Cladosporium as an airborne allergen in Saudi Arabia

S M Hasnain1, A S Al-Frayh, H A Harfi

  • 1Departments of Biological and Medical Research, Pediatrics/Medicine, King Faisal Specialist Hospital and Research Centre, and Pediatrics and Immunology Division, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Insights

High airborne mold levels of Cladosporium were found in Saudi Arabia, potentially causing allergies. Monitoring identified prevalent species and significant allergic reactions in asthmatic children, indicating a need for further research.

Area of Science:

  • Environmental microbiology
  • Allergen studies
  • Public health

Background:

  • Airborne mold, specifically Cladosporium, is a common environmental allergen.
  • Saudi Arabia's climate may influence airborne mold concentrations and distribution.
  • Understanding local allergen prevalence is crucial for managing allergic diseases.

Purpose of the Study:

  • To quantify airborne Cladosporium concentrations in major Saudi Arabian cities.
  • To identify prevalent Cladosporium species and assess their potential allergenicity.
  • To investigate the correlation between Cladosporium exposure and allergic sensitization in asthmatic children.

Main Methods:

  • Airborne mold sampling was conducted in Jeddah, Al-Khobar, and Riyadh.
  • Indoor air quality monitoring for Cladosporium was performed.
  • Species identification of Cladosporium was carried out.
  • Skin prick testing was performed on asthmatic children in Riyadh and Makkah.

Main Results:

  • High concentrations of airborne Cladosporium were detected, exceeding sensitization thresholds in Jeddah and Al-Khobar.
  • Seasonal variations in spore counts were observed, with a minor peak in Riyadh during November.
  • Ten Cladosporium species were identified, with C. sphaerospermum, C. herbarum, C. cladosporoides, and C. macrocarpum being most common.
  • Skin testing revealed significant allergic reactivity to Cladosporium extracts in asthmatic children (5.8% in Riyadh, 31.3% in Makkah).

Conclusions:

  • Cladosporium is a prevalent airborne mold in Saudi Arabia with significant seasonal variations.
  • The identified species are relevant for diagnostic purposes.
  • Cladosporium represents a potential major allergen in the region, warranting further investigation into its allergic impact.

Related Concept Videos

Allergic Reactions02:06

Allergic Reactions

Overview
Fungal Phylum Ascomycota01:28

Fungal Phylum Ascomycota

Phylum Ascomycota, a major division within the subkingdom Dikarya, comprises a diverse range of fungal species, including both unicellular yeasts and filamentous molds such as Aspergillus and Penicillium. These fungi thrive in a variety of habitats, from aquatic ecosystems to terrestrial environments, playing crucial ecological and economic roles.Morphology and ReproductionThe defining characteristic of Ascomycetes, commonly referred to as sac fungi, is the ascus—a sac-like structure that...
Allergic Reactions: Anaphylaxis01:30

Allergic Reactions: Anaphylaxis

Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin, heparin),...
Inhalation Anthrax01:25

Inhalation Anthrax

Anthrax is a zoonotic disease caused by Bacillus anthracis, a Gram-positive, spore-forming bacterium. It primarily affects herbivorous animals but can be transmitted to humans through skin contact, ingestion, or inhalation of spores.Cutaneous anthrax, the most common form, typically results from direct contact with bacterial spores through skin abrasions and is generally less severe. Gastrointestinal anthrax results from eating undercooked or contaminated meat. It affects the mouth, throat, or...
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Allergic Drug Reactions01:27

Allergic Drug Reactions

Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing numerous...