Hymenoptera

膜翅目
  • 文章类型: Journal Article
    膜翅目毒液中蛋白质浓度的测定需要准确且可重复的测定,因为结果将用于支持其分析中采用的后续蛋白质组学技术。然而,所有蛋白质测定技术都有固有的优点和缺点,在选择最合适的样品分析平台之前,要求他们进行评估。在这项研究中,蚂蚁的蛋白质谱,蜜蜂,和黄蜂毒液,使用十二烷基硫酸钠-聚丙烯酰胺凝胶电泳(SDS-PAGE)对牛血清白蛋白(BSA)和透明质酸酶标准进行定性评估。通过氨基酸分析(AAA)定量测定它们的氨基酸和蛋白质浓度。通过水解测定氨基酸浓度,衍生化,和色谱定量。使用四种不同的蛋白质浓度测定来估计蛋白质浓度。计算毒液样品中蛋白质浓度与蛋白质标准品的比率,并且相对于从AAA测定的浓度分析蛋白质浓度测定的准确性。SDS-PAGE分析表明,BSA含有多条蛋白带,而透明质酸酶含有肽和蛋白质条带的混合物。蚂蚁和蜜蜂毒液含有较高比例的肽带,而黄蜂毒液含有更多的蛋白质条带。由AAA决定,膜翅目毒液中蛋白质浓度与BSA的比值在1.01和1.11之间变化,和0.96和1.06之间的透明质酸酶。总的来说,在估计膜翅目毒液中蛋白质浓度时,Bradford试验的准确性最低,而BCA试验的准确性最高.在分析膜翅目毒液时,使用透明质酸酶作为标准或提高BCA测定的孵育温度没有显着优势。含有苯酚和人血清白蛋白的稀释剂溶液干扰基于Lowry的测定。
    Determination of protein concentration in Hymenoptera venoms requires an accurate and reproducible assay as the results will be used to support subsequent proteomic techniques employed in their analyses. However, all protein assay techniques have inherent strengths and weaknesses, demanding their assessment before selecting the most suitable platform for sample analysis. In this study, protein profiles of ant, honeybee, and wasp venoms, and bovine serum albumin (BSA) and hyaluronidase standards were qualitatively assessed using sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Their amino acid and protein concentration were quantitatively determined via Amino Acid Analysis (AAA). Amino acid concentration was determined via hydrolysis, derivatization, and chromatographic quantification. Protein concentration was estimated using four different protein concentration assays. The ratios of protein concentration in venom samples to protein standards were calculated, and the accuracy of the protein concentration assays was analysed relative to the concentration determined from AAA. SDS-PAGE analysis showed that BSA contained several protein bands, while hyaluronidase contained a mixture of peptide and protein bands. Ant and honeybee venoms contained a higher proportion of peptide bands, while wasp venom contained more protein bands. As determined by AAA, the ratio of protein concentration in Hymenoptera venoms varied between 1.01 and 1.11 to BSA, and between 0.96 and 1.06 to hyaluronidase. Overall, the Bradford assay was found to be the least accurate and the BCA assay was the most accurate in estimating protein concentration in Hymenoptera venoms. There was no significant advantage in using hyaluronidase as a standard or increasing incubation temperature of BCA assay when analysing Hymenoptera venoms. Diluent solutions containing phenol and human serum albumin interfered with Lowry-based assays.
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  • 文章类型: Journal Article
    对膜翅目毒液过敏患者的生活质量知之甚少。Vespid过敏生活质量问卷(VQLQ)通常用于评估这种情况的心理负担。本研究旨在评估波斯语版本VQLQ的有效性和可靠性。在这项横断面研究中,根据专家建议,VQLQ被翻译成波斯语。然后在伊朗的哮喘和过敏诊所向115名膜翅目毒液过敏患者施用VQLQ的最终翻译版本。超过一半的参与者年龄在20至40岁之间,60%是男性。恐惧,焦虑,户外活动对膜翅目毒液过敏患者的生活质量影响最为显著。此外,女性的生活质量比男性受到的影响更大,与年龄无关。此外,生活质量受膜翅目毒液引起的急性过敏性休克病史的影响。波斯版本的VQLQ可以测量伊朗人群中膜翅目毒液过敏患者的生活质量。在这些患者的初步评估中纳入VQLQ可能会指导变态反应医生为毒液特异性免疫治疗提供支持。
    Little is known about the quality of life of patients with anaphylaxis to Hymenoptera venom. The Vespid Allergy Quality of Life Questionnaire (VQLQ) is commonly used to assess the psychological burden of this condition. This study aimed to evaluate the validity and reliability of the Persian version of VQLQ. In this cross-sectional study, VQLQ was translated into Persian according to expert recommendations.  The final translated version of VQLQ was then administered to 115 patients with Hymenoptera venom allergy at an asthma and allergy clinic in Iran. More than half of the participants were between 20 and 40 years of age, and 60% were male. Fear, anxiety, and outdoor activities had the most significant impact on the quality of life of patients with Hymenoptera venom allergy. Additionally, quality of life was more affected in women than in men, while no correlation was found with age. Furthermore, the quality of life was affected by a history of acute anaphylactic shock due to Hymenoptera venom. The Persian version of VQLQ enables the measurement of quality of life in patients with Hymenoptera venom allergy in the Iranian population. The inclusion of VQLQ in the initial evaluation of these patients may potentially guide allergist in providing support for venom-specific immunotherapy.
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  • 文章类型: Journal Article
    过敏反应是在有或没有免疫系统刺激的情况下发生的过敏反应。膜翅目叮咬是世界上过敏反应的常见原因。皮肤试验是膜翅目过敏反应的一线诊断措施。本研究旨在评估单步方法在膜翅目毒液致敏测试中的安全性。
    这项横断面研究于2019年在伊朗北部的Golestan省进行。样本人口由Gorgan附近84个农村医疗中心覆盖的14万人组成,伊朗。33名患者同意接受诊断测试。在这项研究中,与2011年ACAAI指南相比,皮肤内注射三种膜翅目的毒液,浓度为1μg/ml,不稀释。
    被蜜蜂咬伤的患者的皮肤测试结果,黄色夹克,而纸蜂则有15.2%为阴性,15.2%,和21.2%的病例,分别。测试后,没有观察到过敏反应,除了轻微的皮肤反应,在短时间内改善。在测试期间,当患者出现在测试地点时,在测试期间采取这些预防措施,并且在之后经由从保健中心到患者家的随访长达48小时。
    我们的研究结果表明,非稀释单次注射膜翅目叮咬并没有副作用。
    UNASSIGNED: Anaphylaxis is an allergic reaction which occurs with or without the stimulation of the immune system. Hymenoptera stings are common causes of anaphylaxis in the world. Skin tests are the first-line diagnostic measure for Hymenoptera anaphylaxis. The present study aimed to evaluate the safety of a single-step approach in sensitization testing for Hymenoptera venom.
    UNASSIGNED: This cross-sectional study was conducted in 2019 in Golestan province the north of Iran. The sample population consisted of 140,000 individuals covered by 84 rural healthcare centers in the vicinity of Gorgan, Iran. Thirty-three patients agreed to receive the diagnostic test. In this research, in contrast to the 2011 ACAAI guideline, the extracts of venom of three types of Hymenoptera were injected intra-dermally without any dilution at the concentration of 1 μg/ml.
    UNASSIGNED: The results of the skin test in the patients bitten by honey bee, yellow jacket, and paper wasp were negative in 15.2%, 15.2%, and 21.2% of the cases, respectively. After the test, no allergic reaction was observed, with the exception of a minor skin reaction, which improved within a short time. These preventive measures were taken during the test for the following four hours when the patient was present at the test site and up to 48 hours afterward via follow-up from the healthcare center to the home of the patient.
    UNASSIGNED: The results of our study showed that the non-diluted single injection of the Hymenoptera sting was accompanied by no side effects.
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  • 文章类型: Journal Article
    我们回顾了ZethusFabricius属的三种切叶黄蜂物种,1804年发生在香港。ZethusMalayanusGusenleitner,2010年,syn。11月。被提议作为Z.bakeriGiordaniSoika的初级同义词,1995年;我们澄清了ZethusdolosusBingham的地位,1897年以前从香港报道,并添加Z.AngulatusNguyen和Carpenter,2016年对香港来说是新的。我们为这三个物种提供描述和高分辨率图像,包括Z.angulatus和Z.bakeri的男性生殖器。
    We review three leaf-cutter wasp species of the genus Zethus Fabricius, 1804 occurring in Hong Kong. Zethus malayanus Gusenleitner, 2010, syn. nov. is proposed as a junior synonym of Z. bakeri Giordani Soika, 1995; we clarify the status of Zethus dolosus Bingham, 1897 formerly reported from Hong Kong and add Z. angulatus Nguyen & Carpenter, 2016 as new to Hong Kong. We provide descriptions and high-resolution images for the three species, including male genitalia of Z. angulatus and Z. bakeri.
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  • 文章类型: Journal Article
    Sitotrogacerealella是世界上田间和储存条件下的主要谷物害虫之一。主要目的是研究谷物链球菌在小麦上的生命表,玉米和大麦及其对赤眼蜂寄生率的影响。S.cerealella在实验室条件下饲养,因为它的卵用于饲养T.chilonis。收集谷物链球菌的新鲜卵,孵化后,将谷物链球菌的新生幼虫转移到每种寄主植物物种上,以获得第一代(F1)(G)。每个宿主使用70个卵,并且每个卵用作复制品。每天进行观察以记录谷物链球菌的生命表参数。数据表明,在小麦上饲养时,谷物链球菌卵和p的发育时间最大(5.68天和7.75天),而谷物链球菌的最大幼虫持续时间(19.77天)记录在大麦上。玉米上记录到最大繁殖力(290.30±22.47个卵/雌性),而大麦上记录到每名雌性的最小繁殖力(159.30卵/雌性)。在玉米上饲养的谷物链球菌具有明显更高的有限增加率(λ)值,内在增长率(r),和净繁殖率(Ro)分别为(0.14±0.04天-1、1.16±0.05天-1和136.85±20.25卵/雌性)。小麦的平均世代时间(T)(35.18±0.61天)较高。同样,玉米上新产卵的总繁殖率(GRR)和年龄阶段特定生殖值(vxj)较高(136.85±20.25;1.160后代)。关于不同参数的赤霉病功效的数据记录在玉米上较高,即,百分比寄生(89.00±2.30%),成人出苗百分比(81.60±1.20%),与小麦和大麦相比,成虫寿命(3.80±0.10天)和成虫总寿命(9.90±0.20天)。我们的发现表明,与小麦和大麦相比,谷物链球菌在实验室条件下最好在玉米上饲养,因为它更喜欢这种寄主。因此,分配最易感和最喜欢的寄主(玉米)将有助于我们在实验室条件下提高赤霉病的大规模生产。
    Sitotroga cerealella is one of the major pests of cereals in the field and storage conditions throughout the world. The main objective was to study the life tables of S. cerealella on wheat, maize and barley and its implications on percent parasitism of Trichogramma chilonis. S. cerealella is reared under lab conditions as its eggs are utilized for rearing T. chilonis. Fresh eggs of S. cerealella were collected and after hatching the neonate larvae of S. cerealella were transferred onto each host plant species for obtaining first (F1) generation (G). Seventy eggs were used for each host and each egg was used as a replicate. Daily observations were made for recording the life-table parameters of the S. cerealella. The data showed that the developmental time of S. cerealella eggs and pupae was maximum (5.68 and 7.75 days) when reared on wheat, while the maximum larval duration (19.77 days) of S. cerealella was recorded on barley. The maximum fecundity (290.30 ± 22.47 eggs/female) was recorded on maize, while minimum fecundity per female was recorded on barley (159.30 eggs/ female). The S. cerealella reared on maize had significantly higher values of finite rate of increase (λ), intrinsic rate of increase (r), and net reproductive rate (Ro) (0.14 ± 0.04 day- 1, 1.16 ± 0.05 day- 1, and 136.85 ± 20.25 eggs/ female) respectively. The mean generation time (T) (35.18 ± 0.61 days) was higher on wheat. Likewise, the gross reproductive rate (GRR) and the age-stage specific reproductive values (vxj) of newly oviposited eggs of S. cerealella were recorded higher (136.85 ± 20.25; 1.160 offspring) on maize. The data regarding the efficacy of T. chilonis for different parameters were recorded higher on maize i.e., percent parasitism (89.00 ± 2.30%), percent adult emergence (81.60 ± 1.20%), adult longevity (3.80 ± 0.10 days) and total adult longevity (9.90 ± 0.20 days) as compared to wheat and barley. Our findings revealed that S. cerealella can be best reared on maize under laboratory conditions as it prefers this host as compared to wheat and barley. Therefore, assigning the most susceptible and favorite host (maize) would help us to improve T. chilonis mass production under laboratory conditions.
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  • 文章类型: Journal Article
    Sesids是一组以昼夜飞蛾为主的多样化群体,其中许多是膜翅目的贝特人模仿。然而,他们的多样性和关系知之甚少。对48个北美sesiid物种的多基因系统发育分析证实了传统的分类学部落等级,相对于其他几个属,证明了Carmenta和Synanthedon的相似性,并最终在北美和欧洲群体内部和之间提供了最小的系统发育分辨率。每个基因的特征支持表明CAD基因的系统发育信号与其他四个基因的系统发育信号之间不一致。然而,从随后的系统发育分析中去除CAD并没有实质性改变最初的系统发育结果或返回Carmenta和Synanthedon为相互单系的,这表明它没有影响整个系统发育信号。缺乏使用通常在物种水平上为其他鳞翅目提供信息的基因的分辨率,这表明Carmenta/Synanthedon的物种辐射惊人地迅速。这个小组还展示了广泛的模仿策略和寄养植物的使用,这可能是未来研究的沃土。
    Sesiids are a diverse group of predominantly diurnal moths, many of which are Batesian mimics of Hymenoptera. However, their diversity and relationships are poorly understood. A multi-gene phylogenetic analysis of 48 North American sesiid species confirmed the traditional taxonomic tribal ranks, demonstrated the paraphyly of Carmenta and Synanthedon with respect to several other genera and ultimately provided minimal phylogenetic resolution within and between North American and European groups. Character support from each gene suggested inconsistency between the phylogenetic signal of the CAD gene and that of the other four genes. However, removal of CAD from subsequent phylogenetic analyses did not substantially change the initial phylogenetic results or return Carmenta and Synanthedon as reciprocally monophyletic, suggesting that it was not impacting the overall phylogenetic signal. The lack of resolution using genes that are typically informative at the species level for other lepidopterans suggests a surprisingly rapid radiation of species in Carmenta/Synanthedon. This group also exhibits a wide range of mimicry strategies and hostplant usage, which could be fertile ground for future study.
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  • 文章类型: Journal Article
    在欧洲,欧盟或国家层面对蜜蜂的风险评估一直侧重于对蜜蜂的潜在影响。在欧洲食品安全局蜜蜂指南的修订过程中,明确指出也应考虑大黄蜂和孤蜂,因此对蜜蜂在这些其他蜜蜂物种中的代表性提出了担忧。这些担忧源于其他蜜蜂物种的大小差异以及行为和生活史特征的差异。为了回应这一关切,国际植物-传粉者关系委员会的非Apis工作组使用大黄蜂Bombusterrestris对半场隧道研究设计进行了环形测试。9个实验室参与,在两年的时间内验证和改进拟议的设计。环形测试实验的目的是开发,如果可能的话,建立一个测试协议,用大黄蜂进行更标准化的半场测试。在本研究中,总结并讨论了环形测试的结果,为有希望的实验设计提供建议。环境毒物化学2022;41:2548-2564。©2022作者WileyPeriodicalsLLC代表SETAC出版的环境毒理学和化学。
    In Europe, the risk assessment for bees at the European Union or national level has always focussed on potential impacts on honeybees. During the revision of the European Food Safety Authority bee guidance it was explicitly stated that bumblebees and solitary bees should be considered as well and consequently concerns were raised regarding the representativeness of honeybees for these other bee species. These concerns originate from differences in size as well as differences in behavioral and life history traits of other bee species. In response to this concern, the non-Apis working group of the International Commission for Plant-Pollinator Relationships initiated a ring-test of a semifield tunnel study design using the bumblebee Bombus terrestris. Nine laboratories participated, validating and improving the proposed design over a 2-year period. The intention of the ring-test experiments was to develop and if possible, establish a test protocol to conduct more standardized semifield tests with bumblebees. In the present study, the results of the ring-tests are summarized and discussed to give recommendations for a promising experimental design. Environ Toxicol Chem 2022;41:2548-2564. © 2022 The Authors. Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC.
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  • 文章类型: Journal Article
    对膜翅目叮咬的过敏反应可能有不同程度的严重程度,根据穆勒分级制度。
    根据流行病学概念,这是一项回顾性队列研究.观察到的队列由1997年至2015年期间因膜翅目过敏反应而转诊到大学诊所Golnik的患者代表。来自Golnik大学诊所的免疫学数据库,我们获得了实验室数据(sIgE,皮肤试验和嗜碱性粒细胞活化试验)。从BIRPIS获得患者的临床特征。在问卷的帮助下,本研究在2019年5月至2021年4月期间发送给每位患者,我们获得了流行病学数据.为了评估过敏反应的严重程度与观察结果之间的关联,使用膜翅目叮咬后第一次过敏反应的严重程度。其他变量根据危险因素进行分组。
    我们将确定可能在严重的全身反应中起重要作用的危险因素:膜翅目叮咬的病因,性别,年龄,既往全身反应的病史和严重程度,在两个月的间隔内被重新刺痛,重新刺痛的频率,atopy,遗传易感性,预防性用药,其他药物使用,养蜂或住在蜂箱旁边以及为什么不采取免疫疗法。还将分析实验室数据,以确定是否与实验室测试以及膜翅目叮咬后过敏反应的严重程度有关。
    在研究设计中引入了几种新方法。最重要的是,该协议涵盖了从问卷中获得的流行病学数据,以及从免疫学数据库和BIRPIS数据库获得的临床数据。我们期望获得重要的结果,这将解释膜翅目刺痛过敏反应自然史的风险因素,并将帮助过敏症专家,以及普通医生,当面对那些对膜翅目毒液过敏而没有免疫治疗的患者时。
    Allergic reactions to Hymenoptera stings can have varying levels of severity, according to the Müller grading system.
    By an epidemiological concept, this is a retrospective cohort study. The observed cohort was represented by patients referred to the University Clinic Golnik due to Hymenoptera allergic reaction in the period from 1997 to 2015. From the immunological database of the University Clinic Golnik, we obtained laboratory data (sIgE, skin tests and basophil activation test). The clinical characteristics of patients were obtained from BIRPIS. With the help of a questionnaire, which was sent to each patient in the period from May 2019 to April 2021, we obtained epidemiological data. For the assessment of the association between the severity of allergic reaction for the observed outcome, the severity of the first allergic reaction after Hymenoptera sting was used. Other variables were grouped according to risk factors.
    We will identify the risk factors that could play an important role in a severe systemic reaction: the aetiology of the Hymenoptera sting, sex, age, history and severity of previous systemic reactions, being re-stung in an interval of two months, the frequency of re-stings, atopy, genetic predisposition, preventive medication use, other medication use, beekeeping or living next to beehives and why immunotherapy was not taken. Laboratory data will also be analysed to determine if there is any association with laboratory tests and the severity of the allergic reactions after Hymenoptera stings.
    Several new approaches are introduced in the study design. The most important is that the protocol covers epidemiological data gained from the questionnaire, as well as clinical data gained from the Immunological database and BIRPIS database. We expect to obtain significant results that will explain the risk factors for the natural history of Hymenoptera sting allergic reactions and will help allergologists, as well as general doctors, when facing those patients allergic to Hymenoptera venom without immunotherapy.
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  • 文章类型: Journal Article
    东亚属FagineuraVikbergZinovjev,2000(膜翅目,Tenthredinidae)被重新定义为包括以下11种,分为两个物种组:F.crenativora物种组:F.brevicornisLiu,李伟,2021年来自中国,F.CrenativoraVikbergZinovjev,2000年日本,F.FlactoserrulaLiu,李伟,2019年来自中国,F.LongrangiaLiu,李伟,2021年来自中国,F.ParvaHara,sp.11月。来自日本,F.刘黄体,李伟,2019年来自中国;黄牛物种群:黄牛原草,sp.11月。来自日本和韩国,F.fulvistriataHara,sp.11月。来自日本,F.格拉贝拉·哈拉,sp.11月。来自日本和韩国,F.quercivora(Togashi,1997),梳子。11月。[=DineuraquercivoraTogashi,1997]来自日本和韩国,F.TogashiiHara,nom.11月。[F.quercivoraTogashi的替换名称,2006年;F.quercivora(Togashi,1997)]来自日本和韩国。给出了这11个物种的关键。对来自日本和韩国的物种进行了描述或其他描述。首次从韩国录制Fagineuraquercivora和F.togashii。对于黄牛,F.fulvistriata,F.glabella,F.quercivora和F.togashii,关于不成熟阶段的信息,提供寄主植物和生活史。
    The East Asian genus Fagineura Vikberg Zinovjev, 2000 (Hymenoptera, Tenthredinidae) is redefined to comprise the following 11 species, divided into two species groups: F. crenativora species group: F. brevicornis Liu, Li Wei, 2021 from China, F. crenativora Vikberg Zinovjev, 2000 from Japan, F. flactoserrula Liu, Li Wei, 2019 from China, F. longitangia Liu, Li Wei, 2021 from China, F. parva Hara, sp. nov. from Japan, F. xanthosoma Liu, Li Wei, 2019 from China; F. quercivora species group: F. flavomaculata Hara, sp. nov. from Japan and Korea, F. fulvistriata Hara, sp. nov. from Japan, F. glabella Hara, sp. nov. from Japan and Korea, F. quercivora (Togashi, 1997), comb. nov. [= Dineura quercivora Togashi, 1997] from Japan and Korea, F. togashii Hara, nom. nov. [replacement name for F. quercivora Togashi, 2006; junior secondary homonym of F. quercivora (Togashi, 1997)] from Japan and Korea. A key to these 11 species is given. Descriptions or additional descriptions are given for the species from Japan and Korea. Fagineura quercivora and F. togashii are recorded from Korea for the first time. For F. flavomaculata, F. fulvistriata, F. glabella, F. quercivora and F. togashii, information on the immature stages, host plants and life history is provided.
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  • 文章类型: Journal Article
    未经授权:皮下毒液免疫疗法(VIT)是一种有效的治疗蜂毒过敏的方法。然而,它涉及很长的治疗时间,高成本,和不良事件(AE)的风险。更短,更安全,因此,寻求更便宜的治疗选择。
    UNASSIGNED:要确定安全性,免疫原性,蜂毒淋巴内免疫治疗(ILIT)的疗效。
    未经评估:在一项开放的试点研究中,12名患者分三个疗程接受蜂毒ILIT,间隔14天:0.1-5μg/剂。应用超声成像来引导注射并记录淋巴结结构。在第二项研究中,来自欧洲和澳大利亚15个中心的67名患者被随机分配接受4种剂量的10或20μg蜂毒ILIT,间隔28天。临床终点包括特异性IgE和IgG以及蜜蜂叮咬攻击后的保护。这些研究是在2000-2003年进行的。
    未经评估:在概念验证研究中,没有观察到严重的AE。观察到变应原特异性IgG1的增加,但未观察到IgG4和IgE的增加。ILIT在8名受到攻击的患者中的7名诱导了针对蜜蜂叮咬攻击的保护。在一项多中心研究中,观察到过敏原特异性IgG和IgE的增加,接受较高ILIT剂量的患者增加最高。该研究由于在完成治疗后的刺痛激发后的几个严重AE而终止。然而,在45名受到挑战的患者中,10和20μg组中有15例(65%)和18例(82%)患者,分别,表现出两个等级或更多的改进。在抗体水平和刺痛保护之间没有观察到相关性。
    未经证实:虽然一项初步研究表明蜂毒ILIT的安全性和有效性,一项随机研究后,在刺痛攻击后发现大量AE,表明蜂毒ILIT提供的免疫学保护不足.值得注意的是,两项研究中使用的蜂毒过敏原提取物来自两个不同的提供者。虽然第一项研究使用了一种批准用于皮下VIT的制剂,第二项研究使用了一种从未在人体中测试过的未经批准的制剂.应对批准的制剂进行进一步研究,以得出有关蜂毒ILIT的安全性和有效性的结论性结果。
    UNASSIGNED: Subcutaneous venom immunotherapy (VIT) represents an effective treatment against bee venom allergy. However, it involves long treatment times, high costs, and the risk of adverse events (AEs). Shorter, safer, and cheaper treatment options are therefore pursued.
    UNASSIGNED: To determine the safety, immunogenicity, and efficacy of bee venom intralymphatic immunotherapy (ILIT).
    UNASSIGNED: In an open pilot study, 12 patients received bee venom ILIT in three sessions with 14-day intervals: 0.1-5 μg/dose. Ultrasound imaging was applied to guide an injection and to document the lymph node structure. In a second study, 67 patients from 15 centers in Europe and Australia were randomized to receive four doses of either 10- or 20-μg bee venom ILIT with 28-day intervals. Clinical endpoints included specific IgE and IgG and protection after a bee sting challenge. These studies were performed in the years 2000-2003.
    UNASSIGNED: In a proof-of-concept study, no serious AEs were observed. An increase in allergen-specific IgG1 but no IgG4 and IgE was observed. ILIT induced the protection against a bee sting challenge in 7 out of 8 challenged patients. In a multicenter study, an increase in allergen-specific IgG and IgE was observed, with the highest increase in patients receiving a higher ILIT dose. The study was terminated due to several serious AEs upon the sting challenge provocation after the completion of treatment. However, out of 45 patients challenged, 15 (65%) and 18 (82%) patients in the 10- and 20-μg group, respectively, showed an improvement of two grades or more. No correlation was observed between antibody levels and sting protection.
    UNASSIGNED: While a pilot study suggested the safety and efficacy of bee venom ILIT, a high number of AEs seen after the sting challenge following a randomized study indicate that the immunology protection offered by bee venom ILIT is insufficient. Of note, the bee venom allergen extract used in the two studies were from the two different providers. While the first study used a formulation approved for use in subcutaneous VIT, the second study used a nonapproved formulation never tested in humans. Further studies on approved formulations should be performed to generate conclusive results regarding the safety and efficacy of bee venom ILIT.
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