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Published in: Current Allergy and Asthma Reports 10/2018

01-10-2018 | Allergens (RK Bush and S Vieths, Section Editors)

Bedroom Allergen Exposure Beyond House Dust Mites

Authors: Paivi M. Salo, Richard D. Cohn, Darryl C. Zeldin

Published in: Current Allergy and Asthma Reports | Issue 10/2018

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Abstract

Purpose of Review

The review provides insight into recent findings on bedroom allergen exposures, primarily focusing on pet, pest, and fungal exposures.

Recent Findings

Large-scale studies and improved exposure assessment technologies, including measurement of airborne allergens and of multiple allergens simultaneously, have extended our understanding of indoor allergen exposures and their impact on allergic disease. Practical, streamlined methods for exposure reduction have shown promise in some settings, and potential protective effects of early-life exposures have been further elucidated through the investigation of specific bacterial taxa. Advances in molecular allergology have yielded novel data on sensitization profiles and cross-reactivity.

Summary

The role of indoor allergen exposures in allergic disease is complex and remains incompletely understood. Advancing our knowledge of various co-exposures, including the environmental and host microbiome, that interact with allergens in early life will be crucial for the development of efficacious interventions to reduce the substantial economic and social burden of allergic diseases including asthma.
Literature
10.
go back to reference • Salo PM, Wilkerson J, Rose KM, Cohn RD, Calatroni A, Mitchell HE, et al. Bedroom allergen exposures in US households. J Allergy Clin Immunol. 2018;141:1870–9.e14. https://doi.org/10.1016/j.jaci.2017.08.033. This comprehensive report on bedroom allergen exposures identifies factors that influence allergen levels and burden in U.S. homes. Differences and overlaps between exposure and sensitization patterns in the U.S. population highlight the complex nature of the relationships between allergen exposures, allergic sensitization, and disease. PubMedCrossRef • Salo PM, Wilkerson J, Rose KM, Cohn RD, Calatroni A, Mitchell HE, et al. Bedroom allergen exposures in US households. J Allergy Clin Immunol. 2018;141:1870–9.e14. https://​doi.​org/​10.​1016/​j.​jaci.​2017.​08.​033. This comprehensive report on bedroom allergen exposures identifies factors that influence allergen levels and burden in U.S. homes. Differences and overlaps between exposure and sensitization patterns in the U.S. population highlight the complex nature of the relationships between allergen exposures, allergic sensitization, and disease. PubMedCrossRef
12.
go back to reference Spilak MP, Boor BE, Novoselac A, Corsi RL. Impact of bedding arrangements, pillows, and blankets on particle resuspension in the sleep microenvironment. Build Environ. 2014;81:60–8.CrossRef Spilak MP, Boor BE, Novoselac A, Corsi RL. Impact of bedding arrangements, pillows, and blankets on particle resuspension in the sleep microenvironment. Build Environ. 2014;81:60–8.CrossRef
13.
go back to reference Eggleston PA, Rosenstreich D, Lynn H, Gergen P, Baker D, Kattan M, et al. Relationship of indoor allergen exposure to skin test sensitivity in inner-city children with asthma. J Allergy Clin Immunol. 1998;102:563–70.PubMedCrossRef Eggleston PA, Rosenstreich D, Lynn H, Gergen P, Baker D, Kattan M, et al. Relationship of indoor allergen exposure to skin test sensitivity in inner-city children with asthma. J Allergy Clin Immunol. 1998;102:563–70.PubMedCrossRef
15.
go back to reference Arbes SJ Jr, Cohn RD, Yin M, Muilenberg ML, Burge HA, Friedman W, et al. House dust mite allergen in US beds: results from the first National Survey of Lead and Allergens in Housing. J Allergy Clin Immunol. 2003;111:408–14.PubMedCrossRef Arbes SJ Jr, Cohn RD, Yin M, Muilenberg ML, Burge HA, Friedman W, et al. House dust mite allergen in US beds: results from the first National Survey of Lead and Allergens in Housing. J Allergy Clin Immunol. 2003;111:408–14.PubMedCrossRef
23.
go back to reference • Gergen PJ, Mitchell HE, Calatroni A, Sever ML, Cohn RD, Salo PM, et al. Sensitization and exposure to pets: the effect on asthma mMorbidity in the US population. J Allergy Clin Immunol Pract. 2018;6:101–7 e2. https://doi.org/10.1016/j.jaip.2017.05.019. This study showed that exposure to elevated levels of dog and cat allergens in the bedroom of atopic asthmatics sensitized to pets increased the number of asthma attacks significantly, suggesting that the combination of asthma, pet exposure, and pet sensitivity results in considerable excess asthma morbidity. PubMedCrossRef • Gergen PJ, Mitchell HE, Calatroni A, Sever ML, Cohn RD, Salo PM, et al. Sensitization and exposure to pets: the effect on asthma mMorbidity in the US population. J Allergy Clin Immunol Pract. 2018;6:101–7 e2. https://​doi.​org/​10.​1016/​j.​jaip.​2017.​05.​019. This study showed that exposure to elevated levels of dog and cat allergens in the bedroom of atopic asthmatics sensitized to pets increased the number of asthma attacks significantly, suggesting that the combination of asthma, pet exposure, and pet sensitivity results in considerable excess asthma morbidity. PubMedCrossRef
35.
go back to reference Custovic A, Simpson A, Pahdi H, Green RM, Chapman MD, Woodcock A. Distribution, aerodynamic characteristics, and removal of the major cat allergen Fel d 1 in British homes. Thorax. 1998;53:33–8.PubMedPubMedCentralCrossRef Custovic A, Simpson A, Pahdi H, Green RM, Chapman MD, Woodcock A. Distribution, aerodynamic characteristics, and removal of the major cat allergen Fel d 1 in British homes. Thorax. 1998;53:33–8.PubMedPubMedCentralCrossRef
42.
go back to reference Liccardi G, Triggiani M, Piccolo A, Salzillo A, Parente R, Manzi F, et al. Sensitization to common and uncommon pets or other furry animals: which may be common mechanisms? Transl Med UniSa. 2016;14:9–14.PubMedPubMedCentral Liccardi G, Triggiani M, Piccolo A, Salzillo A, Parente R, Manzi F, et al. Sensitization to common and uncommon pets or other furry animals: which may be common mechanisms? Transl Med UniSa. 2016;14:9–14.PubMedPubMedCentral
53.
go back to reference • Ahluwalia SK, Matsui EC. Indoor environmental interventions for furry pet allergens, pest allergens, and mold:looking to the future. J Allergy Clin Immunol Pract. 2018;6:9–19. https://doi.org/10.1016/j.jaip.2017.10.009. This article reviews recent findings on home environmental interventions targeting pet, pest, and mold allergens and their effects on specific indoor allergen levels and asthma-related outcomes. PubMedCrossRef • Ahluwalia SK, Matsui EC. Indoor environmental interventions for furry pet allergens, pest allergens, and mold:looking to the future. J Allergy Clin Immunol Pract. 2018;6:9–19. https://​doi.​org/​10.​1016/​j.​jaip.​2017.​10.​009. This article reviews recent findings on home environmental interventions targeting pet, pest, and mold allergens and their effects on specific indoor allergen levels and asthma-related outcomes. PubMedCrossRef
58.
go back to reference Tsolakis N, Malinovschi A, Nordvall L, Mattsson L, Lidholm J, Pedroletti C, et al. Sensitization to minor cat allergen components is associated with type-2 biomarkers in young asthmatics. Clin Exp Allergy. 2018; https://doi.org/10.1111/cea.13135. Tsolakis N, Malinovschi A, Nordvall L, Mattsson L, Lidholm J, Pedroletti C, et al. Sensitization to minor cat allergen components is associated with type-2 biomarkers in young asthmatics. Clin Exp Allergy. 2018; https://​doi.​org/​10.​1111/​cea.​13135.
73.
go back to reference •• Tun HM, Konya T, Takaro TK, Brook JR, Chari R, Field CJ, et al. Exposure to household furry pets influences the gut microbiota of infant at 3-4 months following various birth scenarios. Microbiome. 2017;5:40. https://doi.org/10.1186/s40168-017-0254-x. This article found differential impacts of pre- and postnatal pet exposure on infant gut microbiota, highlighting the need of further research in the field of early-life microbiome. PubMedPubMedCentralCrossRef •• Tun HM, Konya T, Takaro TK, Brook JR, Chari R, Field CJ, et al. Exposure to household furry pets influences the gut microbiota of infant at 3-4 months following various birth scenarios. Microbiome. 2017;5:40. https://​doi.​org/​10.​1186/​s40168-017-0254-x. This article found differential impacts of pre- and postnatal pet exposure on infant gut microbiota, highlighting the need of further research in the field of early-life microbiome. PubMedPubMedCentralCrossRef
76.
go back to reference Pyrhonen K, Kulmala P, Nayha S. Coincidence of pollen season with the first fetal trimester together with early pet exposure is associated with sensitization to cat and dog allergens in early childhood: a Finnish population-based study. Clin Exp Allergy. 2018;48:306–16. https://doi.org/10.1111/cea.13067.PubMedCrossRef Pyrhonen K, Kulmala P, Nayha S. Coincidence of pollen season with the first fetal trimester together with early pet exposure is associated with sensitization to cat and dog allergens in early childhood: a Finnish population-based study. Clin Exp Allergy. 2018;48:306–16. https://​doi.​org/​10.​1111/​cea.​13067.PubMedCrossRef
81.
go back to reference Price JA, Longbottom JL. ELISA method for measurement of airborne levels of major laboratory animal allergens. Clin Allergy. 1988;18:95–107.PubMedCrossRef Price JA, Longbottom JL. ELISA method for measurement of airborne levels of major laboratory animal allergens. Clin Allergy. 1988;18:95–107.PubMedCrossRef
84.
go back to reference Chew GL, Perzanowski MS, Miller RL, Correa JC, Hoepner LA, Jusino CM, et al. Distribution and determinants of mouse allergen exposure in low-income New York City apartments. Environ Health Perspect. 2003;111:1348–51.PubMedPubMedCentralCrossRef Chew GL, Perzanowski MS, Miller RL, Correa JC, Hoepner LA, Jusino CM, et al. Distribution and determinants of mouse allergen exposure in low-income New York City apartments. Environ Health Perspect. 2003;111:1348–51.PubMedPubMedCentralCrossRef
88.
go back to reference Phipatanakul W, Eggleston PA, Wright EC, Wood RA. Mouse allergen. I. The prevalence of mouse allergen in inner-city homes. The National Cooperative Inner-City Asthma Study. J Allergy Clin Immunol. 2000;106:1070–4.PubMedCrossRef Phipatanakul W, Eggleston PA, Wright EC, Wood RA. Mouse allergen. I. The prevalence of mouse allergen in inner-city homes. The National Cooperative Inner-City Asthma Study. J Allergy Clin Immunol. 2000;106:1070–4.PubMedCrossRef
91.
go back to reference Liccardi G, Salzillo A, Sofia M, Piccolo A, Dente B, Russo M, et al. Sensitization to rodents (mouse/rat) in an urban atopic population without occupational exposure living in Naples, Italy. Eur Ann Allergy Clin Immunol. 2012;44:200–4.PubMed Liccardi G, Salzillo A, Sofia M, Piccolo A, Dente B, Russo M, et al. Sensitization to rodents (mouse/rat) in an urban atopic population without occupational exposure living in Naples, Italy. Eur Ann Allergy Clin Immunol. 2012;44:200–4.PubMed
99.
go back to reference Perry T, Matsui E, Merriman B, Duong T, Eggleston P. The prevalence of rat allergen in inner-city homes and its relationship to sensitization and asthma morbidity. J Allergy Clin Immunol. 2003;112:346–52.PubMedCrossRef Perry T, Matsui E, Merriman B, Duong T, Eggleston P. The prevalence of rat allergen in inner-city homes and its relationship to sensitization and asthma morbidity. J Allergy Clin Immunol. 2003;112:346–52.PubMedCrossRef
102.
go back to reference •• O’Connor GT, Lynch SV, Bloomberg GR, Kattan M, Wood RA, Gergen PJ, et al. Early-life home environment and risk of asthma among inner-city children. J Allergy Clin Immunol. 2018;141:1468–75. https://doi.org/10.1016/j.jaci.2017.06.040. This study showed that higher levels of pet or pest allergens in early life were associated with reduced risk of asthma. The abundance of a number of bacterial taxa in house dust was associated with increased or decreased risk of asthma later in childhood, highlighting the relevance of indoor microbiome in early life. PubMedCrossRef •• O’Connor GT, Lynch SV, Bloomberg GR, Kattan M, Wood RA, Gergen PJ, et al. Early-life home environment and risk of asthma among inner-city children. J Allergy Clin Immunol. 2018;141:1468–75. https://​doi.​org/​10.​1016/​j.​jaci.​2017.​06.​040. This study showed that higher levels of pet or pest allergens in early life were associated with reduced risk of asthma. The abundance of a number of bacterial taxa in house dust was associated with increased or decreased risk of asthma later in childhood, highlighting the relevance of indoor microbiome in early life. PubMedCrossRef
103.
go back to reference Bernton HS, Brown H. Insect allergy--preliminary studies of the cockroach. J Allergy. 1964;35:506–13.PubMedCrossRef Bernton HS, Brown H. Insect allergy--preliminary studies of the cockroach. J Allergy. 1964;35:506–13.PubMedCrossRef
104.
go back to reference Call RS, Smith TF, Morris E, Chapman MD, Platts-Mills TA. Risk factors for asthma in inner city children. J Pediatr. 1992;121:862–6.PubMedCrossRef Call RS, Smith TF, Morris E, Chapman MD, Platts-Mills TA. Risk factors for asthma in inner city children. J Pediatr. 1992;121:862–6.PubMedCrossRef
105.
go back to reference Cohn RD, Arbes SJ Jr, Jaramillo R, Reid LH, Zeldin DC. National prevalence and exposure risk for cockroach allergen in U.S. households. Environ Health Perspect. 2006;114:522–6.PubMedCrossRef Cohn RD, Arbes SJ Jr, Jaramillo R, Reid LH, Zeldin DC. National prevalence and exposure risk for cockroach allergen in U.S. households. Environ Health Perspect. 2006;114:522–6.PubMedCrossRef
109.
go back to reference Sookrung N, Chaicumpa W. A revisit to cockroach allergens. Asian Pac J Allergy Immunol. 2010;28:95–106.PubMed Sookrung N, Chaicumpa W. A revisit to cockroach allergens. Asian Pac J Allergy Immunol. 2010;28:95–106.PubMed
116.
go back to reference Pomes A. Cockroach and other inhalant insect allergens. Clin Allergy Immunol. 2008;21:183–200.PubMed Pomes A. Cockroach and other inhalant insect allergens. Clin Allergy Immunol. 2008;21:183–200.PubMed
127.
go back to reference Matsui EC, Wood RA, Rand C, Kanchanaraksa S, Swartz L, Curtin-Brosnan J, et al. Cockroach allergen exposure and sensitization in suburban middle-class children with asthma. J Allergy Clin Immunol. 2003;112:87–92.PubMedCrossRef Matsui EC, Wood RA, Rand C, Kanchanaraksa S, Swartz L, Curtin-Brosnan J, et al. Cockroach allergen exposure and sensitization in suburban middle-class children with asthma. J Allergy Clin Immunol. 2003;112:87–92.PubMedCrossRef
136.
go back to reference •• Gold DR, Adamkiewicz G, Arshad SH, Celedon JC, Chapman MD, Chew GL, et al. NIAID, NIEHS, NHLBI, and MCAN Workshop Report: the indoor environment and childhood asthma-implications for home environmental intervention in asthma prevention and management. J Allergy Clin Immunol. 2017;140:933–49. https://doi.org/10.1016/j.jaci.2017.04.024. This article provides insights into the latest advances in asthma-related research, critically reviewing trials and research relevant to prevention or control of asthma, and proposing future research priorities. Recent findings on biologic properties of indoor exposures and new exposure assessment and reduction techniques are also discussed. PubMedCrossRefPubMedCentral •• Gold DR, Adamkiewicz G, Arshad SH, Celedon JC, Chapman MD, Chew GL, et al. NIAID, NIEHS, NHLBI, and MCAN Workshop Report: the indoor environment and childhood asthma-implications for home environmental intervention in asthma prevention and management. J Allergy Clin Immunol. 2017;140:933–49. https://​doi.​org/​10.​1016/​j.​jaci.​2017.​04.​024. This article provides insights into the latest advances in asthma-related research, critically reviewing trials and research relevant to prevention or control of asthma, and proposing future research priorities. Recent findings on biologic properties of indoor exposures and new exposure assessment and reduction techniques are also discussed. PubMedCrossRefPubMedCentral
140.
go back to reference Shelton BG, Kirkland KH, Flanders WD, Morris GK. Profiles of airborne fungi in buildings and outdoor environments in the United States. Appl Environ Microbiol. 2002;68:1743–53.PubMedPubMedCentralCrossRef Shelton BG, Kirkland KH, Flanders WD, Morris GK. Profiles of airborne fungi in buildings and outdoor environments in the United States. Appl Environ Microbiol. 2002;68:1743–53.PubMedPubMedCentralCrossRef
164.
go back to reference • Caillaud D, Leynaert B, Keirsbulck M, Nadif R. Indoor mould exposure, asthma and rhinitis: findings from systematic reviews and recent longitudinal studies. Eur Respir Rev. 2018;27 https://doi.org/10.1183/16000617.0137-2017. This article summarizes the most recent findings from systematic reviews, meta-analyses, and longitudinal studies on the relationships between mold exposure and asthma and allergic rhinitis, providing increasing evidence for an association. • Caillaud D, Leynaert B, Keirsbulck M, Nadif R. Indoor mould exposure, asthma and rhinitis: findings from systematic reviews and recent longitudinal studies. Eur Respir Rev. 2018;27 https://​doi.​org/​10.​1183/​16000617.​0137-2017. This article summarizes the most recent findings from systematic reviews, meta-analyses, and longitudinal studies on the relationships between mold exposure and asthma and allergic rhinitis, providing increasing evidence for an association.
194.
go back to reference Brandt M, Brown C, Burkhart J, Burton N, Cox-Ganser J, Damon S, et al. Mold prevention strategies and possible health effects in the aftermath of hurricanes and major floods. MMWR Recomm Rep. 2006;55:1–27.PubMed Brandt M, Brown C, Burkhart J, Burton N, Cox-Ganser J, Damon S, et al. Mold prevention strategies and possible health effects in the aftermath of hurricanes and major floods. MMWR Recomm Rep. 2006;55:1–27.PubMed
201.
go back to reference Raulf M, Buters J, Chapman M, Cecchi L, de Blay F, Doekes G, et al. Monitoring of occupational and environmental aeroallergens-- EAACI position paper. Concerted action of the EAACI IG occupational allergy and aerobiology & air pollution. Allergy. 2014;69:1280–99. https://doi.org/10.1111/all.12456.PubMedCrossRef Raulf M, Buters J, Chapman M, Cecchi L, de Blay F, Doekes G, et al. Monitoring of occupational and environmental aeroallergens-- EAACI position paper. Concerted action of the EAACI IG occupational allergy and aerobiology & air pollution. Allergy. 2014;69:1280–99. https://​doi.​org/​10.​1111/​all.​12456.PubMedCrossRef
202.
go back to reference • Tovey ER, Liu-Brennan D, Garden FL, Oliver BG, Perzanowski MS, Marks GB. Time-based measurement of personal mite allergen bioaerosol exposure over 24 hour periods. PLoS One. 2016;11:e0153414. https://doi.org/10.1371/journal.pone.0153414. This report describes the development of novel methods to determine patterns of personal exposure to dust mite allergens throughout the day, providing insights into spatial and temporal exposure patterns. PubMedPubMedCentralCrossRef • Tovey ER, Liu-Brennan D, Garden FL, Oliver BG, Perzanowski MS, Marks GB. Time-based measurement of personal mite allergen bioaerosol exposure over 24 hour periods. PLoS One. 2016;11:e0153414. https://​doi.​org/​10.​1371/​journal.​pone.​0153414. This report describes the development of novel methods to determine patterns of personal exposure to dust mite allergens throughout the day, providing insights into spatial and temporal exposure patterns. PubMedPubMedCentralCrossRef
Metadata
Title
Bedroom Allergen Exposure Beyond House Dust Mites
Authors
Paivi M. Salo
Richard D. Cohn
Darryl C. Zeldin
Publication date
01-10-2018
Publisher
Springer US
Published in
Current Allergy and Asthma Reports / Issue 10/2018
Print ISSN: 1529-7322
Electronic ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-018-0805-7

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