Zahradnik Eva, Raulf Monika
Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA) , Bochum , Germany.
Front Immunol. 2014 Mar 3;5:76. doi: 10.3389/fimmu.2014.00076. eCollection 2014.
Exposure to animal allergens is a major risk factor for sensitization and allergic diseases. Besides mites and cockroaches, the most important animal allergens are derived from mammals. Cat and dog allergies affect the general population; whereas, allergies to rodents or cattle is an occupational problem. Exposure to animal allergens is not limited to direct contact to animals. Based on their aerodynamic properties, mammalian allergens easily become airborne, attach to clothing and hair, and can be spread from one environment to another. For example, the major cat allergen Fel d 1 was frequently found in homes without pets and in public buildings, including schools, day-care centers, and hospitals. Allergen concentrations in a particular environment showed high variability depending on numerous factors. Assessment of allergen exposure levels is a stepwise process that involves dust collection, allergen quantification, and data analysis. Whereas a number of different dust sampling strategies are used, ELISA assays have prevailed in the last years as the standard technique for quantification of allergen concentrations. This review focuses on allergens arising from domestic, farm, and laboratory animals and describes the ubiquity of mammalian allergens in the human environment. It includes an overview of exposure assessment studies carried out in different indoor settings (homes, schools, workplaces) using numerous sampling and analytical methods and summarizes significant factors influencing exposure levels. However, methodological differences among studies have contributed to the variability of the findings and make comparisons between studies difficult. Therefore, a general standardization of methods is needed and recommended.
接触动物过敏原是致敏和过敏性疾病的主要危险因素。除了螨虫和蟑螂外,最重要的动物过敏原来自哺乳动物。对猫和狗的过敏影响普通人群;而对啮齿动物或牛的过敏则是职业性问题。接触动物过敏原不仅限于直接接触动物。基于其空气动力学特性,哺乳动物过敏原很容易悬浮于空气中,附着在衣物和毛发上,并可从一个环境传播到另一个环境。例如,主要的猫过敏原Fel d 1经常在没有宠物的家庭以及包括学校、日托中心和医院在内的公共建筑中被发现。特定环境中的过敏原浓度因众多因素而呈现出高度变异性。评估过敏原暴露水平是一个逐步的过程,包括灰尘收集、过敏原定量和数据分析。虽然使用了多种不同的灰尘采样策略,但酶联免疫吸附测定(ELISA)在过去几年中已成为定量过敏原浓度的标准技术。本综述聚焦于来自家养动物、农场动物和实验动物的过敏原,并描述了哺乳动物过敏原在人类环境中的普遍存在。它概述了使用多种采样和分析方法在不同室内环境(家庭、学校、工作场所)中进行的暴露评估研究,并总结了影响暴露水平的重要因素。然而,研究之间的方法学差异导致了研究结果的变异性,使得不同研究之间难以进行比较。因此,需要并建议对方法进行普遍标准化。