Custovic A, Green R, Taggart S C, Smith A, Pickering C A, Chapman M D, Woodcock A
North West Lung Centre, Wythenshawe Hospital, Manchester, UK.
Clin Exp Allergy. 1996 Nov;26(11):1246-52.
Sensitization and exposure to indoor allergens are the major risk factors for asthma. It is possible that significant exposure to domestic allergens occurs outside the home.
To investigate the levels of Can f 1 and Bla g 2 in the dust from carpeted floors and upholstered seats in public buildings and public transport and the airborne concentrations of Der p 1, Fel d 1, Can f 1 and Bla g 2 in schools and offices.
Can f 1 and Bla g 2 were measured in the dust collected by vacuuming a 1 m2 area of carpet, as well as upholstered seats in five schools, six hotels, four cinemas, six pubs, three buses and two trains. Dust was also collected from the bedroom carpet, living room carpet, mattress and sofa in 20 homes with and 20 homes without a dog in the same area. Personal airborne sampling (2 L/min) was conducted for 8 h in offices (n = 16) and classrooms (n = 9). In addition, airborne samples in schools were collected using a high volume pump (60 L/min) for 1 h in three classrooms immediately after the children vacated the school. Can f 1, Bla g 2, Der p 1 and Fel d 1 were assayed using a two-site monoclonal antibody-based ELISA.
Can f 1 was detected in all dust samples from public places, ranging from 0.2 to 52.5 micrograms/g. Significantly higher levels were found in upholstered seats (geometric mean--GM 9.4 micrograms/g) than in carpets (GM 1.5 micrograms/g; P < 0.001), and levels of Can f 1 > 10 micrograms/g were found in 40% of upholstered seats in public places. Can f 1 was significantly higher in upholstered seats in public places than in sofas in homes without a dog (GM 1.8 micrograms/g; P < 0.001). Detectable levels of Bla g 2 were found in all of the schools (GM 2.4 U/g, range 0.8-4.4 U/g). Bla g 2 concentration greater than 2U/g (provisional threshold level representing risk of sensitization) was measured in 65% of the classrooms sampled. Der p 1 and Bla g 2 were below the detection limit in all airborne samples. However, airborne Fel d 1 and Can f 1 were detected in schools and offices, albeit in low concentrations.
Upholstered seats from public places constitute a reservoir for the accumulation of dog allergen, and a source of exposure to Can f 1 inside public buildings or on public transport. Exposure to cockroach allergens in schools may be important for cockroach sensitized asthmatic children.
对室内过敏原的致敏和接触是哮喘的主要危险因素。在家外也有可能大量接触家庭过敏原。
调查公共建筑和公共交通中铺有地毯的地板及软垫座椅灰尘中犬小孢子菌变应原1(Can f 1)和德国小蠊变应原2(Bla g 2)的水平,以及学校和办公室空气中屋尘螨变应原1(Der p 1)、猫毛变应原1(Fel d 1)、Can f 1和Bla g 2的浓度。
通过对五所学校、六家酒店、四家电影院、六家酒吧、三辆公交车和两辆火车上1平方米的地毯区域以及软垫座椅吸尘收集灰尘,测定其中的Can f 1和Bla g 2。还从同一区域内20户有狗家庭和20户无狗家庭的卧室地毯、客厅地毯、床垫和沙发上收集灰尘。在办公室(n = 16)和教室(n = 9)进行8小时的个人空气采样(2升/分钟)。此外,在孩子们放学后,立即在三间教室使用大容量泵(60升/分钟)进行1小时的学校空气采样。使用基于双位点单克隆抗体的酶联免疫吸附测定法(ELISA)检测Can f 1、Bla g 2、Der p 1和Fel d 1。
在所有公共场所的灰尘样本中均检测到Can f 1,含量范围为0.2至52.5微克/克。软垫座椅中的含量(几何平均数——GM 9.4微克/克)显著高于地毯中的含量(GM 1.5微克/克;P < 0.001),且在公共场所40%的软垫座椅中Can f 1含量> 10微克/克。公共场所软垫座椅中的Can f 1显著高于无狗家庭沙发中的含量(GM 1.8微克/克;P < 0.001)。在所有学校均检测到可检测水平的Bla g 2(GM 2.4 U/g,范围0.8 - 4.4 U/g)。在65%的采样教室中测量到Bla g 2浓度大于2U/g(代表致敏风险的临时阈值水平)。在所有空气样本中Der p 1和Bla g 2低于检测限。然而,在学校和办公室中检测到了空气中的Fel d 1和Can f 1,尽管浓度较低。
公共场所的软垫座椅是狗过敏原积累的储存库,也是公共建筑内或公共交通工具上接触Can f 1的来源。对于对蟑螂致敏的哮喘儿童,在学校接触蟑螂过敏原可能很重要。