Allergenic molecules
Allergens in storage mites include fatty acid-binding proteins, tropomyosin and paramyosin homologues, apoliphorine-like proteins, alfa tubulines and other allergens, such as group 2, 5 and 7 allergens (13). Studies have identified at least 14 allergenic molecules from extracts of T. putrescentiae (13). One of these molecules, Tyr p 2, is considered a major allergen which showed high IgE reactivity in 80% of serum samples from sensitized patients (13). Other antigens include: Tyr p 13, an intracellular lipid transport protein, could bind 6.4% of serum samples from sensitized patients when presented in recombinant form. A α-tubulin was cloned and the recombinant version was recognized by IgE in 29.3% of serum samples from patients sensitized to mites and/or crustaceans. Tyr p 10 in recombinant form was recognized by 12.5% of serum samples from sensitized patients (13).
Table adapted from Allergome.org (14)
Allergen
|
Type
|
Mass (kDa)
|
---|
Tyr p 1
|
Cysteine protease
|
39
|
Tyr p 2
|
NPC2 family
|
15
|
Tyr p 3
|
Serine protease
|
20
|
Tyr p 4
|
α-amylase
|
58.4
|
Tyr p 5
|
Unknown
|
15.2
|
Tyr p 7
|
Unknown
|
23
|
Tyr p 8
|
Glutathione S-transferase
|
25
|
Tyr p 10
|
Tropomyosin
|
33
|
Tyr p 13
|
Fatty acid binding protein
|
14.5
|
Tyr p 24
|
Ca-binding troponin
|
17.6
|
Tyr p 28
|
Heat Shock Protein 70
|
72.5
|
Tyr p 33
|
α-tubulin
|
50
|
Tyr p 35
|
Aldehyde dehydrogenase
|
52
|
Tyr p 36
|
Actin binding profilin
|
14.3
|
Cross-reactivity
Allergenic cross-reactivity between storage mites and HDMs is well documented; in a European Community Respiratory Health Survey, 8% of people were found to be sensitized to HDMs and 10% to storage mites. Among those patients with storage mite sensitization, 26% were also sensitized to T. putrescentiae (2).
Another study reported that 88.4% (n/N=274/310) of patients sensitive to house dust mites were also sensitive to storage mites; 73% (n/N=227/310) of patients were sensitized to all three species of storage mite studied (Lepidoglyphus destructor, T. putrescentiae and Acarus. siro) (15).
Among 117 allergic rhinitis patients hypersensitive to T. putrescentiae, 97% were also sensitized to Dermatophagoides pteronyssinus. Group 2 allergens are thought to be the major cross-reactive allergens of D. pteronyssinus and T. putrescentiae (16).
Cross reactivity between the silkworm (Bombyx mori) and T. putrescentiae has also been reported (17, 18).