Institute for Prevention and Occupational Medicine of the DGUV, Institute of the Ruhr-University Bochum (IPA), Bochum, Germany.
Julius Kühn Institute (JKI)-Federal Research Centre for Cultivated Plants, Institute for Plant Protection in Horticulture and Forests, Braunschweig, Germany.
Front Public Health. 2022 Oct 18;10:973686. doi: 10.3389/fpubh.2022.973686. eCollection 2022.
Climate changes have promoted an increased fungal infection of maple trees with , the causative agent of sooty bark disease. The hosts of are maples, and since the early 2000s the fungus has been appearing more frequently in European forests, due to the droughts and hot summers of recent years. Infestation by discolors the wood and makes it unusable for further processing, which leads to considerable economic damage in the timber industry. Therefore, the occurrence and spread of sooty bark disease raise serious problems. In addition to forestry and economic problems, the conidiospores of can also cause health problems in exposed wood workers and they can trigger hypersensitivity pneumonitis (HP). Since the spores, which are deposited over the entire area under the bark of infected trees, can spread during processing, exposed workers must take special precautions to protect themselves against exposure. If an occupational disease is nevertheless suspected following exposure to , valid diagnostics are required to confirm possible HP and derive appropriate therapies and exposure reduction or avoidance. Diagnosis of HP is based on several criteria, one of them is the detection of specific IgG in patient's serum against the potentially triggering antigens, in this case antigens. To produce a diagnostic tool to measure specific IgG, which is not commercially available so far, spores and mycelial material from ITS-sequenced strains of was prepared and analyzed. These biochemically characterized extracts of spore and mycelial antigens were biotinylated and coupled to Streptavidin-ImmunoCAPs. To validate these diagnostic test tools the first step is to measure the concentration of specific IgG in sera of healthy non-exposed and healthy exposed subjects to establish cut-off values. Suitable participants were recruited and the individual exposure to and symptoms experienced during or after working with infected maple trees were recorded using questionnaires. Finally, diagnostic tools for serological testing in suspected cases of HP by were created and evaluated. The following article provides recommendations for the treatment and disposal of infected damaged wood and for occupational health protection procedures. Secondly, the diagnosis of HP induced by exposure to as an occupational disease is described including the verification of newly developed serological test tools for antigens of .
气候变化促使枫树上的真菌增多,这是黑变病的病原体。的宿主是枫树,自 21 世纪初以来,由于近年来的干旱和炎热夏季,这种真菌在欧洲森林中越来越常见。的侵染会使木材变色,无法进一步加工,这会给木材行业造成相当大的经济损失。因此,黑变病的发生和传播带来了严重的问题。除了林业和经济问题外,的分生孢子还会给暴露在木材中的工人带来健康问题,它们会引发过敏性肺炎(HP)。由于这些孢子会沉积在感染树木树皮下的整个区域,因此在加工过程中会传播,暴露的工人必须采取特殊的预防措施来保护自己免受暴露。如果暴露后仍然怀疑患有职业病,就需要进行有效的诊断来确认是否存在 HP,并制定相应的治疗方法以及减少或避免暴露。HP 的诊断基于几个标准,其中之一是在患者血清中检测针对潜在触发抗原(在这种情况下是抗原)的特异性 IgG。为了开发一种迄今为止尚未商业化的测量针对的特异性 IgG 的诊断工具,制备并分析了来自 ITS 测序菌株的孢子和菌丝体材料。这些经过生物化学表征的孢子和菌丝体抗原提取物被生物素化并与链霉亲和素免疫 CAPs 偶联。为了验证这些诊断测试工具,第一步是测量健康未暴露和健康暴露个体血清中的特异性 IgG 浓度,以确定临界值。合适的参与者被招募,使用问卷记录他们在接触感染的枫树木材期间或之后的个人暴露情况和经历的症状。最后,为疑似 HP 病例创建了针对的血清学检测的诊断工具,并对其进行了评估。本文提供了针对感染受损木材的治疗和处置以及职业健康保护程序的建议。其次,描述了由暴露于引起的 HP 的诊断,包括验证新开发的针对抗原的血清学测试工具。