Musmand J J, Horner W E, Lopez M, Lehrer S B
Department of Medicine, Tulane University School of Medicine, New Orleans, LA 70112, USA.
J Allergy Clin Immunol. 1995 Apr;95(4):877-85. doi: 10.1016/s0091-6749(95)70132-x.
Despite recent advances in the purification and characterization of cockroach allergens, identification of clinically important allergens and their source have not been completely elucidated. This study investigated the allergen content of German cockroach (Blattella germanica) whole body (GWBE) and fecal (GFE) extracts.
Sera from 37 subjects with asthma, with positive skin test results to cockroach, were used for RAST and Western blot (after sodium dodecyl sulfate-polyacrylamide gel electrophoresis [SDS-PAGE] under reducing conditions); this serum panel is the largest used to date for cockroach allergen analysis.
RAST reactivity to GWBE and GFE were highly correlated (r = 0.882, p < 0.001). SDS-PAGE and Western blotting showed that GWBE and GFE had similar patterns of IgE binding. Furthermore, Western blot inhibition investigations revealed that either GWBE or GFE could almost completely inhibit the reactivity of the other extract, SDS-PAGE and Western blotting demonstrated in both extracts numerous bands that displayed a high prevalence of IgE binding. Protein bands at 67, 50, 45, and 36 kd bound more than 50%, and the band at 60 kd bound approximately 80% of the sera tested.
In summary, this investigation identified German cockroach allergens, established their relative importance by prevalence of reactivity to a large serum panel, and demonstrated that cockroach feces possess significant allergenic activity. Five allergens identified demonstrated reactivity with up to 50% to 80% of the 37 subjects' sera tested.
尽管近期在蟑螂过敏原的纯化和特性鉴定方面取得了进展,但临床上重要的过敏原及其来源尚未完全阐明。本研究调查了德国小蠊(Blattella germanica)全虫提取物(GWBE)和粪便提取物(GFE)中的过敏原含量。
选取37名对蟑螂皮肤试验呈阳性的哮喘患者的血清,用于放射性变应原吸附试验(RAST)和免疫印迹法(在还原条件下进行十二烷基硫酸钠-聚丙烯酰胺凝胶电泳[SDS-PAGE]后);该血清样本是迄今为止用于蟑螂过敏原分析的最大样本。
RAST对GWBE和GFE的反应性高度相关(r = 0.882,p < 0.001)。SDS-PAGE和免疫印迹显示GWBE和GFE具有相似的IgE结合模式。此外,免疫印迹抑制研究表明,GWBE或GFE几乎可以完全抑制另一种提取物的反应性,SDS-PAGE和免疫印迹在两种提取物中均显示出许多具有高IgE结合率的条带。67、50、45和36 kd的蛋白条带与超过50%的测试血清结合,60 kd的条带与约80%的测试血清结合。
总之,本研究鉴定了德国小蠊过敏原,通过对大量血清样本的反应性发生率确定了它们的相对重要性,并证明蟑螂粪便具有显著的致敏活性。鉴定出的5种过敏原与37名受试患者血清中的50%至80%发生反应。