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Biomedical subjects

X Baur

Publications and source records attributed to X Baur.

At least 271 records · Page 15Linked to original sources

Structure, antigenic determinants of some clinically important insect allergens: chironomid hemoglobins.

Determination of the molecular structure and properties of allergens that elicit severe immediate-type hypersensitivity diseases in humans and a knowledge of the structure of their antibody-binding sites should provide new insight into the pathogenetic mechanisms of allergic diseases. Monomeric and homodimeric hemoglobins (CTT I to X) have been identified as potent allergenic components of Chironomidae, a family of Diptera. Immunologic investigations of peptides of three of these hemoglobins (CTT IV, CTT VI, and CTT VIII) showed that human antibodies of the E and G classes recognize at least two different sites within each molecule. Individual hemoglobin peptides were aligned with homologous regions of chironomid hemoglobin CTT III, whose tertiary structure has been determined by x-ray analysis at a resolution of 1.4 angstroms. The antigenic site CTT IV(91 to 101) showed the following characteristics: (i) seven polar or hydroxylated amino acids, from a total of eleven, occupying predominantly superficial regions; (ii) the property of linkage to other molecules by hydrogen bonds or solvent clusters; and (iii) high thermal mobility factors. In contrast, peptide CTT IV(102 to 108), which does not bind human antibodies, contained no polar amino acids and had low thermal mobility factors. These results support the idea that the antigenicity of clinically relevant proteins is related to regions with a predominance of polar amino acids and with low energy barriers between different conformations, which allow high flexibility, including site-specific adaptation in antibody binding.

Allergens↗

Determination of toluene diisocyanate in air by HPLC and band-tape monitors.

An improved HPLC method was developed for determining the atmospheric concentration of toluene diisocyanate (TDI). 1-(2-pyridyl)-piperazine in toluene was used as reagent absorber solution together with reversed phase chromatography and a simple efficient buffer system (0.1% trifluoroacetic acid--acetonitrile, 85:15%) in an isocratic elution mode. The values for atmospheric TDI concentration obtained with two continuous band-tape monitors were checked using the values from HPLC as reference. Under identical experimental conditions the two instruments (both model 7005) gave readings varying by more than 100%. At low humidity the band-tape values were considerably lower than the HPLC values. At an absolute humidity of 11.7 g H2O/m3 (58% relative humidity) the value from instrument 1, but not instrument 2, agreed with those from HPLC. The values obtained with band-tape devices in the continuous monitoring of TDI concentration in places of work, or epidemiological studies, should be assessed with caution. HPLC offers a useful reference method for monitoring the accuracy of such devices.

Air↗

Persistence of hemoglobin allergenicity and antigenicity during metamorphosis of Chironomidae (Insecta: Diptera).

Chironomid hemoglobins are potent allergens. The allergenic and antigenic activities of these hemoglobins are studied with the help of RAST, RAST inhibition and double immunodiffusion. Human as well as rabbit antisera were used. It was shown that hemoglobins are the main antigenic/allergenic components in extracts of Camptochironomus tentans larvae. Furthermore, immunological cross-reactivity among larvae, pupae and adult midges of this species are shown to be due to the existence of hemoglobin antigenic determinants in all developmental stages of this insect.

Animals↗

[Immunodiagnosis of Aspergillus-induced bronchopulmonary diseases].

Studies using the immunoblot technique were carried out to identify the components of Aspergillus fumigatus against which the IgE and IgG antibodies of 22 patients with Aspergillus-related lung diseases are directed. Asthmatics exhibit IgE antibodies against 2-6 of the fungus components and, surprisingly, an even more pronounced IgG antibody reaction. It was determined that persons suffering from allergic bronchopulmonary aspergillosis show massive IgE-and IgG-mediated sensitization, generally against more than 20 components. However, treatment with corticosteroids, which produces remarkable improvement in cases with allergic bronchopulmonary aspergillosis, is associated with very low amounts of specific IgE. Patients with farmer's lung disease and aspergilloma possess--with one exception--no specific IgE antibodies, but all have comparable spectra of specific IgG antibodies; in the latter group the especially high antigenic activity of components with a molecular weight of about 18,000 daltons was noticeable. Healthy subjects display weak IgG antibody reactions with only a few Aspergillus antigens. These results show that more than 30 antigen-active components of Aspergillus fumigatus can be identified by means of the immunoblot technique, and that the IgE and IgG antibodies of persons with Aspergillus-related bronchopulmonary illnesses show characteristic reaction patterns which may be useful in differential diagnosis.

Aspergillosis↗

Use of immunoblot technique for detection of human IgE and IgG antibodies to individual silk proteins.

Allergenic proteins were extracted from one silk batch that was imported to be used as filling material for bed mattresses and rugs. IgE and IgG antibodies to the extracted silk proteins were measured by RAST in sera of nine silk-sensitive persons as well as in sera of healthy control donors. Silk proteins were fractionated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis into 12 polypeptides of molecular weights between 14 and 70 kilodaltons. By means of the immunoblot technique, IgE and IgG antibodies to the individual silk polypeptides could be detected. Sera of silk-sensitive persons contained high titers of IgE and low titers of IgG antibodies to the separated silk polypeptides. Sera of control donors contained low IgG antibody titers to a limited number of these polypeptides.

Adult↗

Evidence for haemoglobins as common allergenic determinants in IgE-mediated hypersensitivity to chironomids (non-biting midges).

Chironomids (non-biting midges) are known to cause IgE-mediated hypersensitivity in man. This study compares the cross-reactivity between the chironomid midge Cladotanytarsus lewisi ('green nimitti'), a widespread cause of allergy in the Sudan and Chironomus riparius (= thummi, CTT) where larvae are used as pet fish food and where haemoglobins were previously shown to be major allergens. As with C. riparius, immature forms of C. lewisi also contain allergenic material since skin test responses to larval, pupal and adult extracts were obtained in Sudanese individuals. Crossed radioimmunoelectrophoresis of the C. lewisi larval and pupal extracts indicate that they contain a higher proportion of the allergenic fractions than adults. Further evidence of common allergen determinants between C. lewisi and C. riparius were obtained by the demonstration of positive skin-prick tests, in Sudanese patients, to extracts of larval, adult and isolated haemoglobin extracts of C. riparius. Cross-reactivity between C. lewisi and C. riparius was also demonstrable by RAST inhibition studies. A dose-dependent inhibition was observed using both the C. lewisi adult midge RAST and the C. riparius haemoglobin RAST, the two respective antigens, and sera from individuals hypersensitive to either C. lewisi or C. riparius. Due to the immunological cross-reactivity found between these distantly related species, we conclude that chironomids should be seen as significant environmental and occupational allergens.

Allergens↗

Occupational lung disease following long-term inhalation of pancreatic extracts.

Fourteen employees of a pharmaceutical company, who had been exposed to porcine pancreatic and other organic dusts for 1-18 years were examined because of exercise dyspnea and asthmatic attacks. Airway obstruction or bronchial hyperreactivity and disturbance of oxygen diffusion were present in all cases. Two patients showed evidence of acute alveolitis and 3 had radiological signs of mild fibrosis, whilst emphysema dominated in 7 others. Skin tests and bronchial provocation revealed hyperreactivity to pancreatic extracts. Pancreatic alpha-amylase was determined as a causative allergen for Type I allergy symptoms by means of RAST. Three pathomechanisms of the lung diseases are discussed: 1) Type I allergy of the airways to pancreatic enzymes, 2) broncho-alveolar Type III reaction to porcine proteins; and 3) proteolytic damage of the lung tissue and an increase of non-specific bronchial reactivity.

Amylases↗

Radioallergosorbent test (RAST) for measurement of IgG antibodies to Aspergillus fumigatus in sera of patients with different lung diseases.

A radioallergosorbent test (RAST) for measuring human anti-Aspergillus fumigatus (Af) antibodies of the IgG class is described. The use of 125I-labelled animal antibodies against human IgG is compared with the use of 125I-labelled protein A. Under optimal conditions the radioactivity binding ratio between pooled patients' serum and pooled healthy persons' serum is 8-11.5. The immunoblotting technique was used to investigate so-called non-specific binding. The results obtained show that most if not all human sera contain anti-Af antibodies of the IgG type. The difference between pathological and normal immunological response to Af antigens seems to be in the antibody titres rather than in the presence or absence of antibodies to these antigens.

Antibodies, Fungal↗

[Allergic asthma from enzymes in drugs].

Two patients, both non-atopic, developed asthma after exposure to drugs containing enzymes. RAST identified trypsin as the causative allergen in both cases, with, additionally, amylase and pepsin in the second patient. All enzymes so far recognized as respiratory allergens, and those widely used in drugs, are presented in tabular form.

Amylases↗

[Enzymes are the allergenic components of inhaled pancreatin].

Pancreatic extracts had caused respiratory disease in five patients. Four of them were not atopic. In four cases alpha-amylase and in two cases trypsin could be identified as causative allergen using RAST and RAST-inhibition. In addition, demonstration of immunologic cross-reactivity between porcine and bovine pancreatin was possible. This most likely can be attributed to the structurally closely related enzymes alpha-amylase and trypsin occurring in both animal species.

Adult↗

Detection of immunologically sensitized isocyanate workers by RAST and intracutaneous skin tests.

Antibody estimations by RAST were performed on 621 partially selected isocyanate workers whose case histories were well-documented. Two hundred forty-seven of the workers were clinically suspected to be sensitized to isocyanates since they had suffered from occupationally related recurrent asthmatic attacks, chronic obstructive lung diseases, bronchitis, rhinitis, conjunctivitis, cutaneous hypersensitivity reactions, and/or fever. RAST studies with seven different isocyanates conjugated to human serum albumin (HSA) demonstrated that 14% of these symptomatic subjects had significant levels of specific-IgE antibodies. On the other hand, only one of the 374 asymptomatic workers had such antibodies. In contrast to toluene diisocyanate (80:20% mixture of 2, 4 and 2, 6-isomers, if not otherwise mentioned)-HSA, a toluene diisocyanate-ovalbumin conjugate exhibited no antigenicity in nearly all of the cases. Intracutaneous skin testing with five different isocyanate-HSA conjugates performed in 203 workers produced immediate-type wheel-and-flare reactions in 14 of the 53 symptomatic persons but in none of the 150 asymptomatic probands. There was a good overall correlation between RAST and skin test results. Our findings provide strong evidence for IgE-mediated sensitization to isocyanates in a subgroup of the subjects with isocyanate-induced diseases. By means of RAST and/or skin testing these immunologically sensitized persons can be identified.

Antibodies, Anti-Idiotypic↗

Hypersensitivity pneumonitis concomitant with acute airway obstruction after exposure to hay dust.

The case of a non-atopic farmer who had developed severe respiratory as well as systemic symptoms upon exposure to hay dust during the past several years is presented. Inhalation challenge by his own hay induced an unusual association of peripheral and central airway obstruction beginning immediately, and hardly susceptible to therapeutic control, as well as the typical hypersensitivity pneumonitis reaction several hours later. By means of double immunodiffusion it was possible to demonstrate serum precipitins to antigenic components in this hay, which could be predominantly identified as antigens of several Aspergillus species. By means of the more sensitive crossed immunoelectrophoresis technique ten relevant antigens of Aspergillus terreus and four of Aspergillus fumigatus were demonstrable. Only minimal aspergillus-specific IgE antibodies were found in the patient's serum. This case demonstrates that hay dust can cause bronchial obstruction as well as hypersensitivity pneumonitis in the same individual, with symptoms beginning immediately and lasting up to 2 days.

Adult↗