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仅有少数接触木屑的工人被检测出对松木具有特异性IgE。

Only few workers exposed to wood dust are detected with specific IgE against pine wood.

作者信息

Skovsted T A, Schlünssen V, Schaumburg I, Wang P, Staun-Olsen P, Skov P S

机构信息

Diagnostic Center, Department of Clinical Biochemistry, Slagelse Hospital, Slagelse, Denmark.

出版信息

Allergy. 2003 Aug;58(8):772-9. doi: 10.1034/j.1398-9995.2003.00127.x.

Abstract

BACKGROUND

Our aim was to investigate the frequency of pine allergy in woodworkers with respiratory symptoms and to identify high molecular weight allergens in pine wood extracts.

METHODS

In a cross-sectional study we examined work-related respiratory symptoms in 2033 furniture workers and 474 controls by questionnaires. Clinical examination was performed in 365 wood dust exposed and 116 nonexposed subjects. Blood samples were collected for measuring pine-specific immunoglobulin (Ig)E by an immunoassay and Western blots.

RESULTS

Eleven exposed and three nonexposed subjects had pine-specific IgE. In the group with clinically defined asthma eight persons (5.4%) had pine-specific IgE compared with six persons (1.8%) in the group without asthma (P < 0.05). In the groups with and without respiratory symptoms, 13 (3.8%) and one (0.7%) subject, respectively, had pine-specific IgE (P = 0.06). Western blots demonstrated pine-specific IgE to components in the molecular range of 14 - 100 kD in eight samples (all wood dust exposed). Five samples had pine-specific IgE against components in a 43 - 59 kD zone and against two bands at 27 and 29 kD that are candidates for major allergens.

CONCLUSION

Some workers in the Danish furniture industry are specific IgE sensitized against pine wood dust. Pine-specific IgE probably explains a minor part of the respiratory symptoms in workers exposed to pine wood dust.

摘要

背景

我们的目的是调查有呼吸道症状的木工中松树过敏的发生率,并鉴定松木提取物中的高分子量过敏原。

方法

在一项横断面研究中,我们通过问卷调查检查了2033名家具工人和474名对照者的职业相关呼吸道症状。对365名接触木尘和116名未接触木尘的受试者进行了临床检查。采集血样,通过免疫测定和蛋白质印迹法检测松树特异性免疫球蛋白(Ig)E。

结果

11名接触者和3名未接触者有松树特异性IgE。在临床诊断为哮喘的组中,8人(5.4%)有松树特异性IgE,而在无哮喘组中为6人(1.8%)(P<0.05)。在有和无呼吸道症状的组中,分别有13名(3.8%)和1名(0.7%)受试者有松树特异性IgE(P=0.06)。蛋白质印迹法显示,8个样本(均为接触木尘者)中,松树特异性IgE针对分子量在14 - 100 kD范围内的成分。5个样本中,松树特异性IgE针对43 - 59 kD区域的成分以及针对27 kD和29 kD的两条带,这两条带可能是主要过敏原。

结论

丹麦家具行业的一些工人对松木尘有特异性IgE致敏。松树特异性IgE可能只能解释接触松木尘工人呼吸道症状的一小部分原因。

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