The majority of rapeseed is consumed as oil, available as cold-pressed or refined oil (1). Refining oils should result in the near-complete removal of proteins responsible for allergic reactions, therefore preventing allergic reactions upon ingestion (5). However, the major allergens present in rapeseed are reported to be extremely resistant to pepsin digestion and denaturation, and are therefore not destroyed during conventional food processing (6). During the manufacture of cold-pressed oils some protein from the seeds may remain. Therefore, allergic reaction to some rapeseed oils remains a possibility (1). However to date, no clinical evidence of allergic reactions following the ingestion of rapeseed oil has been reported (6). Evidence of sensitization based upon skin prick testing results has been observed in clinical studies (1).
Allergic rhinitis
In a study assessing sensitization rates covering 20 years to weed pollens in 6,220 patients with suspected allergic rhinitis or bronchial asthma, 20.4% of those undergoing a skin prick test to rapeseed (362/1,771) were positive for the first decade from 1998-2007. This increased further to 31.3% (431/1,378) during the second decade, from 2008-2017 (7).
Asthma
Clinical cases of allergy from inhaled rapeseed allergens are limited. One study assessed 3 farmers with occupational asthma who had positive skin prick tests and serum specific IgE levels towards rapeseed extract. The farmers also had positive bronchial provocation tests to rapeseed allergen extract, suggesting that rapeseed, when used in animal fodder, can be a cause of occupational allergy in farmers (8). An earlier study also reported that inhalation of oilseed rape dust caused IgE-mediated bronchoconstriction in an exposed worker of the grain industry (9).