Margaret A. Reed

Basidiomycete mycelia and spore-allergen extracts: Skin test reactivity in adults with symptoms of respiratory allergy

One hundred fifty adults, with respiratory-allergic disease, and 14 control subjects, without symptoms of respiratory allergy, were skin prick tested with 16 common inhalant allergens, 12 extracts of mycelia from Basidiomycetes grown in vitro, and/or 10 to 15 basidiospore extracts. Eighty-three subjects (58%) had positive skin tests to two or more of the common inhalant allergens. Twenty-seven percent of the study subjects had positive skin reactions to one or more of the Basidiomycete mycelia extracts, and 32% demonstrated positive skin reactions to one or more basidiospore extracts. None of the 14 control subjects had positive skin reactivity to basidiospore extracts. Skin prick reactivity of study subjects to 15 different basidiospore extracts ranged from 5% for Cantharellus cibarius to 17% for Scleroderma sp. The prevalence of skin test reactivity to basidiospores did not differ significantly from the reactivity to commercial mold extracts of several common species of the Fungi Imperfecti (6% for Cladosporium herbarum or Penicillium notatum to 13% for Alternaria tenuis). These results demonstrate that a significant number of individuals reporting symptoms of respiratory allergy have skin test reactivity to basidiospores and suggest that these spores are important fungal aeroallergens in the New Orleans environment.

Basidiomycete allergy: measurement of spore-specific IgE antibodies

RAST with 12 basidiospore extracts demonstrated that a significant percent of 42 individuals with symptoms of perennial rhinitis and/or asthma and skin reactivity to at least one spore extract had spore-specific IgE antibodies. These antibodies were not demonstrable in 14 atopic, symptomatic, skin test negative control subjects nor in five nonatopic, asymptomatic control subjects. There was a statistically significant association between RAST and skin test results for all but three of the spore extracts. A statistically significant association was also observed between RAST results obtained with most of the different spore extracts. A similar association was present for skin test results with different spore extracts. These results provide evidence that basidiospore extracts are suitable allergens for use in diagnostic studies of respiratory disease associated with exposure to basidiomycetes.

Imported fire ant allergy in young children: Skin reactivity and serum IgE antibodies to venom and whole body extract

We studied 19 young children (aged 15 to 39 months) who had had a systemic allergic reaction after imported fire ant (IFA) sting. Skin testing was performed with whole body extract (WBE) of both Solenopsis species; positive reactions to S. invicta was noted in 94% and to S. richteri in 100%. Serum was tested for total IgE level and for specific IgE antibodies by RAST with WBE and venom (V) of S. invicta. In vitro results were compared with those of 19 age and sex-matched atopic control subjects. The range of total serum IgE level was 31 to 1720 IU/ml (geometric mean 160 IU/ml), compared with 7.5 to 6756 IU/ml (geometric mean 85 IU/ml) in the control subjects. The difference between the two groups, however, was not statistically significant (p greater than 0.05). In the IFA-allergic group, the IFA WBE RAST mean binding was 13.5% (range 2.0% to 30.2%), and the IFA V RAST mean was 29.2% (range 7.8% to 46.7%). The control sera demonstrated low levels of activity to both IFA WBE RAST (0.7% to 4.8%) and IFA V RAST (0.7% to 5.9%). IFA WBE RAST demonstrated that 26% of the IFA-allergic patients had counts within the range of the atopic control subjects. In contrast, the IFA V RAST clearly separated all IFA-allergic patients from their age and sex-matched atopic control subjects. A scoring system for IFA V RAST is proposed. These results demonstrate superiority of IFA V over IFA WBE RAST in the diagnosis of allergy to S. invicta.

Basidiomycete allergy: what is the best source of antigen?

Skin prick test activity and antigenicity of extracts of in vitro growth of the Basidiomycete Pleurotus ostreatus (PO) were compared to extracts of spores from PO growing in the wild. Patients demonstrated significant differences in skin test reactivity to the PO extracts. Some reacted only to in vitro growth extracts, others only to the spore extracts and 1 patient to all extracts. Further studies analyzed antigens present in all extracts with rabbit antisera to PO. Common as well as unique antigens were present in the spore extracts as compared to those from in vitro preparations. The fact that spores contain unique antigens suggests that basidiospores may be the best source of relevant allergens for clinical studies.

Studies on the Antigenic Composition of Aqueous Cotton Dust Extracts

An immune response to cotton dust components has been proposed as a possible mechanism of byssinosis. To evaluate this possibility, specific precipitating antibodies against aqueous cotton dust extracts (ACDE) were raised in rabbits, and a reference pattern for crossed immunoelectrophoresis (CIE) was established using this extract. A significant portion of the immune response was directed against Alternaria tenuis, Aspergillus niger, and Fusarium solani, all documented contaminants of cotton dust. Preliminary crossed radio-immunoelectrophoretic studies demonstrated that some of these antigens are allergenic in man, suggesting that an IgE-mediated hypersensitivity against cotton dust, or a fungal component of the dust, may be important in byssinosis pathogenesis.

Evaluation of immune parameters in HIV+ subjects reporting adverse reactions to sulfamethoxazole

Trimethoprim-sulfamethoxazole (TMP-SMX) is frequently used in human immunodeficiency virus (HIV)-infected patients (HIV+) for treatment or prophylaxis of Pneumocystis carinii pneumonia (PCP). Up to 80% of those patients report adverse reactions to that drug combination. To test the hypothesis that these reactions are immunologically mediated, we quantitated specific IgG and IgE SMX-human serum albumin (HSA) antibodies and immune complexes (IC) in HIV+ patients and in HIV controls. Patients with mild HIV disease had elevated specific SMX-HSA IgG and IC levels compared with those having severe disease or with controls. Conversely, patients with severe HIV disease had statistically elevated levels of specific IgE when compared with patients having milder disease or with controls. There were no differences in either specific antibody or IC levels between patients reporting adverse reactions and those who did not. Results suggest that there are increased levels of SMX-HSA-specific antibodies in some HIV+ patients. The presence of these antibodies appears to be related to severity of disease, rather than clinically significant drug sensitivity.

Imported fire ant (IFA) sensitivity: IFA-specific levels of serum IgG and IgG4

Imported fire ant (IFA) whole body extract (WBE) and venom (V)-specific IgG and IgG4 antibodies and specific IgE antibodies were evaluated in sera from 56 IFA-sensitive individuals (18 undergoing immunotherapy with IFAWBE and 38 individuals not being treated) and 44 nonatopic and atopic control subjects with no history of IFA allergy. Although there was no difference in the level of IFAWBE- or IFAV-specific IgG between treated and untreated patients, both groups had higher levels of IFAWBE- and IFAV-specific IgG (p less than 0.05) than did control subjects. Patients receiving treatment tended to have higher levels of IFAWBE-specific IgG4 than did either untreated patients (0.05 less than p less than 0.10) or control subjects (p less than 0.05). Levels of IFAV-specific IgG4 were higher in treated patients than in control subjects (p less than 0.05) but were not different between treated and untreated patients. Levels of IFAWBE- and IFAV-specific IgE antibodies did not differ between the two patient populations but were higher in both groups than in control subjects (p less than 0.05). The ratio of IgG4 to IgE (G4/E) for both IFAWBE and IFAV was calculated for all groups. The ratios of IFAWBE- and IFAV-specific G4/E were higher in treated patients and in control subjects as compared to nontreated patients (p less than 0.05). IFAV-specific G4/E ratios were lower in treated patients than in control subjects, but IFAWBE-specific G4/E ratios were the same as ratios for control subjects.(ABSTRACT TRUNCATED AT 250 WORDS)

Quantitation of specific igg, iga, and igm antibodies directed against four species of basidiomycetes

Abstract Specific IgG, IgA, and IgM antibodies to aqueous extracts of Coprinus quadrifidus, Pleurotus ostreatus, Calvatia cyathiformis, and Psilocybe cubensis were assessed using an enzyme linked immunosorbent assay (ELISA) in basidiomycete radioallergosorbent test (RAST) positive atopics (Gr 1), RAST negative atopics (Gr 2), and RAST negative, non-atopics (Gr 3). ELISA values are presented as mean optical density ± sem. For C. quadrifidus, elevated specific IgA levels (0.33 ± 0.08, p=0.02) were shown in Gr 1, as compared with Gr 2 (0.129 ± 0.04) and Gr 3 (0.163 ± 0.02). For P. ostreatus, specific IgA levels (0.534 ± 0.15) were also elevated (p=0.003) in Gr 1, when compared with Gr 2 (0.389 ± 0.01) and Gr 3 (0.121 ± 0.03). For C. cyathiformis and P. cubensis, specific IgA levels in Gr 1 were higher than those in Gr 2 and Gr 3, however, these were not significantly elevated. For P. cubensis, specific IgM levels were elevated (p=0.03) in Gr 2 (0.666 ± 0.081) when compared with Gr 1 (0.505 ± 0.056) and Gr 3 ...

In vitro effects of aqueous cotton dust extract on leucocyte cyclic adenosine monophosphate levels.

Aqueous cotton dust extracts (ACDE) stimulated production of cyclic adenosine monophosphate (cAMP) in normal human peripheral blood mononuclear leucotytes (MNL). This response was not due to prostaglandin production by monocytes or platelets in the cell preparation nor to stimulation of the beta-adrenergic or H2 receptors; however, desensitization experiments indicated that the response may be receptor mediated. The possible involvement of such receptor desensitization in byssinosis pathogenesis is discussed.

Biochemical and immunologic characterization of cotton bract extract and its effect on in vitro cyclic AMP production. I. Field-dried bract.

Field-dried cotton bract, a contaminant of cotton dust, has been implicated in byssinosis pathogenesis. The results from this study demonstrated that a standard bract extract (FDBE) could be prepared. FDBE was antigenic in rabbits; however, precipitating antibodies were not detectable in the serum of cotton textile mill workers. Although exposure of mononuclear leukocytes (MNL) to FDBE did not alter intracellular cyclic AMP levels, it did induce changes in the cyclic AMP response of MNL to isoproterenol and prostaglandin E1. These changes were FDBE dose-dependent. The possible relationship of these findings to pathogenesis of byssinosis is discussed.