PMID- 22722650 OWN - NLM STAT- MEDLINE DCOM- 20121224 LR - 20220408 IS - 1423-0097 (Electronic) IS - 1018-2438 (Print) IS - 1018-2438 (Linking) VI - 159 IP - 3 DP - 2012 TI - Varying allergen composition and content affects the in vivo allergenic activity of commercial Dermatophagoides pteronyssinus extracts. PG - 253-62 LID - 10.1159/000337654 [doi] AB - BACKGROUND: Diagnosis and immunotherapy of house-dust mite (HDM) allergy is still based on natural allergen extracts. The aim of this study was to analyze commercially available Dermatophagoides pteronyssinus extracts from different manufacturers regarding allergen composition and content and whether variations may affect their allergenic activity. METHODS: Antibodies specific for several D. pteronyssinus allergens (Der p 1, 2, 5, 7, 10 and 21) were used to analyze extracts from 10 different manufacturers by immunoblotting. Sandwich ELISAs were used to quantify Der p 1 and Der p 2 in the extracts. Mite-allergic patients (n = 45) were skin-tested with the extracts and tested for immunoglobulin E (IgE) reactivity to a panel of 10 mite allergens (Der p 1, 2, 4, 5, 7, 8, 10, 14, 20 and 21) by dot blot. RESULTS: Only Der p 1 and Der p 2 were detected in all extracts but their concentrations and ratios showed high variability (Der p 1: 6.0-40.8 microg ml(-1); Der p 2: 1.7-45.0 microg ml(-1)). At least 1 out of 4 allergens (i.e. Der p 5, 7, 10 and 21) was not detected in 8 of the studied extracts. Mite-allergic subjects showed different IgE reactivity profiles to the individual mite allergens, the extracts showed different allergenic activity in skin-prick tests and false-negative results. CONCLUSIONS: Commercially available D. pteronyssinus extracts lack important allergens, show great variability regarding allergen composition and content and some gave false-negative diagnostic test results in certain patients. CI - Copyright (c) 2012 S. Karger AG, Basel. FAU - Casset, Anne AU - Casset A AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria. FAU - Mari, Adriano AU - Mari A FAU - Purohit, Ashok AU - Purohit A FAU - Resch, Yvonne AU - Resch Y FAU - Weghofer, Margit AU - Weghofer M FAU - Ferrara, Rosetta AU - Ferrara R FAU - Thomas, Wayne R AU - Thomas WR FAU - Alessandri, Claudia AU - Alessandri C FAU - Chen, Kuan-Wei AU - Chen KW FAU - de Blay, Frederic AU - de Blay F FAU - Valenta, Rudolf AU - Valenta R FAU - Vrtala, Susanne AU - Vrtala S LA - eng GR - F 4602/FWF_/Austrian Science Fund FWF/Austria GR - F 4605/FWF_/Austrian Science Fund FWF/Austria PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120621 PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Allergens) RN - 0 (Antibodies) RN - 0 (Antigens, Dermatophagoides) RN - 0 (Arthropod Proteins) RN - 0 (Complex Mixtures) RN - 0 (Dermatophagoides pteronyssinus antigen p 2) RN - 37341-29-0 (Immunoglobulin E) RN - EC 3.4.22.- (Cysteine Endopeptidases) RN - EC 3.4.22.- (Dermatophagoides pteronyssinus antigen p 1) SB - IM CIN - Int Arch Allergy Immunol. 2013;161(3):285-6. PMID: 23548609 CIN - Int Arch Allergy Immunol. 2013;161(3):287-8. PMID: 23548663 MH - Adult MH - Allergens/chemistry/*immunology MH - Animals MH - Antibodies/blood/immunology MH - Antibody Diversity MH - Antigens, Dermatophagoides/blood/*immunology MH - Arthropod Proteins/blood/*immunology MH - Complex Mixtures/chemistry/immunology MH - Cysteine Endopeptidases/blood/*immunology MH - Dermatitis, Contact/blood/diagnosis/*immunology MH - Dermatophagoides pteronyssinus/chemistry/*immunology MH - Enzyme-Linked Immunosorbent Assay MH - False Negative Reactions MH - Humans MH - Immunoglobulin E/blood/immunology MH - Skin Tests PMC - PMC4594775 MID - EMS65147 OID - NLM: EMS65147 EDAT- 2012/06/23 06:00 MHDA- 2012/12/25 06:00 PMCR- 2015/10/06 CRDT- 2012/06/23 06:00 PHST- 2011/03/16 00:00 [received] PHST- 2012/02/22 00:00 [accepted] PHST- 2012/06/23 06:00 [entrez] PHST- 2012/06/23 06:00 [pubmed] PHST- 2012/12/25 06:00 [medline] PHST- 2015/10/06 00:00 [pmc-release] AID - 000337654 [pii] AID - 10.1159/000337654 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 2012;159(3):253-62. doi: 10.1159/000337654. Epub 2012 Jun 21.