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Aeroallergens are known as the major cause of allergic respiratory diseases. The present study aimed to investigate the skin prick test (SPT) reactivity to the pollen of Conocarpus erectus trees and to find the association between the indoor and outdoor aeroallergens in the patients. In the present case series multicentre study, 104 patients with respiratory allergies such as allergic rhinitis and asthma who were referred to the Bushehr University allergy clinic participated. The SPT was applied by using the extract of Conocarpus erectus pollen and the other allergens to determine the patients' reactivity. The frequency of positive sensitivity to Conocarpus erectus pollen was 61 (58.6%) and it was 62.5%, 55.7%, and 53.8% for the tree pollen allergens Citrus X Sinensis, Morus rubra, and Phoenix dactylifera, respectively. In addition, the maximum frequency of sensitivity to other aeroallergens was with house dust mite (HDM) (78.8%), Salsola kali; 71.2%), and cockroach (71.2%). The maximum frequency of reactivity to food allergens was with egg yolk (37.6%), shrimp (37%), and beef (34.6%). This study concludes that the frequency of sensitivity to Conocarpus erectus pollen was high and similar to the pollen allergens of other trees that are widely cultivated in southern Iran. Green spaces are the key element of urban management, and the interaction between citizens and the environment, as well as promoting human health are very effective. Therefore, the lack of planning in urban populations in the choice of ornamental species can be a triggering factor, especially in patients with respiratory allergies. [ABSTRACT FROM AUTHOR]

Despite the recent increases in fungi-induced allergic diseases, there is no report yet in the region of the Persian Gulf on concentration levels of fungi in relationship with health state. Therefore, our aim was to measure fungi prevalence as well as to evaluate the relationships between air- and dust-borne fungal genera and allergic diseases. A matched case-control study was carried out including 45 allergic cases and 45 age- and gender-matched controls for each individual. Indoor and outdoor dust and indoor air samples were collected from participant homes during May to October 2015. A Quick Take 30 Pump and sterile wet swab were used to determine fungal types and their amounts in the air (CFU/m3) and dust (CFU/100 cm2) samples, respectively. A significant reverse association was found between indoor dust-borne Alternaria and asthma (Odds ratio (OR) = 0.14, 95% CI = 0.02–0.86). Contrarily, increased levels of indoor air-borne Aspegillus fumigatus (OR = 2.00, 95% CI = 0.37–10.55) and Alternaria (OR = 3.00, 95% CI = 0.34–25.83) were correlated with asthma development. Also, correlation analysis showed a significant relation between indoor air-borne Penicillium levels and reactivity to skin prick test in asthmatic patients (p= 0.04). Our findings support the notion that fungal exposures can either cause or prevent the development of allergic diseases. Accordingly, appropriate measures should be taken for a better management of fungi-induced allergic diseases. [ABSTRACT FROM AUTHOR]

In this study, we produced the recombinant form of parvalbumin from wolf-herring fish and determined its IgE reactivity. Parvalbumin cDNA was sub-cloned into pET28 and expressed inEscherichia coliBL-21. The immunoreactivities of the recombinant and native parvalbumins were compared, and the effect of calcium binding was determined by sera from 25 fish-allergic patients. ELISA and Western blotting confirmed similar IgE-reactivities of the recombinant and native proteins and confirmed that this phenomenon is highly dependent on calcium binding. The recombinant protein was 94.5% similar to carp parvalbumin (Cyp c1). Approximately 72% of patients reacted strongly with recombinant parvalbumin, 80% of them reacted with the native form and only 56% showed IgE reactivity with crude extract. Because the IgE-binding capacity of recombinant wolf-herring parvalbumin is retained and is highly similar to Cyp c1, the wild and hypoallergenic forms of this allergen could be used for diagnosis and immunotherapy of fish allergy, respectively. [ABSTRACT FROM AUTHOR]

ZAP-70 deficiency is a rare autosomal recessive form of combined immunodeficiency (CID) characterized by selective absence of circulating CD8 T cells with low, normal, or increased CD4 T cells in peripheral blood. Up to now, 14 unique mutations in theZAP70gene have been identified in patients with ZAP-70-related CID. We present a 3-year-old boy with a history of recurrent bacterial infections and autoimmunity. Initial laboratory findings showed a normal total lymphocyte count, but low levels of CD8 and CD4 T cells and an abnormal lymphocyte proliferation response. Immunoglobulin levels were normal, but the specific antibody response was impaired. Whole exome sequencing revealed a mutation within the kinase domain of ZAP-70. ZAP-70 deficiency should be considered in infants and young children with recurrent bacterial infections, in spite of having palpable lymph nodes, a notable thymus shadow, and a normal total lymphocyte count. [ABSTRACT FROM PUBLISHER]