Minor pollinosis fromCryptomeria japonica in Varese,northern Italy. Aerobiological monitoring and main clinical features

In the last 2 years we have conducted an aerobiological monitoring program ofCryptomeria japonica, a plant belonging to the family of Taxodiaceae that sometimes causes pollinosis in the period from February to April. Throughout 1994, we checked the incidence of its sensitization and the clinical effects in 85 subjects with correlated seasonal symptoms, who gave a positive skin prick test (SPT) for Betulaceae and/or Corylaceae. Twenty-five patients (29.4%; 19 M; 6 F; mean age, 38.8 years) all with oculorhinitis, were SPT positive to an allergenic extract ofCryptomeria. RAST confirmed this positivity in 44% of the cases. No patients showed monosensitization forCryptomeria to either SPT or RAST. Two subjects gave a positive result on specific nasal provocation. RAST inhibition showed no cross-reaction betweenCryptomeria and birch pollen. During the pollen season each patient made a list, scoring symptoms and specifying any drugs used, so we could correlate these elements with aerobiological observations. The pollen concentration probably exceeded the allergizing threshold forCryptomeria on 8 days during 3 months of recording. The intensity and duration of symptoms seemed to be mainly influenced by sensitization to Betulaceae and Corylaceae. It is thus possible that a combination of minor pollinosis may produce seasonal symptoms in allergic patients.     

Phenological and aerobiological monitoring of allergenic flora in padua (Italy). Preliminary data

A phenological study on allergenic plants was carried out in Padua during 1995 in order to identify spontaneous and cultivated allergenic species in an urban area and their distribution, and to evaluate the relationship between anthesis length and airborne pollen concentrations. In some cases, there was no temporal overlap between phenological and aerobiological data, in particular forCorylaceae, Betulaceae, Chenopodiaceae, Amaranthaceae, Polygonaceae and Fagaceae.     

The first approach towards recognising allergy-provoking flora in Belluno and its relationship with allergic phenomena

Summary The town of Belluno has a high number of wild and cultivated plants whose pollen has various degrees of importance from an allergological point of view.In this preliminary study we have taken into consideration the distribution and the flowering period of these species, correlating them with the data on the quantity and type of pollen collected by a sampler placed on the roof of the City Hospital, and also with the results of the allergometric tests (Prick Tests) carried out in the Broncho-Pneumological Department during the first 9 months of 1990.The wild specis of spring-flowering trees which can be found in the woods surrounding the city (Fagaceae, Betulaceae, Corylaceae) and along the gravel banks of the Piave river (Salicaceae) as well as the Graminaceae which are widespread both in the urban area and in the fields outside the city and some cultivated species (Robinia, Tilia, Acer) which flower a little later, are the species which produce most pollen and which are held responsible for allergies. However, only the pollen of the Graminaceae gave rise to cases of mono-sensitivity (16%) (apart from one case of Betulaceae and Corylaceae and one case ofArtemisia as well asDermatophagoides) (9.7%). For the other species, the positive reactions were associated with the positive reactions to the pollen of other species belonging to different families and/or to other factors.     

Pollinosis in trentino (Northern Italy). Aerobiological and clinical research

Summary A study to evaluate and define the atmospheric pollen concentration in Trentino was carried out through the aerobiologic sampling in three localities chosen according to their different climatic conditions.1375 patients with pollinosis living in Trentino were studied retrospectively over the period ranging from 1986 to 1988 and selected according to the area they came from.Results have proved that the most allergenic pollen types are the following: Poaceae, Urticaceae (Parietaria), Compositae (Artemisia) and the tree pollen of Betulaceae and Corylaceae (Alnus, Betula, Corylus), and that pollinosis caused by such pollen, types has different features and frequencies according to the different localities.As far as symptoms are concerned, our data shows that rhinoconjuntivitis is more frequent in those patients who are allergic toParietaria while asthma results being more frequent in patients who are allergic to tree pollen.     

Olea Europea 3-year pollen record in the area of Thessaloniki,Greece and its sensitizing significance

Summary The observations of airborne pollen ofOlea europea and the incidence of clinical manifestations in patients allergic to this pollen type have not been registered so far in the city of Thessaloniki. The purpose of this study was: 1. to assess theO. europea pollen circulation in the area of our city, and 2. to detect the percentage of sensitivity toO. europea pollen in patients with pollinosis. We collected daily pollen samples during a 3-year period (February '87-January '90), using a Burkard volumetric trap, located on a high level area in the centre of the city. The pollen counts were then registered. The O.europea pollen grains were not differentiated microscopically from the other Oleaceae, but identified through phenological criteria. The patients included in the assessment of the sensitivity toO. europea came from the out-patient clinic of bronchial asthma of the General Hospital ?G. Papanicolaou?. They had a seasonal pollinosis and they were submitted to prick test using a battery of 22 groups and an O.europea extract. Pollen ofO. europea appears first in the atmosphere of Thessaloniki at the beginning of May, shows a peak in the end of May and continues to be present till the end of June. The quantity ofO. europea pollen ranked 6th in the list of the total pollen count and its flowering period coincided with that of grasses. In a sample of 360 patients with seasonal pollinosis, we detected anO. europea pollen sensitivity combined with other alleargens in 37% of the patients and a monosensivity in 4%. We conclude that pollen ofO. europea results to be present over a relative short period of time (May–June) in the area of Thessaloniki. The percentage of patients' sensitization toO. europea pollen was a little less frequent than sensitization to grasses, even if their flowering time coincides and their presence in the air shows about the same concentration values.     

Betulaceae and Corylaceae in Trieste (NE-Italy):Aerobiological and clinical data

Airborne pollen produced by Betulaceae and Corylaceaeis present in the Trieste area for a long period fromJanuary to June, but only in April it does representa considerable proportion (436 p/m³) of the totalpollen count (1193 p/m³). In the years considered (1995–1997), there was a gradual increase in thepollen count of Corylaceae and Betulaceae: frommaximum levels of 580 p/m³ in 1995 to 1218 p/m³ in 1997, and the taxon making the mostsignificant contribution to the pollen concentrationcurve was Ostrya carpinifolia. Sensitization to Betulaceae and Corylaceae wasanalyzed in 2213 subjects visiting our clinic betweenJanuary 1st 1995 and December 31th 1997, withallergic symptoms believed to be IgE mediated. Of thegroup, 1292 (58.4%) were atopic by skin prick testand 328 of them (25.4%) were sensitized to Betulaceaeand Corylaceae. Of the 328 subjects, 72.6% werecosensitized to Gramineae, 56.1% to Oleaceae, 42.1%to Compositae, and just over half to house-dust mites(52.1%). Only ten cases were mono-sensitized (3%).Of the subjects sentitized to Betulaceae andCorylaceae, 163 complained of rhinitis (72%) and 110of asthma (33.6%), often in association withrhinitis; 177 (54%) had only seasonal symptoms.Sensitization to Betulaceae and Corylaceae is high,but its role in inducing allergic respiratorysymptoms is difficult to evaluate because almost allpatients were sensitized to other pollen types. Inconclusion, the role played by this family of trees indetermining allergic respiratory symptoms could becomeincreasingly important in this geographical area inthe future, if pollen levels continue to rise at theirpresent rates. For the moment, sensitivity toBetulaceae-Corylaceae among the population is presentalmost exclusively in subjects sensitized also toother pollen types.     

Ambrosia elatior (L.) in Hungary (1989–1990)

Summary Weeds and among themAmbrosia are probably the most important vascular plants related to pollinosis in Hungary. Sampling was carried out in central (Budapest) and in southern (Paks, Szeged) Hungary. The results of two years (1989–1990) of aerobiological study onAmbrosia airborne pollen are reported. The highest percentage of airborne pollen was found in the mid-August to mid-September period, having a good correlation with clinical data on pollinosis. The implications of these results are considered in the context of forecasting and prevention of seasonal ragweed pollinosis.     

Cupressaceae pollen in the atmosphere of Ascoli Piceno (Central Italy) and sensitization of allergic subjects

The aim of this work is to study the incidence of pollinosis in the Health District of Ascoli Piceno, Central Italy (U.S.L.24), this being an underestimated pathology from the clinical point of view and also as a result of the recent introduction of this taxa in the National Aeroallergen Network. Since 1990, 5055 patients of both sexes with respiratory symptomatology of suspected IgE mediated aetiology have been examined in our Centre with the Skin Prick Test (SPT) using allergen panels including Cypress; 171 (3.38%) patients were found to be positive to this allergen. These results show that the subjects with symptoms in the period January–March in most cases have a sensitization toCupressus pollen and new studies will evaluate the possibility of specific immunotherapy.     

Cupressaceae pollen in the atmosphere of Ascoli Piceno (Central Italy) and sensitization of allergic subjects

The aim of this work is to study the incidence of pollinosis in the Health District of Ascoli Piceno, Central Italy (U.S.L.24). this being an underestimated pathology from the clinical point of view and also as a result of the recent introduction of this taxa in the National Aeroallergen Network. Since 1990, 5055 patients of both sexes with respiratory symptomatology of suspected IgE mediated aetiology have been examined in our Centre with the Skin Prick Test (SPT) using allergen panels including Cypress; 171 (3.38%) patients were found to be positive to this allergen. These results show that the subjects with symptoms in the period January–March in most cases have a sensitization toCupressus pollen and new studies will evaluate the possibility of specific immunotherapy.     

The relationship between airborne pollen distribution and the frequency of specific pollen sensitization at two climatically different locations in Switzerland

Pollen data reported from the two monitoring stations of Locarno-Monti, on the southern slopes of the Alps, and Zurich on the northern slopes of the Alps, for the years 1989–1993 were compared with meteorological data from the corresponding locations and with the prevalence of pollinosis and frequency of specific pollen sensitization in patients with pollinosis. It was so discovered that the recorded quantity of allergenic pollen types (Alnus, Corylus, Betula, Fraxinus, Poaceae, Castaneae,Olea andArtemisia) south of the Alps is higher by a factor of 2.9 than that north of the Alps. These differences are due to the distinctly milder climate in the canton of Ticino (south of the Alps) showing higher annual mean temperatures, more sunshine duration and less precipitation days with higher amounts of precipitation. The allergological data show additionally that the summer pollinosis, caused byCastanea andOlea, is probably responsible for the differing prevalence of pollinosis at the two sites. Finally, we can summarize that in Switzerland pollen from Poaceae, Betulaceae and Oleacea are the most important for pollinosis.     

Aerobiological, clinical and immunobiochemical studies on Lantana camara pollen and cross-reactivity with other Verbenaceae pollen species

Airborne pollen is an important and potent source of aeroallergens. The aim of the study was to conduct a 2-year aerobiological survey in Calcutta, India, for knowing the concentration and seasonal periodicity of Lantana camara (LC) pollen. The sensitization due to this pollen among seasonal respiratory allergic patients and its chemical composition was studied. An aerobiological survey was conducted with a volumetric Burkard sampler from 2004 to 2006. Protein components of LC pollen were characterized by sodium dodecyl sulfate polyacrylamide gel electrophoresis and IgE immunoblotting. Allergenic activities were determined by in vivo (skin prick test) and in vitro (enzyme-linked immunosorbent assay. In vitro inhibition tests were performed to evaluate cross-reactivity. LC pollen was present from March to May and from September to December contributing up to 10.5% to the total aeropollen load during peak month. Horizontal profile showed highest concentration for nearest (0.5 m) rotorod and it was decreased by half in a distance within 4.5–6.5 m from plot edge. LC pollen contained 7.5% carbohydrate, 19.3% lipid with proline and valine as dominant amino acid. Among 1,500 adult respiratory allergic patients tested, 7.93% showed higher level of positive reaction. IgE binding proteins of 22, 42, 45 and 95 kD were revealed. LC pollen showed remarkable cross-reactivity with other local Verbenaceae pollen taxa (Clerodendron viscosum, Tectona grandis and Vitex negundo). This is the first study on LC pollen regarding its aerobiological, clinical and immuno-biochemical aspects; it should be helpful for the diagnosis and therapy of patients susceptible to LC pollen.     

Clinical significance of allergic sensitization toOlea europaea L. pollen in Naples area,Italy

Summary The aim of this study is the evaluation of clinical significance of the allergic sensitization toOlea europaea L. pollen allergens in the Naples area, because in the last 10 years an increasing frequency of IgE mediated sensitization to these allergens has been observed. 4124 patients of both sexes (2989 adults and 1153 children) consecutively examined in our Allergological Center from January 1, 1988 to December 30, 1989 have been considered in this study. The patients were selected on the basis of a history of rhinitis (R) and/or asthma (A) and were evaluated by clinical examination, SPT, RAST and specific or aspecific BPT. Among 2267 adults and 879 children sensitized to almost one aeroallergen we found respectively 306 (13.49%) and 75 (8.53%) subjects with an allergic sensitization toOlea europaea L. pollen. The frequency of clinical manifestation was respectively R+A (58.16%), R (39.54%), A (2.28%) in adults; R+A (61.33%), R (26.66%), A (12%) in children. A monosensitization toOlea europaea L. pollen was found in 1.33% of children and in 2.28% of adults examined. The association with other allergens especially with mites and/or other pollen was very common.     

Oleaceae in Trieste (NE Italy): aerobiological and clinical data

Oleaceae pollen concentrations in the Trieste area are low (<10%) compared to the total number of airborne pollen grains, with only one pollination peak at the beginning of June when the Oleaceae concentration reached 62% of the total pollen count in 1992. This peak was due to an exceptionally high pollination of olive trees in 1992, when airborne pollen concentration rose to 1357 pollen grains/m³ on June 3. Sensitization toOlea increased from 1989 to 1993, when it was present in 23.4% of symptomatic patients, but the role ofOlea in inducing allergic respiratory symptoms is difficult to evaluate because almost all patients were sensitized to other pollens, and in particular to Gramineae: only four subjects were sensitized toOlea alone (1.4%). Despite the low Oleaceae pollen counts, this pollinosis is increasing, probably because of increased cultivation ofOlea in recent years. However, although skin prick test positivity is common in polysensitized patients, its role in inducing sensitization and symptoms is presently less important than that of other pollens.     

Biochemical and immunochemical characterization of hop-hornbeam (Ostrya Carpinifolia Scop.) pollen

In the last few years Ostrya carpinifolia pollen is consideredas an important cause of respiratoryallergy in Mediterranean areas. The concentration ofthe pollen was measured over a period of fifteen yearsfrom 1981 to 1996 in an area around Genoa; the resultsof this study have clearly indicated an increasingtrend that correlate with persons sensitization.In this study we sought to define the immunochemical andbiochemical properties of hop-hornbean pollen. Soluble proteins extracted from Ostryacarpinifolia pollen and from the taxonomicallyrelated species Corylus Avellana, were analyzedby polyacrylamide gel electrophoresis (SDS-PAGE), byhorizontal isoelectrofocusing (IEF) and by twodimensions electrophoresis (2D-PAGE). Allergenicproteins were identified with sera of sensibilizedpatients and cross-reactivity was evaluated byimmunoblotting techniques. The electrophoreticanalysis showed a partial identity between theproteins from Ostrya and Corylus extracts. The immunoblotting assay, developed withhuman IgE from subjects allergic to hop-hornbeampollen, displayed the major IgE reactivity for acomponent with a molecular weight of 17 kDa expressedin both Ostrya and Corylus extracts. This reactivity is consistent with the presence ofBet v 1 that is described as the major pollen allergenin the Betulaceae and Corylaceae families. Sera fromsubjects allergic to Ostrya were then preadsorbed with recombinant Bet v 1 immobilized in the Pharmacia CAP System; a significant reduction ofthe IgE binding activity was observed after thetreatment. We therefore suggest that Bet v 1 couldbe one of the allergenic proteins present in theOstrya pollen possibly being responsible forcross-reactivity with other members of taxonomicallyrelated families.     

Parietaria pollen a new aeroallergen in the city of Valparaiso, Chile

Parietaria pollen has never been considered as a significant cause of pollinosis in Chile; therefore, the sensitization to Parietaria study has never been included in the study of patients with clinical suspicion of pollinosis in this region. The objective of this study was to describe the clinical characteristics of pollinosis caused by Parietaria in the Valparaíso region, related to air concentrations of this kind of pollen. A cross-sectional study was performed in the city of Valparaíso. It consisted of two stages: In the first, pollen grains were counted between 1999 and 2001. In the second, a sensitization profile on a patient population diagnosed with ARC (allergic rhinoconjunctivitis) was evaluated. Parietaria judaica (P. judiaca) presented pollination all year long, with aggravation in the spring and summer, and with values reaching 80 grains/m³ (weekly average). These findings determined the transience of the symptoms in this population, which is mainly perennial with seasonal aggravations. A total of 72 atopic subjects were obtained during the whole sample recollection period. P. judaica was the second most frequent cause of sensitization (60 %) after Dermatophagoides in the sample overall. Also, in monosensitized subjects, it was the first cause of pollen sensitization. P. judaica represents the second cause of allergy in Valparaíso and the first cause of pollinosis. These findings suggest the importance of quantifying Parietaria in Valparaíso and near cities, plus investigating the presence of sensitization and symptoms to allergies in a significant proportion of patients in this region.     

Evaluation of the age of onset of respiratory allergic symptomatology

Summary In order to evaluate the age of ouset of respiratory allergic symptoms we examined 2315 patients (656 children and 1659 adults) coming to our clinic as out patients. Each patient underwent the following diagnostic tests: anamnestic and clinical examination, skin-tests for the most common allergens and, when requested, Radioallergosorbent test (RAST) and specific and non specific BPT.We selected 278 children and 673 adults for whom it was possible to establish (on the basis of precise anamnestic considerations) the age at which the respiratory symptoms first appeared.Among these, 300 reacted only toParietaria pollen, 58 only to grass pollen, 420 only to house-dust mite, and 173 were not allergic.Patients reacting to multiple allergens were excluded from the analysis.The results of our study show a significant precocity of the onset of symptoms related to allergic sensitization to mites with peak level at 5 years.On the other hand, the onset of pollen-related symptoms was later on (peak level at 20–25 years forParietaria pollen and 30–35 years for grass pollen). For non allergic patients we did not find a definite age of onset.     

Flora Palinologica Italiana,Sezione Aeropalinologica—S 303:Carpinus betulus L

Riassunto Nell'ambito del progetto «Flora Palinologica Italiana» e proseguendo lo studio delle Corylaceae, è qui presentata la scheda diCarpinus betulus L., con alcune osservazioni sul numero/posizione delle aperture e sulle principali differenze tra polline «fresco» e polline acetolizzato.

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Summary According to the program «Palynological Italian Flora», and continuing the study of the Italian Corylaceae, the palynological card ofCarpinus betulus L. is shown. The study is carried out on pollen coming from three different localities and regards both «fresh» and acetolyzed pollen. For each sample, measurements are carried out on 30 «fresh» pollen grains in glicerol jelly and on 30 acetolyzed pollen grains in water/glicerol 1/1; general observations regard 500 «fresh» and 500 acetolyzed pollen grain/sample. Some morphological observations on the aperture number/position and differencies between «fresh» and acetolized pollen are pointed out.

     

Pollinosis related to Zygophyllum fabago in a Mediterranean area

Zygophyllum fabago is a herbaceous plant withairborne pollen found widely in the MurciaRegion, in the Southeast of Spain. Although itsallergenicity has been recently reported,little is known of its involvement inpollinosis. Aerobiological study andsensitization in pollinotics weremeasured using a Hirst volumetric trap. Wehave measured the atmospheric concentrationsof this pollen and other allergenicpollen types in our region, between March 1993 andMarch 1997. Z. fabago pollen wascollected for a morphometric study of thepollen grain, and a lyophilized extract wasprepared for skin prick tests. We haveconducted skin tests with different pollen typesfrom our region and with Z. fabago in1736 patients with symptomssuggesting pollinosis. The size of the pollengrain averages 15.17 × 17.35 µm. Thepollination period extends from May to August,with a mean accumulated concentration of 448grains/m³. Out of 1736 pollinotics,263 (15.15%) showed a positive skin test forZ. fabago, 6 were monosensitized and 257were sensitized to other common pollen types fromour Region. Specific IgE to Z. fabago wasequal or higher than 0.35 ku/l in 86.56% ofsensitized patients. Chenopodiaceae pollinateduring spring and autumn and sensitize a largernumber of patients; Urticaceae reach thehighest pollen concentrations for a longerperiod but are not the primary cause ofpollinosis. This study shows that Z. fabagopollen becomes airborne, elicits an IgEresponse and, like other pollens, contributestowards triggering allergic symptoms.It should therefore be considered arelevant allergen and accordingly beincluded in skin test procedures.     

Gramineae hay fever,and aerobiological and clinical investigation in Palermo; Sicily

Summary Epidemiological and aerobiological observations (1987;1989) have been carried out for three years in order to search the existing relationship between the Gramineae's daily pollen concentration in Palermo's atmosphere and the number of hay fever cases due to such pollen.The aerobiological data were obtained with a 2000 VPPS volumetric sampler. Clinical research was performed on 555 hay fever patients treated in our ambulatory over a three-year period (1987–1989).These data, elaborated by a seven day running mean method and correlated with epidemiological data, evidenced that three of the pollen families in our territory are clinically important: Urticaceae,Parietaria prevailing among them, Gramineae and Oleaceae,Olea europaea prevailing among them.The Gramineae are the second most important allergenic pollen (32,08% of all the pollinosis) whereas, as far as its concentration in the atmosphere is concerned; it ranks third followingParietaria and Oleaceae.     

Winter blooming ofArtemisia. A 2-year survey in murcia (Spain)

This paper presents a 2-year survey ofArtemisia airborne pollen concentrations in Murcia. An importantArtemisia blooming taking place in winter is confirmed in Murcia (SE Spain). This phenomenon could explain the incidence of winter pollinosis in Murcia. On the other hand, for the first time, three consecutive pollen seasons ofArtemisia, corresponding to three different species (A. campestris, A. herba-alba andA. barrelieri) have been noted. Mathematical analyses show the relations between pollen concentrations ofArtemisia in summer and autumn, and precipitation occurring 6–8 weeks before. Blooming outsets seem to be related to cumulative percentage of isolation from 1 March. Meteorological factors do not seem to influence pollen concentration in any significant way once pollination has begun.