Gaudin JC, "Assessment of the immunoglobulin E-mediated immune response to milk-specific proteins in allergic patients using microarrays", Clin Exp Allergy, 38, pp.686~693 (2008)
  26. Bernard H, "Post-translational phosphorylation affects the IgE binding capacity of caseins", FEBS Lett, 467, pp.239~244 (2000)
  27. Shek LP, "Humoral and cellular responses to cow milk proteins in patients with milk-induced IgE-mediated and non-IgE-mediated disorders", Allergy, 60, pp.912~919 (2005)
  28. Ruiter B, "Characterization of T cell epitopes in alphas1-casein in cow's milk allergic, atopic and non-atopic children", Clin Exp Allergy, 36, pp.303~310 (2006)
  29. Schulmeister U, "Cloning, expression, and mapping of allergenic determinants of alphaS1-casein, a major cow's milk allergen", J Immunol, 182, pp.7019~7029 (2009)
  30. Permyakov EA, "alpha-Lactalbumin: structure and function", FEBS Lett, 473, pp.269~274 (2000)
  31. Sawyer WH, "Complex between beta-lactoglobulin and kappa-casein. A review", J Dairy Sci, 52, pp.1347~1355 (1969)
  32. Goldman AS, "Milk allergy. II. Skin testing of allergic and normal children with purified milk proteins", Pediatrics, 32, pp.572~579 (1963)
  33. Freier S, "Intolerance to milk protein", J Pediatr, 75, pp.623~631 (1969)
  34. Lee JM, "Sensitization patterns of cow's milk and major components in young children with atopic dermatitis", Asia Pac Allergy, 3, pp.179~185 (2013)
  35. Lebenthal E, "Cow's milk protein allergy", Pediatr Clin North Am, 22, pp.827~833 (1975)
  36. Clement G, "Epitopic characterization of native bovine beta-lactoglobulin", J Immunol Methods, 266, pp.67~78 (2002)
  37. Tsabouri S, "Cow's milk allergenicity", Endocr Metab Immune Disord Drug Targets, 14, pp.16~26 (2014)
  38. Vila L, "Role of conformational and linear epitopes in the achievement of tolerance in cow's milk allergy", Clin Exp Allergy, 31, pp.1599~1606 (2001)
  39. Lin J, "The role of immunoglobulin E-binding epitopes in the characterization of food allergy", Curr Opin Allergy Clin Immunol, 9, pp.357~363 (2009)
  40. Nowak-Wegrzyn A, "Rare, medium, or well done? The effect of heating and food matrix on food protein allergenicity", Curr Opin Allergy Clin Immunol, 9, pp.234~237 (2009)
  41. Hartmann R, "Cytotoxic and allergenic potential of bioactive proteins and peptides", Curr Pharm Des, 13, pp.897~920 (2007)
  42. Alder-Nissen J, "Enzymatic hydrolysis of food proteins", pp.57~131 (1986), Applied Science
  43. Fersht A, "Enzyme structure and mechanisms", pp.38~43 (1999), Freeman
  44. De Masi RV, "Multiple food intolerance: dietary management with a new formula characterized by low allergenic activity and low osmolarity", Riv Ital Pediatr, 11, pp.273~279 (1985)
  45. Jost R, "Partial enzymatic hydrolysis of whey protein by trypsin", J Dairy Sci, 60, pp.1387~1393 (1977)
  46. Porter DH, "Characterization of a immobilized digestive enzyme system for determination of protein digestibility", J Agric Food Chem, 32, pp.334~339 (1984)
  47. Jost R, "Whey protein allergenicity and its reduction by technological means", Food Technol, 41, pp.118~121 (1987)
  48. Turgeon SL, "Whey peptide fractions obtained with a two step ultrafiltration process: Production and characterization", J Food Sci, 55, pp.106~110 (1990)
  49. "Experimentia", 1986, 670~
  50. Ha WK, "Reduction of the antigenicity of whey protein by enzymatic hydrolysis", Korean J Food Sci Technol, 26, pp.74~80 (1994)
  51. Görtler I, "Characterization of antigens and allergens in hypo-allergenic infant formulae", Eur J Pediatr, 154, pp.289~294 (1995)
  52. Nakamura T, "Antigenicity of whey protein hydrolysates fractionated with ultrafiltration membrane", J Japan Soc Food Sci Technol, 39, pp.113~116 (1992)
  53. Simensma AD, "The importance of peptide lengths in hypoallergenic infant formulae", Trends Food Sci Technol, 4, pp.16~21 (1990)
  54. Van Beresteijn EC, "Molecular mass distribution, immunological properties and nutritive value of whey protein hydrolysates", J Food Prot, 57, pp.619~625 (1994)
  55. Van Hoeyveld EM, "Allergenic and antigenic activity of peptide fragments in a whey hydrolysate formula", Clin Exp Allergy, 28, pp.1131~1137 (1998)
  56. American Academy of Pediatrics, "Hypoallergenic infant formulas", Pediatrics, 106(2 Pt 1), pp.346~349 (2000)
  57. "International direction of company histories"[URL]
  58. Plebani A, "IgE antibodies to hydrolysates of cow milk proteins in children with cow milk allergy", Ann Allergy, 64, pp.279~280 (1990)
  59. Cordano A, "Advances in human clinical nutrition", pp.54~62 (1982), Martinus Nijhoff
  60. "Research history"[URL]
  61. "Our long-standing history in science"[URL]
  62. Kim BY, "Pioneering Korea's dairy industry: Maeil's first 33 years" (2005), Maeil Dairy Industry Co. Ltd
  63. "Nutricia – Advanced medical nutrition. a history we are proud of"[URL]
  64. McLaughlan P, "An oral screening procedure to determine the sensitizing capacity of infant feeding formulae", Clin Allergy, 11, pp.311~318 (1981)
  65. Knights R, "Food allergy", pp.273~285 (1985), Nutrition Research Education Foundation
  66. Cordano A, "Absorption and retention from an iso-osmol casein hydrolsates infant formula", Nutr Res, 8, pp.1353~1362 (1988)
  67. Galeano NF, "Comparison of two special infant formulas designed for the treatment of protracted diarrhea", J Pediatr Gastroenterol Nutr, 7, pp.76~83 (1988)
  68. Walker-Smith JA, "Evaluation of a casein and a whey hydrolysate for treatment of cow's-milk-sensitive enteropathy", Eur J Pediatr, 149, pp.68~71 (1989)
  69. Zeiger RS, "Effect of combined maternal and infant food-allergen avoidance on development of atopy in early infancy: a randomized study", J Allergy Clin Immunol, 84, pp.72~89 (1989)
  70. Loeb H, "Prevention of chronic diarrhea: nutritional implications", J Pediatr Gastroenterol Nutr, 2(Suppl 1), pp.S328~S334 (1983)
  71. Bertele-Harms RM, "Food allergy in infancy and childhood", pp.177~187 (1989), Springer Verlag
  72. Isolauri E, "Efficacy and safety of hydrolyzed cow milk and amino acid-derived formulas in infants with cow milk allergy", J Pediatr, 127, pp.550~557 (1995)
  73. 조중범, "영아 우유알레르기에서 식이제한을 시행한 모유수유와 저항원성 분유수유가 면역관용 획득에 미치는 영향의 비교", Allergy Asthma & Respiratory Diseases, 21(3), pp.207~214 (2011), 대한 소아알레르기 호흡기학회
  74. Fritsche R, "Feeding during late Infancy and early childhood: Impact on Health", pp.1~14 (2005), Karger
  75. Bindels JG, "Hydrolysed cow's milk formulae", Pediatr Allergy Immunol, 5, pp.189~190 (1994)
  76. Miraglia Del Giudice M, "Flavor, relative palatability and components of cow's milk hydrolysed formulas and amino acid-based formula", Ital J Pediatr, 41, pp.42~ (2015)
  77. Høst A, "Hypoallergenic formulas: when, to whom and how long: after more than 15 years we know the right indication!", Allergy, 59(Suppl 78), pp.45~52 (2004)
  78. von Berg A, "The effect of hydrolyzed cow's milk formula for allergy prevention in the first year of life: the German Infant Nutritional Intervention Study, a randomized double-blind trial", J Allergy Clin Immunol, 111, pp.533~540 (2003)
  79. Young-ShinHan, "Short-term Effect of Partially Hydorlyzed Formula on the Prevention of Development of Atopic Dermatitis in Infants at High Risk", Journal of Korean Medical Science, 18(4), pp.547~551 (2003), 대한의학회
  80. Hays T, "A systematic review of the role of hydrolyzed infant formulas in allergy prevention", Arch Pediatr Adolesc Med, 159, pp.810~816 (2005)
  81. Knights RJ, "Nutrition for special needs", pp.105~115 (1985), Marcel Dekker
  82. Cordle CT, "Control of food allergies using protein hydrolysates", Food Technol, 48, pp.72~76 (1994)
  83. Rosendal A, "Detection of potentially allergenic material in 12 hydrolyzed milk formulas", J Dairy Sci, 83, pp.2200~2210 (2000)
  84. Lorenz F, "Food allergy", pp.215~223 (1988), Raven Press
  85. Chatchatee P, "Identification of IgE- and IgG-binding epitopes on alpha(s1)-casein: differences in patients with persistent and transient cow's milk allergy", J Allergy Clin Immunol, 107, pp.379~383 (2001)
  86. Busse PJ, "Identification of sequential IgE-binding epitopes on bovine alpha(s2)-casein in cow's milk allergic patients", Int Arch Allergy Immunol, 129, pp.93~96 (2002)
  87. Cerecedo I, "Mapping of the IgE and IgG4 sequential epitopes of milk allergens with a peptide microarray-based immunoassay", J Allergy Clin Immunol, 122, pp.589~594 (2008)
  88. Chatchatee P, "Identification of IgE and IgG binding epitopes on beta- and kappa-casein in cow's milk allergic patients", Clin Exp Allergy, 31, pp.1256~1262 (2001)
  89. Järvinen KM, "IgE and IgG binding epitopes on alpha-lactalbumin and beta-lactoglobulin in cow's milk allergy", Int Arch Allergy Immunol, 126, pp.111~118 (2001)
  90. Hochwallner H, "Visualization of clustered IgE epitopes on alpha-lactalbumin", J Allergy Clin Immunol, 125, pp.1279~1285 (2010)

이 간행물의 다른 논문 (9건)