Comparison of IgE antibody concentrations to pyromellitic dianhydride-modified laminin and human serum albumin in sera of exposed workers with respiratory complaints.

Background: Acid anhydrides are used in a variety of industrial branches because of their highly reactive anhydride groups. Adverse effects of anhydride exposure include toxic/irritative effects as well as IgE- and IgG-mediated respiratory disorders. It was the aim of this study to examine the usefulness of conjugates of pyromellitic dianhydride (PMDA) and laminin, a respiratory tract protein, for the in vitro diagnosis of sensitization to PMDA.

[Ammonia as inhalatory irritant].

Bronchopulmonary damage caused by heavy exposure to ammonia may result in chronic obstructive bronchitis, bronchial hyperresponsiveness, in rare cases also in a combined ventilation pattern. Exposure to ammonia for several years, as it occurs in swine confinements in pig-fattening farms is associated with a shift-related decrease of FEV1, FEF25-75 and PEF. Several studies show that ammonia at the TLV (20 ppm) inconstantly causes severe cough.

Differentiation between cosensitization and cross-reactivity in wheat flour and grass pollen-sensitized subjects.

Background: To diagnose baker's asthma, occupational sensitization to wheat flour should be distinguished clearly from influences of cosensitization such as it may exist in pollinosis patients. To define the route of sensitization, the cross-reactivity between wheat flour and grass pollen allergens was investigated.

Methods: Two groups of atopic individuals with or without professional contact to wheat flour were screened by skin prick test for their sensitization to wheat flour and grass pollen and, in the case of hints for cosensitization, by Enzyme Allergo Sorbent Test (EAST).

Characterization of soybean allergens causing sensitization of occupationally exposed bakers.

Fourteen bakers suffering from workplace-related respiratory symptoms and sensitized to soybean were studied. Twelve of them were also allergic to wheat flour, 10 to rye flour, and five to alpha-amylase of Aspergillus oryzae (Asp o 2). IgE estimation by RAST strongly indicated that the trypsin inhibitor and lipoxidase are major allergens of soybean.

Heating inactivates the enzymatic activity and partially inactivates the allergenic activity of Asp o 2.

Background: Sensitization to various flours and flour additives in the baking industry has been known for some time. However, most studies refer to allergens in their native state.

Objective: The aim of our study was to find out how high temperatures during the baking process influence enzymatic and allergenic activities of the common flour additive alpha-amylase (Asp o 2), a relevant allergen for bakers derived from Aspergillus oryzae.

Diagnostic validation of specific IgE antibody concentrations, skin prick testing, and challenge tests in chemical workers with symptoms of sensitivity to different anhydrides.

Background: The diagnostic possibilities of sensitization to various acid anhydrides are limited because of the lack of standardized allergens for the different test systems. This makes the diagnosis of IgE-mediated sensitization caused by occupational exposure difficult.

Methods: We prepared conjugates of human serum albumin with phthalic, maleic, trimellitic, and pyromellitic anhydrides to be used for IgE estimation by enzyme-allergosorbent test, skin prick tests, and nasal and bronchial challenge tests.

A clinical and immunological study on 92 workers occupationally exposed to anhydrides.

This study aimed at investigating sensitizing and hazardous effects of a new acid anhydride, pyromellitic dianhydride (PMDA), in addition to those of phthalic anhydride, maleic anhydride and trimellitic anhydride, in a group of 92 exposed workers in two German chemical plants. Of the 92 workers, 56 reported work-related complaints with a predominance of phlegm and dyspnoea in those exposed to anhydride dust for less than 1 year. Haemorrhagic rhinitis occurred only after a prolonged exposure of more than 15 years.

Allergic reaction after eating alpha-amylase (Asp o 2)-containing bread. A case report.

A 29-year-old female bakery shop assistant was occupationally sensitized to flour allergens and Aspergillus alpha-amylase (Asp o 2). The latter represents a strongly allergenic component of routinely used baking additives. The patient had repeatedly responded to the consumption of white bread with rhinitis, conjunctivitis, and, occasionally, wheal and flare reactions.

Allergens causing bird fancier's asthma.

The study investigates to what extent bird feathers contain relevant allergens/antigens involved in bird fancier's asthma. The study group consisted of two budgerigar fanciers, two parrot fanciers and one canary fancier. All subjects complained of asthmatic symptoms, caused by contact with their birds, and they showed a significant bronchial hyperreactivity to acetylcholine.

[Are amylases in bakery products and flour potential food allergens?].

The enzyme alpha-amylase from the mould Aspergillus oryzae (Asp o II) routinely used for the production of bread, cakes and pastries has in recent years been identified as an inhalative allergen for occupational diseases (bakers' asthma). It is doubtful whether this amylase in the final product, i.e.

Acute autoimmune response in a case of pyromellitic acid dianhydride-induced hemorrhagic alveolitis.

A 17-year-old man was occupationally exposed to pyromellitic acid dianhydride dust during the production of epoxy resin in a chemical factory. He was clinically diagnosed as having acute hemorrhagic alveolitis associated with anemia. The serologic analysis revealed a high concentration of IgG antibodies against pyromellitic acid dianhydride-treated human serum albumin (PMDA-HSA).

Increased incidence of DNA double-strand breaks and anti-ds DNA antibodies in blood of workers occupationally exposed to asbestos.

Asbestos, proven to be carcinogenic in humans and animals, is reported to have no genotoxic effect. Asbestos workers have an increased risk of lung cancer, mesothelioma, and other tumours. Earlier findings showed that crocidolite can induce DNA strand breaks in cultured rat embryo cells as assessed by nick translation.

Chironomidae hemoglobin allergy in Japanese, Swedish, and German populations.

Hemoglobins of the Diptera (insect) family Chironomidae have been identified as causative allergens in asthmatic patients. In this study, 229 Japanese, 17 Taiwanese, and 92 Swedish sera from atopic patients were tested for antibodies against Chi t I, the hemoglobin from the European midge species Chironomus thummi, and against crude extracts from the Japanese midges Tokunagayusurika akamusi (T. akamusi) and Cricotopus sylvestris (Cr.

Respiratory and other hazards of isocyanates.

Isocyanates are increasingly being used for manufacturing polyurethane foam, elastomers, adhesives, paints, coatings, insecticides, and many other products. At present, they are regarded as one of the main causes of occupational asthma. The large number of workers who are exposed to these chemicals have a concentration-dependent risk of developing chronic airway disorders, especially bronchial asthma.

Health risk in hospitals through airborne allergens for patients presensitised to latex.

Two nurses had to stop practicing because of severe work-related allergic respiratory or systemic symptoms. Both developed similar symptoms within a short time when they attended hospitals as outpatients or visitors or consulted a doctor or dentist, even when they had no direct contact with latex articles. The airborne latex allergen concentration in one room that induced symptoms was 128 ng per m3.

The rubber elongation factor of rubber trees (Hevea brasiliensis) is the major allergen in latex.

Background: Allergy to latex-containing articles is becoming more and more important because it can result in unexpected life-threatening anaphylactic reactions in sensitized individuals.

Methods: A protein of 58 kd with an isoelectric point of 8.45 was purified from raw latex and from latex gloves and identified as the major allergen, completely blocking specific IgE antibodies in the serum of latex-sensitized subjects.

[Stepwise diagnosis of respiratory latex allergy].

Latex proteins bound to the powder of latex gloves are potent aeroallergens which can cause severe immediate-type allergic reactions of the upper and lower respiratory tract. To evaluate the clinical relevance of positive skin prick tests or IgE antibodies to latex we developed a sequence of provocation tests for the diagnosis of latex induced rhinitis or asthma. 14 patients are presented, 11 working in the medical field.

Pulmonary hemorrhage due to inhalation of vapor containing pyromellitic dianhydride.

Pulmonary hemorrhage due to inhalation of fumes or powders containing trimellitic anhydride (TMA) is well known. We report pulmonary hemorrhage in a young man exposed to epoxy resin vapor containing pyromellitic dianhydride (PMDA). Serum IgG antibodies to PMDA could be detected.

DNA double-strand breaks and apoptosis after in vitro exposure to toluene diisocyanate.

The immediate effect of toluene diisocyanate (TDI) on genomic DNA of sheep and rabbit white blood cells has been investigated. Following the treatment of sheep blood by TDI, the isolated DNA was analysed by anion exchange chromatography (FPLC) and melting behaviour before and after denaturation. The results of FPLC indicated that TDI induces DNA double-strand breaks in sheep white blood cells.

Increased incidence of anti-dsDNA autoantibody concentration in sera of workers occupationally exposed to diisocyanates.

Sera of 87 industrial workers with a history of occupational exposition to various diisocyanates, toluene diisocyanate, hexamethylene diisocyanate and methylene-diphenyl diisocyanate were analyzed for antibodies to isocyanate-conjugated human serum albumin and for anti-dsDNA autoantibodies. Ten workers (approx. 11%) were shown to have elevated anti-dsDNA autoantibody concentrations and 13 revealed antibodies to isocyanate-modified human serum albumin.

Occupational-type exposure tests and bronchoalveolar lavage analyses in two patients with byssinosis and two asymptomatic cotton workers.

Two workers suffering from stage III byssinosis and claiming for compensation were examined. Bronchial obstruction was present in one case. MEF25-75 values were significantly reduced and bronchial hyperreactivity was present in both subjects.

Detection of protein changes in serum of workers following inhalation exposure to toluene diisocyanate vapors.

Serum samples of 10 workers undergoing occupational type inhalative challenge tests by toluene diisocyanate (TDI) were investigated by anion-exchange fast-protein-liquid-chromatography (FPLC) and polyacrylamide-gel electrophoresis (PAGE-SDS). Their serum chromatography profiles were compared to those of 20 unexposed individuals. The peak height of the first prealbumin peak in sera of workers after inhalative challenge tests was significantly different (p > 0, 01 Chi-square test) compared to that obtained before exposure and to that of unexposed subjects.

[Latex proteins as the trigger of respiratory and systemic allergies].

56 patients (52 members of the hospital's staff, four with other employment) who had hypersensitivity reactions to latex articles and developed an immediate-type response to latex extract with the skin-prick test were studied. Specific IgE antibodies were present in the enzyme-allergo-sorbent test of 50 of the subjects. Latex-containing surgical and household gloves were the main cause of allergies.

Indication of DNA strand breaks in human white blood cells after in vitro exposure to toluene diisocyanate (TDI).

Toluene diisocyanate (TDI), used especially for the production of polyurethanes, is known to induce chromosome aberrations, base-pair substitution, and frameshift mutation after metabolic activation. Following treatment of human blood by TDI, the isolated DNA was analyzed by anion-exchange chromatography (FPLC) before and after denaturation. In addition, DNA from white blood cells was analyzed by alkaline and neutral filter-elution and pulsed-field gel electrophoresis (PFGE).