Volume 10, Issue 2 (Vol.10 No.2 Jul 2021)                   rbmb.net 2021, 10(2): 257-265 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Fereidouni M, Mahdavi R, Mahmoudzade S, Rezapoor H, Fereidouni A, Bahrami A. Evaluation of The Safety and Efficacy of Newly Developed Domestic Allergenic Extracts for Skin Prick Testing. rbmb.net 2021; 10 (2) :257-265
URL: http://rbmb.net/article-1-609-en.html
Cellular and Molecular Research Center, Birjand University of Medical Sciences, Birjand, Iran
Abstract:   (2620 Views)
Background: Allergic disorders are common health problems worldwide with significant socio-economic impacts. The best diagnostic method using allergenic extract is the skin prick test. Regarding the effects of geo-climatic factors and allergenic extract source material quality, the aim of study was to determine the safety and efficacy of some in-house-developed allergenic extracts.

Methods: Forty-five different allergenic extracts, including common regional pollen, foods, and dog and cat hair, as well as positive and negative extracts, were prepared from domestic sources using optimum extraction methods. All extracts passed stability and sterility testing, and sterile final products containing 50% glycerin in 10 and 20 w/v concentrations were used. Skin prick testing was performed on volunteers and immediate or late side effects were recorded.

Results: In total, 56 students (mean age: 21.2±2.3y, M/F ratio: 1.07) participated in this study. For inhalant allergens, all extracts except dog hair extract caused positive responses. Salsola kali (Russian thistle) and Fraxinus velutina (ash tree) were the most common grass and tree pollen extracts, respectively. Of 18 different food extracts, five, including egg white, tomato, fig, melon, and green pepper caused skin reactivity in only one person. No participant reported any immediate or late side effects, including large local reaction or systemic response.

Conclusions: The result of the current study confirmed the safety of all our in-house-developed allergenic extracts. Regarding efficacy, almost all inhalant and five food allergens caused positive skin responses.
Full-Text [PDF 427 kb]   (1250 Downloads)    
Type of Article: Original Article | Subject: Immunology
Received: 2020/11/15 | Accepted: 2020/12/13 | Published: 2021/08/26

References
1. Zhang Y, Zhang L. Increasing prevalence of allergic rhinitis in China. Allergy Asthma Immunol Res. 2019;11(2):156-169. [DOI:10.4168/aair.2019.11.2.156] [PMID] [PMCID]
2. Fereidouni M, Abolhasani A, Vahedi F, Shakeri MT, Varasteh A. A preliminary survey of the prevalence of allergic disorders in a questionnaire-based study in Boshroye, a rural area of Iran. Journal of Public Health. 2010;18:119-121. [DOI:10.1007/s10389-009-0291-4]
3. Bousquet PJ, Chinn S, Janson C, Kogevinas M, Burney P, Jarvis D. Geographical variation in the prevalence of positive skin tests to environmental aeroallergens in the European Community Respiratory Health Survey I. Allergy. 2007;62(3):301-9. [DOI:10.1111/j.1398-9995.2006.01293.x] [PMID]
4. Arnedo-Pena A, García-Marcos L, García GH, Aguinagua IO, González CD, Morales MS-V, et al. Time trends and geographical variations in the prevalence of symptoms of allergic rhinitis in 6-7-year-old children from eight areas of Spain according to the ISAAC. An Pediatr (Barc). 2005;62(3):229-36. [DOI:10.1157/13071837] [PMID]
5. Greiner AN, Hellings, PW, Rotiroti G, Scadding, GK. Allergic rhinitis. Lancet. 2011;378(9809):2112-22. [DOI:10.1016/S0140-6736(11)60130-X]
6. Larenas-Linnemann DE, Fogelbach GA, Alatorre AM, Cruz AA, Colin DD, Pech JA, et al. Patterns of skin prick test positivity in allergic patients: usefulness of a nationwide SPT chart review. Allergol Immunopathol (Madr). 2011;39(6):330-6. [DOI:10.1016/j.aller.2010.09.006] [PMID]
7. Larenas-Linnemann D, Michels A, Dinger H, Shah-Hosseini K, Mosges R, Arias-Cruz A, et al. Allergen sensitization linked to climate and age, not to intermittent-persistent rhinitis in a cross-sectional cohort study in the (sub)tropics. Clin Transl Allergy. 2014;4:20. [DOI:10.1186/2045-7022-4-20] [PMID] [PMCID]
8. Savi E, Peveri S, Cavaliere C, Masieri S, Montagni M. Laboratory tests for allergy diagnosis. J Biol Regul Homeost Agents. 2018;32(1 Suppl. 1):25-28.
9. Heinzerling L, Mari A, Bergmann KC, Bresciani M, Burbach G, Darsow U, et al. The skin prick test - European standards. Clin Transl Allergy. 2013;3(1):3. [DOI:10.1186/2045-7022-3-3] [PMID] [PMCID]
10. Reid MJ, Lockey RF, Turkeltaub PC, Platts-Mills TA. Survey of fatalities from skin testing and immunotherapy 1985-1989. J Allergy Clin Immunol. 1993;92(1 Pt 1):6-15. [DOI:10.1016/0091-6749(93)90030-J]
11. Turkeltaub PC, Gergen PJ. The risk of adverse reactions from percutaneous prick-puncture allergen skin testing, venipuncture, and body measurements: data from the Second National Health and Nutrition Examination Survey 1976-1980 (NHANES II). Journal of allergy and clinical immunology. 1989;84(6):886-890. [DOI:10.1016/0091-6749(89)90384-9]
12. Codreanu F, Moneret-Vautrin D, Morisset M, Guénard L, Rancé F, Kanny G, et al. The risk of systemic reactions to skin prick-tests using food allergens: CICBAA data and literature review. Eur Ann Allergy Clin Immunol. 2006;38(2):52-4.
13. Focke M, Marth K, Flicker S, Valenta R. Heterogeneity of commercial timothy grass pollen extracts. Clin Exp Allergy. 2008;38(8):1400-8. [DOI:10.1111/j.1365-2222.2008.03031.x] [PMID]
14. Nielsen NH, Dirksen A, Mosbech H, Launbjerg J, Biering I, Soborg M. Skin prick testing with standardized extracts from 3 different manufacturers. A comparative randomized study. Allergol Immunopathol (Madr). 1992;20(6):246-8.
15. Bijli KM, Singh BP, Sridhara S, Gaur SN, Arora N. Standardizing Imperata cylindrica--source material for quality allergen preparations. J Immunol Methods. 2002;260(1-2):91-6. [DOI:10.1016/S0022-1759(01)00523-3]
16. Esch RE. Allergen source materials: state-of-the-art. Arb Paul Ehrlich Inst Bundesinstitut Impfstoffe Biomed Arzneim Langen Hess. 2009;96:5-11: discussion 11.
17. Codina R, Crenshaw RC, Lockey RF. Considerations About Pollen Used for the Production of Allergen Extracts. J Allergy Clin Immunol Pract. 2015;3(5):676-82. [DOI:10.1016/j.jaip.2015.04.003] [PMID]
18. Lee SC, Sim DW, Lee J, Jeong KY, Park KH, Lee JH, et al. Comparison between Newly Developed and Commercial Inhalant Skin Prick Test Reagents Using In Vivo and In Vitro Methods. J Korean Med Sci. 2018;33(13):e101. [DOI:10.3346/jkms.2018.33.e101] [PMID] [PMCID]
19. Visitsunthorn N, Visitsuntho K, Pacharn P, Jirapongsananuruk O, Bunnag C. Comparison of the efficacy and safety of pollen allergen extracts using skin prick testing and serum specific IgE as references. Asian Pac J Allergy Immunol. 2017;35(4):191-195.
20. Lin MS, Tanner E, Lynn J, Friday JG. Nonfatal systemic allergic reactions induced by skin testing and immunotherapy. Ann Allergy. 1993;71(6):557-62.
21. Devenney I, Fälth-Magnusson K. Skin prick tests may give generalized allergic reactions in infants. Ann Allergy Asthma Immunol. 2000;85(6 Pt 1):457-60. [DOI:10.1016/S1081-1206(10)62571-9]
22. Norrman G, Fälth‐Magnusson K. Adverse reactions to skin prick testing in children-prevalence and possible risk factors. Pediatr Allergy Immunol. 2009;20(3):273-8. [DOI:10.1111/j.1399-3038.2008.00761.x] [PMID]
23. Dykewicz MS, Lemmon JK, Keaney DL. Comparison of the Multi-Test II and Skintestor Omni allergy skin test devices. Ann Allergy Asthma Immunol. 2007;98(6):559-62. [DOI:10.1016/S1081-1206(10)60735-1]
24. Engler D. Device Technique Used in Skin Test Study. J Allergy Clin Immunol Pract. 2016;4(4):791. [DOI:10.1016/j.jaip.2016.02.021] [PMID]
25. Buyuktiryaki B, Sahiner UM, Karabulut E, Cavkaytar O, Tuncer A, Sekerel BE. Optimizing the use of a skin prick test device on children. Int Arch Allergy Immunol. 2013;162(1):65-70. [DOI:10.1159/000350788] [PMID]
26. Werther RL, Choo S, Lee KJ, Poole D, Allen KJ, Tang ML. Variability in skin prick test results performed by multiple operators depends on the device used. World Allergy Organ J. 2012;5(12):200-4. [DOI:10.1097/WOX.0b013e31827e6513] [PMID] [PMCID]
27. Ronchetti R, Villa MP, Bohmerova Z, Martella S, Falasca C, Barreto M, et al. Skin reactivity to histamine and codeine in unselected 9-year-old children from Italy, Poland and Libya. Int Arch Allergy Immunol. 2004;135(2):136-42. [DOI:10.1159/000080656] [PMID]
28. Fereidouni M, Hossini RF, Azad FJ, Assarezadegan MA, Varasteh A. Skin prick test reactivity to common aeroallergens among allergic rhinitis patients in Iran. Allergol Immunopathol (Madr). 2009;37(2):73-9. [DOI:10.1016/S0301-0546(09)71108-5]
29. Zare Marzouni H, Akrami R, Shalilian M, Kalani N, Noori Ahmad Abadi M, Kooti W. Investigating the Prevalence, Determining the Effects of Immunologic Sensitization and Clinical Symptoms Related to Allergens Existing in Khuzestan Province. Journal of Fasa University of Medical Sciences. 2016;6(1):96-105.
30. Fouladseresht H, Safiri S, Moqaddasi M, Razeghi M S, Bazargan N. Prevalence of food and airborne allergens in allergic patients in Kerman, . Journal of Kermanshah University of Medical Sciences. 2014;18(4):e74114.
31. Assarehzadegan MA, Shakurnia A, Amini A. The most common aeroallergens in a tropical region in Southwestern Iran. World Allergy Organ J. 2013;6(1):7. [DOI:10.1186/1939-4551-6-7] [PMID] [PMCID]
32. Moghtaderi M, Hejrati Z, Kolahi N, Heidari B. Sensitization to aeroallergens in patients with allergic rhinitis, asthma, and atopic dermatitis in Shiraz, Southwestern Iran. Indian Journal of Allergy, Asthma and Immunology. 2015;29(2):79-83. [DOI:10.4103/0972-6691.178272]
33. Moghtaderi M, Hejrati Z, Kolahi N, Heidari B. Sensitization to aeroallergens in patients with allergic rhinitis, asthma, and atopic dermatitis in Shiraz, Southwestern Iran. Indian Journal of Allergy, Asthma and Immunology. 2015;29(2):79. [DOI:10.4103/0972-6691.178272]
34. Shokouhi Shoormasti R, Sabetkish N, Kazemnejad A, Vahabi N, Fazlollahi MR, Pourpak Z. Are the most common food allergens in an Iranian atopic population compatible with worldwide reports? A systemic review and meta-analysis with molecular classification of frequent allergens. Allergologia et Immunopathologia. 2019;47(6):604-618. [DOI:10.1016/j.aller.2019.04.005] [PMID]
35. Manuchehr Mahram AB, Negin Nejatian. The Frequency of Common Allergens in Allergic Rhinitis among the Patients Referred to the Allergy Clinic of Qods Hospital in Qazvin during 2007-2010. Journal of Allergy & Therapy. 2013;4(1).
36. Chapman MD, Wood RA. The role and remediation of animal allergens in allergic diseases. J Allergy Clin Immunol. 2001;107(3 Suppl):S414-21. [DOI:10.1067/mai.2001.113672] [PMID]
37. Moghtaderi M, Farjadian S, Hosseini Z, Eghtedari D. The comparison of sensitization to animal allergens in children and adult-onset patients with asthma. Indian Journal of Allergy, Asthma and Immunology. 2015;29(2):67-71. [DOI:10.4103/0972-6691.178270]
38. Gupta RS, Warren CM, Smith BM, Jiang J, Blumenstock JA, Davis MM, et al. Prevalence and Severity of Food Allergies Among US Adults. JAMA Netw Open. 2019;2(1):e185630. [DOI:10.1001/jamanetworkopen.2018.5630] [PMID] [PMCID]
39. Nwaru B, Hickstein L, Panesar S, Muraro A, Werfel T, Cardona V, et al. The epidemiology of food allergy in Europe: A systematic review and meta-analysis. Allergy. 2014;69(1):62-75. [DOI:10.1111/all.12305] [PMID]
40. Zuidmeer L, Goldhahn K, Rona RJ, Gislason D, Madsen C, Summers C, et al. The prevalence of plant food allergies: a systematic review. J Allergy Clin Immunol. 2008;121(5):1210-8.e4. [DOI:10.1016/j.jaci.2008.02.019] [PMID]
41. Farjadian S, Moghtaderi M, Kashef S, Alyasin S. Sensitization to food allergens in Iranian children with mild to moderate persistent asthma. World J Pediatr. 2012;8(4):317-20. [DOI:10.1007/s12519-012-0375-z] [PMID]
42. Hosseini S, Shoormasti RS, Akramian R, Movahedi M, Gharagozlou M, Foroughi N, et al. Skin prick test reactivity to common aero and food allergens among children with allergy. Iran J Med Sci. 2014;39(1):29-35.
43. Moghtaderi M, Farjadian S, Kashef S, Alyasin S, Afrasiabi M, Orooj M. Specific IgE to common food allergens in children with atopic dermatitis. Iran J Immunol. 2012;9(1):32-8.
44. Salehi T, Pourpak Z, Karkon S, Shoormasti RS, Sabzevari SK, Movahedi M, et al. The study of egg allergy in children with atopic dermatitis. World Allergy Organ J. 2009;2(7):123-127. [DOI:10.1097/WOX.0b013e3181abe7cb] [PMID] [PMCID]
45. Ahanchian H, Jafari S, Behmanesh F, Haghi NM, Nakhaei AA, Kiani MA, et al. Epidemiological survey of pediatric food allergy in Mashhad in Northeast Iran. Electronic physician. 2016;8(1):1727-1732. [DOI:10.19082/1727] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Reports of Biochemistry and Molecular Biology

Designed & Developed by : Yektaweb