From the Department of Allergy-Immunology, Wilford Hall Ambulatory Surgical Center, Lackland Air Force Base, San Antonio, Texas.
Department of Allergy-Immunology, 48th Medical Group, Royal Air Force Lakenheath, Suffolk, England; and.
Allergy Asthma Proc. 2024 Nov 1;45(6):447-452. doi: 10.2500/aap.2024.45.240072.
Half of U.S. households own a dog despite 10% of individuals being sensitized to dog. Assessment and treatment options for dog allergy include the use of commercial dog extracts which have inconsistent performance, making diagnosing and managing dog allergy challenging. Contamination of dog extracts with other allergens has previously been reported. We sought to determine whether commercial dog extracts contain other aeroallergens. An extract purity and quantification study on acetone precipitated dog hair and dander extract (AP dog) was performed, 6 aeroallergens; Alternaria (Alt a 1), Ragweed (Amb a 1), German Cockroach (Bla g 2), Dust Mite (Der p t), Cat (Fel d 1), and Rye Grass (Lol p 1). Following, conventional dog hair and dander extract (CV dog) and the new ultrafiltered dog hair and dander extract (UF dog) were also assessed based on the initial results of AP dog. SDS-PAGE was performed on all three dog extracts to compare allergen content. Lastly, serology results and aeroallergen immunotherapy prescriptions were compared. The ELISA trays with Alt a 1, Amb a 1, Bla g 2, Der p 1, and Lol p 1 antibodies did not capture AP dog, while the ELISA tray with Fel d 1 antibody captured AP dog, CV dog, and UF dog. SDS-PAGE results of the 3 dog extracts did not reveal a band at the molecular weight for Fel d 1. Contamination of commercial dog extracts was not found. However, our findings are supportive of commercial dog extracts containing a Fel d 1-like dog allergen that is cross-reactive to Fel d 1. Cross-reactivity between commercial dog extracts and Fel d 1 could be responsible for double positivity to cat and dog in serology. Additional studies are needed to better illustrate this Fel d 1-like dog allergen.
尽管有 10%的个体对狗过敏,但仍有一半的美国家庭拥有狗。狗过敏的评估和治疗选择包括使用商业狗提取物,但这些提取物的性能不一致,使得狗过敏的诊断和管理具有挑战性。以前曾报道过商业狗提取物与其他过敏原的污染。我们试图确定商业狗提取物是否含有其他空气过敏原。对丙酮沉淀狗毛和皮屑提取物(AP 狗)进行了提取物纯度和定量研究,该提取物中包含 6 种空气过敏原:Alternaria(Alt a 1)、豚草(Amb a 1)、德国蟑螂(Bla g 2)、尘螨(Der p t)、猫(Fel d 1)和黑麦草(Lol p 1)。随后,还根据 AP 狗的初步结果评估了传统狗毛和皮屑提取物(CV 狗)和新的超滤液狗毛和皮屑提取物(UF 狗)。对所有三种狗提取物进行 SDS-PAGE 以比较过敏原含量。最后,比较了血清学结果和空气变应原免疫疗法处方。含有 Alt a 1、Amb a 1、Bla g 2、Der p 1 和 Lol p 1 抗体的 ELISA 板未捕获 AP 狗,而含有 Fel d 1 抗体的 ELISA 板捕获了 AP 狗、CV 狗和 UF 狗。3 种狗提取物的 SDS-PAGE 结果未显示 Fel d 1 的分子量处有带。未发现商业狗提取物受到污染。然而,我们的发现支持商业狗提取物含有与 Fel d 1 发生交叉反应的 Fel d 1 样狗过敏原。商业狗提取物与 Fel d 1 之间的交叉反应可能是血清学中猫和狗双重阳性的原因。需要进一步的研究来更好地说明这种 Fel d 1 样狗过敏原。