Recombinant lipid transfer protein Cor a 8 from hazelnut: a new tool for in vitro diagnosis of potentially severe hazelnut allergy

J Allergy Clin Immunol. 2004 Jan;113(1):141-7. doi: 10.1016/j.jaci.2003.09.013.


Background: Cor a 1.04 has been identified as the major hazelnut allergen in 65 European patients with positive double-blind, placebo-controlled food challenge results to hazelnut. Recently, the 11S globulin Cor a 9 was shown to be a pollen-independent hazelnut allergen in the United States, whereas preliminary data suggest the lipid transfer protein (LTP) as an important birch pollen-unrelated hazelnut allergen in Europe.

Objective: We sought to recruit a group of European patients allergic to hazelnut without birch pollen allergy and to identify and clone the major food allergen(s) in this study population.

Methods: We recruited 26 such Spanish patients, including 10 patients with anaphylaxis. IgE immunoblotting was performed with hazelnut extract. Hazelnut LTP Cor a 8 was cloned by using a PCR strategy, purified, and subjected to IgE immunoblotting. Recombinant Cor a 8, rCor a 1.0401, and rCor a 2 (profilin) were further investigated by means of enzyme allergosorbent test. Immunoblot inhibition experiments were used to compare the immunologic properties of natural and recombinant LTP.

Results: A 9-kd major allergen was identified in hazelnut extract. Cloning, sequencing, heterologous expression, and inhibition experiments identified it as an LTP. The prevalence of specific IgE antibody reactivity to LTP was 62% in hazelnut extract and 77% when recombinant LTP was tested by means of immunoblotting. IgE immunoblot inhibition with hazelnut extract showed that natural Cor a 8 and rCor a 8 shared identical epitopes. Only one patient had positive reactivity to Cor a 1.04, and no patients had positive reactivity to Cor a 2. Two sera bound to high-molecular-weight allergens. The LTP was denominated as Cor a 8 and submitted to the allergen database of the World Health Organization/International Union of Immunological Societies Allergen Nomenclature Subcommittee.

Conclusions: Cor a 8 is a relevant allergen for a majority of Spanish patients with hazelnut allergy that can cause severe allergic reactions.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Allergens* / chemistry
  • Allergens* / genetics
  • Amino Acid Sequence
  • Antigens, Plant
  • Base Sequence
  • Carrier Proteins* / chemistry
  • Carrier Proteins* / genetics
  • Child
  • Chromatography, Ion Exchange
  • Cloning, Molecular
  • Corylus / adverse effects*
  • Corylus / chemistry
  • Corylus / genetics
  • Electrophoresis, Polyacrylamide Gel
  • Female
  • Humans
  • Immunoglobulin E / analysis
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Nut Hypersensitivity / diagnosis*
  • Nut Hypersensitivity / etiology
  • Nut Hypersensitivity / immunology
  • Plant Proteins
  • Polymerase Chain Reaction
  • Recombinant Proteins*


  • Allergens
  • Antigens, Plant
  • Carrier Proteins
  • Plant Proteins
  • Recombinant Proteins
  • lipid transfer proteins, plant
  • Immunoglobulin E