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. 2023 Nov 22;4:1228353. doi: 10.3389/falgy.2023.1228353

Table 2.

Impact of wheat processing on the quantity and functionality of ATIs in total and partial extracts.

Impact on ATI
Processing treatment Product Extraction Quantity (SDS-PAGE, ELISA, LC–MS/MS) Wheat-allergic patient IgE binding (Western blot), in vitro cell line, SPT, enzyme inhibition Reference
Fermentation total extract
FLB fermentation Wheat dough SDS/DTT IgE reduced (44)
 Yeast fermentation Wheat dough SDS/DTT IgE present (35)
FLB and yeast fermentation Wheat dough SDS/ME Increase (FLB); equal (yeast) (45)
 FLB and yeast fermentation Wheat dough Ammonium bicarbonate ATI isolate Decreased TNF-α, MCP-1 in FLB vs. yeast (46)a
FLB, Bacillus spp., Clostridium, Staphylococcus None Isolation (>60% ATI) 0%–95% decrease depending on bacteria (40)
 Yeast fermentation and proteolysis Wheat dough SDS/ME IgE decreased with pepsin and pancreatin hydrolyses, some ATIs were resistant (37)
Fermentation partial extract
Yeast and FLB fermentation Wheat flour, dough NaCl IgE absent with FLB (47)
 FLB fermentation Wheat dough Tris-HCl 0%–98% reduced (48)
FLB and Yeast fermentation Wheat dough NaCl Decrease (FLB); equal (yeast) (45)
 FLB fermentation Wheat dough NaCl 41% reduction (22)
FLB and yeast fermentation Wheat dough NaCl Decreased tetrameric in FLB vs. yeast 22%–29% less amylase inhibition in FLB (yeast no results) (46)
 FLB fermentation None Isolation (>60% ATI) In vivo mice: decreased TNF-α and 50% reduced increase IL6 with high ATI degrading FLB (40)
 FLB fermentation Wheat dough Chloroform–methanol Reduction 22%–70% ELISA, 52%–85% RP–HPLC (49)
Fermentation and baking; total extract
Yeast fermentation, baking Bread SDS/DTT IgE absent in crust and crumb (35)
 Yeast fermentation, baking, proteolysis Bread SDS/DTT IgE increase when treated with pancreatin (35)
FLB and yeast fermentation and baking Dough and bread SDS/DTT Equal after proofing (FLB and yeast), 40%–70% reduced after baking (FLB and yeast); yeast equal FLB (50)
 Yeast and FLB fermentation, baking Bread SDS/ME reduced in yeast and FLB bread IgE reduced in yeast bread, absent in FLB bread (47)
Fermentation and baking; partial extract
FLB and yeast fermentation and baking Bread Tris-HCl/EDTA Reduced (FLB and yeast), FLB more monomers, yeast more di/tetrameric (51)b
 FLB and yeast fermentation and baking Dough and bread Ammonium bicarbonate/Iodoacetamide equal CM3 after proofing (FLB and yeast), 90%–95% reduced after baking (FLB and yeast); yeast less CM3 than FLB (50)
 Fermentation and baking white, wholemeal, rye and mixed cereals dough and bread Sodium acetate Trypsin (TI)/Chymotrypsin (CI) inhibition dough < flour < bread. Wholemeal no TI; TI rye > wheat/mixed cereals > wholemeal; CI wheat > rye > wholemeal > mixed cereals (52)
Heating, boiling, drying)
Boiling Wheat flour SDS/DTT IgE equal Pastorello et al. 2007
Boiling Durum flour SDS/ME IgE absent (38)
 Drying Durum pasta SDS/DTT Decrease >110′C IgE absent (53)
Boiling Durum pasta NaCl Decrease, ATIs in cooking water (54)
 Heating mixolab Wheat dough various 40% increase unextractable albumins/globulins upon mixing and heating; 5% increase extractable albumins/globulins upon mixing and heating (13)a
Heating mixolab Wheat dough SDS/DTT Absent in dough, 40% decrease 0.19 or 39%–332% increase 0.19, dimeric, CM3 and CM16 (13)
General; partial extracts and isolated ATI
Baking, toasting, boiling Bread, pasta, biscuits NaCl Reduced: boiling/toasting > baking alone > unboiled pasta and biscuits; indications for other epitopes after heat treatments IgE absent in breads, pizza and boiled pasta, present in fresh, white and wholemeal pasta; SPT: flour vs. wholemeal tinbread equal, toasting wholemeal tinbread and boiling pasta: reduced (34)a
 Baking, boiling Bread, pasta Phosphate Inhibition 80%–90% reduced in white and rye bread, 100% in wholemeal bread and 98% in spaghetti Granum 1978
Baking, drying Bread, pasta, cookies, cake 70% ethanol No α-amylase inhibition in cake, cookies, crackers, muffin pretzel, cooked pasta, some types of breads, α-amylase inhibition in most types of breads (incl. flour as decoration), uncooked pasta, cous-cous (55)
 None Wheat flour NaCl (extractable), isopropanol/DTT (unextractable) IgE none with unextractable: 0% (n = 20); partial extract 60% (n = 20) of patients (56)
 None Triticum aestivum and T. monococcum isolation Increased TNF-α, IL8 in T. aestivum vs. monococcum Iacomino et al. 2021
Thioredoxin Salt-soluble proteins NaCl SPT human: abolishment of reaction Matusmoto et al. 2007a
Thioredoxin Salt-soluble proteins NaCl In vivo dog: reduction of allergic skin reaction Buchanan et al. 2007a

FLB, Fructolactobacilli; SPT, skin prick test.

TNF-α, MCP-1, IL6: inflammation markers released after cell line challenge with ATI isolate.

a

Total albumin/globulin extract.

b

Identification of ATI based on molecular weight in SDS-PAGE.