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Liu Y, Li Y, Ma X, Yu L, Liang Y, Li C. Comparative analysis of serum total IgE levels and specific IgE levels in children aged 6 to 9 years with tic disorder and normal children. BMC Pediatr 2023; 23:399. [PMID: 37580673 PMCID: PMC10424416 DOI: 10.1186/s12887-023-04233-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 08/07/2023] [Indexed: 08/16/2023] Open
Abstract
OBJECTIVE The study was to investigate serum total IgE levels and the distribution of specific IgE types in children aged 6-9 years with tic disorder, in order to provide knowledge for diagnosis and treatment of children with tic disorder. METHODS Total serum IgE levels were detected by enzyme-linked immunosorbent assay (ELISA). Specific IgE levels in 72 children with tic disorder and normal 31 children were detected by EUROblot, respectively. RESULTS The total serum IgE level of children with tic disorder aged 6-9 years was significantly higher than those of children in control group. Specific IgE distribution in tic disorder group was observed increased mainly including inhaled mugwort, dust mite combination 1 (house dust mite/dust mite), mold combination (penicillium point/mycobacteria/Aspergillus fumigatus/streptomyces), cockroaches in Germany respectively, and also food freshwater fish combination 1 (salmon/sea bass/carp), marine fish combination 1 (cod/lobster/scallop), egg white, and crab, while elevated specific IgE of normal children group was mainly food-based (egg white, milk, and soybean). The significant different specific IgE between two groups was dust mite combination 1 (house dust mite/dust mite) (P < 0.05). CONCLUSION The total serum IgE level of children with tic disorder aged 6-9 years was significantly increased, which may be related to the disease. Specific IgE in children with tic disorder was mainly inhalation allergens, especially dust mite combination 1 (house dust mite/dust mite), which should be avoided in clinical diagnosis and daily life.
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Affiliation(s)
- Yang Liu
- Department of Respiratory and Critical Care Medicine, the First Medical Center of PLA General Hospital, Beijing, 100853, P. R. China
| | - Yanqin Li
- Department of Respiratory and Critical Care Medicine, the First Medical Center of PLA General Hospital, Beijing, 100853, P. R. China
| | - Xiuqing Ma
- Department of Respiratory and Critical Care Medicine, the First Medical Center of PLA General Hospital, Beijing, 100853, P. R. China
| | - Ling Yu
- Department of Respiratory and Critical Care Medicine, the First Medical Center of PLA General Hospital, Beijing, 100853, P. R. China
| | - Yuan Liang
- Department of Respiratory and Critical Care Medicine, the First Medical Center of PLA General Hospital, Beijing, 100853, P. R. China
| | - Chunsun Li
- Department of Respiratory and Critical Care Medicine, the First Medical Center of PLA General Hospital, Beijing, 100853, P. R. China.
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Hwang SH, Lee S, Won JU, Park WM. Indoor exposure assessment for levels of dust mite and total volatile organic compounds (TVOCs) in living houses. Int J Environ Health Res 2023:1-9. [PMID: 36689666 DOI: 10.1080/09603123.2023.2167951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 01/09/2023] [Indexed: 06/17/2023]
Abstract
The purpose of this study is to measure the levels of dust mites (Dermatophagoides farina group 1 [Der f1] and Dermatophagoides pteronyssinus group 1 [Der p1]) and total volatile organic compounds (TVOCs) in the resident environments with living conditions such as the number of ventilation; the number of window, floor, and temperature; and relative humidity (RH) from vulnerable class in South Korea. Information on residents is designed to be prepared by residents on their general characteristics (daily residence time, heating and cooking type, and cleaning on the day of sampling). Dust mites levels ranged from 24.0 to 1087.5 ng/g with a mean of 215.4 ng/g for Der f1 and from 0.6 to 489.9 ng/g with a mean of 489.9 ng/g for Der p1. Total TVOC levels ranged from 15.3 to 1642.1 μg/m3 with a mean of 219.7 μg/m3. The correlation analysis showed a positive association between Der f1 levels and xylene levels in fall (r = 0.49, r < 0.05) of this study.
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Affiliation(s)
- Sung Ho Hwang
- Department of Environmental Health, D&C Inc, Incheon, South Korea
| | - Sangwon Lee
- National Cancer Center, National Cancer Control Institute, Goyang-si, Gyeonggi-do, South Korea
| | - Jong-Uk Won
- Graduate School of Public Health, Yonsei University, Seoul, South Korea
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, South Korea
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University Health System, Seoul, South Korea
| | - Wha Me Park
- Graduate School of Public Health, Yonsei University, Seoul, South Korea
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, South Korea
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Xue Q, Zou M, Guo J, Teng Q, Zhang Q, Sheng L, Xu S, Fang C, Yao N, Li Y, Zhao J. Detection and assessment of dust mite allergens in an indoor environment in Anhui, China. Environ Sci Pollut Res Int 2023; 30:3045-3055. [PMID: 35941504 PMCID: PMC9892137 DOI: 10.1007/s11356-022-22395-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 08/01/2022] [Indexed: 06/15/2023]
Abstract
Dust in the home environment is thought to be a potential trigger for increasing allergic diseases, such as allergic rash, rhinitis, asthma, and other conditions, associated with dust mites. To verify the status of dust mite prevalence in indoor surroundings, we collected 189 dust samples from the air conditioner filters (n = 75) and floors (n = 114) of households, schools, and hotels in the Anhui area, China. All samples were measured for dust mite breeding rate and breeding density under light microscopy and analyzed for dust mite species Dermatophagoides farinae 1 (Der f 1) and Dermatophagoides pteronyssinus 1 (Der p 1) allergen using enzyme-linked immunosorbent assay (ELISA). The dust mite breeding rates were 34.67% (26/75) and 20.18% (23/114), respectively, in the dust samples from the floor and air conditioning filters. The breeding density was the highest in households (10/g), followed by schools (9/g) and hotels (4/g). ELISA indicated that the allergen threshold (2.0 µg/g dust) of Der f 1 was exceeded in only two samples and Der p 1 in one sample. Additionally, a questionnaire was used to investigate the health knowledge on allergic diseases involved in indoor facilities, finding that most allergy sufferers were aware that indoor dust might be responsible for their conditions. The findings suggest that regular maintenance of indoor hygiene and cleaning of air-conditioning filters should reduce the risks of exposure to indoor allergens.
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Affiliation(s)
- Qiqi Xue
- Department of Medical Parasitology, Wannan Medical College, WuhuAnhui, 241002, China
| | - Minghui Zou
- Department of Medical Parasitology, Wannan Medical College, WuhuAnhui, 241002, China
| | - Junjie Guo
- Department of Medical Parasitology, Qiqihar Medical College, QiqiharHeilongjiang, 161000, China
| | - Qiao Teng
- Department of Medical Parasitology, Wannan Medical College, WuhuAnhui, 241002, China
| | - Qiqi Zhang
- School of Clinical Medicine, Wannan Medical College, WuhuAnhui, 241002, China
| | - Lingwei Sheng
- Medical Laboratory Science, Wannan Medical College, WuhuAnhui, 241002, China
| | - Sijia Xu
- Medical Laboratory Science, Wannan Medical College, WuhuAnhui, 241002, China
| | - Can Fang
- School of Public Health, Wannan Medical College, WuhuAnhui, 241002, China
| | - Ning Yao
- School of Public Health, Wannan Medical College, WuhuAnhui, 241002, China
| | - Yuanyuan Li
- Department of Medical Parasitology, Wannan Medical College, WuhuAnhui, 241002, China
| | - Jinhong Zhao
- Department of Medical Parasitology, Wannan Medical College, WuhuAnhui, 241002, China.
- Anhui Province Key Laboratory of Biological Macromlecules Research, Wannan Medical College, WuhuAnhui, 241002, China.
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Burbank AJ, Schworer SA, Sood A, Almond M, Chason K, Bean N, Zhou H, Hernandez ML. Airway IL-1β associates with IL-5 production following dust mite allergen inhalation in humans. Respir Res 2021; 22:309. [PMID: 34876117 PMCID: PMC8649318 DOI: 10.1186/s12931-021-01903-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 11/21/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Preclinical studies implicate interleukin (IL)-1β as a key mediator of asthma and have shown the efficacy of IL-1 antagonism for treatment of allergic airway inflammation; human studies in this area are lacking. OBJECTIVES Our aim was to study the relationship of airway IL-1β to features of acute allergen-induced asthma exacerbation in humans. METHODS Dust mite-allergic adults with mild asthma underwent inhalation challenge with Dermatophagoides farinae. Fractional exhaled nitric oxide (FeNO), induced sputum and peripheral blood samples were obtained pre- and 24 h post-challenge. Spirometry was performed before and throughout the challenge at 10-min intervals, and allergen responsiveness was defined by a 20% fall in Forced Expiratory Volume in 1 s (FEV1). Sputum samples were analyzed for inflammatory cells, cytokines and chemokines. Multiple linear regression was employed to test the association between sputum IL-1β concentration and biomarkers of T helper type 2 (T2)-dominant inflammation. RESULTS Fourteen volunteers underwent inhaled allergen challenge. Allergen responsive volunteers showed a greater positive change in IL-1β in sputum following allergen challenge compared to non-responders. Higher pre-challenge sputum IL-1β was associated with greater increase in sputum IL-5 (p = 0.004), sputum eosinophils (p = 0.001) and blood IL-5 (p = 0.003) following allergen challenge. Allergen-induced sputum IL-1β production was significantly associated with sputum and blood IL-5 (p < 0.001 and p = 0.007, respectively), sputum IL-4 (p = 0.001), IL-13 (p = 0.026), eosinophils (p = 0.008) and FeNO (p = 0.03). CONCLUSIONS The positive association between production of IL-1β and biomarkers of T2 inflammation, particularly IL-5, in humans is consistent with work in animal models that demonstrates a link between IL-1β and the pathophysiology of allergic asthma. The role of IL-1β in human asthma warrants further study.
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Affiliation(s)
- Allison J Burbank
- Children's Research Institute, University of North Carolina at Chapel Hill, 116 Manning Dr, CB#7231, Chapel Hill, NC, 27599-7310, USA. .,Division of Pediatric Allergy and Immunology, University of North Carolina, Chapel Hill, USA.
| | - Stephen A Schworer
- Division of Pediatric Allergy and Immunology, University of North Carolina, Chapel Hill, USA
| | - Amika Sood
- Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Martha Almond
- Center for Environmental Medicine, Asthma and Lung Biology, University of North Carolina, Chapel Hill, USA
| | - Kelly Chason
- Children's Research Institute, University of North Carolina at Chapel Hill, 116 Manning Dr, CB#7231, Chapel Hill, NC, 27599-7310, USA
| | - Nathan Bean
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
| | - Haibo Zhou
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
| | - Michelle L Hernandez
- Children's Research Institute, University of North Carolina at Chapel Hill, 116 Manning Dr, CB#7231, Chapel Hill, NC, 27599-7310, USA.,Division of Pediatric Allergy and Immunology, University of North Carolina, Chapel Hill, USA
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Chen J, Cai Z, Fan D, Hu J, Hou Y, He Y, Zhang Z, Zhao Z, Gao P, Hu W, Sun J, Li J, Ji K. Chromosome-level assembly of Dermatophagoides farinae genome and transcriptome reveals two novel allergens Der f 37 and Der f 39. World Allergy Organ J 2021; 14:100590. [PMID: 34659625 PMCID: PMC8487952 DOI: 10.1016/j.waojou.2021.100590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 09/01/2021] [Accepted: 09/03/2021] [Indexed: 01/06/2023] Open
Abstract
Accurate house dust mite (HDM) genome and transcriptome data would promote our understanding of HDM allergens. We sought to assemble chromosome-level genome and precise transcriptome profiling of Dermatophagoides farinae and identify novel allergens. In this study, genetic material extracted from HDM bodies and eggs were sequenced. Short-reads from next generation sequencing (NGS) and long-reads from PacBio/Nanopore sequencing were used to construct the D. farinae nuclear genome, transcriptome, and mitochondrial genome. The candidate homologs were screened through aligning our assembled transcriptome data with amino acid sequences in the WHO/IUIS database. Our results showed that compared with the D. farinae draft genome, bacterial DNA content in the presently developed sequencing reads was dramatically reduced (from 22.9888% to 1.5585%), genome size was corrected (from 53.55 Mb to 58.77 Mb), and the contig N50 was increased (from 8.54 kb to 9365.49 kb). The assembled genome has 10 contigs with minimal microbial contamination, 33 canonical allergens and 2 novel allergens. Eight homologs (≥50% homology) were cloned; 2 bound HDM allergic-sera and were identified as allergens (Der f 37 and Der f 39). In conclusion, a chromosome-level genome, transcriptome and mitochondrial genome of D. farinae was generated to support allergen identification and development of diagnostics and immunotherapeutic vaccines.
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Affiliation(s)
- Jiajie Chen
- Department of Biochemistry and Molecular Biology, Laboratory Department of Pinghu Hospital, Health Science Center, Shenzhen University, Shenzhen, 518060, China
| | - Zelang Cai
- Department of Biochemistry and Molecular Biology, Laboratory Department of Pinghu Hospital, Health Science Center, Shenzhen University, Shenzhen, 518060, China
| | | | - Jiayu Hu
- Department of Biochemistry and Molecular Biology, Laboratory Department of Pinghu Hospital, Health Science Center, Shenzhen University, Shenzhen, 518060, China
| | - Yibo Hou
- Department of Biochemistry and Molecular Biology, Laboratory Department of Pinghu Hospital, Health Science Center, Shenzhen University, Shenzhen, 518060, China
| | - Yongsen He
- Department of Biochemistry and Molecular Biology, Laboratory Department of Pinghu Hospital, Health Science Center, Shenzhen University, Shenzhen, 518060, China
| | - Zhen Zhang
- Department of Biochemistry and Molecular Biology, Laboratory Department of Pinghu Hospital, Health Science Center, Shenzhen University, Shenzhen, 518060, China
| | - Zhenfu Zhao
- Department of Biochemistry and Molecular Biology, Laboratory Department of Pinghu Hospital, Health Science Center, Shenzhen University, Shenzhen, 518060, China
| | - Pan Gao
- Shenzhen University General Hospital, Shenzhen, 518060, China
| | - Wanzhen Hu
- Shenzhen University General Hospital, Shenzhen, 518060, China
| | - Jinlyu Sun
- Allergy Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China
- Corresponding author.
| | - Jiang Li
- EasyATCG L.L.C, Shenzhen, 518000, China
- Corresponding author.
| | - Kunmei Ji
- Department of Biochemistry and Molecular Biology, Laboratory Department of Pinghu Hospital, Health Science Center, Shenzhen University, Shenzhen, 518060, China
- Corresponding author.
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Chen M, Wu Y, Yuan S, Chen J, Li L, Wu J, Zhang J, Yin Y. Research on allergic rhinitis improvement in asthmatic children after dust mite exposure reduction: a randomized, double-blind, cross-placebo study protocol. Trials 2020; 21:686. [PMID: 32727603 PMCID: PMC7392667 DOI: 10.1186/s13063-020-04614-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 07/15/2020] [Indexed: 11/27/2022] Open
Abstract
Background Allergic rhinitis (AR) in children is a major respiratory inflammatory disease with a high incidence that is increasing yearly. In China, 54.93% of children with asthma have AR, which often requires synchronous treatment. House dust mites (HDMs) are common allergens that often cause attacks of AR and asthma. Reducing allergen exposure is one of the most important measures to control and treat AR and asthma attacks. Hestelia Mite Bait, containing 0.1% emamectin, is a new tool for trapping and killing dust mites, reducing the number of dust mites on mattresses and thereby potentially reducing stimulation by allergens and ultimately improving asthma and rhinitis symptoms. This single-centre, randomized, double-blind, cross-placebo trial will explore the improvement in AR in asthmatic children after dust mite exposure reduction. Methods We will recruit 60 children (aged 3–12 years) who have been diagnosed with AR and asthma and are allergic to dust mites as confirmed by a serum allergen test. Participants will randomly receive the Hestelia Mite Bait intervention for 8 weeks and the placebo intervention for 8 weeks. There will be a 4-week washout period between the two interventions. The primary outcome is the visual analogue scale (VAS) score of AR symptoms; the secondary outcomes include the Rhinitis Control Assessment Test (RCAT) score, Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) score, changes in the dust mite level, drug usage for asthma and AR, Asthma Control Questionnaire-5 (ACQ-5) score, and frequencies of acute asthma attacks, emergency visits, and hospitalizations. Discussion This study aims to scientifically and objectively evaluate the effects of mite bait on rhinitis and asthma improvement after dust mite exposure reduction and provides a convenient means for future prevention and treatment of allergic diseases involving the airways in children. Trial registration www.chictr.org.cn ChiCTR1900024688. Registered on July 21, 2019
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Affiliation(s)
- Ming Chen
- Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University of Medicine, Shanghai, 200127, China
| | - YuFen Wu
- Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University of Medicine, Shanghai, 200127, China
| | - Shuhua Yuan
- Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University of Medicine, Shanghai, 200127, China
| | - Jiande Chen
- Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University of Medicine, Shanghai, 200127, China
| | - Luanluan Li
- Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University of Medicine, Shanghai, 200127, China
| | - Jinhong Wu
- Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University of Medicine, Shanghai, 200127, China
| | - Jing Zhang
- Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University of Medicine, Shanghai, 200127, China.
| | - Yong Yin
- Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University of Medicine, Shanghai, 200127, China.
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Miao Q, Xiang L, Guan H, Liu Y, Li Z, Ren Y, Xu W. Factors related to disagreement between self-reported versus objective measurement of allergen sensitization at a tertiary pediatric center in Beijing, China. BMC Pediatr 2020; 20:259. [PMID: 32466755 PMCID: PMC7254731 DOI: 10.1186/s12887-020-02148-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Accepted: 05/14/2020] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND The objectives of present study were to examine the level of disagreement between self-reported and objective measurement of sensitization to common inhalant allergens, and to explore the potential risk factors that might contribute to this discrepancy. METHODS A total of 215 children were enrolled from pediatric clinics at a tertiary pediatric center in Beijing, China. A survey questionnaires regarding self-perceived sensitization was completed by participants' parents/caregiver, meanwhile, skin prick testing(SPT) was performed as objective assessment of sensitization. Extent of agreement between self-reported versus SPT-measured sensitization to individual allergen was calculated using Cohen's kappa (κ) coefficient. Multivariable regression analyses were used to determine the factors associated with discrepancy between self-reported and objective measurement of sensitization. RESULTS 119(55.3%) patients have reported to be sensitized to at least one of inhalant allergen, whereas 167(77.7%) patients had a positive skin testing response. Agreement between self-perceived and actual aeroallergen sensitization was moderate for mites(κ = 0.518) and grass pollen mix(κ = 0.451), moreover, fair agreement was observed for mold(κ = 0.316) and cockroach(κ = 0.297), respectively. There was a least agreement between perceived and actual sensitization observed for pet dander, with a kappa coefficient of 0.005. Subjects' age, atopy history, ownership of pet may increase the risk of disagreement, moreover, background factors of informant, like: age, education level, and the relationship with enrolled subjects, were linked to the incidence of disagreement between self-reported sensitization in comparison with SPT results. CONCLUSION Questionnaire-based self-assessment is easy way to collect clinical information on allergen sensitization; however, the accuracy of questionnaire-derived information is more likely to be influenced by respondent's background factors. The information from the questionnaire report is considered to be more reliable when in combination with objective assessment of sensitization, including blood IgE testing and SPT.
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Affiliation(s)
- Qing Miao
- Department of Allergy, Beijng Children's Hospital, Capital Medical Univeristy, National Center for Children's Health, Beijing, 100045, People's Republic of China.
| | - Li Xiang
- Department of Allergy, Beijng Children's Hospital, Capital Medical Univeristy, National Center for Children's Health, Beijing, 100045, People's Republic of China.
| | - Hui Guan
- Department of Allergy, Beijng Children's Hospital, Capital Medical Univeristy, National Center for Children's Health, Beijing, 100045, People's Republic of China
| | - Yongge Liu
- Department of Allergy, Beijng Children's Hospital, Capital Medical Univeristy, National Center for Children's Health, Beijing, 100045, People's Republic of China
| | - Zhen Li
- Department of Allergy, Beijng Children's Hospital, Capital Medical Univeristy, National Center for Children's Health, Beijing, 100045, People's Republic of China
| | - Yixin Ren
- Department of Allergy, Beijng Children's Hospital, Capital Medical Univeristy, National Center for Children's Health, Beijing, 100045, People's Republic of China
| | - Wei Xu
- Department of Allergy, Beijng Children's Hospital, Capital Medical Univeristy, National Center for Children's Health, Beijing, 100045, People's Republic of China
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Martorano L, Erwin EA. Aeroallergen Exposure and Spread in the Modern Era. J Allergy Clin Immunol Pract 2018; 6:1835-42. [PMID: 30390901 DOI: 10.1016/j.jaip.2018.08.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Revised: 08/27/2018] [Accepted: 08/27/2018] [Indexed: 01/29/2023]
Abstract
Since the initial discovery of aeroallergens in the 20th century, our understanding of their properties including sources and factors influencing their spread continues to expand. Both habits of daily living and the presence of environmental factors such as exposure to animals or pollution can influence susceptibility to atopic disease. Because relevant allergens may vary in individuals and communities, it is necessary to understand the physical properties of environmental aeroallergens that are associated with clinical disease to explain symptoms and to implement successful integrated interventions. The objective of this review was to present an overview of aeroallergens and the environmental factors influencing their current distribution. Using historical studies along with recent advancements, we will give an up-to-date description of the physical characteristics and aerodynamics of aeroallergens in addition to location, quantities, and timing of exposure.
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Smith DM, Freeman TM. Sublingual Immunotherapy for Other Indications: Venom Large Local, Latex, Atopic Dermatitis, and Food. Immunol Allergy Clin North Am 2019; 40:41-57. [PMID: 31761120 DOI: 10.1016/j.iac.2019.09.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
There is some evidence to support the use of sublingual immunotherapy (SLIT) in food allergy, although its role is unclear. One randomized, double-blind, placebo-controlled trial supports the safe and efficacious use of dust mite SLIT in children with mild to moderate atopic dermatitis, but these data have not been confirmed. Although there are several randomized, double-blind, placebo-controlled trials to support the use of SLIT-LATEX, this product is not available in the United States and extrapolation of these effects to latex extracts is unsubstantiated. There is also insufficient evidence to support the use of SLIT for venom hypersensitivity at this time.
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Affiliation(s)
- Derek M Smith
- Department of Allergy/Immunology, Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, JBSA- Lackland, San Antonio, TX 78236, USA.
| | - Theodore M Freeman
- San Antonio Asthma and Allergy Clinic, 2833 Babcock Road, Suite 304, San Antonio, TX 78229, USA
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Pham MN, Andrade J, Mishoe M, Chun Y, Bunyavanich S. Perceived Versus Actual Aeroallergen Sensitization in Urban Children. J Allergy Clin Immunol Pract 2019; 7:1591-1598.e4. [PMID: 30654198 DOI: 10.1016/j.jaip.2018.12.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Revised: 12/22/2018] [Accepted: 12/28/2018] [Indexed: 02/03/2023]
Abstract
BACKGROUND Individuals often report allergy to specific aeroallergens, but allergy testing can reveal disparate sensitization. OBJECTIVE To characterize the agreement between perceived and actual sensitization to individual aeroallergens in an urban pediatric population. METHODS A total of 253 children were enrolled from pediatric clinics in New York, NY. Detailed questionnaires regarding perceived sensitization and serum specific IgE measurements to 10 common aeroallergens were completed. Agreement between perceived and actual sensitization (sIgE ≥ 0.35 kUA/L) to individual aeroallergens was assessed by Cohen's kappa. Multivariable logistic regression models adjusted for potential confounders were used to test for associations between perceived and actual sensitization. RESULTS A total of 161 (63.6%) of 253 children reported perceived sensitization to 1 or more aeroallergen, and 203 (80.2%) were actually sensitized to 1 or more aeroallergen. Agreement between perceived and actual aeroallergen sensitization was fair for most aeroallergens, with greatest agreement for cat dander (κ, 0.42; 95% CI, 0.32-0.53) and dust (κ, 0.32; 95% CI, 0.20-0.44). Models adjusted for potential confounders showed nearly 6-fold odds of sensitization to cat dander given perceived cat allergy (adjusted odds ratio, 5.82; 95% CI, 2.91-11.64), and over 2-fold odds of sensitization to Dermatophagoides pteronyssinus, Dermatophagoides farinae, dog dander, or grass pollen given perceived sensitization to their respective allergens. Among children with no perceived sensitization, actual sensitization ranged from 5.4% to 30.4%, and was more common for indoor versus outdoor allergens, including cockroach. CONCLUSIONS Children who perceive allergen sensitization to cat, dog, dust, or grass are likely to demonstrate actual sensitization to these individual allergens. Children with no perceived sensitization to allergens are nonetheless frequently sensitized.
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Affiliation(s)
- Michele N Pham
- Division of Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Jade Andrade
- Mindich Child Health and Development Institute and Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Michelle Mishoe
- Division of Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Yoojin Chun
- Mindich Child Health and Development Institute and Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Supinda Bunyavanich
- Division of Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY; Mindich Child Health and Development Institute and Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY.
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11
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Guilleminault L, Viala-Gastan C. [Blomia tropicalis: A house dust mite in the tropics]. Rev Mal Respir 2017; 34:791-801. [PMID: 28502519 DOI: 10.1016/j.rmr.2016.10.877] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2015] [Accepted: 10/14/2016] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Blomia tropicalis is a mite that belongs to the superfamily of Glycyphagidae. Initially described as a storage mite, it is now considered as a house dust mite of tropical and sub-tropical areas. STATE OF THE ART Sensitization to this mite is very common in South America and Southeast Asia. Epidemiological studies have also found sensitization to this mite in Africa and Central America. Blo t 5 is the major allergen of B. tropicalis. Co-sensitization to other house dust mites such as Dermatophagoides pteronyssinus (Der p) and Dermatophagoides farinae (Der f) is very common. Cross-reactivity has been described but recombinant allergens revealed by molecular biology techniques do not explain this cross-reactivity. Sensitization to B. tropicalis seems to begin at the age of 36 months, the incidence increases until adulthood, and decreases from the age of 50. The involvement of B. tropicalis in allergic rhinitis and asthma is well described. It is also implicated in other allergic diseases. Few studies have assessed the therapeutic strategies available against this mite but immunotherapy is widely used. PERSPECTIVES Studies are needed to better understand the role of B. tropicalis in human diseases and to develop specific treatments.
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Salimifard P, Rim D, Gomes C, Kremer P, Freihaut JD. Resuspension of biological particles from indoor surfaces: Effects of humidity and air swirl. Sci Total Environ 2017; 583:241-247. [PMID: 28117152 DOI: 10.1016/j.scitotenv.2017.01.058] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Revised: 12/26/2016] [Accepted: 01/10/2017] [Indexed: 05/21/2023]
Abstract
Human exposure to airborne particles can lead to adverse health outcomes such as respiratory and allergic symptoms. Understanding the transport mechanism of respirable particles in occupied spaces is a first step towards assessing inhalation exposure. Several studies have contributed to the current knowledge of particle resuspension from indoor surfaces; however, few published studies are available on resuspension of biological particles from indoor surfaces. The objective of this study is to investigate the impacts of humidity and air swirl on resuspension of biological particles from floor and duct surfaces. Controlled laboratory experiments were conducted under varying degrees of humidity and airflow conditions. Resuspension rates of five types of particles (quartz, dust mite, cat fur, dog fur, and bacterial spore-Bacillus thuringiensis as an anthrax simulant) were determined for two types of floor surface (carpet and linoleum) and a duct surface (galvanized sheet metal). The results show that the particle property of being hydrophilic or hydrophobic plays an important role in particle resuspension rate. Resuspension rates of hydrophilic dust mite particles increase up to two orders of magnitude as relative humidity (RH) decreased from 80% to 10% at 25°C. However, resuspension rates of cat fur and dog fur particles that are hydrophobic are within the measurement error range (±15%) over 10-80% RH. With regard to resuspension of bacterial spores (Bacillus thuringiensis) from a duct surface, the resuspension rates are substantially affected by air swirl velocity and particle size. However, no discernible increase in particle resuspension was observed with duct vibration.
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Affiliation(s)
- Parichehr Salimifard
- Department of Architectural Engineering, Pennsylvania State University, University Park, PA 16802, USA
| | - Donghyun Rim
- Department of Architectural Engineering, Pennsylvania State University, University Park, PA 16802, USA.
| | - Carlos Gomes
- Department of Architectural Engineering, Pennsylvania State University, University Park, PA 16802, USA
| | - Paul Kremer
- Department of Architectural Engineering, Pennsylvania State University, University Park, PA 16802, USA
| | - James D Freihaut
- Department of Architectural Engineering, Pennsylvania State University, University Park, PA 16802, USA
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Sylvestre L, Jégu J, Metz-Favre C, Barnig C, Qi S, de Blay F. Component-Based Allergen-Microarray: Der p 2 and Der f 2 Dust Mite Sensitization Is More Common in Patients With Severe Asthma. J Investig Allergol Clin Immunol 2016; 26:141-3. [PMID: 27164641 DOI: 10.18176/jiaci.0035] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- L Sylvestre
- Pharmacy-Sterilization Department, University Hospital of Strasbourg, France
| | - J Jégu
- Public Health Department, University Hospital of Strasbourg, France.,Epidemiology Department, EA3430, FMTS, University of Strasbourg, France
| | - C Metz-Favre
- Chest Disease Department, University Hospital of Strasbourg, France
| | - C Barnig
- Chest Disease Department, University Hospital of Strasbourg, France
| | - S Qi
- Chest Disease Department, University Hospital of Strasbourg, France
| | - F de Blay
- Chest Disease Department, University Hospital of Strasbourg, France
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14
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Qiang C, Ning T, Xiao-Dong Z, Chao-Pin L. [Study on Histiostomas apromyzarum breeding in traditional Chinese medicine Rhizoma bletillae]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 28:453-455. [PMID: 29376294 DOI: 10.16250/j.32.1374.2015237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To investigate the Histiostomas apromyzarum breeding in traditional Chinese medicine Rhizoma Bletillae. METHODS The scurf and dust of R. bletillae were obtained by brushing, and the mites samples were separated and identified. RESULTS Totally 520 g samples were collected, and 56 adult mites (female-male ratio 0.12) and 18 dormant bodies were obtained from the samples, and they were identified as H. apromyzarum with an average breeding density of 0.14/g. CONCLUSIONS H. apromyzarum could breed on the traditional Chinese medicine R. bletillae, and the corresponding control measures should be strengthened.
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Affiliation(s)
- Chai Qiang
- Department of Medical Parasitology, Wannan Medical College, Anhui Province, Wuhu 241002, China
| | - Tao Ning
- Department of Medical Parasitology, Wannan Medical College, Anhui Province, Wuhu 241002, China
| | - Zhan Xiao-Dong
- Department of Medical Parasitology, Wannan Medical College, Anhui Province, Wuhu 241002, China
| | - Li Chao-Pin
- Department of Medical Parasitology, Wannan Medical College, Anhui Province, Wuhu 241002, China
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15
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Kim KH, Jahan SA, Kabir E. A review on human health perspective of air pollution with respect to allergies and asthma. Environ Int 2013; 59:41-52. [PMID: 23770580 DOI: 10.1016/j.envint.2013.05.007] [Citation(s) in RCA: 183] [Impact Index Per Article: 16.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2013] [Revised: 05/10/2013] [Accepted: 05/11/2013] [Indexed: 05/27/2023]
Abstract
The increase in cases of asthma and allergies has become an important health issue throughout the globe. Although these ailments were not common diseases a few short decades ago, they are now affecting a large part of the population in many regions. Exposure to environmental (both outdoor and indoor) pollutants may partially account for the prevalence of such diseases. In this review, we provide a multidisciplinary review based on the most up-to-date survey of literature regarding various types of airborne pollutants and their associations with asthma-allergies. The major pollutants in this respect include both chemical (nitrogen dioxide, ozone, sulfur dioxide, particulate matter, and volatile organic compounds) and biophysical parameters (dust mites, pet allergens, and mold). The analysis was extended further to describe the development of these afflictions in the human body and the subsequent impact on health. This publication is organized to offer an overview on the current state of research regarding the significance of air pollution and its linkage with allergy and asthma.
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Affiliation(s)
- Ki-Hyun Kim
- Department of Environment & Energy, Sejong University, Seoul 143-747, Republic of Korea.
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16
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Aydogan M, Eifan AO, Keles S, Akkoc T, Nursoy MA, Bahceciler NN, Barlan IB. Sublingual immunotherapy in children with allergic rhinoconjunctivitis mono-sensitized to house-dust-mites: a double-blind-placebo-controlled randomised trial. Respir Med 2013; 107:1322-9. [PMID: 23886432 DOI: 10.1016/j.rmed.2013.06.021] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2013] [Revised: 06/24/2013] [Accepted: 06/26/2013] [Indexed: 12/16/2022]
Abstract
BACKGROUND Although sublingual immunotherapy (SLIT) has been demonstrated to be a safe and efficient treatment in children with seasonal allergic rhinitis (AR), there is little evidence on the efficacy of SLIT with house-dust-mite (HDM) extract in children with isolated perennial AR. OBJECTIVES We sought to assess the clinical efficacy and safety of HDM-SLIT in children with isolated allergic rhinitis-conjunctivitis mono-sensitized to HDM without asthma symptoms. METHODS Twenty-two children (aged 5-10 years) with perennial AR and conjunctivitis symptoms mono-sensitized to Dermatophagoides pteronyssinus and Dermatophagoides farinae were enrolled. During a 2 months run-in period, symptom and medication scores, lung functions, bronchial hyperreactivity, nasal provocation and skin prick tests were evaluated. Subjects were randomized to active or placebo using a double-blind method. A total of eighteen subjects were randomised to receive either active SLIT or placebo for 12 months. Daily symptom and medication scores, baseline lung functions, bronchial hyperreactivity, nasal provocation and skin prick tests were recorded and re-evaluated at the end of treatment. RESULTS After one year of treatment, no significant differences were detected in the between groups and within group comparisons based on total rhinitis symptom/medication scores (p > 0.05). Skin reactivity to Dermatophagoides pteronyssinus was significantly reduced in HDM-SLIT compared to placebo group (p = 0.018). A significant reduction in nasal sensitivity was observed in SLIT group after one year treatment when compared to baseline (p = 0.04). Total conjunctivitis symptoms were reduced significantly in both active and lacebo group at the end of treatment compared to baseline. The proportion of patients with non-specific bronchial hyperreactivity increased to almost 3-fold in placebo group compared to baseline. CONCLUSION HDM-SLIT was not superior to placebo in reducing isolated rhinoconjunctivitis symptoms within 12 months of treatment. However, HDM-SLIT has a modulating effect on allergen-specific nasal and skin reactivity in isolated perennial AR children. CLINICAL TRIAL REGISTRATION The trial was registered at Anzctr.org.au number, ACTRN12613000315718.
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Affiliation(s)
- Metin Aydogan
- Pediatric Allergy and Immunology, Marmara University Medical Faculty, Istanbul, Turkey.
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Llanora GV, Ming LJ, Wei LM, van Bever HP. House dust mite sensitization in toddlers predict persistent wheeze in children between eight to fourteen years old. Asia Pac Allergy 2012; 2:181-6. [PMID: 22872820 PMCID: PMC3406297 DOI: 10.5415/apallergy.2012.2.3.181] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2012] [Accepted: 07/02/2012] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Identifying toddlers at increased risk of developing persistent wheeze provides an opportunity for risk-reducing interventions. House dust mite (HDM) allergen sensitization might identify this group of high-risk children. OBJECTIVE We examined whether a positive skin prick test (SPT) to at least 1 of the 3 HDMs in wheezing toddlers, would serve as a predictor for persistent wheeze at age 8 to 14 years old. METHODS A cohort of 78 children, who had wheezing episodes, and underwent SPT to 3 HDMs between the ages of 2 to 5 years old, were enrolled. SPT results were obtained from the National University Hospital database. Four to 9 years later, the children, currently between 8 to 14 years old, were re-assessed for persistence of asthma symptoms and other atopic disorders via a telephone interview. A validated questionnaire on current wheezing and asthma, developed by the International Study of Asthma and Allergies in Childhood, was used. Fisher's exact test was used to evaluate the association between persistence of asthma and a positive SPT. RESULTS Of the 78 children who participated in the study, 42 (53.8%) had a positive SPT and 36 (46.2%) had a negative SPT. Of these, 18 (42.9%) of SPT positive and 7 (19.4%) of SPT negative children had persistence of asthma symptoms. There is a significant association between a positive SPT during the preschool years, and persistence of asthma (p = 0.0314 [<0.05]). CONCLUSION HDM sensitization at ages 2 to 5 years old in wheezing children predicts persistence of asthma after 4 to 9 years. This in turn may have benefits for management of asthma in this high-risk group.
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Affiliation(s)
- Genevieve V Llanora
- Department of Paediatrics, National University Hospital Singapore, Singapore 119228, Singapore
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Abidin SZ, Ming HT. Effect of a commercial air ionizer on dust mites Dermatophagoides pteronyssinus and Dermatophagoides farinae (Acari: Pyroglyphidae) in the laboratory. Asian Pac J Trop Biomed 2012; 2:156-8. [PMID: 23569888 DOI: 10.1016/s2221-1691(11)60212-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2011] [Revised: 08/21/2011] [Accepted: 09/03/2011] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE To investigate the short and long term efficacy of a commercial air ionizer in killing Dermatophagoides pteronyssinus (D. pteronyssinus) and Dermatophagoides farinae (D. farinae) mites. METHODS The effect of a commercial ionizer on D. pteronyssinus and D. farinae was evaluated in the laboratory, using a specially designed test. Mortality was assessed after 6, 16 and 24 hours for direct exposure and after 24, 36, 48, 60 and 72 hours for exposure in simulated mattress. New batches of mites were used for each exposure time. RESULTS LT50 for direct exposure of ionizer was 10 hours for D. pteronyssinus and 18 hours for D. farinae. The LT50 for exposure in simulated mattress was 132 hours or 5.5 days for D. pteronyssinus and 72 hours or 3 days for D. farinae. LT95 for direct exposure of ionizer was 36 hours for D. pteronyssinus and D. farinae. Meanwhile, the LT95 for exposure in simulated mattress was 956 hours or 39.8 days for D. pteronyssinus and 403 hours or 16.8 days for D. farinae. CONCLUSIONS This study demonstrates the increasing mite mortalities with increasing exposure time of a commercial ionizer and suggests that negative ions produced by an ionizer kill dust mites and can be used to reduce natural mite populations on exposed surfaces such as floors, clothes, curtains, etc. However, there is reduced efficacy on mites inside stuffed materials as in mattresses and furniture.
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Affiliation(s)
- Suhaili Zainal Abidin
- Acarology Unit, Infectious Diseases Research Centre, Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Malaysia
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Akdemir C, Soyucen E. Sensitization of children to storage mites in Kutahya, Turkey. Korean J Parasitol 2009; 47:387-91. [PMID: 19967087 DOI: 10.3347/kjp.2009.47.4.387] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2009] [Revised: 06/05/2009] [Accepted: 08/04/2009] [Indexed: 11/23/2022]
Abstract
Specific IgE against Acarus siro, Glycphagus domesticus, Tyrophagus putrescentiae, and Lepidoglyphus destructor have been investigated by ELISA in sera of 92 children. Of them, 41 were found to be specific IgE positive (> or = 0.35 IU/ml) against at least one of house dust mite species, Dermatophagoides pteronyssinus and Dermatophagoides farinae, by an immunoblot. In 65.9% of the dust mite-sensitized children, specific IgE against at least one of these mite species was found. Sensitization levels, including co-sensitization cases were found to be 35.7% against A. siro, 24.4% against T. putrescentiae, 31.7% against L. destructor, and 26.8% against G. domesticus. In non-sensitized children, dust mite sensitization level was found to be 25.5%. Breakdown of sensitization by individual species in this group was; against A. siro and T. putrescentiae at 7.8%, against L. destructor at 13.7%, and against G. domesticus at 9.8%. When all children were reckoned, 43.5% was found to be sensitized against at least one storage mite species, with sensitizations against A. siro at 18.5%, T. putrescentiae at 26.1%, L. destructor at 21.7%, and G. domesticus at 17.4%. In dust samples collected from the dwellings of children, distribution of species was found to be A. siro (17%), G. domesticus (23%), T. putrescentiae (29%), L. destructor (25%), and unidentified (6%). In Fisher's chi-square test on SPSS program, there was a relationship between dust mite sensitization and storage mite sensitization (P < 0.05), but no meaningful relationship was found on the basis of individual mite species.
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Affiliation(s)
- Cihangir Akdemir
- Department of Parasitology, Dumlupinar University Faculty of Medicine, 43100 Kutahya, Turkey.
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