Evidence map›Paper›PMID 37569122›Full record

ArticleFoods (Basel, Switzerland)2023

Comparative Analysis of the Immune Response and the Clinical Allergic Reaction to Papain-like Cysteine Proteases from Fig, Kiwifruit, Papaya, Pineapple and Mites in an Italian Population.

Ivana Giangrieco, Maria Antonietta Ciardiello, Maurizio Tamburrini, Lisa Tuppo, Chiara Rafaiani, Adriano Mari, Claudia Alessandri

Open access · goldAbstract read
In one paragraph

Article in Foods (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Safety evaluation of the food enzyme papain from the latex ofEFSA journal. European Food Safety Authority · 2026
    Article
  6. Article
  7. Fruit-Based Diet and Gut Health: A Review.Food science & nutrition · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ivana GiangriecoInstitute of Biosciences and BioResources (IBBR), National Research Council of Italy (CNR), 80131 Naples, Italy.ORCID 0000-0002-1153-4249
Maria Antonietta CiardielloInstitute of Biosciences and BioResources (IBBR), National Research Council of Italy (CNR), 80131 Naples, Italy.ORCID 0000-0002-7203-0554
Maurizio TamburriniInstitute of Biosciences and BioResources (IBBR), National Research Council of Italy (CNR), 80131 Naples, Italy.
Lisa TuppoInstitute of Biosciences and BioResources (IBBR), National Research Council of Italy (CNR), 80131 Naples, Italy.
Chiara RafaianiAssociated Centers for Molecular Allergology (CAAM), 00100 Rome, Italy.
Adriano MariAssociated Centers for Molecular Allergology (CAAM), 00100 Rome, Italy.
Claudia AlessandriAssociated Centers for Molecular Allergology (CAAM), 00100 Rome, Italy.
Institute of Biosciences and Bioresources · IT

Funding

Governo Italiano ARS01_00783
6 · The paper itself

Abstract

Several plant papain-like cysteine proteases are exploited by the food, cosmetic, pharmaceutical and textile industries. However, some of these enzymes can cause allergic reactions. In this context, we investigated the frequency of sensitization and allergic reactions to some fruit and/or latex cysteine proteases, which are used as additives by the food industry to improve and modify the quality of their products. The FABER test was used to analyse the patients' sensitization towards five plants and, for comparison, two homologous mite cysteine proteases. In an Italian population of 341 allergic patients, 133 (39%) had IgE specific for at least one of the seven cysteine proteases under investigation. Most of the patients were IgE positive for Der p 1 and/or Der f 1 (96.38%) reported a clinical history suggestive of respiratory allergy to mites, whereas none of the subjects sensitized to the homologs from papaya, pineapple and fig reported allergy symptoms following ingestion of these foods. Only one patient referred symptoms from ingesting kiwifruit. Therefore, the obtained results showed that sensitization to the fruit enzymes was only rarely concomitant with allergic reactions. These observations, together with the literature reports, suggest that the allergy to plant papain-like cysteine proteases might mainly be an occupational disease.

Indexed as

Act d 1allergyAna c 2Cari p 2Cari p PapainFic c Ficinfood industrypapain-like cysteine proteaseprotein primary structuresafety

Identifiers

PMID37569122
PMCPMC10417190
OpenAlexW4385349144

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.