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Mites from house dust in Glasgow.

Glasgow's mild, high-rainfall climate, combined with a deteriorating quality of housing and low standards of living in many parts of the city, makes it a particularly suitable place for thriving populations of house dust mites. The acarofauna in 124 samples of house dust from beds and carpets in seventy-four homes in Glasgow, Scotland, comprised thirty-one species of which the most abundant were Dermatophagoides pteronyssinus (Trouessart) (64.3%), Glycyphagus domesticus (De Geer) (16.7%), Euroglyphus maynei (Cooreman) (11.6%), Tarsonemus sp. (1.6%), Cheyletus eruditus (Schrank) (1.5%), C. trouessarti Oudemans (0.9%), Tarsonemus fusarii Cooreman (0.8%) and Glycyphagus destructor (Schrank) (0.7%). Mites were present in all the homes surveyed and the mean population density was found to be 97/100 mg of dust (range 2-1210). Over 47% of homes visited showed signs of disrepair associated with damp, especially unmodernized flats in old tenement buildings and 1960s council housing stock, many of which contain deprived occupants. There was a high incidence of hygrophilic species such as Glycyphagus spp., Tarsonemus spp. and Euroglyphus maynei in such homes. Samples from homes of atopic asthmatics were found to contain significantly fewer mites than those from normal volunteers (chi 2 = 54.7). This was partly due to the use of house dust mite avoidance measures (e.g. regular vacuum cleaning of mattresses as well as carpets) by some of the asthmatics.

Animals↗

Identification of allergens in Dermatophagoides pteronyssinus mite body extract by crossed radioimmunoelectrophoresis with two different rabbit antibody pools.

An extract of purified Dermatophagoides pteronyssinus mite bodies was investigated by crossed radioimmunoelectrophoresis (CRIE), using sera from 29 mite-allergic patients. Two CRIE series consisting of rabbit antibodies to (1) whole mite culture and to (2) purified mite bodies were run simultaneously, showing 27 and 29 precipitates, respectively. Cases of major discrepancy between the two series were ascribed to absence of antibody to allergenic components and to artefactual radiostaining due to inclusion of allergen in precipitates representing other antigens. Carefully performed controls were necessary to establish the reliability of CRIE. Specific response patterns in the studied set of sera were found to several of the represented antigens. Two major allergens appeared in both CRIE systems. Two intermediate and several minor allergens were further identified.

Allergens↗

Occurrence of storage mites in Finnish farming environments.

Qualitative and semi-quantitative microscopic analyses were performed on the mite populations in dust samples collected from the byres and hay and grain storages of 11 farms in Eastern Finland. Storage mites were found in all farms. The mite fauna was more abundant in the byres and hay storages than in the grain storages. The most common species or genera were Acarus siro, Acarus farris, Glycyphagus domesticus, Lepidoglyphus destructor, Cheyletus eruditus, Tydeus spp., and Tarsonemus spp. The results imply that also in northern climates storage mites should be considered as possible causes of allergic disorders among farming populations.

Agricultural Workers' Diseases↗

Standardization of house dust mite extracts. Liberation of allergenic and antigenic components in relation to extraction conditions.

The spontaneous release of house dust mite components from cultures of Dermatophagoides pteronyssinus into slightly buffered water was studied against time, using both continuous and discontinuous extraction procedures. It was shown that proteins, carbohydrates, IgE binding components and precipitating antigenic components were rapidly released from the house dust mite cultures, reaching a maximal liberation within 1 h of extraction. Repeated extractions of house dust mite cultures (discontinuous extraction) showed an additional release of IgE components but the IgE binding potency declined after successive extractions, while showing increasing release of immunological inactive components. IgE binding to antigens immobilized to polystyrene surfaces (IgE-ELISA) appeared to be less sensitive compared with cyanogen-bromide activated discs (IgE-RAST). It was concluded that extraction procedures of house dust mite cultures with short incubation time of 1 h or less are to be preferred.

Allergens↗

House dust mites and human dander.

The occurrence of house dust mites was measured in the homes of 12 patients with the scaly skin disease, psoriasis. The median number of mites in the mattress dust and floor dust was 27 (range 10-153)/0.1 g and 56 (range 12-114)/0.1 g respectively, which is significantly higher than the background pollution of house dust mites in normal Danish homes. The results support the idea that the amount of mites in our homes not only depend on relative air humidity but also on the production of dandruff.

Adult↗

House dust mite-induced histamine release from washed blood cells. Evaluation of effect parameters.

In a selected group of 60 house dust mite allergic asthmatics, the correlation between the bronchial sensitivity to house dust mite and effect parameters of mite-induced histamine release from washed blood cells was evaluated. Using a sensitive glass microfibre-based method, a significant positive correlation (r = 0.60; P less than 0.001) was found between bronchial allergen sensitivity and basophil cell sensitivity expressed as the house dust mite concentration necessary to give half the maximum histamine release. No correlation was found between bronchial sensitivity and other parameters of the histamine release response. This way of determining the histamine release from washed blood cells is a simple and valuable alternative to bronchial allergen challenge.

Animals↗

Blocking activity of mite-specific IgG antibodies studied by skin tests.

The aim of the study was to determine whether IgG antibodies from patients on specific immunotherapy could inhibit skin test reactivity of allergens when mixed with them prior to testing. In a preliminary double-blind study, mite extracts were incubated with glycero-saline solution or non-specific IgG and used in testing 15 patients. Wheal and flare diameters produced with the two mite extracts did not differ significantly. In a second double-blind study with 15 other patients, skin tests using mite extracts incubated with either non-specific IgG or specific IgG showed significantly decreased diameters when mite extracts were preincubated with specific IgG. This result, in vivo, confirms the antigen neutralizing capacity of specific IgG demonstrated in vitro.

Adolescent↗

Diagnosis of house dust mite allergy.

The medical history may be conclusively descriptive in house dust mite allergy in patients with asthma and rhinoconjunctivitis. Often the patients have both diseases. Sensibilization to D. pteronyssinus and D. farinae can be demonstrated by skin prick testing. If the diagnosis is still doubtful, the next step will be to perform a RAST test or a histamine release test. It is also important to investigate for mite exposure at the patient's residence, if the patient is suspected to be mite-allergic. Allergen challenge test in the shock organ should be performed, if hyposensitization is considered, or if, in a few cases, the mite diagnosis is still doubtful.

Allergens↗

Comparative detection of mite allergens in house dust of homes in Moscow by enzyme-linked immunosorbent assay and acarologic analysis.

The present study revealed that 73% of surveyed apartments in Moscow whose residents included children with the atopic form of bronchial asthma and sensitization to Dermatophagoides pteronyssinus allergens were infested with the pyroglyphid mites D. pteronyssinus and D. farinae. The number of mites in the surveyed apartments varied between 0 and 154 mites/g of dust for D. pteronyssinus and between 0 and 162 mites/g of dust for D. farinae. The levels of mite allergens in these apartments ranged from 0.5 to 165.8 micrograms/g for Der p I and from 0.3 to 91.3 micrograms/g of dust for Der f I. The Der p I allergen was found to predominate, and its concentration in one-third of the apartments was more than 10-fold greater than that of Der f I. Correlation between the number of pyroglyphid mites and the concentration of group I allergens was established for both D. pteronyssinus (r = 0.4932; P < 0.01) and D. farinae (r = 0.6748; P < 0.01). In most of the apartments, high and moderate levels of Der I allergens were detected.

Animals↗

Mite allergens during 18 months of intervention.

In Stockholm, Sweden, 17 children with newly diagnosed sensitization to house-dust mites (HDM) and 11 children with previously diagnosed HDM-sensitization were included in a study of HDM-allergen avoidance. Mattress dust was collected on repeated occasions during 18 months and assayed for concentration of major HDM allergens. During the first 12 months, the parents of the intervention group were instructed to intensify cleaning and airing of the child's bedroom. During the last 6 months of the study, the mattresses and pillows of seven children in the intervention group and sibling controls were encased in semipermeable polyurethane covers. The homes exhibited a high absolute indoor humidity throughout the year, and even during the winter the mean levels exceeded 7 g/kg. No mite allergen reduction was seen in the intervention group during the first year. However, among the newly diagnosed HDM-sensitized children, there was a mean reduction of the mattress mite allergen concentration of 83% (P = 0.02), and this was most pronounced in the homes with low humidity. At the end of the mattress encasement period, an average difference of 98% (P < 0.001) was found between the vacuumed amount of mite allergen on top of the covers and that underneath.

Adolescent↗

Interaction of allergens from house-dust mite and from cereal flours: Dermatophagoides pteronyssinus alpha-amylase (Der p 4) and wheat and rye alpha-amylase inhibitors.

Major wheat and rye allergens associated with baker's asthma have been identified as specific inhibitors of Dermatophagoides pteronyssinus alpha-amylase (Der p 4). the most active inhibitors were the wheat tetrameric one and the rye dimeric RDAI-1. these data suggest that interaction between mite and cereal allergens (alpha-amylase/inhibitor complexes) might occur in house-dust-mite-infected flours. In contrast to the strong inhibition of the d. pteronyssinus enzyme by the wheat and rye inhibitors, the amylases from D. farinae, Lepidoglyphus destructor, and Tyrophagus putrescentiae were much less affected. Moreover, the D. pteronyssinus amylase showed higher pH optimum (6.5 versus 5.0) and activity level (2-6 times/mg of protein in whole-mite extracts) than those from the three other mite species.

Allergens↗

Exposure chamber for allergen challenge. A placebo-controlled, double-blind trial in house-dust-mite asthma.

Exposure chambers have proven to be valuable tools in the study of reactions to aeroallergens, and in monitoring the efficacy of antiallergic therapy. In the present study, 15 house-dust-mite-allergic asthmatics and five nonallergic volunteers were challenged in a recently developed exposure chamber. The trial was performed double-blinded with house-dust-mite allergen or placebo. Patients with allergy to house-dust mite (Dermatophagoides pteronyssinus) (Der p) were included by positive skin prick test, allergen-specific IgE, and conventional bronchial allergen challenge, with nebulizer and mouthpiece. In the exposure chamber, a total allergen dose corresponding to 1200 ng Der p 1 was applied. All participants kept diaries, recording peak expiratory flow rates, symptoms, and medication in periods of at least 2 weeks before and after each challenge. Twelve of the 15 asthmatics reacted with asthmatic symptoms with a median change in FEV1 of -16.4% when exposed to the allergen, but not to placebo, in the exposure chamber. Three patients had only minor symptoms during both chamber exposures and experienced no impairment of pulmonary function. Late-phase reactions were less frequent (one vs three) after the exposure chamber challenges, as compared to the traditional challenges. None of the healthy subjects reacted to the challenges. In conclusion, our exposure chamber was able to elicit symptoms in allergic subjects, and this ability was obtained with only minor amounts of house-dust-mite allergen. The described method could prove to be a more physiologically relevant model to monitor individual responses to aeroallergens.

Adolescent↗

Cross-reactivity between terrestrial snails (Helix species) and house-dust mite (Dermatophagoides pteronyssinus). I. In vivo study.

Clinical reports have suggested an unusual frequency in the number of patients with food allergy to snails who are also allergic to the house-dust mite (HDM). As allergy to HDM is one of the most frequent sensitizations in atopic patients of Western countries, evaluation of the relevance of the concomitant sensitization to Dermatophagoides pteronyssinus and to snails is an important consideration. To evaluate the responsibility of different snail components and of snail mites for inducing in vivo hypersensitivity in patients allergic to HDM, the in vivo reactivity of patients with clinical symptoms after ingestion of snails was assessed by skin prick tests with extracts and hemolymph from four different Helix species snails, and extracts from the snail parasitic mite, Riccardoella limacum. In addition, to obtain epidemiologic data on cosensitization to HDM and snails in allergic patients, the frequency of snail sensitization and its relationship to HDM sensitization were determined in a population of 169 allergic children. All patients allergic to snails had positive skin prick tests to the snail extracts and none to R. limacum extract. The number of positive skin reactions did not significantly differ whatever the species, snail part, or heating procedure used. The strongest reactions were obtained with Helix pomatia (Burgundy snail). Among the 169 prospectively tested children, 38 had a positive prick test to snail extracts; 79% of the snail-sensitized children had sensitization to HDM; and 31% of the children allergic to HDM were found to be sensitized to snails. These results show that snail components, and not the mite R. limacum, were responsible for the in vivo hypersensitivity. These snail components reacting in vivo are present in different parts of snails, including the hemolymph. One-third of the children allergic to HDM were sensitized to snails without any previous ingestion of snails: this observation suggests that HDM was the sensitizing agent and that the cross-reaction could be clinically relevant in countries where eating snails is common.

Adolescent↗

Variability of house-dust-mite allergen levels within carpets.

Sensitization and exposure to house-dust-mite allergens is an important cause of asthma. Standardized, reliable, and reproducible methods for measuring exposure are essential for the assessment of the relationship between exposure, sensitization, and asthma. This study investigated the variability of the house-dust-mite allergen Der p 1 concentration in reservoir dust collected within whole carpets in living rooms and bedrooms. The carpets of nine bedrooms and 11 living rooms were sampled. Each room was divided into 1 m2 areas measured from wall to wall where the carpet was accessible. Reservoir dust samples were collected by vacuuming each 1 m2 area for 2 min. Der p 1 was assayed by a two-site monoclonal-antibody-based immunometric ELISA. Der p 1 was detectable in the carpets of all nine bedrooms and six of the 11 living rooms. Within these 15 rooms, there was a wide range of Der p 1 levels. The smallest range of allergen within a single room was 0.9 microgram Der p 1/g dust (0.2 and 1.1 micrograms/g; 5.5-fold difference), and the largest was 149.2 micrograms Der p 1/g dust (0.8 and 150 micrograms/g; 192-fold difference). The mean range of allergen levels in the living rooms was 11.5 micrograms Der p 1/g of dust, and the mean coefficient of variation of these rooms was 80.2%, illustrating the huge variation of mite allergen levels within each room. The variation within bedrooms was also large, with a mean coefficient of variation value of 88.7%. The coefficient of variation was significantly lower around soft furnishings or beds (57%) than in the rest of the room (89.3%), with the mean difference being 32% (95% CI 2-63%; P = 0.04). In conclusion, this study has shown that there is a great variation of Der p 1 levels between areas within a room. No consistent pattern of distribution of mite allergen within a room was found. Der p 1 levels in areas around soft furnishings and beds varied less than the levels in the rest of the room.

Allergens↗

Reactivity to recombinant house-dust-mite allergens in asthma and rhinitis in a tropical environment.

BACKGROUND: House-dust mites contain components that are allergenic in mite-sensitive patients, and a number of these have been produced in recombinant form. METHODS: In the present study, we evaluated by skin prick testing the positivity to native Der p 2 and recombinant Der p 2, Der p 5, and Der p 7 allergens of Dermatophagoides pteronyssinus in patients with rhinitis, asthma, or a combination of these diseases, who were positive to whole-mite extract. RESULTS: In all patients, the positivity to both native and recombinant Der p 2 was high. In patients with either rhinitis or asthma, the reactivity to Der p 5 and 7 was significantly lower than to Der p 2. However, in patients with combined disease, the positivity to the minor allergens was almost as high as that to Der p 2. CONCLUSIONS: These results raise the question of whether patients with combined allergic rhinitis and asthma, when compared to those with either of these diseases alone, are predisposed to react to a wider range of mite allergens, or, inversely, whether patients who respond to the minor allergens are more susceptible to suffering the combined disease.

Administration, Inhalation↗

Taxonomy and identification of dust mites.

Taxonomy provides the basis for the identity of species, allowing the construction of keys and the reliable, reproducible identification of dust mites for ecologic purposes and other studies. Details are given of nomenclatorial conventions in taxonomy as applied to dust mites, and taxonomically problematic entities are highlighted, such as Blomia kulagini and the sibling species Dermatophagoides farinae and D. microceras. Current keys to dust mites and advances in interactive computer keys are reviewed. An hypothesis of the phylogeny of the family Pyroglyphidae is presented, based on habitat specificity, geographic distribution, and association with birds. The value of predictive classifications based on phylogenies is stressed. Finally, a pictorial key is presented to the mites found in house dust in Scandinavia.

Animals↗

Identification and quantification of mite allergens.

Allergens from the house dust mite are ubiquitous in house dust. Exposure to these allergens can cause acute symptoms in patients who are sensitized to house-dust mite and have asthma or other allergic diseases, such as rhinitis or atopic dermatitis. It is not clear how much mite-allergen exposure is a risk factor for the development of sensitization or for triggering acute symptoms. Therefore, it is important to be able to quantify accurately the amount of mite allergen present in the indoor environment in order to carry out studies to identify risk factors for exposure, to investigate exposure-response effects, and to monitor the progress of allergen-reducing regimens.

Allergens↗

Mite allergens. Collection, determination, expression of results, and risk levels for sensitization and symptom induction.

The presence of mite allergens in dust can be determined by counting mites at different stages of development in dust and by determination of the major allergen content (Der p 1 ) in dust and air, which is crucially important to allergic patients. For comparison of results, similar methods for collection of dust and air must be used. Due to their size, mite bodies and fecal particles are airborne only directly after disturbance. Special filters should be used for dust collection, and upholstered surfaces should be vacuumed for 2 min/m2 (minimum 4 m2) and hard surfaces for 1 min/m2 (minimum 8 m2). Heavy contaminations should be removed. Preferably, the method given in the ISAAC study should be followed. Samples should be deep-frozen for at least some days to kill the mites. ELISA techniques, preferably using polyclonal antibodies and antigen with all isoforms present, should be used for determination of allergens. The allergen load has been given in ng/g of dust, but allergen/m2 or per sample area should be preferred. Allergen in the air should be given in pg/m3. A tentative limit of 2000 ng/g was proposed for sensitization and asthma. This limit is still valid on a population basis, but recent data indicate that highly susceptible young children become sensitized at concentrations 10-100 times lower and that ng levels of cat allergen/m3, as found in schools, induce chronic asthma.

Air Pollution, Indoor↗