Charpin D, Vervloet D
UPRES Jeune Equipe n(o) 2050, Hôpital Sainte Marguerite, Marseille.
Bull Acad Natl Med. 1997 Nov;181(8):1551-61.
There is a qualitative as well as a quantitative change in allergen exposure. From a qualitative viewpoint, the relevance of some allergens (domestic allergens i.e. cockroaches, outdoor allergens i.e. plane tree, chestnut and ash tree pollens) has been established. The role of some other allergens has been, strictly speaking, discovered: latex from Hevea and ficus, trichophyton mold, some occupational allergens and very recently transgenic allergens. From a quantitative viewpoint, the concentration and/or distribution of some allergens has increased. Plantation of numerous trees or fortuitous introduction of weeds has led to an increased specific sensitization. In like manner, introduction of new foods or food processing procedures has created new food allergens and allergy. Besides, the distribution of some well-known aero-allergens is better known since discovery of ELISA--technology allowing measurements of minute amounts of these allergens. A burning issue today is to know whether irritant factors could modify allergens. Few data, sometimes contradictory, are available in the field of interaction between air pollutants and allergens.
变应原暴露存在质和量的变化。从质的角度来看,某些变应原(如室内变应原蟑螂、室外变应原悬铃木、栗树和白蜡树花粉)的相关性已得到确认。严格来讲,其他一些变应原的作用已被发现:橡胶树和榕属植物的乳胶、毛癣菌霉菌、一些职业性变应原以及最近的转基因变应原。从量的角度来看,某些变应原的浓度和/或分布有所增加。大量树木的种植或杂草的偶然引入导致了特异性致敏增加。同样,新食物的引入或食品加工工艺创造了新的食物变应原和过敏情况。此外,自从发现酶联免疫吸附测定(ELISA)技术能够测量微量这些变应原后,一些知名气传变应原的分布情况也更为人所知。当今一个亟待解决的问题是,刺激性因素是否会改变变应原。在空气污染物与变应原相互作用领域,可用数据很少,有时甚至相互矛盾。