[en] Cow's milk proteins allergy (CMA) is an atypical immune system response to cow's milk and dairy products. It's one of the most common food allergies in children affecting 8% of the total pediatric population pediatric population. This comprehensive review examines recent studies in CMA, especially regarding mammalian milk allergies such as goat's, sheep's, buffalo's, camel's, mare's and donkey's milk allergies in order to increase awareness of these selective allergies and to reduce allergy risks for those who have them. The consumption of other mammalian milk types is not recommended because of the significant homology between milk proteins from cow, sheep, goat and buffalo resulting in clinical cross-reactivity. However, camel's, mare's or donkey's milk may be tolerated by some allergic patients. Selective mammalian milk allergies are unusual and rare disorders characterized by severe symptoms including angio-oedema, urticaria, respiratory manifestations and anaphylaxis. Based on the reported allergic cases, cheese products including Ricotta, Romano, Pecorino and Mozzarella, are considered as the most common source of allergens especially in goat's, sheep's and buffalo's milk allergies, while the major allergens in donkey's and mare's milk seems to be whey proteins including lysozyme, α-lactalbumin and β-lactogloblin due to the low casein/whey proteins ratio in equine's milk.
Disciplines :
Food science
Author, co-author :
Lajnaf, Roua ; Alimentary Analysis Unit, National Engineering School of Sfax, BPW 3038, Sfax, Tunisia, Immunology Department, Habib Bourguiba University Hospital, Sfax, Tunisia, Pediatric Department, Hédi Chaker University Hospital, Sfax, Tunisia. Electronic address: roua_lajnaf@yahoo.fr
Feki, Sawsan; Immunology Department, Habib Bourguiba University Hospital, Sfax, Tunisia
Ben Ameur, Salma; Pediatric Department, Hédi Chaker University Hospital, Sfax, Tunisia
Attia, Hamadi; Alimentary Analysis Unit, National Engineering School of Sfax, BPW 3038, Sfax, Tunisia
Kammoun, Thouraya; Pediatric Department, Hédi Chaker University Hospital, Sfax, Tunisia
Ayadi, Mohamed ; Université de Liège - ULiège > Département GxABT > Chemistry for Sustainable Food and Environmental Systems (CSFES)
Masmoudi, Hatem; Immunology Department, Habib Bourguiba University Hospital, Sfax, Tunisia
Language :
English
Title :
Recent advances in selective allergies to mammalian milk proteins not associated with Cow's Milk Proteins Allergy.
This work is carried out under the MOBIDOC scheme, funded by The Ministry of Higher Education and Scientific Research of the Tunisian government through the PromESsE project and managed by the ANPR. This research was partially supported by the L'Oréal Unesco for Women in Science Maghreb Fellowships , 2021/2022.
Ah-Leung, S., Bernard, H., Bidat, E., Paty, E., Rancé, F., Scheinmann, P., Wal, J.M., Allergy to goat and sheep milk without allergy to cow's milk. Allergy 61 (2006), 1358–1365.
Al-Hammadi, S., El-Hassan, T., Al-Reyami, L., Anaphylaxis to camel milk in an atopic child. Allergy 65 (2010), 1623–1625.
Al Kanhal, H.A., Compositional, technological and nutritional aspects of dromedary camel milk. Int. Dairy J. 20 (2010), 811–821.
Alston-Mills, B.P., Comparative analysis of milks used for human consumption. Handbook of Milk Composition, 1995, Elsevier, 828–834.
Asthma and Allergy Foundation of America. My Life with Food Allergy: Parent Survey Report Retrieved from Aafa Org/foodallergylife., 2019.
Bahna, S.L., Cow's milk allergy versus cow milk intolerance. Ann. Allergy Asthma Immunol. 89 (2002), 56–60.
Ballabio, C., Chessa, S., Rignanese, D., Gigliotti, C., Pagnacco, G., Terracciano, L., Fiocchi, A., Restani, P., Caroli, A.M., Goat milk allergenicity as a function of αS1-casein genetic polymorphism. J. Dairy Sci. 94 (2011), 998–1004.
Bencharitiwong, R., Giavi, S., Vereda, A., Ibáñez, M.D., Järvinen, K.M., Papadopoulos, N.G., Nowak-Węgrzyn, A., Heating does not decrease immunogenicity of goat's and Ewe's milk. J. Allergy Clin. Immunol. Pract. 1 (2013), 418–421.
Besler, M., Eigenmann, P., Schwartz, R.H., Allergen data collection: cow's milk (Bos domesticus) update. Internet Symposium on Food Allergens, 2002, 19–106.
Bidat, E., L'allergie au lait de chèvre ou de brebis. Rev. Fr. Allergol. 50 (2010), 128–131.
Bittante, G., Amalfitano, N., Bergamaschi, M., Patel, N., Haddi, M.-L., Benabid, H., Pazzola, M., Vacca, G.M., Tagliapietra, F., Schiavon, S., Composition and aptitude for cheese-making of milk from cows, buffaloes, goats, sheep, dromedary camels, and donkeys. J. Dairy Sci., 2021.
Cardoso, R.R.A., Santos, R., Cardoso, C.R.A., Carvalho, M.O., Consumption of camel's milk by patients intolerant to lactose. A preliminary study. Rev. Alerg. Mex., 57, 2010.
Cianferoni, A., Muraro, A., Food-induced anaphylaxis. Immunol. Allergy Clin. 32 (2012), 165–195.
D'Auria, E., Mameli, C., Piras, C., Cococcioni, L., Urbani, A., Zuccotti, G.V., Roncada, P., Precision medicine in cow's milk allergy: proteomics perspectives from allergens to patients. J. Proteonomics 188 (2018), 173–180.
De Luca, J.F., Mackay, G.A., Chatelier, J.W., Chan, S.S., Zhang, S.S., Godsell, J., Spriggs, K., Slade, C., Douglass, J.A., Goat milk skin products may cause the development of goat milk allergy. Clin. Exp. Allergy 52 (2022), 706–710.
del Carmen Tocaa, M., Fernándezb, A., Orsic, M., Tabaccod, O., Vinderolae, G., Lactose intolerance: myths and facts. An update. Arch. Argent. Pediatr. 120 (2022), 59–66.
Ehlayel, M., Bener, A., Camel's milk allergy. Allergy & Asthma Proceedings, 2018.
El-Agamy, E.I., Nawar, M., Shamsia, S.M., Awad, S., Haenlein, G.F.W., Are camel milk proteins convenient to the nutrition of cow milk allergic children?. Small Rumin. Res. 82 (2009), 1–6.
Faccia, M., D'Alessandro, A.G., Summer, A., Hailu, Y., Milk products from minor dairy species: a review. Animals, 10, 2020, 1260.
Farah, Z., Rettenmaier, R., Atkins, D., Vitamin content of camel milk. Int. J. Vitam. Nutr. Res. 62 (1992), 30–33.
Fiocchi, A., Schünemann, H.J., Brozek, J., Restani, P., Beyer, K., Troncone, R., Martelli, A., Terracciano, L., Bahna, S.L., Rancé, F., Diagnosis and rationale for action against cow's milk allergy (DRACMA): a summary report. J. Allergy Clin. Immunol. 126 (2010), 1119–1128.
FAOSTAT, Crops and livestock products Food and agriculture organization of the United Nations. Statistics database, crop statistics. 2020 Available from: https://www.fao.org/faostat/en/#data/QC. (Accessed 8 April 2023)
Gall, H., Kalveram, C.M., Sick, H., Sterry, W., Allergy to the heat-labile proteins α-lactalbumin and β-lactoglobulin in mare's milk. J. Allergy Clin. Immunol. 97 (1996), 1304–1307.
Gu, Y., Li, X., Qi, X., Ma, Y., Chan, E.C.Y., In silico identification of novel ACE and DPP-IV inhibitory peptides derived from buffalo milk proteins and evaluation of their inhibitory mechanisms. Amino Acids, 2023, 1–11.
Herz, A., Kopp, M.V., Anaphylactic reaction at a pizzeria in a 13-year-old female patient. Allergo J. Int. 29 (2020), 165–167.
Hochwallner, H., Schulmeister, U., Swoboda, I., Spitzauer, S., Valenta, R., Cow's milk allergy: from allergens to new forms of diagnosis, therapy and prevention. Methods 66 (2014), 22–33.
Kappeler, S., Compositional and Structural Analysis of Camel Milk Proteins with Emphasis on Protective Proteins., 1998, Swiss Federal Institute of Technology, Zurich, Switzerland Ph.D. Thesis.
Koura, H., Myths about breastfeeding. Al-Azhar Assiut Med. J. 17 (2019), 109–113.
Lajnaf, R., Feki, S., Ameur, S.Ben, Attia, H., Kammoun, T., Ayadi, M.A., Masmoudi, H., Cows' milk alternatives for children with cows' milk protein allergy-Review of health benefits and risks of allergic reaction. Int. Dairy J., 105624, 2023.
Lajnaf, R., Feki, S., Attia, H., Ayadi, M.A., Masmoudi, H., Characteristics of Cow Milk Proteins and the Effect of Processing on Their Allergenicity. 2022.
Lajnaf, R., Gharsallah, H., Attia, H., Ayadi, M.A., Comparative study on antioxidant, antimicrobial, emulsifying and physico-chemical properties of purified bovine and camel β-casein. LWT, 140, 2021, 110842.
Lajnaf, R., Picart-palmade, L., Attia, H., Marchesseau, S., Ayadi, M.A., Foaming and air-water interfacial properties of camel milk proteins compared to bovine milk proteins. Food Hydrocolloids, 126, 2022, 107470.
Lara-Villoslada, F., Olivares, M., Xaus, J., The balance between caseins and whey proteins in cow's milk determines its allergenicity. J. Dairy Sci. 88 (2005), 1654–1660.
Liang, L.I., Luo, Y., Casein and pectin: structures, interactions, and applications. Trends Food Sci. Technol. 97 (2020), 391–403.
Liang, X., Wang, Z., Yang, H., Luo, X., Sun, J., Yang, M., Shi, X., Yue, X., Zheng, Y., Evaluation of allergenicity of cow milk treated with enzymatic hydrolysis through a mouse model of allergy. J. Dairy Sci. 105 (2022), 1039–1050.
Madhusudan, N.C., Ramachandra, C.T.D., Udaykumar, N.D., Sharnagouda, H.D., Nagraj, N.D., Jagjivan, R.D., Composition, characteristics, nutritional value and health benefits of donkey milk-a review. Dairy Sci. Technol., 2017.
Martini, M., Swiontek, K., Antonicelli, L., Garritani, M.S., Bilò, M.B., Mistrello, G., Amato, S., Revets, D., Ollert, M., Morisset, M., Lysozyme, a new allergen in donkey's milk. Clin. Exp. Allergy 48 (2018), 1521–1523.
Martorell-Aragonés, A., Echeverría-Zudaire, L., Alonso-Lebrero, E., Boné-Calvo, J., Martín-Muñoz, M.F., Nevot-Falcó, S., Piquer-Gibert, M., Valdesoiro-Navarrete, L., allergy committee of SEICAP, F., Position document: IgE-mediated cow's milk allergy. Allergol. Immunopathol. 43 (2015), 507–526.
Martorell, A., Plaza, A.M., Boné, J., Nevot, S., Echeverria, L., Alonso, E., Garde, J., Vila, B., Alvaro, M., Tauler, E., Cow's milk protein allergy. A multi-centre study: clinical and epidemiological aspects. Allergol. Immunopathol. 34 (2006), 46–53.
Maryniak, N.Z., Sancho, A.I., Hansen, E.B., Bøgh, K.L., Alternatives to cow's milk-based infant formulas in the prevention and management of cow's milk allergy. Foods, 11, 2022, 926.
Miciński, J., Kowalski, I.M., Zwierzchowski, G., Szarek, J., Pierożyński, B., Zabłocka, E., Characteristics of cow's milk proteins including allergenic properties and methods for its reduction. Polish Ann. Med. 20 (2013), 69–76.
Moen, Ø.L., Opheim, E., Trollvik, A., Parents experiences raising a child with food allergy; A qualitative review. J. Pediatr. Nurs., 2019.
Muñoz-Furlong, A., Sampson, H.A., The management of food allergy. Food allergy Advers. React. to foods food Addit., 2008, 443–460.
Nayak, C., C T, R., Kumar, G., A comprehensive review on composition of donkey milk in comparison to human, cow, buffalo, sheep, goat, camel and horse milk. Mysore J. Agric. Sci. 54 (2020), 42–50.
Negaoui, H., El Mecherfi, K.E., Tadjer, S.A., Grar, H., Kheroua, O., Saidi, D., Bovine lactoferrin allergenicity as studied in murine model of allergy. Food Agric. Immunol. 27 (2016), 711–723.
Nowak-Wegrzyn, A., Bloom, K.A., Sicherer, S.H., Shreffler, W.G., Noone, S., Wanich, N., Sampson, H.A., Tolerance to extensively heated milk in children with cow's milk allergy. J. Allergy Clin. Immunol. 122 (2008), 342–347.
O'Riordan, N., Kane, M., Joshi, L., Hickey, R.M., Structural and functional characteristics of bovine milk protein glycosylation. Glycobiology 24 (2014), 220–236.
Paschke, A., Besler, M., Stability of bovine allergens during food processing. Ann. Allergy Asthma Immunol. 89 (2002), 16–20.
Pazheri, F., Melton, A.L., Poptic, E., Willard, B., Allergy to sheep milk with or without allergy to cow milk. J. Allergy Clin. Immunol., 133, 2014, AB199.
Peñas, E., Snel, H., Floris, R., Préstamo, G., Gomez, R., High pressure can reduce the antigenicity of bovine whey protein hydrolysates. Int. Dairy J. 16 (2006), 969–975.
Pham, M.N., Wang, J., Mammalian milk allergy: case presentation and review of prevalence, diagnosis, and treatment. Ann. Allergy Asthma Immunol. 118 (2017), 406–410.
Restani, P., Beretta, B., Fiocchi, A., Ballabio, C., Galli, C.L., Cross-reactivity between mammalian proteins. Ann. Allergy Asthma Immunol. 89 (2002), 11–15.
Rodriguez del Rio, P., Sánchez-García, S., Escudero, C., Pastor-Vargas, C., Sánchez Hernández, J.J., Pérez-Rangel, I., Ibáñez, M.D., Allergy to goat's and sheep's milk in a population of cow's milk–allergic children treated with oral immunotherapy. Pediatr. Allergy Immunol. 23 (2012), 128–132.
Roy, D., Ye, A., Moughan, P.J., Singh, H., Composition, structure, and digestive dynamics of milk from different species—a review. Front. Nutr., 7, 2020, 577759.
Ryskaliyeva, A., Henry, C., Miranda, G., Faye, B., Konuspayeva, G., Martin, P., Combining different proteomic approaches to resolve complexity of the milk protein fraction of dromedary, Bactrian camels and hybrids, from different regions of Kazakhstan. PLoS One 13 (2018), 1–26.
Sabahelkhier, M.K., Faten, M.M., Omer, F.I., Comparative determination of biochemical constituents between animals (goat, sheep, cow and camel) milk with human milk. Res. J. Recent Sci., 2277, 2012, 2502.
Schouten, B., van Esch, B.C.A.M., Hofman, G.A., van Doorn, S.A.C.M., Knol, J., Nauta, A.J., Garssen, J., Willemsen, L.E.M., Knippels, L.M.J., Cow milk allergy symptoms are reduced in mice fed dietary synbiotics during oral sensitization with whey. J. Nutr. 139 (2009), 1398–1403.
Shrestha, A., Samuelsson, L.M., Sharma, P., Day, L., Cameron-Smith, D., Milan, A.M., Comparing response of sheep and cow milk on acute digestive comfort and lactose malabsorption: a randomized controlled trial in female dairy avoiders. Front. Nutr., 8, 2021, 603816.
Sopo, S.M., Greco, M., Monaco, S., Bianchi, A., Cuomo, B., Liotti, L., Iacono, I.D., Matrix effect on baked milk tolerance in children with IgE cow milk allergy. Allergol. Immunopathol. 44 (2016), 517–523.
Souroullas, K., Aspri, M., Papademas, P., Donkey milk as a supplement in infant formula: benefits and technological challenges. Food Res. Int. 109 (2018), 416–425.
Stöger, P., Wüthrich, B., Type I allergy to cow milk proteins in adults. Int. Arch. Allergy Immunol. 102 (1993), 399–407.
Tejedor Alonso, M.A., Moro Moro, M., Múgica García, Mv, Esteban Hernandez, J., Rosado Ingelmo, A., Vila Albelda, C., Gomez Traseira, C., Cardenas Contreras, R., Sanz Sacristan, J., Hernandez Merino, A., Incidence of anaphylaxis in the city of Alcorcon (Spain): a population-based study. Clin. Exp. Allergy 42 (2012), 578–589.
Tidona, F., Criscione, A., Guastella, A.M., Bordonaro, S., Marletta, D., Gross composition and nutritional properties of donkey milk produced in Sicily. Sci. e Tec. Latt. 62 (2011), 217–221.
USDA Tunisia, Order on Food Labeling and Presentation of Prepackaged Foods. 2019, USDA Foreign Agric. Serv. Tunis, Tunisia.
van Gemert, F.A., Gerth van Wijk, R., Adult-onset sheep's milk allergy in a patient without cow's milk allergy. J Investig. Allergol. Clin. Immunol. 31 (2021), 253–279.
Verduci, E., D'Elios, S., Cerrato, L., Comberiati, P., Calvani, M., Palazzo, S., Martelli, A., Landi, M., Trikamjee, T., Peroni, D.G., Cow's milk substitutes for children: nutritional aspects of milk from different mammalian species, special formula and plant-based beverages. Nutrients, 11, 2019, 1739.
Vereda, A., Sampson, M.A., Ibanez, M., Bardina, L., Thanik, E., Sampson, H.A., Selective allergy to sheep's and goat's milk proteins: 4 cases. J. Allergy Clin. Immunol., 117, 2006, S46.
Verhulst, L., Kerre, S., Goossens, A., The unsuspected power of mare's milk. Contact Dermatitis 74 (2016), 376–377.
Vickery, B.P., Scurlock, A.M., Jones, S.M., Burks, A.W., Mechanisms of immune tolerance relevant to food allergy. J. Allergy Clin. Immunol. 127 (2011), 576–584.
Walsh, J., Meyer, R., Shah, N., Quekett, J., Fox, A.T., Differentiating milk allergy (IgE and non-IgE mediated) from lactose intolerance: understanding the underlying mechanisms and presentations. Br. J. Gen. Pract. 66 (2016), 609–611.
Xu, Q., Shi, J., Yao, M., Jiang, M., Luo, Y., Effects of heat treatment on the antigenicity of four milk proteins in milk protein concentrates. Food Agric. Immunol. 27 (2016), 401–413.
Zhou, C., Wang, Jianwu, Sun, N., Tian, J., Wang, Jing, Lv, Y., Wang, P., Huang, K., Che, H., Allergenicity of recombinant human lactoferrin to an animal model Brown Norway rats. Food Agric. Immunol. 25 (2014), 34–48.