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Updated: May 26, 2026

Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
Indoor exposure to mould allergens
1Institute for Medical Research and Occupational Health, Zagreb, Croatia. prester@imi.hr
Abstract:
Humid indoor environments may be colonised by allergenic filamentous microfungi (moulds), Aspergillus spp., Penicillium spp., Cladosporium spp., and Alternaria spp. in particular. Mould-induced respiratory diseases are a worldwide problem. In the last two decades, mould allergens and glucans have been used as markers of indoor exposure to moulds. Recently, mould allergens Alt a 1 (Alternaria alternata) and Asp f 1 (Aspergillus fumigatus) have been analysed in various environments (residential and occupational) with enzyme-linked immunosorbent assays, which use monoclonal or polyclonal antibodies. Household Alt a 1 and Asp f 1 levels were usually under the limit of the method detection. By contrast, higher levels of mould allergens were found in environments with high levels of bioaerosols such as poultry farms and sawmills. Data on allergen Alt a 1 and Asp f 1 levels in agricultural settings may provide information on possible colonisation of respective moulds and point out to mould-related diseases in occupants.
Insights
Mould allergens like Alt a 1 and Asp f 1 are often low in homes but high in agricultural settings. Measuring these airborne fungal markers can help identify mould exposure and related respiratory diseases.
Area of Science:
- Environmental science
- Occupational health
- Allergology
Background:
- Humid indoor environments are prone to colonization by allergenic filamentous microfungi (moulds), including Aspergillus, Penicillium, Cladosporium, and Alternaria species.
- Mould-induced respiratory diseases represent a significant global health concern.
- Mould allergens and glucans have been established as biomarkers for indoor mould exposure over the past two decades.
Purpose of the Study:
- To analyze the levels of specific mould allergens, Alt a 1 (from Alternaria alternata) and Asp f 1 (from Aspergillus fumigatus), in various residential and occupational environments.
- To assess the utility of these allergen measurements as indicators of mould colonization and potential health risks in different settings.
Main Methods:
- Enzyme-linked immunosorbent assays (ELISAs) utilizing monoclonal or polyclonal antibodies were employed for the quantification of mould allergens.
- Measurements were conducted in diverse environments, including residential settings, poultry farms, and sawmills.
Main Results:
- Household levels of Alt a 1 and Asp f 1 were generally below the detection limits of the assays.
- Significantly higher concentrations of these mould allergens were detected in environments characterized by high bioaerosol levels, such as poultry farms and sawmills.
Conclusions:
- Airborne concentrations of Alt a 1 and Asp f 1 vary considerably depending on the environment.
- Elevated levels of these mould allergens in agricultural settings indicate potential for significant mould colonization and associated occupational health risks.
- Monitoring Alt a 1 and Asp f 1 levels can provide valuable insights into mould exposure and inform strategies for managing mould-related diseases in occupants of agricultural environments.
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