Allergenic molecules
Table adapted from Allergome.org (10)
Allergen
|
Type
|
Mass (kDa)
|
---|
Aca s 1
|
Cysteine protease
|
37.3
|
Aca s 10
|
Tropomyosin
|
33
|
Aca s 13
|
Fatty acid binding protein
|
14.7
|
Aca s 2
|
NPC2 family
|
14.6
|
Aca s 3
|
Serine protease
|
27.8
|
Aca s 4
|
Amylase
|
58
|
Aca s 7
|
Unknown
|
23
|
Aca s 8
|
Glutathione S-transferase
|
27.4
|
Allergens in storage mites are proteins with a variety of functions, including fatty acid-binding proteins, tropomyosin and paramyosin homologues, apoliphorine-like proteins, alfa tubulines and other allergens, such as group 2, 5 and 7 allergens. In particular, the allergen Aca s 13 (a fatty acid binding protein) reacted with serum from 23% of patients sensitized to A. siro (11).
Cross-reactivity
Allergenic cross-reactivity between storage mites and HDMs is well documented (1); 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, 44% were also sensitized to HDM (1).
Another study reported that 84% (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, Tyrophagus putrescentiae and A. siro). In this study, none of the patients tested positive for A. siro alone. Approximately 70% of patients undergoing skin prick tests (SPTs) had negative skin reactions to A. siro; additionally, the positive SPT observed measured between 3-12 mm, with a very small percentage measuring >12 mm. When A. siro-specific IgE were measured in the participating patients, 25% had a negative result (12).
Aca s 13 (a fatty acid binding protein) may help identify HDM sensitization as 23% of patients tested were sensitized to A. siro (11).