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Occupational Lettuce-induced Respiratory Allergy

Research Project

Project/Area Number 16K09538
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionKobe University

Principal Investigator

KAMIRYO Hiroshi  神戸大学, 医学研究科, 講師 (50718351)

Co-Investigator(Kenkyū-buntansha) 西村 善博  神戸大学, 医学部附属病院, 教授 (20291453)
山本 正嗣  神戸大学, 医学部附属病院, 助教 (40542139)
小林 和幸  神戸大学, 医学部附属病院, 准教授 (50403275)
永野 達也  神戸大学, 医学研究科, 特命助教 (80624684)
Research Collaborator SEKIYA Reina  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords職業性喘息 / アレルギー / 質量分析 / 農作業関連喘息 / 抗原 / 気管支喘息 / 農作業 / プロテオーム解析 / アレルギー・ぜんそく
Outline of Final Research Achievements

The aim of this study is to clarify the clinical condition of lettuce-associated respiratory allergy and to identify the lettuce antigen which could induce allergic symptom. We gave questionnaires to 1168 lettuce farmers and performed medical exams with those who have respiratory symptoms related to occupational exposure to lettuce. Nine hundred thirty two farmers responded (79.8%). 6.8% of farmers had lettuce-associated respiratory symptoms. Fourteen patients were diagnosed as being allergic to lettuce and agreed to receive further examinations. The percentage of activated basophils of fourteen patients was significantly higher compared to that of negative controls (P < 0.05). We analyzed specific IgE-binding protein from patient’s sera by SDS-PAGE and immunoblotting and determined molecular characterization of the IgE-binding bands by liquid chromatography. Two novel two lettuce allergens have been identified.

Academic Significance and Societal Importance of the Research Achievements

即時型食物アレルギーを誘発する原因食品の上位10品目にレタスは含まれておらず、海外での報告も見られない。しかしながら、これまでに即時型食物アレルギーの原因抗原を同定し、診断治療に結びつけた研究はほとんどない。本研究によって、患者家族を含めて社会に対して正しく情報提供をすることが可能となり、さらにレタス抗原特異的IgEのELISA法の作成による患者スクリーニング法の確立や、レタス誘発性喘息患者に対する減感作療法に応用することで職業性喘息の克服にもつながっていくものと期待される。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (3 results)

All 2018 2017 2016

All Presentation (3 results) (of which Int'l Joint Research: 2 results)

  • [Presentation] Occupational Lettuce-induced Respiratory Allergy2018

    • Author(s)
      Reina Sekiya, Tatsuya Nagano, Tatsuya Moriyama, Erika Yano, Naoya Hatano, Masatsugu Yamamoto, Atsushi Fukunaga, Hiroshi Kamiryo, Masakazu Shinohara,Kazuyuki Kobayashi, Yoshikazu Kotani, Yoshihiro Nishimura
    • Organizer
      24th World Asthma Congress 2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The clinical survey of lettuce associated respiratory symptoms2017

    • Author(s)
      Reina Sekiya, Tatsuya Nagano, Haruko Shinke, Suya Hori, Nobuko Hazeki, Kyosuke Nakata, Masatsugu Yamamoto, Motoko Tachihara, Hiroshi Kamiryo, Kazuyuki Kobayashi, Yoshihiro Nishimura
    • Organizer
      ERS INTERNATIONAL CONGRESS 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 農作業関連喘息が疑われた10例に関する検討2016

    • Author(s)
      関谷怜奈, 永野達也, 小林和幸, 中田恭介, 山本正嗣, 上領博, 小谷義一, 福永淳, 西村善博
    • Organizer
      第78回臨床アレルギー研究会(関西)
    • Place of Presentation
      薬業年金会館(大阪)
    • Year and Date
      2016-11-12
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2020-03-30  

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