In vivo diagnosis with purified tropomyosin in mite and shellfish allergic patients

Tropomyosin is the most studied shellfish allergen and has been involved in cross-reactivity among different invertebrates (crustacean, mollusks, mites, insects, and nematodes). To determine the relevance of tropomyosin in mite- and shellfish-sensitized patients using tropomyosin skin testing. Patients were divided into 3 groups: group M included mite allergic patients (ie, individuals with respiratory symptoms and a positive result on skin prick testing [SPT] to house dust mites), group S included shellfish allergic patients (ie, individuals who reported symptoms with shellfish), and group MS included mite- and shellfish allergic patients (ie, individuals who simultaneously fulfilled the inclusion criteria for groups M and S). Tropomyosin was purified from shrimp, characterized, and used in SPT for diagnosis in the patient population. Eight hundred fifty patients were included in the study: 790 (92.9%) in group M, 21 (2.5%) in group S, and 39 (4.6%) in group MS. Tropomyosin was purified from shrimp with a purity higher than 95%. Forty-two individuals tested positive to tropomyosin: the prevalence was 2.7% in group M, 28.6% in group S, and 38.5% in patients of group MS. Twenty-one (50%) of the tropomyosin-positive individuals had symptoms with shellfish, and 3 (14.3%) reported anaphylaxis. The prevalence of tropomyosin was low in mite-sensitized patients (2.7 %) and high in shellfish allergic patients (28.6%). The higher prevalence of tropomyosin was found in patients sensitized to both mite and shellfish (38.5%). The selection of tropomyosin-sensitized patients by SPT might help in the choice of appropriate treatments or management for these patients..

Medienart:

Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:116

Enthalten in:

Annals of allergy, asthma, & immunology - 116(2016), 6, Seite 538-543

Sprache:

Englisch

Beteiligte Personen:

López-Matas, M Angeles [VerfasserIn]
de Larramendi, Carlos H [Sonstige Person]
Moya, Raquel [Sonstige Person]
Sánchez-Guerrero, Inmaculada [Sonstige Person]
Ferrer, Angel [Sonstige Person]
Huertas, Angel Julio [Sonstige Person]
Flores, Isabel [Sonstige Person]
Navarro, Luis Angel [Sonstige Person]
García-Abujeta, José Luis [Sonstige Person]
Vicario, Sandra [Sonstige Person]
Andreu, Carmen [Sonstige Person]
Peña, Maribel [Sonstige Person]
Carnés, Jerónimo [Sonstige Person]

Links:

Volltext
www.ncbi.nlm.nih.gov

doi:

10.1016/j.anai.2016.03.034

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC197710228X