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Allergol Int. 2021 Jul;70(3):303-312. doi: 10.1016/j.alit.2021.04.001. Epub 2021 Apr 24.

Respiratory sensitization to insect allergens: Species, components and clinical symptoms.

Allergology international : official journal of the Japanese Society of Allergology

Yuma Fukutomi, Yuji Kawakami

Affiliations

  1. Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Sagamihara, Kanagawa, Japan. Electronic address: [email protected].
  2. Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, Sagamihara, Kanagawa, Japan; Laboratory of Integrated Pest Management, FCG Research Institute, Inc., Tokyo, Japan.

PMID: 33903033 DOI: 10.1016/j.alit.2021.04.001

Abstract

Airborne insect particles have been identified as an important cause of respiratory allergies, including allergic asthma and rhinitis. In the literature, the significance of respiratory exposure to insect particles as a cause of occupational allergy has been well-documented. Indeed, many cases of occupational allergy have been reported including allergy to the larvae of flies and moths in anglers and occupationally exposed workers, to grain pests in bakers or other workers handling grains, and to crickets and/or locusts in researchers and workers in aquaculture companies. Furthermore, the prevalence of sensitization to insect allergens is considerably high among patients with asthma and/or rhinitis who are not occupationally exposed to insects, suggesting the clinical relevance of exposure to insects in indoor and outdoor environmental non-occupational settings. Exposure to cockroaches, a well-studied indoor insect, is associated with cockroach sensitization and the development and exacerbation of asthma. Booklice, another common indoor insect, were recently identified as a significant sensitizer of asthmatic patients in Japan and India, and potentially of asthma patients living in warm and humid climates around the world. Lip b 1 was identified as an allergenic protein contributing to the species-specific sensitization to booklice. Moths are considered a significant seasonal outdoor allergen and their allergens are considered to have the highest sensitization rate among Japanese patients. However, other than cockroaches, allergenic insect proteins contributing to sensitization have not been fully characterized to date.

Copyright © 2021 Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved.

Keywords: Allergy; Asthma; Insect; Occupational allergy; Sensitization

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