BACKGROUND: Tyrophagus putrescentiae is one of the storage mites found not only within storehouses but also in the house dust, and is known as the third most common mite following Dermatophagoides pteronyssinus and Dermatophagoides farinae in houses in Korea. There has been few reports on its sensitization rate in this country. OBJECT: The aim of this study was to evaluate its sensitization rate and clinical features of T. putrescentiae sensitized patients with allergic diseases in Daejeon area. METHODS: Skin prick tests with 33 common inhalant allergens including Tetranychus urticae and T. putrescentiae were done in 308 allergy patients who had visited Allergy Clinic of Eulji University Hospital from June, 2001 to April, 2002, and their clinical characteristics of these patients were analyzed. RESULTS: A total of 193(62.7%) out of 308 patients showed positive responses to more than one allergen. The prevalence of sensitization was highest for mites(51.9%) followed by cockroach (25.0%), weeds pollens(17.5%), animal epithelium(16.9%), fungi(16.2%), grasses pollens(15.6%) and tree pollens(14.6%). Among mites, sensitization rate to T. urticae was highest as 128 (41.6%), followed by D. farinae, 96(31.2%), T. putrescentiae, 95(30.8%), and D. pteronyssinus, 92(29.9%). Among positive responders to mites, eight patients with perennial asthma were sensitized to T. putrescentiae only. Sensitization to D. farinae and animal epithelium were more prevalent in Deajeon city compared to surrounding rural areas (for D. farinae, 72/203(35.5%) vs. 24/105(22.9%) respectively. P=.024, and for animal epithelium, 42/203(20.7%) vs. 10/105 (9.5%) respectively. P=.013). CONCLUSION: Tyrophagus putrescentiae was one of the most common inhalant allergens as well as house dust mite and two spotted spider mite in patients visiting an Allergy Clinic in Daejeon area. Further study will be needed to elucidate the clinical significance of T. putres-centiae -sensitized patients.
Acaridae ; Allergens ; Animals ; Asthma ; Cockroaches ; Daejeon ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Dust ; Epithelium ; Humans ; Hypersensitivity ; Korea ; Mites ; Poaceae ; Prevalence ; Pyroglyphidae ; Skin ; Tetranychidae

Storage mites are believed one of the most important allergens in farmers and rural regions. Tyrophagus putrescentiae, belonging to storage mites, is found not only within storehouses but also in the house dust, and the third most common mites following Dermatophagoides farinae and Dermatophagoides pteronyssinus in house dust in Korea. The sensitization rate to Tyrophagus putrescentiae was reported as high as that of house dust mite in patients visiting the allergy clinic in large cities in Korea. We experienced a 69-year-old man who had suffered from dyspnea, wheezing, and coughing for 10 years. He retired from the teaching profession, and had lived in a large city, Deajeon. The skin prick test showed a positive reaction to Tyrophagus putrescentiae and negative reactions to house dust mites. The bronchial challenge test with Tyrophagus putrescentiae showed late asthmatic reaction. We confirmed a Tyrophagus putrescentiae-induced asthma in non occupational setting.
Acaridae ; Aged ; Allergens ; Asthma* ; Bronchial Provocation Tests ; Cough ; Daejeon ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Dust ; Dyspnea ; Humans ; Hypersensitivity ; Korea ; Mites ; Pyroglyphidae ; Respiratory Sounds ; Skin

PURPOSE: The clinical efficacy of allergen-immunotherapy is known to be dose dependent. However, optimal maintenance dosage has not yet been determined for sublingual immunotherapy (SLIT). Furthermore, since companies adopt their own units for expression of allergenicity, the allergen concentrations of individual reagents cannot be compared easily. We sought to measure and compare the allergenicities of 3 commercially available house dust mite (HDM) SLIT regents and a subcutaneous immunotherapy reagent. METHODS: We measured the HDM allergenic potency of the maintenance dosages of three SLIT reagents: Staloral(R) (300 index of reactivity [IR] /mL, recommended maintenance dosage [MD]: 120 IR), SLITone(R) (1,000 standard therapeutic unit [STU]/mL, recommended MD: 200 STU), Wolwopharma(R) (100 microg/mL, recommended MD: 20 microg), and subcutaneous immunotherapy regents of Hollister-Stier (10,000 allergy unit [AU] /mL). The allergenic potency was assessed by measuring the total protein concentrations, mite group 1 and 2 allergens using 2-site ELISA, and an inhibition test against IgE specific to Dermatophagoides farinae and Dermatophagoides pteronyssinus. RESULTS: The protein content of the Wolwopharma(R) reagent was 1.5-261.4 times higher than that of the other 2 SLIT reagents. The concentration of group 1 major allergens in Staloral(R) (132.03 microg/mL) was 33- to 44.5-fold higher than in SLITone(R) (4.00 microg/mL) and Wolwopharma(R) (2.97 microg/mL). The concentration of group 2 major allergen was also 8.9- to 10.5-fold higher in Staloral(R) (15.7 microg/mL) than in SLITone(R) (1.8 microg/mL) or Wolwopharma(R) (1.5 microg/mL). An ELISA inhibition study against HDM-specific IgE showed that the allergen potency of Staloral(R) reagent is 8.5-fold and 21-fold higher than that of SLITone(R) or Wolwopharma(R), respectively. The differences between the maintenance dosages are further exaggerated by the differences in the recommended volumes of SLIT reagents. CONCLUSIONS: The allergen potencies of commercially available HDM SLIT reagents are markedly different. Consensus regarding the optimal allergen concentration for SLIT reagents used to treat HDM respiratory allergies is needed.
Allergens ; Consensus ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Enzyme-Linked Immunosorbent Assay ; Hypersensitivity ; Immunoglobulin E ; Immunotherapy ; Indicators and Reagents* ; Mites ; Pyroglyphidae* ; Sublingual Immunotherapy*

PURPOSE: Rush immunotherapy (RIT) with house dust mite may be effective to treat house dust mite allergic disease, but the mechanisms are not clear. Considerable attention has been devoted to the IgG subclass in relation to clinical outcome. Usually, conventional immunotherapy with D.f and D.p is followed early on by a rise in allergen-specific IgG1 with a gradual decline over time and slow rise in allergen-specific IgG4. Some investigators have implicated that IgG4 is a more important blocking antibody than IgG1 in RIT. But there is no consistent data on the early changes of allergen-specific IgG1 or IgG4. To inves- tigate the alteration of humoral immunity in the mechanism of early phase of RIT, the D.f -specific IgE, IgG1, and IgG4 levels of the RIT group were compared with that of the con- trol group with asthma. METHOD: The RIT group included 17 D.f and D.p-sensitized asthmatic children, who had received RIT with D.f and D.p, and the control group included 15 D.f and D.p-sensitized asthmatic children who had not received RIT. They received RIT to mite for just over 8 weeks until maintenance was achieved. The symptom scores of asthma, skin reactivity to D.f (allergen/histamine ratio), RIT changes of D.f-specific IgE, IgG1, and IgG4 levels were compared before and 8 weeks after for the two groups. D.f-specific IgE, IgG1, and IgG4 levels were measured by ELISA. RESULTS: The symptom scores and the skin reactivity to D.f decreased significantly 8 weeks after RIT. D.f-specific IgG1 levels increased significantly 8 weeks after RIT in the RIT group but not in the control group. But D.f-specific IgE and D.f- specific IgG4 levels did not change 8 weeks after RIT in either of the two groups. CONCLUSION: D.f-specific IgG1 production was increased in the early phase of RIT. These findings suggest that the early clinical changes after RIT may be linked to the early increase of IgG1 blocking antibody.
Asthma ; Child* ; Dermatophagoides farinae* ; Dermatophagoides pteronyssinus* ; Dust* ; Enzyme-Linked Immunosorbent Assay ; Humans ; Immunity, Humoral* ; Immunoglobulin E ; Immunoglobulin G ; Immunotherapy* ; Mites ; Pyroglyphidae* ; Research Personnel ; Skin

BACKGROUND: Sublingual immunotherapy (SLIT) is currently accepted as a treatment of allergic rhinitis. SLIT has been demonstrated to be an effective and safe treatment in many studies; however, there have been few studies on Asian patients with allergic rhinitis. The goal of this study was to investigate the efficacy and safety of SLIT for Asian patients with allergic rhinitis to house-dust mites. METHODS: A total of 116 adult patients who had allergic rhinitis to Dermatophagoides pteronyssinus and Dermatophagoides farinae were included. All patients were treated with SLIT (Staloral(R)). Symptom scores and quality of life were evaluated by questionnaires for one year after SLIT. The medication score was also assessed monthly by a medication diary card. Adverse effects and compliance were also investigated. RESULTS: All nasal and non-nasal symptoms and quality of life were significantly improved after treatment except for itchy palate (p < 0.05). The total medication score was decreased significantly after SLIT (p < 0.05). Some minor adverse effects were reported, but no patient developed a systemic reaction. The drop-out rate was 19%. CONCLUSION: Staloral(R) for Asian patients with allergic rhinitis to house-dust mites is an efficient and safe therapeutic tool.
Adult* ; Asian Continental Ancestry Group ; Compliance ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Humans ; Immunotherapy ; Mites ; Palate ; Pyroglyphidae ; Quality of Life ; Rhinitis* ; Rhinitis, Allergic, Perennial ; Surveys and Questionnaires

BACKGROUND: Common antigens between intestinal parasites and environmental allergens may play a role in the modulation of allergic immune responses. There is a growing interest in investigating cross-reactivity between common helminths and dust mites affecting humans, particularly in the tropics. OBJECTIVE: This study examined the cross-reactivity between the human roundworm Ascaris lumbricoides (Al) and three house dust mite (HDM) species. METHODS: Specific serum IgE levels to HDM species Blomia tropicalis (Bt), Dermatophagoides pteronyssinus (Dp), and Dermatophagoides farinae (Df ); and Al extracts among allergic (n=100) and ascariasis (n=60) subjects were measured through enzyme-linked immunosorbent assay (ELISA). IgE-reactive components of HDM and Al extracts were detected through Western-Blot Analysis. Cross-reactivity between HDMs and Al was determined by ELISA inhibition using HDM and Al-specific sera from allergic (n=15) and ascariasis (n=15) subjects. The IgE-binding capacity of a recombinant paramyosin peptide (Blo t 11-fD) to allergic (n=50) and ascariasis (n=50) subjects' sera were likewise determined. RESULTS: Among allergic subjects, 70% exhibited Al-specific positive IgE-reactivity, while 20-28% of ascariasis subjects demonstrated HDM-specific positive IgE-reactivity. Multiple IgE-reactive components of HDM allergens (14-240 kDa) and Al antigens (15-250 kDa) were detected, indicating multi-allergen sensitization among the subjects tested. Al antigens can inhibit up to 92% of HDM-specific IgE-reactivity among allergic subjects, while up to 54% of Al-specific IgE-reactivity among ascariasis subjects was inhibited by HDM allergens. Positive rBlo t 11-fD-specific IgE reactivity was observed in 80% of the allergic subjects and 46% of the ascariasis subjects. CONCLUSIONS: This study showed the presence of multiple cross-reactive antigens in HDM and Al extracts. Identification of these molecules may provide basis for designing novel diagnostic and therapeutic strategies. The potential role of paramyosin as a specific cross-reactive allergen present in HDMs and Al has been shown.
Allergens ; Ascariasis ; Ascaris lumbricoides ; Ascaris ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Dust ; Enzyme-Linked Immunosorbent Assay ; Helminths ; Humans ; Immunoglobulin E ; Mites ; Parasites ; Pyroglyphidae ; Tropomyosin

The mite fauna of the house-dust, collected from 39 houses of Seoul, were examined and the results are as follows. 1) Mites were present in 29 samples (74.3%) and the number of mites collected was 993 in total. 2) The families of the mites distinguished were Pyroglyphidae, Acaridae, Cheyletidae, Phytoseiidae and Smariidae, and the identified species were Dermatophagoides farinae, Deromatophagoides pteroassinus, Tyrophagus purtrecentiae, Landoglyphus konoi and Cheyletus malacensis. 3) D. farinae (53.6%) showed higher frequency rate of occurance than any other mites; C. malacensis (12.8%), T. putrecentiae (7.7%), D. pteronyssinus (5.0%) and I. konoi (2.7%).
Acaridae ; Dermatophagoides farinae ; Dust* ; Humans ; Mites* ; Pyroglyphidae ; Seoul

PURPOSE: Component-resolved diagnostics (CRD) is expected to provide additional diagnostic information in allergic patients. PROTIA™ Allergy-Q 64 Atopy®, a recently developed CRD-based multiplex specific immunoglobulin E (sIgE) assay, can quantitatively measure sIgE to major allergen components. METHODS: The sIgE detection by PROTIA™ Allergy-Q 64 Atopy® and ImmunoCAP® assays was compared using the sera of 125 Korean allergic patients. Group 1 and 2 allergens of house dust mites (HDMs; Dermatophagoides farinae (Der f) 1 and Der f 2 in PROTIA™ Allergy-Q 64 Atopy®, Dermatophagoides pteronyssinus (Der p) 1 and Der p 2 in ImmunoCAP®), Bet v 1, Fel d 1, Que a 1, ω-5 gliadin, α-lactalbumin, β-lactoglobulin, casein and α-Gal were measured by both assays. RESULTS: Comparing the results from the 2 assays, the agreement rate for all the 10 allergens was > 88% (group 1 HDM allergen, 100%; group 2 HDM allergen, 94.6%; Bet v 1, 97.4%; Fel d 1, 90.5%; Que a 1, 89.2%; α-lactalbumin, 96%; β-lactoglobulin, 88%; casein, 88%; ω-5 gliadin, 96%; α-Gal, 100%). Correlation analysis indicated that, all the 10 allergen sIgEs showed more than moderate positive correlation (Pearson correlation coefficients > 0.640). Additionally, intra-class comparison showed more than high correlation for all the 10 allergens (Spearman's rank correlation coefficients > 0.743). CONCLUSIONS: PROTIA™ Allergy-Q 64 Atopy® is reliable and comparable to the ImmunoCAP® assay for component-resolved diagnosis.
Allergens ; Caseins ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Diagnosis ; Gliadin ; Humans ; Immunoassay ; Immunoglobulin E ; Immunoglobulins ; Pyroglyphidae

Canine atopic dermatitis (CAD) is an allergic skin disease with characteristic clinical features associated with immunoglobulin E (IgE) antibodies. Identification of the causative allergens is the diagnostic goal, which is essential to treat and manage CAD patients. CAD is commonly associated with environmental allergens surrounding the patients. For this reason, it is important for diagnostic tests to select allergens that are related to the environment of each country and each province. There are two main allergen-specific tests, serological IgE test (SAT) and intradermal skin test (IDT). SAT did not show direct cutaneous reaction but did show serological reaction against allergens. However, SAT is simpler and more convenient than IDT in small animal practice. In this study, we selected domestically prevalent allergens for SAT, including 60 food allergens and 60 inhalant allergens, and tested eight dogs tentatively diagnosed with CAD based on Favrot's criteria. Furthermore, IDT was performed on four dogs from the SAT group for comparison of SAT and IDT, and the results were very similar. In SAT, four types of mites (Bloomia tropicalis, Glycophagus domesticus, Euroglyphus maynei, and mite mixture 1 Korea; house dust mites), four types of molds (Botrytis cinerea, Alternaria alternata, mold fungi mixture 11, mold fungi mixture), and one type of pollen (tree pollen mix 3 Korea) induced a reaction in more than half of dogs tested. In IDT, all four dogs reacted positively to Dermatophagoides farinae, and three reacted positively to Dermatophagoides pteronyssinus and house dust. The mean agreement rate between SAT and IDT in this study was 76.3%. This is the first trial to apply local allergens for SAT in Korean veterinary medicine, and it might play an important role for diagnoses and management of animal allergic diseases.
Allergens ; Alternaria ; Animals ; Antibodies ; Dermatitis, Atopic* ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Diagnosis ; Diagnostic Tests, Routine ; Dogs ; Dust ; Fungi ; Humans ; Immunoglobulin E* ; Immunoglobulins* ; Korea ; Mites ; Pollen ; Prevalence* ; Pyroglyphidae ; Serologic Tests ; Skin Diseases ; Skin Tests ; Veterinary Medicine

BACKGROUND: Allergic rhinitis is characterized by eosinophil inflammation. Allergic inflammation may induce susceptibility to respiratory infections (RI). House dust mite (HDM) sensitization is very frequent in childhood. Allergen immunotherapy may cure allergy as it restores a physiologic immune and clinical tolerance to allergen and exerts anti-inflammatory activity. OBJECTIVE: This study investigated whether six-month high-dose, such as 300 IR (index of reactivity), HDM-sublingual immunotherapy (SLIT) could affect RI in allergic children. METHODS: Globally, 40 HDM allergic children (18 males; mean age, 9.3 years) were subdivided in 2 groups: 20 treated by symptomatic drugs (group 1) and 20 by high-dose HDM-SLIT (group 2), since September 2012 to April 2013. The daily maintenance dose of HDM-SLIT was 4 pressures corresponding to 24, 4.8, and 60 µg, respectively of the major allergens Dermatophagoides pteronyssinus (Der p) 1, Der p 2, and Dermatophagoides farinae (Der f) 1. RI was diagnosed when at least 2 symptoms or signs, and fever were present for at least 48 hours. A family pediatrician provided diagnosis on a clinical ground. RESULTS: SLIT-treated children had significantly (p = 0.01) less RI episodes (3.5) than control group (5.45). About secondary outcomes, SLIT-treated children had less episodes of pharyngo-tonsillitis (p < 0.05) and bronchitis (p < 0.005), and snoring (p < 0.05) than control group. In addition, SLIT-treated children had less fever (p < 0.01) and took fewer medications, such as antibiotics (p < 0.05) and fever-reducers (p < 0.01), than control group. CONCLUSION: This preliminary study might suggest that also a short course (6 months) of high-dose SLIT, titrated in µg of major allergens, could reduce RI in allergic children.
Allergens ; Anti-Bacterial Agents ; Bronchitis ; Child ; Dermatophagoides farinae ; Dermatophagoides pteronyssinus ; Desensitization, Immunologic ; Diagnosis ; Dust ; Eosinophils ; Fever ; Humans ; Hypersensitivity ; Immunotherapy ; Inflammation ; Male ; Mites ; Pyroglyphidae ; Respiratory Tract Infections ; Rhinitis, Allergic ; Snoring ; Sublingual Immunotherapy