Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity

Prevalence of allergy to fungi is around 3-10%. The most prevalent species involved in sensitizations are Alternaria alternata, Aspergillus fumigatus, Cladosporium herbarum, and Penicillium notatum. Our main objective was to estimate the prevalence of fungal sensitization and its variation across Sp...

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Authors: López Couso VP; Tortajada-Girbés M; Rodriguez Gil D; Martínez Quesada J; Palacios Pelaez R
Format: Article
Status:Published version
Publication date:2021
Country:España
Institution:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repository:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p10485
Online Access:https://fisabio.portalinvestigacion.com/publicaciones/10485
Access Level:Open access
Keyword:Alternaria alternata
fungus
fungal allergy
rhinitis
prevalence
Alt a 1
asthma
bioclimatic areas
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author López Couso VP
author2 Tortajada-Girbés M
Rodriguez Gil D
Martínez Quesada J
Palacios Pelaez R
author2_role author
author
author
author
author_browse López Couso VP
Martínez Quesada J
Palacios Pelaez R
Rodriguez Gil D
Tortajada-Girbés M
author_facet López Couso VP
Tortajada-Girbés M
Rodriguez Gil D
Martínez Quesada J
Palacios Pelaez R
author_role author
collection r-FISABIO. Repositorio Institucional de Producción Científica
description Prevalence of allergy to fungi is around 3-10%. The most prevalent species involved in sensitizations are Alternaria alternata, Aspergillus fumigatus, Cladosporium herbarum, and Penicillium notatum. Our main objective was to estimate the prevalence of fungal sensitization and its variation across Spain. Following the ICH-GCP, we recruited 1156 patients from 15 allergy departments in Spain. Hospitals were selected by bioclimatic areas. Patients underwent a skin prick test (SPT) with fungi, pollens, house dust mites, and animal dander. Specific IgE to Alternaria alternata and Alt a 1 was assessed in patients with positive SPT to fungi. Of the 233 patients (20.2%) sensitized to at least one of the five fungi tested, 162 (69.5%) were sensitized to Alternaria alternata and Alt a 1, of whom 113 (69.8%) were children; 181 (77.7%) were also polysensitized to other allergens. Alternaria alternata and Alt a 1 sensitization was present in 25.4% of patients in the Continental area, 12.0% in the Mediterranean area, 7.0% in the Semidesertic area, and 2.3% in the Oceanic area. Prevalence of sensitization to the other tested sources was 63.8% to pollens, 60.5% to house dust mite, and 38.1% to animal dander. We concluded that the prevalence of fungal allergy is increasing. Fungi are still the fourth source of allergen sensitization. Alternaria alternata sensitization is the most prevalent in allergic patients to fungi. Alt a 1 is present in almost 90% of the patients sensitized to Alternaria alternata.
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institution Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
network_acronym_str ES
network_name_str España
oai_identifier_str oai:fisabio.fundanetsuite.com:p10485
publishDate 2021
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publisher MDPI
publisherStr MDPI
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
spelling Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity López Couso VP Tortajada-Girbés M Rodriguez Gil D Martínez Quesada J Palacios Pelaez R Alternaria alternata fungus fungal allergy rhinitis prevalence Alt a 1 asthma bioclimatic areas Prevalence of allergy to fungi is around 3-10%. The most prevalent species involved in sensitizations are Alternaria alternata, Aspergillus fumigatus, Cladosporium herbarum, and Penicillium notatum. Our main objective was to estimate the prevalence of fungal sensitization and its variation across Spain. Following the ICH-GCP, we recruited 1156 patients from 15 allergy departments in Spain. Hospitals were selected by bioclimatic areas. Patients underwent a skin prick test (SPT) with fungi, pollens, house dust mites, and animal dander. Specific IgE to Alternaria alternata and Alt a 1 was assessed in patients with positive SPT to fungi. Of the 233 patients (20.2%) sensitized to at least one of the five fungi tested, 162 (69.5%) were sensitized to Alternaria alternata and Alt a 1, of whom 113 (69.8%) were children; 181 (77.7%) were also polysensitized to other allergens. Alternaria alternata and Alt a 1 sensitization was present in 25.4% of patients in the Continental area, 12.0% in the Mediterranean area, 7.0% in the Semidesertic area, and 2.3% in the Oceanic area. Prevalence of sensitization to the other tested sources was 63.8% to pollens, 60.5% to house dust mite, and 38.1% to animal dander. We concluded that the prevalence of fungal allergy is increasing. Fungi are still the fourth source of allergen sensitization. Alternaria alternata sensitization is the most prevalent in allergic patients to fungi. Alt a 1 is present in almost 90% of the patients sensitized to Alternaria alternata. MDPI https://fisabio.portalinvestigacion.com/publicaciones/10485
spellingShingle Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity
López Couso VP
Alternaria alternata
fungus
fungal allergy
rhinitis
prevalence
Alt a 1
asthma
bioclimatic areas
status_str publishedVersion
title Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity
title_full Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity
title_fullStr Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity
title_full_unstemmed Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity
title_short Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity
title_sort Fungi Sensitization in Spain: Importance of the Alternaria alternata Species and Its Major Allergen Alt a 1 in the Allergenicity
topic Alternaria alternata
fungus
fungal allergy
rhinitis
prevalence
Alt a 1
asthma
bioclimatic areas
topic_facet Alternaria alternata
fungus
fungal allergy
rhinitis
prevalence
Alt a 1
asthma
bioclimatic areas
url https://fisabio.portalinvestigacion.com/publicaciones/10485