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Cockroach allergens: environmental distribution and relationship to disease (2001)

  • Authors:
  • USP affiliated authors: FERRIANI, VIRGINIA PAES LEME - FMRP
  • USP Schools: FMRP
  • DOI: 10.1007/s11882-001-0035-1
  • Subjects: HIPERSENSIBILIDADE; ASMA; BARATAS
  • Language: Inglês
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    Informações sobre o DOI: 10.1007/s11882-001-0035-1 (Fonte: oaDOI API)
    • Este periódico é de assinatura
    • Este artigo NÃO é de acesso aberto
    • Cor do Acesso Aberto: closed
    Informações sobre o Citescore
  • Título: Current Allergy and Asthma Reports

    ISSN: 1529-7322

    Citescore - 2017: 3.1

    SJR - 2017: 1.049

    SNIP - 2017: 0.988


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    • ABNT

      ARRUDA, L. Karla; FERRIANI, Virgínia Paes Leme; VAILES, Lisa D.; POMÉS, Anna; CHAPMAN, Martin D. Cockroach allergens: environmental distribution and relationship to disease. Current Allergy and Asthma Reports, Washington, v. 1, p. 466-473, 2001. DOI: 10.1007/s11882-001-0035-1.
    • APA

      Arruda, L. K., Ferriani, V. P. L., Vailes, L. D., Pomés, A., & Chapman, M. D. (2001). Cockroach allergens: environmental distribution and relationship to disease. Current Allergy and Asthma Reports, 1, 466-473. doi:10.1007/s11882-001-0035-1
    • NLM

      Arruda LK, Ferriani VPL, Vailes LD, Pomés A, Chapman MD. Cockroach allergens: environmental distribution and relationship to disease. Current Allergy and Asthma Reports. 2001 ; 1 466-473.
    • Vancouver

      Arruda LK, Ferriani VPL, Vailes LD, Pomés A, Chapman MD. Cockroach allergens: environmental distribution and relationship to disease. Current Allergy and Asthma Reports. 2001 ; 1 466-473.

    Referências citadas na obra
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    Rosenstreich DL, Eggleston PA, Kattan M, et al.: The role of cockroach allergy and exposure to cockroach allergen in causing morbidity among inner-city children with asthma. N Engl J Med 1997, 336:1356–1362. The National Cooperative Inner-City Asthma Study (NCICAS) is following a large group of children with asthma, age 4 to 9 years old, living in eight inner-city areas in the United States. The results on 476 children, of whom complete data on sensitization and home allergens levels were available, were reported in this study. Children underwent skin testing with extracts of common inhalant allergens, including dust mites and cockroach. Major allergens from mites, cat and cockroach were quantitated by ELISA in dust samples from the subjects’ houses. The combination of sensitization to cockroach and exposure to high levels of cockroach allergen in the home was strongly associated with hospitalization and other parameters of asthma morbidity in these children, including days of wheezing and loss of schooling. Similar association was not found for mite or cat allergy. This study shows that immediate hypersensitivity to cockroach allergens is common among children with asthma (36.8%).
    Gergen PJ, Mortimer KM, Eggleston PA, et al.: Results of the National Cooperative Inner-city Asthma Study (NCICAS) environmental intervention to reduce cockroach allergen exposure in inner-city homes. J Allergy Clin Immunol 1999, 103:501–506. Measures for decreasing exposure to cockroach allergens are not well established. In this study, cockroach abatement was carried out by professional home extermination with Abamectin, combined with instructions on cockroach allergen removal, in a group of 265 inner-city families with asthmatic children. Levels of cockroach allergen Bla g 1 were measured in a subset of 48 homes, approximately 2, 6 and 12 months following the extermination. There was a significant, but transient, decrease in cockroach allergen; however the levels remained above those reported to cause clinical symptoms among asthmatic individuals.
    Eggleston PA, Wood RA, Rand C, et al.: Removal of cockroach allergen from inner city homes. J Allergy Clin Immunol 1999, 104:842–846. In this study, professional cockroach extermination using Abamectin was combined with professional cleaning, in an attempt to reduce cockroach allergen in the homes of 13 inner-city families living in Baltimore. Kitchens received a thorough cleaning and vacuuming, followed by application of Abamectin, and subsequent cleaning. Abamectin was also applied to other sites in the house. Cockroach allergen Bla g 1 levels showed a significant reduction over a period of 8 months; however, residual allergen was still detectable in levels considered clinically significant. Based on these studies, removal of cockroach allergens appears to be difficult, despite successful extermination of the cockroach populations. However, it has not been established whether the reductions achieved would cause improvement in symptoms among these patients.
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    Santos ABR, Chapman MD, Aalberse RC, et al.: Cockroach allergens and asthma in Brazil: Identification of tropomyosin as a major allergen with potential cross-reactivity with mite and shrimp allergens. J Allergy Clin Immunol. 1999, 104:329–337. In Brazil, 55% of children and young adults with asthma and/or allergic rhinitis have positive skin tests to cockroach extracts. This frequency is comparable to that of some inner-city areas in the US. The identification of tropomyosin as a major allergen from the American cockroach (Periplaneta americana), using molecular cloning techniques, raises issues about whether this might have clinical implications for cross-sensitization and development of asthma. Tropomyosins have been previously identified as major allergens in mites and shrimp, and they are responsible for the extensive cross-reactivity among Crustacea and Mollusca. A high degree of sequence identity (80% to 82%) was found between cockroach tropomyosin and tropomyosins from mites and shrimp.
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    Wu CH, Lee MF, Liao SC, Luo SF: Sequence analysis of cDNA clones encoding the American cockroach Cr-PI allergens. J Biol Chem 1996, 271:17937–17943.
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    Chapman MD, Smith AM, Vailes LD, et al.: Recombinant allergens for diagnosis and therapy of allergic diseases. J Allergy Clin Immunol 2000, 106:409–418. Sensitization to indoor allergens is the strongest risk factor associated with asthma, and immunologic intervention to reduce the prevalence of asthma is a major challenge. This review focuses on studies of recombinant indoor allergens and their potential use in new strategies for diagnosis and treatment of allergic diseases.
    Reese G, Ayuso R, Lehrer SB: Tropomyosin: an invertebrate pan-allergen. Int Arch Allergy Immunol 1999, 119:247–258. An excellent review on the structure and antigenic relationships among tropomyosins. The issue of cross-reactivity among tropomyosins from crustaceans, insects and arachnids, as well as other invertebrates, including mollusks and parasites, is discussed in detail. It is suggested that tropomyosin is an important crosssensitizing pan-allergen, which may be involved in reactions to food allergens, cockroach, mites, and intestinal parasites.
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    Gold DR, Burge HA, Carey V, et al.: Predictors of repeated wheeze in the first year of life. Am J Respir Crit Care Med 1999, 160:227–236. This prospective birth cohort of children born from parents with asthma or allergy, living in metropolitan Boston, is designed to investigate relationships between early exposure to indoor allergens (in the first 3 months of life), and the development of asthma. In a group of 499 children, exposure to cockroach allergen in the family room was strongly associated with repeated wheeze in the first year of life, even after adjustments for several other variables including race and income had been made. The fact that early exposure to cockroach, and not to mites or cats, was associated with recurrent wheezing is intriguing, and raises questions regarding the role of cockroach allergens in sensitization. At present, it is not known whether cockroach allergens could promote bronchial inflammation through non IgE-mediated mechanisms.
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