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Vaccination is a feasible strategy for controlling the haematophagous poultry red mite Dermanyssus gallinae. A cDNA library enriched for genes upregulated after feeding was created to identify potential vaccine antigens. From this library, a gene (Dg-CatD-1) encoding a 383 amino acid protein (Dg-CatD-1) with homology to cathepsin D lysosomal aspartyl proteinases was identified as a potential vaccine candidate. A second gene (Dg-CatL-1) encoding a 341 amino acid protein (Dg-CatL-1) with homology to cathepsin L cysteine proteinases was also selected for further study. IgY obtained from naturally infested hens failed to detect Dg-CatD-1 suggesting that it is a concealed antigen. Conversely, Dg-CatL-1 was detected by IgY derived from natural-infestation, indicating that infested hens are exposed to Dg-CatL-1. Mortality rates 120 h after mites had been fed anti-Dg-CatD-1 were significantly higher than those fed control IgY (PF<0·01). In a survival analysis, fitting a proportional hazards model to the time of death of mites, anti-Dg-CatD-1 and anti-Dg-CatL-1 IgY had 4·42 and 2·13 times higher risks of dying compared with controls (PF<0·05). Dg-CatD-1 and L-1 both have potential as vaccine antigens as part of a multi-component vaccine and have the potential to be improved as vaccine antigens using alternative expression systems.

Introduction: House dust and storage mites are allergens associated with allergic rhinitis and asthma. Oral mite anaphylaxis manifests after ingesting contaminated flour with mites. We present the case of a 13-year-old child who developed anaphylaxis after consuming pizza. Case presentation: A 13-year-old boy presented with respiratory distress after consuming pepperoni pizza, which he had previously tolerated. Skin prick and specific IgE test results revealed sensitization to house dust and storage mites. He passed an oral food challenge (OFC) for pepperoni pizza. Discussion: Anaphylaxis to foods contaminated by mites (also known as “pancake syndrome”) is often overlooked. In this case, the diagnosis was supported by the skin prick tests and specific IgE, although the flour used for pizza preparation could not be tested. The patient passed an OFC using ingredients from a different source. Conclusion: Oral mite anaphylaxis is an unusual presentation that must be considered when other possible food allergy triggers have been excluded and the patient is sensitized to mites.

Given their nutritional features and environmental sustainability, black soldier fly (Hermetia illucens) larvae are currently being considered in Europe for commercialization as human food. The primary goal of this study is the determination of in vitro IgE-cross-reactivity to recombinant tropomyosin (HITPM) and arginine kinase (HIAK) of H. illucens in subjects sensitized to crustaceans and/or mites. Dot blot assays for recombinant HITPM were carried out with the sera of 48 subjects, 30 sensitized to crustaceans (Cr+) and/or house dust mites (HDM+) (STUDY group) and 18 non-sensitized (CTRL group). A higher rate of IgE-reactivity to recombinant HITPM was found in the STUDY group compared to non-sensitized controls (73% vs. 44%; p 0.066). No significant relationship was achieved upon dot blot assays for HIAK. No relevant association between a positive history of food reactions and immunoreactivity to HITPM and to HIAK was reported (15% in HITPM+ vs. 6% in HITPM-, p NS; 28% in HIAK+ vs. 50% in HIAK-, p NS), contrary to the HITPM+Cr+HDM+ subset (50% vs. 0%, p 0.022). Considering the wide overlap of pan-allergens within the Arthropoda phylum, concerns about allergenic potential due to the eventual consumption of H. illucens-enriched foods might be valid. Therefore, targeted studies involving basophil activation tests, skin prick tests, and a double-blind placebo-controlled oral food challenge using H. illucens are needed.

Background: Edible insects (EIs) are increasingly recognized as a sustainable protein source, yet concerns persist regarding allergic reactions, even in individuals without prior known consumption. This study examines the immune response profile in patients from a subtropical area to improve understanding of mite-related cross-reactivity and emerging food sensitizations. Methods: To assess sensitization to edible insects, we analyzed 634 patients from a tertiary care allergy institution with high perennial exposure to house dust mites and storage mites. Sensitization patterns were assessed using the ALEX²® MacroArray platform, a multiplex IgE diagnostic tool covering 282 allergens, including Locusta migratoria (Lm), Acheta domesticus (Ad), and T. molitor (Tm). Patients with IgE levels ≥0.3 kU/L were evaluated for cross-reactivity to both mite allergens and pan-allergens. Results: Of the 634 patients, 138 (21.76%) exhibited IgE sensitization to at least one EI extract. Tropomyosin was the most prevalent pan-allergen (63.76%), followed by troponin-C (28.98%) and arginine kinase (26.81%). Notably, 95.66% of EI-sensitized individuals also reacted to mite allergens. However, 23.18% lacked reactivity to common pan-allergens, suggesting alternative sensitization mechanisms. Conclusions: This investigation can highlight regional variations in EI sensitization, where high mite exposure in subtropical climates appears to influence IgE responses to insect proteins. The findings suggest that EI sensitization is not merely incidental but represents a distinct immunological phenomenon shaped by environmental factors and allergen cross-reactivity. Since the presence of food-specific IgE does not reliably indicate clinical allergy, and the lack of food challenge data constrains diagnostic certainty, acknowledging EI sensitization as a potential risk factor remains essential for ensuring food safety and protecting public health.

Poultry red mites (PRMs, Dermanyssus gallinae ) are ectoparasites that negatively affect farmed chickens, leading to serious economic losses worldwide. Acaricides have been used to control PRMs in poultry houses. However, some PRMs have developed resistance to acaricides, and therefore different approaches are required to manage the problems caused by PRMs. Vaccination of chickens is one of the methods being considered to reduce the number of PRMs in poultry houses. In a previous study, a cysteine protease, Deg-CPR-1, was identified as a candidate vaccine against PRMs distributed in Europe. In this study, we investigated the characteristics of Deg-CPR-1. A phylogenetic analysis revealed that Deg-CPR-1 is closely related to the digestive cysteine proteases of other mite species, and it was classified into a cluster different from that of chicken cathepsins. Deg-CPR-1 of PRMs in Japan has an amino acid substitution compared with that of PRMs in Europe, but it showed efficacy as a vaccine, consistent with previous findings. Deg-CPR-1 exhibited cathepsin L-like enzyme activity. In addition, the Deg-CPR-1 mRNA was expressed in the midgut and in all stages of PRMs that feed on blood. These results imply that Deg-CPR-1 in the midgut may have important functions in physiological processes, and the inhibition of its expression may contribute to the efficacy of a Deg-CPR-1-based vaccine. Further research is required to fully understand the mechanisms of vaccine efficacy. Les acariens communément appelés poux rouges de la volaille (PRV, Dermanyssus gallinae ) sont des ectoparasites qui affectent négativement les poulets d’élevage, entraînant de graves pertes économiques au niveau mondial. Des acaricides ont été utilisés pour contrôler les PRV dans les poulaillers. Cependant, certains PRV ont développé une résistance aux acaricides, et par conséquent, différentes approches sont nécessaires pour gérer les problèmes qu’ils causent. La vaccination des poulets est l’une des méthodes envisagées pour réduire le nombre de PRV dans les poulaillers. Dans une étude précédente, une cystéine protéase, Deg-CPR-1, a été identifiée comme un vaccin candidat contre les PRV distribués en Europe. Dans cette étude, nous avons étudié les caractéristiques de Deg-CPR-1. L’analyse phylogénétique a révélé que Deg-CPR-1 est étroitement liée aux cystéine protéases digestives d’autres espèces d’acariens, et elle a été classée dans un groupe différent de celui des cathepsines de poulet. La Deg-CPR-1 des PRV au Japon a une substitution d’acide aminé par rapport à celle des PRV en Europe, mais elle a montré une efficacité en tant que vaccin, conformément aux résultats précédents. Deg-CPR-1 a présenté une activité enzymatique de type cathepsine L. De plus, l’ARNm de Deg-CPR-1 était exprimé dans l’intestin moyen et à tous les stades où les PRV se nourrissent de sang. Ces résultats impliquent que Deg-CPR-1 dans l’intestin moyen peut avoir des fonctions importantes dans les processus physiologiques, et que l’inhibition de son expression peut contribuer à l’efficacité d’un vaccin basé sur Deg-CPR-1. Des recherches supplémentaires sont nécessaires pour comprendre pleinement les mécanismes de l’efficacité du vaccin.

Microbiota plays an important role in regulating immune responses associated with atopic diseases. We sought to evaluate relationships among airway microbiota, serum IgE levels, allergic sensitization and their relevance to rhinitis and asthma. Microbial characterization was performed using Illumina-based 16S rRNA gene sequencing of 87 throat swabs collected from children with asthma (n = 32) and rhinitis (n = 23), and from healthy controls (n = 32). Data analysis was performed using QIIME (Quantitative Insights Into Microbial Ecology) v1.8. Significantly higher abundance of Proteobacteria was found in children with rhinitis than in the healthy controls (20.1% vs. 16.1%, P  = 0.009). Bacterial species richness (Chao1 index) and diversity (Shannon index) were significantly reduced in children with mite sensitization but not in those with food or IgE sensitization. Compared with healthy children without mite sensitization, the mite-sensitized children with rhinitis and asthma showed significantly lower Chao1 and Shannon indices. Moraxella and Leptotrichia species were significantly found in the interaction of mite sensitization with rhinitis and asthma respectively. Airway microbial diversity appears to be inversely associated with sensitization to house dust mites. A modulation between airway dysbiosis and responses to allergens may potentially cause susceptibility to rhinitis and asthma in early childhood.

Introduction: Molecular characterization of house dust mite (HDM) and storage mite allergens provides valuable insights into sensitization patterns; however, relationships among different mite allergens and their clinical implications remain unclear. Methods: A total of 100 patients with allergic rhinitis sensitized to Dermatophagoides pteronyssinus were analyzed. Specific IgE (sIgE) levels were measured using singleplex and multiplex assays. Correlations among mite allergens and their associations with clinical and demographic variables were evaluated. Results: The median sIgE level to Der p was 15.8 kU/L (IQR: 50.25); no relevant Dermatophagoides spp. sensitization was found below 2 kU/L. Among patients with Der p >10 kU/L, 59 of 60 had significant sIgE to at least one major HDM allergen. The highest prevalence was for Der p 1 (92%), though its median level was low (3.19 kU/L, IQR: 8.18). Conversely, Der f 2 had the highest median sIgE (23.4 kU/L, IQR: 33.74). Multivariate analysis revealed that most allergen levels were predictable from clusters of other mite allergens (R2=0.27–0.98). Mite allergen sIgE (Aca s, Blo t 5/10/21, Der f 1/2, Der p 1/2/5/7) correlated positively with sensitization number. sIgE levels negatively correlated with age and positively correlated with atopic dermatitis (Der p 1/2/23, Der f 1/2), asthma (Aca s, Der p 21), food allergy (Aca s, Der f 1, Der p 1), and rural residence (Der p 7). Conclusion: Der p source allergen reliably excludes clinically relevant sIgE to HDM components. The correlations among mite allergens highlight challenges in clinical relevance assessment, emphasizing the need for component-resolved diagnostics to optimize immunotherapy responses.

BackgroundThe relevance of timing of exposure in the associations of secondhand tobacco smoke (SHS), pets, and dampness or mould exposure with lung function is unclear. We investigated the relevance of timing of these exposures for lung function in adolescence.MethodsWe used data from participants of the Dutch Prevention and Incidence of Asthma and Mite Allergy (PIAMA) cohort with spirometric measurements at ages 12 and 16 years (n=552). Data on residential exposure to SHS, pets, and dampness or mould were obtained by repeated parental questionnaires. We characterised timing of exposure through longitudinal patterns using latent class growth modelling and assessed associations of these patterns with FEV1 and FVC at ages 12 and 16 and FEV1 and FVC growth between ages 12 and 16 using linear regression models.ResultsChildhood SHS exposure was associated with reduced FEV1 growth/year (95% CI) (−0.34% (−0.64% to −0.04%)). Late childhood and early life pet exposure was associated with increased FEV1 growth (0.41% (0.14% to 0.67%)) and reduced FVC growth (−0.28% (−0.53% to −0.03%)), respectively, compared with very low exposure. Early life dampness or mould exposure was associated with reduced lung function growth. All time windows of SHS exposure tended to be associated with lower attained lung function and pet exposure tended to be associated with higher FEV1.ConclusionSHS exposure during childhood could lead to reduced lung function growth and lower attained lung function in adolescence. While pet exposure in late childhood may not adversely affect lung function, early childhood pet exposure may slow down FVC growth in adolescence.

Ear mites (Otodectes cynotis) and ear canal tumors are highly prevalent among federally endangered Island foxes (Urocyon littoralis catalinae) living on Santa Catalina Island off the coast of Southern California. Since studies began in the 1990s, nearly all foxes examined were found to be infected with ear mites, and ceruminous gland tumors (carcinomas and adenomas) were detected in approximately half of all foxes ≥ 4 years of age. We hypothesized that reduction of ear mite infection would reduce otitis externa and ceruminous gland hyperplasia, a risk factor for tumor development. In this study, we conducted a randomized field trial to assess the impact of acaricide treatment on ear mite prevalence and intensity of infection, otitis externa, ceruminous gland hyperplasia, and mite-specific IgG and IgE antibody levels. Treatment was highly effective at eliminating mites and reducing otitis externa and ceruminous gland hyperplasia, and mite-specific IgG antibody levels were significantly lower among uninfected foxes. Ceruminous gland hyperplasia increased in the chronically infected, untreated foxes during the six month study. Our results provide compelling evidence that acaricide treatment is an effective means of reducing ear mites, and that mite removal in turn reduces ear lesions and mite-specific IgG antibody levels in Santa Catalina Island foxes. This study has advanced our understanding of the underlying pathogenesis which results in ceruminous gland tumors, and has helped inform management decisions that impact species conservation.

Allergic diseases such as asthma and rhinitis are common in many countries. Globally the most common allergen associated with symptoms is produced by house dust mites. Although the bed has often been cited as the main site of exposure to mite allergens, surprisingly this has not yet been directly established by measurement due to a lack of suitable methods. Here we report on the development of novel methods to determine the pattern of personal exposure to mite allergen bioaerosols over 24-hour periods and applied this in a small field study using 10 normal adults. Air was sampled using a miniature time-based air-sampler of in-house design located close to the breathing zone of the participants, co-located with a miniature time-lapse camera. Airborne particles, drawn into the sampler at 2L/min via a narrow slot, were impacted onto the peripheral surface of a disk mounted on the hour-hand of either a 12 or 24 hour clock motor. The impaction surface was either an electret cloth, or an adhesive film; both novel for these purposes. Following a review of the time-lapse images, disks were post-hoc cut into subsamples corresponding to eight predetermined categories of indoor or outdoor location, extracted and analysed for mite allergen Der p 1 by an amplified ELISA. Allergen was detected in 57.2% of the total of 353 subsamples collected during 20 days of sampling. Exposure patterns varied over time. Higher concentrations of airborne mite allergen were typically measured in samples collected from domestic locations in the day and evening. Indoor domestic Der p 1 exposures accounted for 59.5% of total exposure, whereas total in-bed-asleep exposure, which varied 80 fold between individuals, accounted overall for 9.85% of total exposure, suggesting beds are not often the main site of exposure. This study establishes the feasibility of novel methods for determining the time-geography of personal exposure to many bioaerosols and identifies new areas for future technical development and clinical applications.