Sakamoto T, Ito K, Yamada M, Iguchi H, Ueda M, Matsuda Y, Torii S
Department of Pediatrics, Nagoya University School of Medicine.
Arerugi. 1990 Nov;39(11):1492-8.
Recently large amounts of Aspergillus restrictus, a species of osmophilic fungi, have been detected in house dust using culture media with low water activity. But little attention has been paid to this fungus as an allergen. In the present study, the authors examined the allergenic activity of A. restrictus by skin prick tests and radioallergosorbent tests (RAST) on 94 asthmatic patients (mean age 12.0, range 3-18). Aspergillus fumigatus, Alternaria alternata and house dust were used for comparison. In the skin prick tests, A. restrictus, A. fumigatus, A. alternata and house dust elicited positive reactions in 8 (8.5%), 8 (8.5%), 15 (16.0%) and 69 (73.4%) patients, respectively. RAST showed positive reactions in 27 (28.7%) subjects for A. restrictus, 22 (23.4%) for A. fumigatus, 35 (37.2%) for A. alternata, and 75 (79.8%) for house dust. These results indicated that some asthmatic individuals showed immediate-type hypersensitivity to A. restrictus, and the prevalence of hypersensitivity of A. restrictus determined by skin prick tests and RAST was comparable with that of A. fumigatus but lower than that of A. alternata or house dust. This indicates that this fungal species may be of importance as a causative agent in atopic diseases.
最近,使用低水分活性的培养基在室内灰尘中检测到了大量嗜渗性真菌局限曲霉。但作为一种变应原,这种真菌很少受到关注。在本研究中,作者通过皮肤点刺试验和放射变应原吸附试验(RAST)对94例哮喘患者(平均年龄12.0岁,范围3 - 18岁)检测了局限曲霉的变应原活性。以烟曲霉、链格孢和室内灰尘作为对照。在皮肤点刺试验中,局限曲霉、烟曲霉、链格孢和室内灰尘分别使8例(8.5%)、8例(8.5%)、15例(16.0%)和69例(73.4%)患者出现阳性反应。RAST显示,局限曲霉有27例(28.7%)受试者呈阳性反应,烟曲霉为22例(23.4%),链格孢为35例(37.2%),室内灰尘为75例(79.8%)。这些结果表明,一些哮喘患者对局限曲霉表现出速发型超敏反应,通过皮肤点刺试验和RAST测定的局限曲霉超敏反应患病率与烟曲霉相当,但低于链格孢或室内灰尘。这表明该真菌物种作为特应性疾病的病原体可能具有重要意义。