MELON ALLERGY
Key Allergens
Melons are in the
Cucurbitaceae family of plants, they are usually categorised into 2 types, watermelons and muskmelons. Muskmelons have been cultivated into subtypes and include most other melons including honeydew and cantaloupe melons.
The watermelon has only 1 defined food allergen, called Citr l 1, this is a
profilin protein. Reactions to watermelon are most commonly oral allergy type symptoms.
The muskmelon group of fruits contain 3 food allergens, called Cuc m 1, m 2 and m3.
Cuc m 2 is a
profilin protein, similar to that of Citr l 1 in watermelon. Cuc m 1 is a plant enzyme called cucumisin.
Cuc m 3 is a common plant protein called PR-1, which protects the plant from attack. It is more commonly seen as an airway allergen in plants like peach and mugwort.
Food Intolerances
-
Watermelons
-
Muskmelons
Watermelon is a high FODMAP food, but melon is low FODMAP.
FODMAP stands for
Fermentable
oligosaccharides,
disaccharides,
monosaccharides
and
polyols. Foods high in FODMAPs can cause symptoms of food intolerance, affecting the gastro intestinal system and this can be mistaken for a true IgE food allergy.
Watermelon is moderate in
salicylates, but melon is high in salicylates. Salicylates have the potential to cause gastrointestinal food intolerance symptoms in people who are sensitive to salicylates.
You can read more about
Food Intolerances on the dedicated Food Intolerance Page.
Associated Syndromes
Allergy to melon is sometimes linked to
Celery-Mugwort-Spice Syndrome as the sensitising allergen is a profilin protein called Art v 4, these proteins are also sometimes also called Bet v 2 proteins.
There is a link between melon and
Latex Food Syndrome. The plant involved in latex allergy
Hevea brasiliensis, the rubber tree plant, has an allergen called Hev b 8 which is a profilin protein. Those very sensitised to latex may have a contact allergic reaction from other foods or plants containing profilin proteins, there is less evidence of this than sensitisation to other latex linked proteins like hevein and chitinases.
Cross Reactivity
If sensitised to ragweed pollen you may also have problems with banana, melon, courgette, cucumber, and squash.
If sensitised to grass pollen you may also react to melon, potato, oranges and peanuts.
Profilins are found as food allergens in kiwi, celery, peanut, chilli, watermelon, orange, hazelnut, melon, carrot, strawberry, soya, walnut, lychee, lupin, apple, cherry, almond, peach, pear, mustard, tomato and aubergine. Other plants containing profilin inhalant allergens are ragweed, wormwood, birch, sunflower, olive, plantain, poplar and oak.
Please note that the food lists are not exhaustive, the most up to date information is on the Cross Reactivity Tool.
Resources
Websites
Allergen Encyclopedia - Watermelon
Allergen Encyclopedia - Melon
DermNet NZ - Pollen Food Allergy Syndrome
Allergy information for: Melon (Cucumis melo (Muskmelon))
Science Direct - Profilins
ACAAI - Food Allergy to Melons?
Do You Have a Cantaloupe Allergy?
Anaphylaxis Campaign - Fruit Allergies
Healthline - FODMAP Foods
ATP Science - Salicylate Foods
Articles and Journals
Food allergy outside the eight big foods in Europe: A systematic review and meta-analysis, 2024
Improving In Vitro Detection of Sensitization to Lipid Transfer Proteins: A New Molecular Multiplex IgE Assay, 2023
Prevalence and clinical features of pollen-food allergy syndrome in adults with seasonal allergic rhinitis, 2023
Anaphylaxis to watermelon seeds, 2022
Allergen Tests of Fruit Sensitization Involving Children with Allergic Diseases, 2022
Analysis of Protein Sequence Identity, Binding Sites, and 3D Structures Identifies Eight Pollen Species and Ten Fruit Species with High Risk of Cross-Reactive Allergies, 2022
Prevalence, clinical presentation, and associated atopic diseases of pediatric fruit and vegetable allergy: A population-based study, 2022
Pollen-food allergy syndrome in children, 2020
Watermelon profilin: characterization of a major allergen as a model for plant-derived food profilins, 2010
Sequence homology: a poor predictive value for profilins cross-reactivity, 2005
Novel plant pathogenesis-related protein family involved in food allergy, 2004
Identification of Cucumisin (Cuc m 1), a subtilisin-like endopeptidase, as the major allergen of melon fruit, 2003
Clinical characteristics of melon (Cucumis melo) allergy, 2003
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