Abstract
This study is the first report on the epidemiological status of house dust mite (HDM) allergy in Pothwar, Pakistan. Allergy data of 2087 symptomatic patients were obtained, of whom 1706 (81.7%) patients were skin-prick-test positive for HDM allergens. This percentage was significantly higher than for pollen and food allergens. In the results of this study Dermatophagoides farinae (61%) and D. pteronyssinus (29%) were the predominant species in the study area. Besides these pyroglyphids, predatory Cheyletus sp. (10%) and an oribatid mite sp. (1%) were also observed. Random and patients’ houses showed 87.4 and 87.1% positive mite infestation, respectively. Mean (± SEM) D. farinae counts per g of dust in random samples was 235.4 ± 7.93 compared to 274.7 ± 10.78 from patients’ homes. Mean D. pteronyssinus counts from random houses compared to patients’ houses were 115.0 ± 4.57 and 124.6 ± 5.76, respectively. Mite counts depicted seasonal variation, with peaks during monsoon season. ELISA results of dust samples demonstrated that of the dust samples with > 10 µg/g of dust, the threshold value described as a risk factor for developing asthma, 57.6% had Der f1 and 20% Der p1 allergen load. Mean Der f1 burden was significantly higher than Der p1, with maximum levels during monsoon and autumn seasons. This research established a better awareness about the epidemiological status of HDM allergy and prevalence of allergy causing HDM species in Pakistan.
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References
Abbas S, Katelaris CH, Singh AB et al (2012) World allergy organization study on aerobiology for creating first pollen and mold calendar with clinical significance in Islamabad, Pakistan: a project of world allergy organization and Pakistan allergy, asthma and clinical immunology Centre of Islamabad. World Allergy Organ J 5:103–110. https://doi.org/10.1097/WOX.0b013e31826421c8
Amoli K, Cunnington AM (1977) House dust mites in Iran. Clin Allergy 7:93–101
Arlian LG, Platts-Mills TA (2001) The biology of dust mites and the remediation of mite allergens in allergic disease. J Allergy Clin Immunol 107:S406–S413
Assarehzadegan MA, Shakurnia A, Amini A (2013) The most common aeroallergens in a tropical region in Southwestern Iran. World Allergy Organ J 6:7. https://doi.org/10.1186/1939-4551-6-7
Aykut M, Erman OK, Doğan S (2016) Variability in population density of house dust mites of Bitlis and Muş, Turkey. J Med Entomol 53:513–518. https://doi.org/10.1093/jme/tjw009
Beasley R, Ellwood P, Asher I (2003) International patterns of the prevalence of pediatric asthma the ISAAC program. Pediatr Clin North Am 50:539–553
Beroiz B, Couso-Ferrer F, Ortego F et al (2014) Mite species identification in the production of allergenic extracts for clinical use and in environmental samples by ribosomal DNA amplification. Med Vet Entomol 28:287–296. https://doi.org/10.1111/mve.12052
Boquete M, Iraola V, Fernandez-Caldas E et al (2006) House dust mite species and allergen levels in Galicia, Spain: a cross-sectional, multicenter, comparative study. J Investig Allergol Clin Immunol 16:169–176
Calvo M, Fernandez-Caldas E, Arellano P, Marin F, Carnes J, Hormaechea A (2005) Mite allergen exposure, sensitisation and clinical symptoms in Valdivia, Chile. J Investig Allergol Clin Immunol 15:189–196
Colloff MJ (2009) Dust mites. Springer, Dordrecht
Colloff MJ, Stewart GA (1997) House dust mites. In: Barnes P, Grunstein MM, Leff AR, Woolcock AJ (eds) Asthma. Lippincott-Raven, Philadelphia, pp 1089–1103
Cruickshank RH (2002) Molecular markers for the phylogenetics of mites and ticks. Syst Appl Acarol 7:3–14. https://doi.org/10.11158/saa.7.1.1
Dautartiene A (2001) Seasonal changes in house dust mites. Ecology 2:1–5
Fain A, Guerin B, Hart B (1990) Mites and allergic disease. Allerbio, Varennes en Argonne
Faraji F, Bakker F (2008) A modified method for clearing, staining and mounting plant-inhabiting mites. Eur J Entomol 105:793–795
Feng M, Sun W, Cheng X (2009) Seasonal dynamics and distribution of house dust mites in China. Biosci Trends 3:210–215
Fereidouni M, Fereidouni F, Hadian M, Nourani Hasankiadeh S, Mazandarani M, Ziaee M (2013) Evaluation of the level of house dust mite allergens, Der p 1 and Der f 1 in Iranian homes, a nationwide study. Allergol Immunopathol (Madr) 41:381–386. https://doi.org/10.1016/j.aller.2012.10.013
Henszel L, Kalisinska E, Kosik-Bogacka D, Kuzna-Grygiel W (2010) Mites in dust samples collected from sleeping places in apartments. Pol J Environ Stud 19:723–730
Inam M, Shafique RH, Roohi N, Irfan M, Abbas S, Ismail M (2016) Prevalence of sensitization to food allergens and challenge proven food allergy in patients visiting allergy centers in Rawalpindi and Islamabad, Pakistan. Springerplus 5:1330. https://doi.org/10.1186/s40064-016-2980-0
Jalil S, Bajwa RA (2014) Allergic rhinitis pattern of allergen sensitivity. Pak J Med Health Sci 8:922–925
Johansson SG, Hourihane JO, Bousquet J et al (2001) A revised nomenclature for allergy. An EAACI position statement from the EAACI nomenclature task force. Allergy 56:813–824
Kampen H, Sternberg A, Proft J, Bastian S, Schaffner F, Maier WA, Seitz HM (2003) Polymerase chain reaction-based differentiation of the mosquito sibling species Anopheles claviger s.s. and Anopheles petragnani (Diptera: Culicidae). Am J Trop Med Hyg 69:195–199
Nabavizadeh SH, Al-Yasin S (2007) Distribution of allergens among allergic rhinitis patients living Shiraz (Iran) region. World Allergy Organ J S258
Nascimento JM, Reis-Avila G, Dutra MS, Silva DE, Castro LCd, Ferla NJ (2017) Seasonal and environmental variations in community structure of house dust mites (Acari) in subtropical southern Brazil. Int J Acarology 43:86–90. https://doi.org/10.1080/01647954.2016.1232309
Osakabe M, Hirose T, Sato M (2002) Discrimination of four Japanese Tetranychus species (Acari: Tetranychidae) using PCR-RFLP of the inter-transcribed spacer region of nuclear ribosomal DNA. Appl Entomol Zool (Jpn) 37:399–407. https://doi.org/10.1303/aez.2002.399
Poucher KL, Hutcheson HJ, Keirans JE, Durden LA, Black WC (1999) Molecular genetic key for the identification of 17 Ixodes species of the United States (Acari: Ixodidae): a methods model. J Parasitol 85:623–629
Prester L, Brcic Karaconji I, Macan J (2007) Determination of mite allergens in house dust using the enzyme immunoassay. Arh Hig Rada Toksikol 58:413–419. https://doi.org/10.2478/v10004-007-0034-2
Saha GK (2016) House dust mite allergy—indian perspective. In Dust Allergy: Cause and Concern (pp. 53–63). Springer, Singapore. https://doi.org/10.1007/978-981-10-1825-1_8
Sepasgosarian H, Mumcuoglu Y (1979) Faunistische und ökologische studien der hausstaubmilben in Iran. Int J Acarology 5:131–138
Shafique RH, Klimov PB, Inam M, Chaudhary FR, OConnor BM (2014) Group 1 allergen genes in two species of house dust mites, Dermatophagoides farinae and D. pteronyssinus (Acari: Pyroglyphidae): direct sequencing, characterization and polymorphism. PLoS One 9:e114636. https://doi.org/10.1371/journal.pone.0114636
Sinclair W, Coetzee L, Joubert G (2010) House-dust mite species in Bloemfontein, South Africa. S Afr Med J 100:164–167
Soleimani-Ahmadi M, Zare M, Abtahi SM, Khazeni A (2017) Species identification and prevalence of house dust mites as respiratory allergen in kindergartens of the Bandar Abbas City. Iran J Allergy Asthma Immunol 2017:7
Spertini F, Berney M, Foradini F, Roulet CA (2010) Major mite allergen Der f 1 concentration is reduced in buildings with improved energy performance. Allergy 65:623–629. https://doi.org/10.1111/j.1398-9995.2009.02230.x
Ullah S, Niazi SA, Akhter MR (2005) Allergens in allergic rhinitis. Pak Armed Forces Med J 55:126–128
Valdivieso R, Estupinan M, Iraola V (2010) Exposure to risky concentrations of Dermatophagoides allergens in a high-altitude population (Quito, 2800 m above sea level in the Andean Mountains). J Investig Allergol Clin Immunol 20:362–363
Valero A, Serrano C (2004) Are environmental controls effective for house-dust-mite allergies? Arch Bronconeumol 40:389–391
Voorhorst R (1967) Correspondence: of mites and men. Allergy 40:357–358
Wei DD, Yuan ML, Wang ZY, Wang D, Wang BJ, Dou W, Wang JJ (2011) Sequence analysis of the ribosomal internal transcribed spacers region in psocids (Psocoptera: Liposcelididae) for phylogenetic inference and species discrimination. J Econ Entomol 104:1720–1729
Wong SF, Chong AL, Mak JW, Tan J, Ling SJ, Ho TM (2011) Molecular identification of house dust mites and storage mites. Exp Appl Acarol 55:123–133. https://doi.org/10.1007/s10493-011-9460-6
Katelaris CH, Mir AK, Raza MS, Abbas S, Singh AB, Syed MH (2007) Aerobiology of Islamabad. World Allergy Organ J S258–S259
Yan DC, Chung FF, Lin SJ, Wan GH (2016) The relationships among Dermatophagoides pteronyssinus exposure, exhaled nitric oxide, and exhaled breath condensate pH levels in atopic asthmatic children. Medicine (Baltimore) 95:e4825. https://doi.org/10.1097/md.0000000000004825
Yang B, Cai J, Cheng X (2011) Identification of astigmatid mites using ITS2 and COI regions. Parasitol Res 108:497–503. https://doi.org/10.1007/s00436-010-2153-y
Yap J, Ching M, Cabanilla C, Ramos J (2014) Multiple house dust mite allergen-sensitization profiles in children with allergic asthma. J Allergy Ther 5:2
Zeytun E, Doğan S, Özçiçek F, Ünver E (2017) Sensitivity to house dust mites allergens in patients with allergic asthma in Erzincan Province, Turkey. Turkiye Parazitol Derg 41:34–41. https://doi.org/10.5152/tpd.2017.5059
Acknowledgements
The study was carried out under the financial support of Pakistan Science Foundation through its Project No. PSF/RES/C-IBGE/Med (318), funded to Institute of Biomedical Sciences and Genetic Engineering, Islamabad.
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Shafique, R.H., Akhter, S., Abbas, S. et al. Sensitivity to house dust mite allergens and prevalence of allergy-causing house dust mite species in Pothwar, Pakistan. Exp Appl Acarol 74, 415–426 (2018). https://doi.org/10.1007/s10493-018-0243-1
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DOI: https://doi.org/10.1007/s10493-018-0243-1