Allergen Data Collection: Hen's Egg White (Gallus domesticus)
Internet Symposium on Food Allergens 1(1):13-33 (1999) [http://www.food-allergens.de
1 Prevalence of Egg White Allergy
 
Country / Subjects Sensitivity to References
Australia, Victoria 
100 cow's milk allergic children
egg 58% Bishop et al. 1990
Denmark, Odense 
39 cow's milk allergic infants
egg white 29% Host & Halken 1990
Estonia 
251 allergic infants 
egg white 3.6% (RAST) Julge et al. 1997
France 
81 cases of anaphylactic shock to food
egg 11.6% Moneret-Vautrin & Kanny 1995
France, Toulouse 
142 food allergic children
egg white 53 % (Labial food challenge) Rance & Dutau 1997
Germany 
790 children (general population)
egg 8.4% (RAST) Nickel et al. 1997
Italy 
134 patients with atopic dermatitis 
egg 28% (RAST) Bonifazi et al. 1978
Japan, Okinawa 
127 atopic patients
egg white 12% (MAST) Kosugi et al. 1992
Spain 
355 food allergic children
egg white 34% (skin prick test, RAST) Crespo et al. 1995
Switzerland, Zurich 
402 food allergic adults
egg white 12% Wüthrich 1993
Thailand 
100 asthmatic children
egg white 1% (skin prick test) Kongpanichkul et al. 1997
USA, Baltimore, MD 
196 food allergic children
egg 73% (DBPCFC, RAST) Sampson & Ho 1997
USA, Denver, Colorado 
180 food allergic children
egg 26% (DBPCFC) Bock & Atkins 1990
 
2 Symptoms of Egg White Allergy
 
Symptoms & Case Reports References
allergic rhinitis 
anaphylaxis   
angioedema  
asthma   
atopic dermatitis   
flare 
gastrointestinal symptoms 
nausea  
oral allergy syndrom  
urticaria 
vomiting  
wheeze
Hoffmann 1983  
Langeland 1983a, 1983b, 1985 
Anet et al. 1985 
Clinton et al. 1986  
Bernstein et al. 1987  
Blanco-Carmona et al. 1992  
Yamada et al. 1993   
Bernhisel-Broadbent et al. 1994  
Reekers et al. 1996  
Urisu et al. 1997
 

3 Composition of Hen's Egg White
 

4 Allergens of Hen's Egg White
 
Proteins / Glycoproteins Allergen Nomenclature References
Ovomucoid Gal d 1 Langeland T (1982b)
Ovalbumin Gal d 2 Langeland T (1982b)
Ovotransferrin Gal d 3 Langeland & Harbitz (1983)
Lysozyme  Gal d 4 Hoffman 1983
Ovomucin none Walsh et al. 1988
 

4.1 Sensitization to Egg White Allergens
 
Country / Subjects Sensitivity to References
Denmark 
32 adults with suspected egg allergy
ovomucoid 34% 
ovalbumin 9% 
ovotransferrin 22% 
lysozyme 6% 
(dot-immunoblot)
Djurtoft et al. 1991
Denmark 
34 egg allergic adults
ovomucoid 38% 
ovalbumin 32% 
ovotransferrin 53% 
lysozyme 15% 
(SDS-PAGE / immunoblot)
Aabin et al. 1996
France, Nancy 
52 egg allergic patients
lysozyme 35% (RAST) Fremont et al. 1997
Germany, Hamburg 
33 egg allergic patients
ovomucoid 36% 
ovalbumin 30% 
(SDS-PAGE / immunoblot)
Besler et al. 1997
Japan 
39 egg allergic patients
lysozyme 67% (RAST) Yamada et al. 1993
Japan, Toyoake 
72 egg allergic patients
decreasing specific serum IgE against OM>OA>>OT>LY (RAST) Urisu et al. 1997
Norway, Oslo 
68 egg allergic patients
ovomucoid 69% 
ovalbumin 100% 
ovotransferrin 54% 
(CRIE)
Langeland 1982b, 1983b
USA, Baltimore, MD 
18 egg allergic children
ovomucoid 89% 
ovalbumin 78% 
lysozyme 61% 
(skin prick test)
Bernhisel-Broadbent et al. 1994
USA, Baltimore, MD 
egg allergic children:  
a) 10 persistent allergy  
b) 11 developed clinical tolerance
ovomucoid: 
a) 44.5 ng/ml b) 3.5 ng/ml 
ovalbumin: 
a) 1.6 ng/ml b) 1.5 ng/ml 
(specific serum-IgE)
Bernhisel-Broadbent et al. 1994
USA, NC 
33 egg allergic patients
ovomucoid 97% 
ovalbumin 100% 
ovotransferrin 94% 
lysozyme 69% 
(RAST)
Hoffmann 1983
 
4.2 Properties of Ovomucoid
4.3 Properties of Ovalbumin
4.4 Properties of Ovotransferrin
4.5 Properties of Lysozyme

5 Isolation & Preparation
 
Extract / Purified Allergens Methods References
ovomucoid, ovalbumin, lysozyme IEC-HPLC Bernhisel-Broadbent et al. 1994
ovomucoid, ovalbumin, ovotransferrin, lysozyme IEC / SEC Awade et al. 1994 
Ebbehoj et al. 1995
ovomucoid, ovalbumin, ovotransferrin, lysozyme capillary electrophoresis Besler et al. 1998
egg white / yolk proteins review: liquid chromatography applications Awade 1996
 

 
6 Cross-Reactivities
 
Cross-Reacting Allergens to Subjects / Methods References
egg white 
egg yolk, chicken serum, chicken meat
egg allergic patients (quantitative immunoelectrophoresis) Langeland 1983c
egg white 
egg yolk
6 egg allergic patients (RAST inhibition) Anet et al. 1985
ovalbumin 
ovomucoid, ovotransferrin, lysozyme
6 egg allergic patients (RAST inhibition) Walsh et al. 1987
ovalbumin 
apovitellenin I (egg yolk)
4 egg allergic patients (RAST inhibition) Walsh et al. 1987
lysozyme 
alpha-lactalbumin (cow's milk)
6 egg allergic patients (RAST inhibition) Walsh et al. 1987
 

7 Stability of Egg White Allergens
 
Treatment Effects References
egg white 
hard-boiled (100°C, 20 min) 
soft-boiled (100°C, 3 min)
some antigenicity retained, 
ovalbumin and ovomucoid were detectable (RIEP)
Hoffmann 1983
egg white 
diluted and heated (90°C, 10 min)
significantly decreased RAST for 50% of 16 egg allergic patients Anet et al. 1985
dried whole egg 
(1) heat (120°C, 40 min) 
(2) succinic anhydride, sodium hydroxide and heat
(1) no significant decrease in antigenicity 
(2) decreased antigenicity (1/1000) 
(ELISA/RAST inhibition, PCA)
Hisatomi et al. 1991
egg white 
(1) heat (90°C, 60 min) 
(2) ovomucoid-depletion of heated egg white
(1) 55% negative challenge in patients with positive challenge to freeze-dried egg white  
(2) 94% negative challenge in patients with positive challenge to heated egg white (DBPCFC)
Urisu et al. 1997
of ovalbumin, ovomucoid    
 

8 Allergen Sources
 
Allergen Source References
Food 
egg in hamburger roll (1) 
egg in meatballs, pasta (2) 
lysozyme: unlabeled additive in cheese preparation (3)
(1) Sampson et al. 1992 
(2) Yman et al. 1994 
(3) Fremont et al. 1997
Vaccines 
egg white: influenza virus vaccine (1, 4) 
egg white: influenza A/New Jersey/76 virus vaccines (2) 
ovalbumin / egg white: measles vaccine (3, 6) 
egg white: measles-mumps-rubella vaccine (5, 7)
(1) Davies & Pepys 1976  
(2) Bell et al. 1977 
(3) Herman et al. 1983 
(4) Yamane et al. 1988 
(5) Levine & Lavi 1991  
(6) Aickin et al. 1994 
(7) Levy et al. 1994
Other Pharmaceuticals 
lysozyme / egg white: vaginal suppository (1)
(1) Pichler & Campi 1993
 

9 References

Monographs
copyright © 1999 by matthias besler -  ONLINE PUBLISHER
home: www.food-allergens.de