The Recognition Pattern of Sequential B Cell Epitopes of Beta–Lactoglobulin Does Not Vary with the Clinical Manifestations of Cow’s Milk Allergy

Background: β–Lactoglobulin (BLG) represents one of the major allergens causing cow’s milk allergy (CMA) – a disease with a wide spectrum of clinical symptoms. The aim of this study was to evaluate sequential B cell epitopes of BLG by the Pin–ELISA method. Furthermore, we wanted to investigate a possible association of the IgE recognition patterns in sera of patients with BLG sensitization and the type of clinical reactions following contact with cow’s milk. Methods: Overlapping sequential decapeptides corresponding to the amino acid sequence of BLG were used in Pin–ELISAs specific for human IgE. Tested sera were from 14 individuals with CMA, 8 of them with a history of immediate systemic reactions and 6 with delayed skin reactions following contact with cow’s milk. All of them showed specific IgE antibodies to BLG in the CAP–RAST. Control sera were from 5 healthy nonallergic individuals. Results: All sera from BLG–sensitized individuals showed IgE binding with one region of BLG corresponding to amino acids 95–113. Furthermore, individual sera showed reactions with two further regions, 12–27 and 124–135. Inhibition of IgE binding to BLG with one soluble synthetic peptide confirmed the major epitope. No differences were found in the B cell epitope recognition pattern to BLG in the two groups of patients with CMA, characterized by acute systemic or delayed skin reactions. Conclusions: Using IgE Pin–ELISAs we were able to confirm previously described sequential B cell epitopes of BLG. However, the recognition pattern of one of the major cow’s milk allergens is not predictive of the clinical type of reaction.