2.A Case of Recurrent Urticaria Due to Formaldehyde Release from Root-Canal Disinfectant.
Ji Hoon JANG ; Seung Hyun PARK ; Hang Jea JANG ; Sung Geun LEE ; Jin Han PARK ; Jae Won JEONG ; Chan Sun PARK
Yonsei Medical Journal 2017;58(1):252-254
Although formaldehyde is well known to cause type 4 hypersensitivity, immunoglobulin E (IgE)-mediated hypersensitivity to formaldehyde is rare. Here, we report a case of recurrent generalized urticaria after endodontic treatment using a para-formaldehyde (PFA)-containing root canal sealant and present a review of previous studies describing cases of immediate hypersensitivity reactions to formaldehyde. A 50-year-old man visited our allergy clinic for recurrent generalized urticaria several hours after endodontic treatment. Prick tests to latex, lidocaine, and formaldehyde showed negative reactions. However, swelling and redness at the prick site continued for several days. The level of formaldehyde-specific IgE was high (class 4). Thus, the patient was deemed to have experienced an IgE-mediated hypersensitivity reaction caused by the PFA used in the root canal disinfectant. Accordingly, we suggest that physicians should pay attention to type I hypersensitivity reactions to root canal disinfectants, even if the symptoms occur several hours after exposure.
Disinfectants/*adverse effects
;
Formaldehyde/*adverse effects
;
Humans
;
Hypersensitivity, Immediate/*chemically induced
;
Immunoglobulin E/*immunology
;
Male
;
Middle Aged
;
Recurrence
;
Skin Tests
;
Time Factors
;
Urticaria/*chemically induced/diagnosis
;
Zinc Oxide-Eugenol Cement/*chemistry
3.Biological Effects of Cloth Containing Specific Ore Powder in Patients with Pollen Allergy.
Suni LEE ; Hitoshi OKAMOTO ; Shoko YAMAMOTO ; Tamayo HATAYAMA ; Hidenori MATSUZAKI ; Naoko KUMAGAI-TAKEI ; Kei YOSHITOME ; Yasumitsu NISHIMURA ; Toshiaki SATO ; Yasuzo KIRITA ; Yoshio FUJII ; Takemi OTSUKI
Biomedical and Environmental Sciences 2016;29(8):563-573
OBJECTIVEThe custom-homebuilding company, Cosmic Garden Co. Ltd., located in Okayama City, Japan was established in 1997 and uses specific natural ore powder (SNOP) in wall materials and surveys customers in order to improve allergic symptoms.
METHODSTo investigate the biological effects of SNOP, patients with a pollen allergy were recruited to stay in a room surrounded by cloth containing SNOP (CCSNOP), and their symptoms and various biological parameters were compared with those of individuals staying in a room surrounded by control non-woven cloth (NWC). Each stay lasted 60 min. Before and immediately after the stay, a questionnaire regarding allergic symptoms, as well as POMS (Profile of Mood Status) and blood sampling, was performed. Post-stay minus pre-stay values were calculated and compared between CCSNOP and NWC groups.
RESULTSResults indicated that some symptoms, such as nasal obstruction and lacrimation, improved, and POMS evaluation showed that patients were calmer following a stay in CCSNOP. Relative eosinophils, non-specific Ig E, epidermal growth factor, monocyte chemotactic protein-1, and tumor necrosis factor-α increased following a stay in CCSNOP.
CONCLUSIONThis ore powder improved allergic symptoms, and long-term monitoring involving 1 to 2 months may be necessary to fully explore the biological and physical effects of SNOP on allergic patients.
Adult ; Chemokine CCL2 ; immunology ; Clothing ; Female ; Geologic Sediments ; chemistry ; Humans ; Immunoglobulin E ; immunology ; Japan ; Male ; Pollen ; immunology ; Rhinitis, Allergic, Seasonal ; immunology ; therapy ; Tumor Necrosis Factor-alpha ; immunology
4.Standardization of Weed Pollen Extracts, Japanese Hop and Mugwort, in Korea.
Kyoung Yong JEONG ; Mina SON ; Soo Young CHOI ; Kyung Hee PARK ; Hye Jung PARK ; Chein Soo HONG ; Jae Hyun LEE ; Jung Won PARK
Yonsei Medical Journal 2016;57(2):399-406
PURPOSE: Japanese hop (Humulus spp.) and mugwort (Artemisia spp.) are notable causes of autumn pollinosis in East Asia. However, Japanese hop and mugwort pollen extracts, which are widely used for the diagnosis, have not been standardized. This study was performed to standardize Japanese hop and mugwort pollen extracts. MATERIALS AND METHODS: Allergen extracts were prepared in a standardized way using locally collected Humulus japonicus and purchased Artemisia vulgaris pollens. The immunoglobulin E (IgE) reactivities of prepared extracts were compared with commercial extracts via IgE immunoblotting and inhibition analyses. Intradermal skin tests were performed to determine the bioequivalent allergy unit (BAU). RESULTS: The IgE reactive components of the extracts via IgE immunoblotting were similar to those of commercial extracts. A 11-kDa allergen showed the strongest IgE reactivity in Japanese hop, as did a 28-kDa allergen in mugwort pollen extracts. Allergenic potencies of the investigatory Japanese hop and mugwort extracts were essentially indistinguishable from the commercial ones. Sums of erythema of 50 mm by the intradermal skin test (SigmaED50) were calculated to be 14.4th and 13.6th three-fold dilutions for Japanese hop and mugwort extracts, respectively. Therefore, the allergenic activity of the prepared extracts was 90827.4 BAU/mg for Japanese hop and 34412 BAU/mg for mugwort. CONCLUSION: We produced Japanese hop and mugwort pollen extracts using a standardized method. Standardized Japanese hop and mugwort pollen extracts will facilitate the production of improved diagnostic and immunotherapeutic reagents.
Allergens/*analysis/*immunology
;
Antibody Specificity
;
*Artemisia
;
Bronchial Hyperreactivity/blood/immunology
;
Cross Reactions
;
Enzyme-Linked Immunosorbent Assay
;
Humans
;
Immunoblotting
;
Immunoglobulin E/blood/*immunology
;
Pollen/*chemistry/*immunology
;
Reference Standards
;
Republic of Korea
;
Rhinitis, Allergic, Seasonal
5.Allergenic Characterization of 27-kDa Glycoprotein, a Novel Heat Stable Allergen, from the Pupa of Silkworm, Bombyx mori.
Kyoung Yong JEONG ; Mina SON ; June Yong LEE ; Kyung Hee PARK ; Jae Hyun LEE ; Jung Won PARK
Journal of Korean Medical Science 2016;31(1):18-24
Boiled silkworm pupa is a traditional food in Asia, and patients with silkworm pupa food allergy are common in these regions. Still now only one allergen from silkworm, arginine kinase, has been identified. The purpose of this study was to identify novel food allergens in silkworm pupa by analyzing a protein extract after heat treatment. Heat treated extracts were examined by proteomic analysis. A 27-kDa glycoprotein was identified, expressed in Escherichia coli, and purified. IgE reactivity of the recombinant protein was investigated by ELISA. High molecular weight proteins (above 100 kDa) elicited increased IgE binding after heat treatment compared to that before heat treatment. The molecular identities of these proteins, however, could not be determined. IgE reactivity toward a 27-kDa glycoprotein was also increased after heating the protein extract. The recombinant protein was recognized by IgE antibodies from allergic subjects (33.3%). Glycation or aggregation of protein by heating may create new IgE binding epitopes. Heat stable allergens are shown to be important in silkworm allergy. Sensitization to the 27-kDa glycoprotein from silkworm may contribute to elevation of IgE to silkworm.
Adolescent
;
Adult
;
Allergens/*chemistry/*immunology
;
Amino Acid Sequence
;
Animals
;
Bombyx/*chemistry/genetics/growth & development/*immunology
;
Epitopes/immunology
;
Female
;
Food Hypersensitivity/etiology
;
Glycoproteins/*chemistry/genetics/*immunology
;
Hot Temperature
;
Humans
;
Immunoglobulin E/immunology
;
Male
;
Molecular Sequence Data
;
Molecular Weight
;
Proteomics
;
Pupa/chemistry/immunology
;
Recombinant Proteins/biosynthesis/chemistry/immunology
;
Sequence Alignment
6.Clinical and laboratory features, and quality of life assessment in wheat dependent exercise-induced anaphylaxis patients from central China.
Hao CHEN ; Nan HUANG ; Wen-Jing LI ; Xiang DONG ; Shan-Shan QI ; You-Na WANG ; Guang-Hui LIU ; Rong-Fei ZHU
Journal of Huazhong University of Science and Technology (Medical Sciences) 2016;36(3):410-415
Wheat dependent exercise-induced anaphylaxis (WDEIA) is a rare but potentially severe food allergy caused by the combination of wheat ingestion and physical exercise. The impact of WDEIA on quality of life (QOL) is unclear. This study characterized the clinical and laboratory features and investigated the QOL in WDEIA patients from Central China. Twenty-eight WDEIA patients were analyzed, and QOL was measured by validated Chinese version Food Allergy Quality of Life Questionnaire-Adult Form (FAQLQ-AF) and Food Allergy Independent Measure (FAIM) after obtaining the diagnosis. The results showed that half of the patients were females. The median onset age was 37 years old. The symptoms occurred within 1 h after wheat ingestion (26/28). Symptoms of anaphylaxis included cutaneous (26/28), respiratory (11/28), gastro-intestinal (5/28) and cardiovascular manifestations (27/28). Skin prick tests were positive to salt soluble (89.3%) and salt insoluble wheat allergen extracts (100%). Positive rate to wheat, gluten and omega-5 gliadin specific IgE was 64.3%, 92.9% and 92.9% respectively. Specific IgE to omega-5 gliadin with a cut-off value 0.83 KU/L offered highly efficient diagnostic criterion for WDEIA (sensitivity: 89.3%; and specificity: 88.9%). The mean scores of FAQLQ-AF and FAIM were 4.70 and 4.98 respectively and level of anti-omega-5 gliadin IgE had positive correlations with FAQLQ scores. Thereby, WDEIA is commonly found in mid-age adults. In most cases, multi-organs especially skin and cardiovascular systems are involved. Salt insoluble wheat allergen skin test and serum specific IgE to gluten and omega-5 gliadin help to diagnose WDEIA. QOL in WDEIA patients is severely impaired.
Adolescent
;
Adult
;
Aged
;
Allergens
;
administration & dosage
;
chemistry
;
immunology
;
Anaphylaxis
;
diagnosis
;
immunology
;
physiopathology
;
psychology
;
China
;
Exercise
;
Female
;
Gastrointestinal Tract
;
immunology
;
physiopathology
;
Gliadin
;
administration & dosage
;
chemistry
;
immunology
;
Heart
;
physiopathology
;
Humans
;
Immunoglobulin E
;
blood
;
Lung
;
immunology
;
physiopathology
;
Male
;
Middle Aged
;
Quality of Life
;
Skin
;
immunology
;
physiopathology
;
Skin Tests
;
Surveys and Questionnaires
;
Triticum
;
chemistry
;
immunology
;
Wheat Hypersensitivity
;
diagnosis
;
immunology
;
physiopathology
;
psychology
7.Protective effect of emodin against airway inflammation in the ovalbumin-induced mouse model.
Tan WANG ; Xiang-Gen ZHONG ; Yu-Hang LI ; Xu JIA ; Shu-Jing ZHANG ; Yu-Shan GAO ; Miao LIU ; Ruo-Han WU
Chinese journal of integrative medicine 2015;21(6):431-437
OBJECTIVETo investigate whether emodin exerts protective effects on mouse with allergic asthma.
METHODSA mouse model of allergic airway inflflammation was employed. The C57BL/6 mice sensitized and challenged with ovalbumin (OVA) were intraperitoneally administered 10 or 20 mg/kg emodin for 3 days during OVA challenge. Animals were sacrificed 48 h after the last challenge. Inflammatory cell count in the bronchoalveolar lavage fluid (BALF) was measured. The levels of interleukin (IL)-4, IL-5, IL-13 and eotaxin in BALF and level of immunoglobulin E (IgE) in serum were measured with enzyme-linked immuno sorbent assay kits. The mRNA expressions of IL-4, IL-5, heme oxygenase (HO)-1 and matrix metalloproteinase-9 (MMP-9) were determined by real-time quantitative polymerase chain reaction.
RESULTSEmodin induced significant suppression of the number of OVA-induced total inflammatory cells in BALF. Treatment with emodin led to significant decreases in the levels of IL-4, IL-5, IL-13 and eotaxin in BALF and total IgE level in serum. Histological examination of lung tissue revealed marked attenuation of allergen-induced lung eosinophilic inflammation. Additionally, emodin suppressed IL-4, IL-5 and MMP-9 mRNA expressions and induced HO-1 mRNA expression.
CONCLUSIONEmodin exhibits anti-inflammatory activity in the airway inflammation mouse model, supporting its therapeutic potential for the treatment of allergic bronchial asthma.
Animals ; Bronchoalveolar Lavage Fluid ; cytology ; Chemokines ; metabolism ; Disease Models, Animal ; Emodin ; chemistry ; pharmacology ; therapeutic use ; Female ; Gene Expression Regulation ; drug effects ; Heme Oxygenase-1 ; genetics ; metabolism ; Immunoglobulin E ; blood ; Interleukins ; genetics ; metabolism ; Leukocytes ; drug effects ; metabolism ; Lung ; drug effects ; metabolism ; pathology ; Matrix Metalloproteinase 9 ; genetics ; metabolism ; Mice, Inbred C57BL ; Ovalbumin ; Pneumonia ; blood ; drug therapy ; pathology ; Protective Agents ; pharmacology ; therapeutic use ; RNA, Messenger ; genetics ; metabolism
8.Effects of Blending Oil of Lavender and Thyme on Oxidative Stress, Immunity, and Skin Condition in Atopic Dermatitis Induced Mice.
Journal of Korean Academy of Nursing 2015;45(3):367-377
PURPOSE: The purpose of this study was to evaluate the effects of essential oil on oxidative stress, immunity, and skin condition in atopic dermatitis (AD) induced mice. METHODS: This study was a 3x3 factorial design. Factors were oil type (Lavender, Thyme, and 2:1 mixture of lavender and thyme oil [blending oil]) and treatment period (0 day, 7 days, and 21 days). The samples were 45 mice with AD and randomly assigned to nine groups of five mice per group. The dependent variables such as superoxide radical, IgE, degranulated mast cells, and epidermal thickness were measured. Data were collected from February to April in 2014. Descriptive statistics, One-way ANOVA, Two-way ANOVA, and Tukey's HSD test were performed using the SPSS WIN 20.0 program. RESULTS: Dependent variables were not statistically significantly different by the three oil types (p >.05). Essential oils such as lavender, thyme, and blending oil were all effective in reducing AD symptoms and especially 2:1 blending oil were most effective. There were statistically significant differences by the three treatment periods in all dependent variables (p <.001). There were statistically significant interactions between oil types and treatment periods in all dependent variables (p <.01). For decreasing superoxide radical, degranulated mast cells, and epidermal thickness, 2:1 mixed oil should be applied for at least 21 days. Otherwise to reduce IgE, 2:1 mixed oil should be used for at least 7 days. CONCLUSION: These findings provide bases for developing effective interventions for AD patients to manage their AD symptoms.
Animals
;
Dermatitis, Atopic/chemically induced/*drug therapy/pathology
;
Disease Models, Animal
;
*Immunity/drug effects
;
Immunoglobulin E/blood
;
Lavandula/*chemistry/metabolism
;
Mast Cells/cytology/metabolism
;
Mice
;
Oils, Volatile/chemistry/pharmacology/therapeutic use
;
*Oxidative Stress/drug effects
;
Picryl Chloride/toxicity
;
Plant Oils/chemistry/pharmacology/*therapeutic use
;
Singlet Oxygen/metabolism
;
Skin/drug effects/pathology
;
Thymus Plant/*chemistry/metabolism
9.Relationship between serum 25-hydroxyl-vitamin D3 levels and galectin-3 levels in serum and bronchoalveolar lavage fluid in children with asthma.
Kun JIANG ; Xiao-Xia LU ; Ying WANG ; He-Bin CHEN ; Lin-Hua SHU
Chinese Journal of Contemporary Pediatrics 2015;17(12):1301-1305
OBJECTIVETo investigate the changes of the levels of galectin-3 (Gal-3) in serum and bronchoalveolar lavage fluid (BALF) of children with asthma whose have different serum levels of 25-hydroxyl-vitamin D₃[25(OH)D₃].
METHODSFifty children with asthma between January 2013 and December 2014 were enrolled as the asthma group, and they were classified into 25(OH)D₃sufficient (n=7), insufficient (n=12) and deficient subgroups (n=31) according to the serum levels of 25(OH)D₃. Twenty children with abnormal airway or tracheal foreign bodies served as the control group. The levels of 25(OH)D₃, Gal-3 and total IgE in serum and Gal-3 levels in BALF were measured using ELISA.
RESULTThe serum levels of 25(OH)D₃in the asthma group were lower than in the control group (P<0.05). The 25(OH)D₃deficient subgroup displayed the highest percentages of neutrophils, eosinophils and epithelial cells in BALF, followed by the 25(OH)D₃insufficient subgroup and the 25(OH)D₃sufficient subgroup (P<0.05). The percentages of neutrophils, eosinophils and epithelial cells in BALF in the three subgroups were all higher than in the control group (P<0.05). In children with asthma, serum levels of 25(OH)D₃were negatively correlated with the percentages of neutrophils, eosinophils and epithelial cells in BALF (r=-0.683, -0.795 and -0.670 respectively; P<0.05); and a negative correlation was also seen between serum 25(OH)D₃levels and serum Gal-3 and total IgE levels (r=-0.759 and -0.875 respectively; P<0.05).
CONCLUSIONSThe children with asthma have low serum levels of 25(OH)D₃. 25(OH)D₃and Gal-3 may be involved in the airway inflammation and the development of asthma.
Asthma ; etiology ; metabolism ; Bronchoalveolar Lavage Fluid ; chemistry ; Child ; Child, Preschool ; Female ; Galectin 3 ; analysis ; blood ; physiology ; Humans ; Immunoglobulin E ; blood ; Infant ; Male ; Vitamin D ; analogs & derivatives ; blood ; physiology
10.Anti-asthmatic effects of oxymatrine in a mouse model of allergic asthma through regulating CD40 signaling.
Tian-Zhu ZHANG ; Qiang FU ; Tong CHEN ; Shi-Ping MA
Chinese Journal of Natural Medicines (English Ed.) 2015;13(5):368-374
The aim of the study was to investigate the anti-asthmatic effects of oxymatrine (OXY) and the possible underlying mechanisms. The mouse asthma model was established by ovalbumin (OVA) intraperitoneal injection. A total of fifty mice were randomly assigned to five groups: control, OVA, OVA + dexamethasone (Dex, 2 mg · kg(-1)), and OVA + OXY (40 mg · kg(-1)), and OVA + OXY (80 mg · kg(-1)), respectively. Histological studies were conducted by the hematoxylin and eosin (HE) staining, the levels of interleukin-4 (IL-4), interleukin-5 (IL-5), interleukin-13, and IgE were evaluated by enzyme-linked immunosorbent assay (ELISA), and the protein level of CD40 was analyzed by Western blotting. OXY inhibited OVA-induced increases in eosinophil count; the levels of IL-4, IL-5, IgE, and IL-13 were recovered. It also substantially inhibited OVA-induced eosinophilia in lung tissues and the expression of CD40 protein. These findings suggest that OXY may effectively ameliorate the progression of asthma and could be explored as a possible therapy for patients with allergic asthma.
Alkaloids
;
pharmacology
;
Animals
;
Anti-Asthmatic Agents
;
pharmacology
;
Anti-Inflammatory Agents
;
pharmacology
;
Asthma
;
drug therapy
;
Bronchoalveolar Lavage Fluid
;
chemistry
;
CD40 Antigens
;
metabolism
;
Dexamethasone
;
pharmacology
;
Disease Models, Animal
;
Enzyme-Linked Immunosorbent Assay
;
Female
;
Immunoglobulin E
;
metabolism
;
Interleukins
;
metabolism
;
Irritants
;
toxicity
;
Mice, Inbred BALB C
;
Ovalbumin
;
toxicity
;
Pulmonary Eosinophilia
;
chemically induced
;
drug therapy
;
Quinolizines
;
pharmacology
;
Random Allocation
;
Signal Transduction
;
drug effects

Result Analysis
Print
Save
E-mail