<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">foodsyst</journal-id><journal-title-group><journal-title xml:lang="en">Food systems</journal-title><trans-title-group xml:lang="ru"><trans-title>Пищевые системы</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2618-9771</issn><issn pub-type="epub">2618-7272</issn><publisher><publisher-name>Федеральный научный центр пищевых систем им. В.М. Горбатова РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21323/2618-9771-2021-4-4-246-254</article-id><article-id custom-type="elpub" pub-id-type="custom">foodsyst-132</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Food allergens: threshold levels and methodologies for risk management</article-title><trans-title-group xml:lang="ru"><trans-title>Пищевые аллергены: пороговые значения и методологии управления рисками</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5805-3055</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крюченко</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kryuchenko</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крюченко Елизавета Вячеславовна — ведущий инженер, Отдел «Технического регулирования и систем управления качеством»</p><p>109316, г. Москва, ул. Талалихина, д. 26Тел.: + 7–495–676–61–21</p></bio><bio xml:lang="en"><p>Elizaveta V. Kryuchenko, Lead Engineer, Department of technical regulation and food safety systems</p><p>Talalikhina str., 26, 109316, MoscowTel.: +7–495–676–61–21</p></bio><email xlink:type="simple">l.kryuchenko@fncps.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2152-620X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузлякина</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuzlyakina</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кузлякина Юлия Алексеевна — кандидат технических наук, старший научный сотрудник, Отдел «Технического регулирования и систем управления качеством»</p><p>109316, г. Москва, ул. Талалихина, д. 26Тел.: +7–495–676–61–21</p></bio><bio xml:lang="en"><p>Yulya A. Kuzlyakina, Candidate of Technical Sciences, Chief Researcher, Department of technical regulation and food safety systems</p><p>26, Talalikhina str., 109316, MoscowTel.: +7–495–676–61–21</p></bio><email xlink:type="simple">yu.kuzlyakina@fncps.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4298-0927</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чернуха</surname><given-names>И. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernukha</surname><given-names>I. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чернуха Ирина Михайловна — доктор технических наук, профессор, академик РАН, главный научный сотрудник, Экспериментальная клиника-лаборатория биологически активных веществ животного происхождения</p><p>109316, г. Москва, ул. Талалихина,26Тел.: +7–495–676–95–11 доб. 109</p></bio><bio xml:lang="en"><p>Irina M. Chernukha, Doctor of technical sciences, Professor, Academician of RAS, Principal Researcher, Experimental clinic-laboratory of biologically active substances of animal origin</p><p>26, Talalikhina str., 109316, MoscowTel.: +7–495–676–95–11 (109)</p></bio><email xlink:type="simple">imcher@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1634-1486</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Замула</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Zamula</surname><given-names>V. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Замула Валентина Святославовна — кандидат технических наук, ведущий инженер, Отдел «Технического регулирования и систем управления качеством»</p><p>109316, г. Москва, ул. Талалихина, д. 26Тел.: +7–495–676–61–21</p></bio><bio xml:lang="en"><p>Valentina S. Zamula, Candidate of technical sciences, lead engineer, Department of technical regulation and food safety systems</p><p>26, Talalikhina str., 109316, MoscowTel.: +7–495–676–61–21</p></bio><email xlink:type="simple">v.zamula@fncps.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральный научный центр пищевых систем им. В. М. Горбатова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V. M. Gorbatov Federal Research Center for Food Systems</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>05</day><month>01</month><year>2022</year></pub-date><volume>4</volume><issue>4</issue><fpage>246</fpage><lpage>254</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Kryuchenko E.V., Kuzlyakina Y.A., Chernukha I.M., Zamula V.S., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Крюченко Е.В., Кузлякина Ю.А., Чернуха И.М., Замула В.С.</copyright-holder><copyright-holder xml:lang="en">Kryuchenko E.V., Kuzlyakina Y.A., Chernukha I.M., Zamula V.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.fsjour.com/jour/article/view/132">https://www.fsjour.com/jour/article/view/132</self-uri><abstract><p>Food allergies and allergen management are important problems of the public health and food industry. The idea of determining allergen concentrations in food ingredients and food products that are capable of causing severe allergic reactions is of great interest for regulatory bodies as well as consumer associations and the industry all over the world. In this connection, scientists proposed different approaches to determining the basis for assessment of severity of risks of food allergens for health of patients suffering from food allergy similar to methods of risk assessment for other hazards associated with food products (for example, chemical, microbiological). To assess risk of allergens, three different approaches were proposed: i) traditional risk assessment using the no observed adverse effect level (NOAEL)) and uncertainty factors; (ii) approach based on the benchmark dose (BMD)) and margin of exposure (MoE)); and (iii) probability models. These approaches can be used in risk management in food production and in the development of warning marking about the presence of allergens. The reliability of risk assessment will depend on a type, quality and quantity of data used for determining both population threshold levels (or threshold distributions) and an impact of an allergenic product/ingredient on a particular individual.</p></abstract><trans-abstract xml:lang="ru"><p>Пищевая аллергия и управление аллергенами — важные проблемы здравоохранения и пищевой промышленности. Идея определения концентраций аллергенов в пищевых ингредиентах и продуктах питания, способных вызывать тяжелые аллергические реакции, представляет большой интерес регулирующих органов, а также ассоциаций потребителей и промышленности по всему миру. В связи с этим учеными были предложены различные подходы к определению основы для оценки тяжести риска пищевых аллергенов для здоровья людей, страдающих пищевой аллергией, наподобие методов оценки риска других опасностей, связанных с пищевыми продуктами (например, химических, микробиологических). Для оценки риска аллергенов было предложено три различных подхода: (i) традиционная оценка риска с использованием уровня отсутствия наблюдаемых побочных эффектов (the no observed adverse effect level (NOAEL)) и факторов неопределенности; (ii) подход, основанный на контрольной дозе (the Bench Mark Dose (BMD)) и марже воздействия (Margin of Exposure (MoE)); и (iii) вероятностные модели. Эти подходы могут использоваться в управлении рисками при производстве пищевой продукции, а также при разработке предупредительной маркировки о наличии аллергенов. Надежность оценок риска будет зависеть от типа, качества и количества данных, используемых для определения как популяционных пороговых значений (или пороговых распределений), так и воздействия аллергенного продукта/ингредиента на конкретного индивидуума.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>пищевая аллергия</kwd><kwd>аллергены</kwd><kwd>пороговые дозы</kwd><kwd>маркировка</kwd><kwd>оценка риска</kwd></kwd-group><kwd-group xml:lang="en"><kwd>food allergy</kwd><kwd>allergens</kwd><kwd>thresholds doses</kwd><kwd>food labelling</kwd><kwd>risk assessment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Messina, M., Venter, C. (2020). Recent surveys on food allergy prevalence. Nutrition Today, 55(1), 22–29. https://doi.org/10.1097/nt.0000000000000389</mixed-citation><mixed-citation xml:lang="en">Messina, M., Venter, C. (2020). Recent surveys on food allergy prevalence. Nutrition Today, 55(1), 22–29. https://doi.org/10.1097/nt.0000000000000389</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Muraro, A., Werfel, T., Hoffmann-Sommergruber, K., Roberts, G., Beyer, K., Bindslev-Jensen, C. et al. (2014). EAACI food allergy and anaphylaxis guidelines: Diagnosis and management of food allergy. Allergy: European Journal of Allergy and Clinical Immunology, 69(8), 1008–1025. https://doi.org/10.1111/all.12429</mixed-citation><mixed-citation xml:lang="en">Muraro, A., Werfel, T., Hoffmann-Sommergruber, K., Roberts, G., Beyer, K., Bindslev-Jensen, C. et al. (2014). EAACI food allergy and anaphylaxis guidelines: Diagnosis and management of food allergy. Allergy: European Journal of Allergy and Clinical Immunology, 69(8), 1008–1025. https://doi.org/10.1111/all.12429</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Yeung, J., Robert, M. — C. (2018). Challenges and path forward on mandatory allergen labeling and voluntary precautionary allergen labeling for a global company. Journal of AOAC International, 101(1), 70–76. https://doi.org/10.5740/jaoacint.17–0391</mixed-citation><mixed-citation xml:lang="en">Yeung, J., Robert, M. — C. (2018). Challenges and path forward on mandatory allergen labeling and voluntary precautionary allergen labeling for a global company. Journal of AOAC International, 101(1), 70–76. https://doi.org/10.5740/jaoacint.17–0391</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Gendel, S.M. (2018) Food allergen recalls: The past as prologue. Chapter in a book: Food allergens. Food microbiology and food safety. Springer, Cham, 2018. https://doi.org/10.1007/978–3–319–66586–3_5</mixed-citation><mixed-citation xml:lang="en">Gendel, S.M. (2018) Food allergen recalls: The past as prologue. Chapter in a book: Food allergens. Food microbiology and food safety. Springer, Cham, 2018. https://doi.org/10.1007/978–3–319–66586–3_5</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Allen, K. J., Taylor, S. L. (2018). The consequences of precautionary allergen labeling: Safe haven or unjustifiable burden? Journal of Allergy and Clinical Immunology: In Practice, 6(2), 400–407. https://doi.org/10.1016/j.jaip.2017.12.025</mixed-citation><mixed-citation xml:lang="en">Allen, K. J., Taylor, S. L. (2018). The consequences of precautionary allergen labeling: Safe haven or unjustifiable burden? Journal of Allergy and Clinical Immunology: In Practice, 6(2), 400–407. https://doi.org/10.1016/j.jaip.2017.12.025</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Blom, W. M., Michelsen-Huisman, A. D., van Os-Medendorp, H., van Duijn, G., de Zeeuw-Brouwer, M.-L., Versluis A. et al. (2018). Accidental food allergy reactions: Products and undeclared ingredients. Journal of Allergy and Clinical Immunology, 142(3), 865–875. https://doi.org/10.1016/j.jaci.2018.04.041</mixed-citation><mixed-citation xml:lang="en">Blom, W. M., Michelsen-Huisman, A. D., van Os-Medendorp, H., van Duijn, G., de Zeeuw-Brouwer, M.-L., Versluis A. et al. (2018). Accidental food allergy reactions: Products and undeclared ingredients. Journal of Allergy and Clinical Immunology, 142(3), 865–875. https://doi.org/10.1016/j.jaci.2018.04.041</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Zurzolo, G. A., Allen, K. J., Peters, R. L., Dharmage, S. C., Tang, M. L. K., Said, M. et al. (2019). Self-reported anaphylaxis to packaged foods in australia. Journal of Allergy and Clinical Immunology: In Practice, 7(2), 687–689. https://doi.org/10.1016/j.jaip.2018.09.006</mixed-citation><mixed-citation xml:lang="en">Zurzolo, G. A., Allen, K. J., Peters, R. L., Dharmage, S. C., Tang, M. L. K., Said, M. et al. (2019). Self-reported anaphylaxis to packaged foods in australia. Journal of Allergy and Clinical Immunology: In Practice, 7(2), 687–689. https://doi.org/10.1016/j.jaip.2018.09.006</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Crevel, R. W. R., Baumert, J. L., Baka, A., Houben, G. F., Knulst, A. C., Kruizinga, A. G. et al. (2014). Development and evolution of risk assessment for food allergens. Food and Chemical Toxicology, 67, 262–276. https://doi.org/10.1016/j.fct.2014.01.032</mixed-citation><mixed-citation xml:lang="en">Crevel, R. W. R., Baumert, J. L., Baka, A., Houben, G. F., Knulst, A. C., Kruizinga, A. G. et al. (2014). Development and evolution of risk assessment for food allergens. Food and Chemical Toxicology, 67, 262–276. https://doi.org/10.1016/j.fct.2014.01.032</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Blom, W. M., Vlieg-Boerstra, B. J., Kruizinga, A. G., Van Der Heide, S., Houben, G. F., Dubois, A. E. J. (2013). Threshold dose distributions for 5 major allergenic foods in children. Journal of Allergy and Clinical Immunology, 131(1), 172–179. https://doi.org/10.1016/j.jaci.2012.10.034</mixed-citation><mixed-citation xml:lang="en">Blom, W. M., Vlieg-Boerstra, B. J., Kruizinga, A. G., Van Der Heide, S., Houben, G. F., Dubois, A. E. J. (2013). Threshold dose distributions for 5 major allergenic foods in children. Journal of Allergy and Clinical Immunology, 131(1), 172–179. https://doi.org/10.1016/j.jaci.2012.10.034</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Taylor, S. L., Gendel, S. M., Houben, G. F., Julien, E. (2009). The key events dose-response framework: A foundation for examining variability in elicitation thresholds for food allergens. Critical Reviews in Food Science and Nutrition, 49(8), 729–739. https://doi.org/10.1080/10408390903098707</mixed-citation><mixed-citation xml:lang="en">Taylor, S. L., Gendel, S. M., Houben, G. F., Julien, E. (2009). The key events dose-response framework: A foundation for examining variability in elicitation thresholds for food allergens. Critical Reviews in Food Science and Nutrition, 49(8), 729–739. https://doi.org/10.1080/10408390903098707</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Vandekerckhove, M., Van Droogenbroeck, B., De Loose, M., Coudijzer, K., Van Winckel, M., Gevaert, P. et al. (2019). A novel double-blind, placebo-controlled food challenge matrix for milk and raw egg. International Archives of Allergy and Immunology, 179(1), 1–9. https://doi.org/10.1159/000494622</mixed-citation><mixed-citation xml:lang="en">Vandekerckhove, M., Van Droogenbroeck, B., De Loose, M., Coudijzer, K., Van Winckel, M., Gevaert, P. et al. (2019). A novel double-blind, placebo-controlled food challenge matrix for milk and raw egg. International Archives of Allergy and Immunology, 179(1), 1–9. https://doi.org/10.1159/000494622</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Taylor, S. L., Hefle, S. L., Bindslev-Jensen, C., Bock, S. A., Burks Jr., A. W., Christie, L. et al. (2002). Factors affecting the determination of threshold doses for allergenic foods: How much is too much? Journal of Allergy and Clinical Immunology, 109(1), 24–30. https://doi.org/10.1067/mai.2002.120564</mixed-citation><mixed-citation xml:lang="en">Taylor, S. L., Hefle, S. L., Bindslev-Jensen, C., Bock, S. A., Burks Jr., A. W., Christie, L. et al. (2002). Factors affecting the determination of threshold doses for allergenic foods: How much is too much? Journal of Allergy and Clinical Immunology, 109(1), 24–30. https://doi.org/10.1067/mai.2002.120564</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Wensing, M., Penninks, A. H., Hefle, S. L., Koppelman, S. J., BruijnzeelKoomen, C. A. F. M., Knulst, A. C. (2002). The distribution of individual threshold doses eliciting allergic reactions in a population with peanut allergy. Journal of Allergy and Clinical Immunology, 110(6), 915–920. https://doi.org/10.1067/mai.2002.129235</mixed-citation><mixed-citation xml:lang="en">Wensing, M., Penninks, A. H., Hefle, S. L., Koppelman, S. J., BruijnzeelKoomen, C. A. F. M., Knulst, A. C. (2002). The distribution of individual threshold doses eliciting allergic reactions in a population with peanut allergy. Journal of Allergy and Clinical Immunology, 110(6), 915–920. https://doi.org/10.1067/mai.2002.129235</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Hourihane, J. O. ‘B., Kilburn, S. A., Nordlee, J. A., Hefle, S. L., Taylor, S. L., Warner, J. O. (1997). An evaluation of the sensitivity of subjects with peanut allergy to very low doses of peanut protein: A randomized, double-blind, placebo-controlled food challenge study. Journal of Allergy and Clinical Immunology, 100(5), 596–600. https://doi.org/10.1016/S0091-6749(97)70161–1</mixed-citation><mixed-citation xml:lang="en">Hourihane, J. O. ‘B., Kilburn, S. A., Nordlee, J. A., Hefle, S. L., Taylor, S. L., Warner, J. O. (1997). An evaluation of the sensitivity of subjects with peanut allergy to very low doses of peanut protein: A randomized, double-blind, placebo-controlled food challenge study. Journal of Allergy and Clinical Immunology, 100(5), 596–600. https://doi.org/10.1016/S0091-6749(97)70161–1</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Grimshaw, K. E. C., King, R. M., Nordlee, J. A., Hefle, S. L., Warner, J. O., Hourihane, J. O. (2003). Presentation of allergen in different food preparations affects the nature of the allergic reaction — A case series. Clinical and Experimental Allergy, 33(11), 1581–1585. https://doi.org/10.1046/j.1365–2222.2003.01795.x</mixed-citation><mixed-citation xml:lang="en">Grimshaw, K. E. C., King, R. M., Nordlee, J. A., Hefle, S. L., Warner, J. O., Hourihane, J. O. (2003). Presentation of allergen in different food preparations affects the nature of the allergic reaction — A case series. Clinical and Experimental Allergy, 33(11), 1581–1585. https://doi.org/10.1046/j.1365–2222.2003.01795.x</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Moneret-Vautrin, D. A., Kanny, G. (2004). Update on threshold doses of food allergens: Implications for patients and the food industry. Current Opinion in Allergy and Clinical Immunology, 4(3), 215–219. https://doi.org/10.1097/00130832–200406000–00014</mixed-citation><mixed-citation xml:lang="en">Moneret-Vautrin, D. A., Kanny, G. (2004). Update on threshold doses of food allergens: Implications for patients and the food industry. Current Opinion in Allergy and Clinical Immunology, 4(3), 215–219. https://doi.org/10.1097/00130832–200406000–00014</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Morisset, M., Moneret-Vautrin, D. A., Kanny, G., Guénard, L., Beaudouin, E., Flabbée, J. et al. (2003). Thresholds of clinical reactivity to milk, egg, peanut and sesame in immunoglobulin E-dependent allergies: Evaluation by double-blind or single-blind placebo-controlled oral challenges. Clinical and Experimental Allergy, 33(8), 1046–1051. https://doi.org/10.1046/j.1365–2222.2003.01734.x</mixed-citation><mixed-citation xml:lang="en">Morisset, M., Moneret-Vautrin, D. A., Kanny, G., Guénard, L., Beaudouin, E., Flabbée, J. et al. (2003). Thresholds of clinical reactivity to milk, egg, peanut and sesame in immunoglobulin E-dependent allergies: Evaluation by double-blind or single-blind placebo-controlled oral challenges. Clinical and Experimental Allergy, 33(8), 1046–1051. https://doi.org/10.1046/j.1365–2222.2003.01734.x</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Sampson, H. A., Gerth Van Wijk, R., Bindslev-Jensen, C., Sicherer, S., Teuber, S. S., Burks, A. W. et al. (2012). Standardizing double-blind, placebocontrolled oral food challenges: American academy of allergy, asthma &amp; immunology-european academy of allergy and clinical immunology PRACTALL consensus report. Journal of Allergy and Clinical Immunology, 130(6), 1260–1274. https://doi.org/10.1016/j.jaci.2012.10.017</mixed-citation><mixed-citation xml:lang="en">Sampson, H. A., Gerth Van Wijk, R., Bindslev-Jensen, C., Sicherer, S., Teuber, S. S., Burks, A. W. et al. (2012). Standardizing double-blind, placebocontrolled oral food challenges: American academy of allergy, asthma &amp; immunology-european academy of allergy and clinical immunology PRACTALL consensus report. Journal of Allergy and Clinical Immunology, 130(6), 1260–1274. https://doi.org/10.1016/j.jaci.2012.10.017</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">EFSA NDA Panel (EFSA Panel on dietetic products, nutrition and allergies) (2014). Scientific opinion on the evaluation of allergenic foods and food ingredients for labelling purposes. EFSA Journal, 12(11), 3894. https://doi.org/10.2903/j.efsa2014.3894</mixed-citation><mixed-citation xml:lang="en">EFSA NDA Panel (EFSA Panel on dietetic products, nutrition and allergies) (2014). Scientific opinion on the evaluation of allergenic foods and food ingredients for labelling purposes. EFSA Journal, 12(11), 3894. https://doi.org/10.2903/j.efsa2014.3894</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Remington, B. (2013). Risk assessment of trace and undeclared allergens in processed foods. Dissertations &amp; Theses in Food Science and Technology, Paper 32. Retrieved from https://digitalcommons.unl.edu/foodscidiss/32 Accessed September 25, 2021</mixed-citation><mixed-citation xml:lang="en">Remington, B. (2013). Risk assessment of trace and undeclared allergens in processed foods. Dissertations &amp; Theses in Food Science and Technology, Paper 32. Retrieved from https://digitalcommons.unl.edu/foodscidiss/32 Accessed September 25, 2021</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Pachołek, B., Sady, S., Kupińska-Adamczyk, E. (2018). Management of food allergens in the food industry. Journal of Agribusiness and Rural Development, 47(1), 73–80 https://doi.org/10.17306/j.jard.2018.00388</mixed-citation><mixed-citation xml:lang="en">Pachołek, B., Sady, S., Kupińska-Adamczyk, E. (2018). Management of food allergens in the food industry. Journal of Agribusiness and Rural Development, 47(1), 73–80 https://doi.org/10.17306/j.jard.2018.00388</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Eller, E., Hansen, T. K., Bindslev-Jensen, C. (2012). Clinical thresholds to egg, hazelnut, milk and peanut: Results from a single-center study using standardized challenges. Annals of Allergy, Asthma and Immunology, 108(5), 332–336. https://doi.org/10.1016/j.anai.2012.03.010</mixed-citation><mixed-citation xml:lang="en">Eller, E., Hansen, T. K., Bindslev-Jensen, C. (2012). Clinical thresholds to egg, hazelnut, milk and peanut: Results from a single-center study using standardized challenges. Annals of Allergy, Asthma and Immunology, 108(5), 332–336. https://doi.org/10.1016/j.anai.2012.03.010</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Ballmer-Weber, B. K., Holzhauser, T., Scibilia, J., Mittag, D., Zisa, G., Ortolani, C. et al. (2007). Clinical characteristics of soybean allergy in europe: A double-blind, placebo-controlled food challenge study. Journal of Allergy and Clinical Immunology, 119(6), 1489–1496. https://doi.org/10.1016/j.jaci.2007.01.049</mixed-citation><mixed-citation xml:lang="en">Ballmer-Weber, B. K., Holzhauser, T., Scibilia, J., Mittag, D., Zisa, G., Ortolani, C. et al. (2007). Clinical characteristics of soybean allergy in europe: A double-blind, placebo-controlled food challenge study. Journal of Allergy and Clinical Immunology, 119(6), 1489–1496. https://doi.org/10.1016/j.jaci.2007.01.049</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Taylor, S. L., Crevel, R. W. R., Sheffield, D., Kabourek, J., Baumert, J. (2009). Threshold dose for peanut: Risk characterization based upon published results from challenges of peanut-allergic individuals. Food and Chemical Toxicology, 47(6), 1198–1204. https://doi.org/10.1016/j.fct.2009.02.011</mixed-citation><mixed-citation xml:lang="en">Taylor, S. L., Crevel, R. W. R., Sheffield, D., Kabourek, J., Baumert, J. (2009). Threshold dose for peanut: Risk characterization based upon published results from challenges of peanut-allergic individuals. Food and Chemical Toxicology, 47(6), 1198–1204. https://doi.org/10.1016/j.fct.2009.02.011</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Taylor, S. L., Moneret-Vautrin, D. A., Crevel, R. W. R., Sheffield, D., Morisset, M., Dumont, P. et al. (2010). Threshold dose for peanut: Risk characterization based upon diagnostic oral challenge of a series of 286 peanut-allergic individuals. Food and Chemical Toxicology, 48(3), 814–819. https://doi.org/10.1016/j.fct.2009.12.013</mixed-citation><mixed-citation xml:lang="en">Taylor, S. L., Moneret-Vautrin, D. A., Crevel, R. W. R., Sheffield, D., Morisset, M., Dumont, P. et al. (2010). Threshold dose for peanut: Risk characterization based upon diagnostic oral challenge of a series of 286 peanut-allergic individuals. Food and Chemical Toxicology, 48(3), 814–819. https://doi.org/10.1016/j.fct.2009.12.013</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Allen, K. J., Remington, B. C., Baumert, J. L., Crevel, R. W. R., Houben, G. F., Brooke-Taylor, S. et al. (2014). Allergen reference doses for precautionary labeling (VITAL 2.0): Clinical implications. Journal of Allergy and Clinical Immunology, 133(1), 156–164. https://doi.org/10.1016/j.jaci.2013.06.042</mixed-citation><mixed-citation xml:lang="en">Allen, K. J., Remington, B. C., Baumert, J. L., Crevel, R. W. R., Houben, G. F., Brooke-Taylor, S. et al. (2014). Allergen reference doses for precautionary labeling (VITAL 2.0): Clinical implications. Journal of Allergy and Clinical Immunology, 133(1), 156–164. https://doi.org/10.1016/j.jaci.2013.06.042</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Klein Entink, R. H., Remington, B. C., Blom, W. M., Rubingh, C. M., Kruizinga, A. G., Baumert, J. L. et al. (2014). Food allergy population thresholds: An evaluation of the number of oral food challenges and dosing schemes on the accuracy of threshold dose distribution modeling. Food and Chemical Toxicology, 70, 134–143. https://doi.org/10.1016/j.fct.2014.05.001</mixed-citation><mixed-citation xml:lang="en">Klein Entink, R. H., Remington, B. C., Blom, W. M., Rubingh, C. M., Kruizinga, A. G., Baumert, J. L. et al. (2014). Food allergy population thresholds: An evaluation of the number of oral food challenges and dosing schemes on the accuracy of threshold dose distribution modeling. Food and Chemical Toxicology, 70, 134–143. https://doi.org/10.1016/j.fct.2014.05.001</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Madsen, C. B., Hattersley, S., Buck, J., Gendel, S. M., Houben, G. F., Hourihane, J. O. et al. (2009). Approaches to risk assessment in food allergy: Report from a workshop ‘’developing a framework for assessing the risk from allergenic foods”. Food and Chemical Toxicology, 47(2), 480–489. https://doi.org/10.1016/j.fct.2008.12.001</mixed-citation><mixed-citation xml:lang="en">Madsen, C. B., Hattersley, S., Buck, J., Gendel, S. M., Houben, G. F., Hourihane, J. O. et al. (2009). Approaches to risk assessment in food allergy: Report from a workshop ‘’developing a framework for assessing the risk from allergenic foods”. Food and Chemical Toxicology, 47(2), 480–489. https://doi.org/10.1016/j.fct.2008.12.001</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Taylor, S. L., Baumert, J. L., Kruizinga, A. G., Remington, B. C., Crevel, R. W. R., Brooke-Taylor, S. et al. (2014). Establishment of reference doses for residues of allergenic foods: Report of the VITAL expert panel. Food and Chemical Toxicology, 63, 9–17. https://doi.org/10.1016/j.fct.2013.10.032</mixed-citation><mixed-citation xml:lang="en">Taylor, S. L., Baumert, J. L., Kruizinga, A. G., Remington, B. C., Crevel, R. W. R., Brooke-Taylor, S. et al. (2014). Establishment of reference doses for residues of allergenic foods: Report of the VITAL expert panel. Food and Chemical Toxicology, 63, 9–17. https://doi.org/10.1016/j.fct.2013.10.032</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Spanjersberg, M. Q. I., Kruizinga, A. G., Rennen, M. A. J., Houben, G. F. (2007). Risk assessment and food allergy: The probabilistic model applied to allergens. Food and Chemical Toxicology, 45(1), 49–54. https://doi.org/10.1016/j.fct.2006.07.018</mixed-citation><mixed-citation xml:lang="en">Spanjersberg, M. Q. I., Kruizinga, A. G., Rennen, M. A. J., Houben, G. F. (2007). Risk assessment and food allergy: The probabilistic model applied to allergens. Food and Chemical Toxicology, 45(1), 49–54. https://doi.org/10.1016/j.fct.2006.07.018</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Kruizinga, A. G., Briggs, D., Crevel, R. W. R., Knulst, A. C., Bosch, L. M. C. v. d., Houben, G. F. (2008). Probabilistic risk assessment model for allergens in food: Sensitivity analysis of the minimum eliciting dose and food consumption. Food and Chemical Toxicology, 46(5), 1437–1443. https://doi.org/10.1016/j.fct.2007.09.109</mixed-citation><mixed-citation xml:lang="en">Kruizinga, A. G., Briggs, D., Crevel, R. W. R., Knulst, A. C., Bosch, L. M. C. v. d., Houben, G. F. (2008). Probabilistic risk assessment model for allergens in food: Sensitivity analysis of the minimum eliciting dose and food consumption. Food and Chemical Toxicology, 46(5), 1437–1443. https://doi.org/10.1016/j.fct.2007.09.109</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Spanjersberg, M. Q. I., Knulst, A. C., Kruizinga, A. G., van Duijn, G., Houben, G. F. (2010). Concentrations of undeclared allergens in food products can reach levels that are relevant for public health. Food Additives and Contaminants — Part A Chemistry, Analysis, Control, Exposure and Risk Assessment, 27(2), 169–174. https://doi.org/10.1080/19440040903317513</mixed-citation><mixed-citation xml:lang="en">Spanjersberg, M. Q. I., Knulst, A. C., Kruizinga, A. G., van Duijn, G., Houben, G. F. (2010). Concentrations of undeclared allergens in food products can reach levels that are relevant for public health. Food Additives and Contaminants — Part A Chemistry, Analysis, Control, Exposure and Risk Assessment, 27(2), 169–174. https://doi.org/10.1080/19440040903317513</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
