IgE-based analysis of sensitization and cross-reactivity to yellow mealworm and edible insect allergens before their widespread dietary introduction

Abstract The European Commission authorized the use of dried yellow mealworm (Tenebrio molitor - TM) as a food ingredient under Regulation EU 2021/882. As TM emerges as an important allergen source, sensitization and allergy to TM in various populations need investigation. The aim of this study was...

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Main Authors: Majsiak Emilia, Choina Magdalena, Gromek Weronika, Wykrota Julia, Kozłowska Danuta, Swadźba Jakub, Cukrowska Bożena, Kowal Krzysztof
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83645-4
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author Majsiak Emilia
Choina Magdalena
Gromek Weronika
Wykrota Julia
Kozłowska Danuta
Swadźba Jakub
Cukrowska Bożena
Kowal Krzysztof
author_facet Majsiak Emilia
Choina Magdalena
Gromek Weronika
Wykrota Julia
Kozłowska Danuta
Swadźba Jakub
Cukrowska Bożena
Kowal Krzysztof
author_sort Majsiak Emilia
collection DOAJ
description Abstract The European Commission authorized the use of dried yellow mealworm (Tenebrio molitor - TM) as a food ingredient under Regulation EU 2021/882. As TM emerges as an important allergen source, sensitization and allergy to TM in various populations need investigation. The aim of this study was to assess the incidence of sensitization to TM before its introduction as a food ingredient in Poland, as well as checking the occurrence of co-sensitivity to TM and other invertebrate allergenic extracts and molecules. This analysis was performed using serum allergen-specific immunoglobulin E (sIgE) results in 6,173 individuals using the ALEX2 test to detect sensitivity to TM and other related allergens. A total of 4.3% of the study population had sIgE to TM extract, with 0.7% of those individuals being mono-sensitized to TM. Sensitization to TM was most commonly associated with a positive response to house cricket and migratory locust allergens. sIgE antibodies against TM significantly more commonly (p < 0.001) co-occurred with sIgE against other invertebrate allergens. Patients with sIgE against TM were most likely sensitised to tropomyosins (49.1% of patients), Niemann-Pick C2 protein (43.8%), group 5/21 allergen (38.6%), class III chitinases (37.1%), and cysteine proteases (34.1%). Based on the serum asIgE levels to TM prior to this ingredient being introduced as a food in Poland, we hypothesised that this primary sensitization may be associated with invertebrate allergies. Our analysis showed that sensitisation to TM was most commonly associated with a positive reaction to house dust mites and shrimp tropomyosins. Therefore, we speculate that individuals allergic to shrimp should exercise caution when consuming foods containing TM.
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spelling doaj-art-94f94da256af41ccb37a0abf4d81313d2025-01-12T12:23:06ZengNature PortfolioScientific Reports2045-23222025-01-0115111310.1038/s41598-024-83645-4IgE-based analysis of sensitization and cross-reactivity to yellow mealworm and edible insect allergens before their widespread dietary introductionMajsiak Emilia0Choina Magdalena1Gromek Weronika2Wykrota Julia3Kozłowska Danuta4Swadźba Jakub5Cukrowska Bożena6Kowal Krzysztof7Department of Health Promotion, Faculty Health of Sciences, Medical University of LublinDepartment of Experimental Allergology and Immunology, Medical University of BialystokPolish-Ukrainian Foundation of Medicine DevelopmentMedical University of LodzDIAGNOSTYKA S.A.DIAGNOSTYKA S.A.Department of Pathomorphology, The Children’s Memorial Health InstituteDepartment of Experimental Allergology and Immunology, Medical University of BialystokAbstract The European Commission authorized the use of dried yellow mealworm (Tenebrio molitor - TM) as a food ingredient under Regulation EU 2021/882. As TM emerges as an important allergen source, sensitization and allergy to TM in various populations need investigation. The aim of this study was to assess the incidence of sensitization to TM before its introduction as a food ingredient in Poland, as well as checking the occurrence of co-sensitivity to TM and other invertebrate allergenic extracts and molecules. This analysis was performed using serum allergen-specific immunoglobulin E (sIgE) results in 6,173 individuals using the ALEX2 test to detect sensitivity to TM and other related allergens. A total of 4.3% of the study population had sIgE to TM extract, with 0.7% of those individuals being mono-sensitized to TM. Sensitization to TM was most commonly associated with a positive response to house cricket and migratory locust allergens. sIgE antibodies against TM significantly more commonly (p < 0.001) co-occurred with sIgE against other invertebrate allergens. Patients with sIgE against TM were most likely sensitised to tropomyosins (49.1% of patients), Niemann-Pick C2 protein (43.8%), group 5/21 allergen (38.6%), class III chitinases (37.1%), and cysteine proteases (34.1%). Based on the serum asIgE levels to TM prior to this ingredient being introduced as a food in Poland, we hypothesised that this primary sensitization may be associated with invertebrate allergies. Our analysis showed that sensitisation to TM was most commonly associated with a positive reaction to house dust mites and shrimp tropomyosins. Therefore, we speculate that individuals allergic to shrimp should exercise caution when consuming foods containing TM.https://doi.org/10.1038/s41598-024-83645-4Yellow mealwormTenebrio molitorSensitization profileFood allergyComponent resolved diagnostics (CRD)
spellingShingle Majsiak Emilia
Choina Magdalena
Gromek Weronika
Wykrota Julia
Kozłowska Danuta
Swadźba Jakub
Cukrowska Bożena
Kowal Krzysztof
IgE-based analysis of sensitization and cross-reactivity to yellow mealworm and edible insect allergens before their widespread dietary introduction
Scientific Reports
Yellow mealworm
Tenebrio molitor
Sensitization profile
Food allergy
Component resolved diagnostics (CRD)
title IgE-based analysis of sensitization and cross-reactivity to yellow mealworm and edible insect allergens before their widespread dietary introduction
title_full IgE-based analysis of sensitization and cross-reactivity to yellow mealworm and edible insect allergens before their widespread dietary introduction
title_fullStr IgE-based analysis of sensitization and cross-reactivity to yellow mealworm and edible insect allergens before their widespread dietary introduction
title_full_unstemmed IgE-based analysis of sensitization and cross-reactivity to yellow mealworm and edible insect allergens before their widespread dietary introduction
title_short IgE-based analysis of sensitization and cross-reactivity to yellow mealworm and edible insect allergens before their widespread dietary introduction
title_sort ige based analysis of sensitization and cross reactivity to yellow mealworm and edible insect allergens before their widespread dietary introduction
topic Yellow mealworm
Tenebrio molitor
Sensitization profile
Food allergy
Component resolved diagnostics (CRD)
url https://doi.org/10.1038/s41598-024-83645-4
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