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Biomedical subjects

Y Waisel

Publications and source records attributed to Y Waisel.

At least 19 recordsLinked to original sources
PubMed1998

Allergic responses to pollen of ornamental plants: high incidence in the general atopic population and especially among flower growers.

BACKGROUND: The incidence of allergy to pollen of ornamental plants has not been deeply investigated, and its extent has remained obscure. Most of such studies have concentrated only on pollen of ornamental plants from the Asteraceae family (Compositae). In this study an attempt was made to clarify whether various other ornamental plants may also cause skin responses and allergic symptoms among allergic urban dwellers and among rural flower growers. METHODS: Two hundred ninety-two patients were referred for allergic evaluation by their primary physicians; 75 flower growers and 44 university students were evaluated. For all participants, a detailed health record was obtained, and skin prick tests (SPTs) were performed. Extracts for SPTs included commercial common airborne allergens and autochthonous pollen extracts of 11 species of plants belonging to the Asteraceae, Ranunculaceae, Liliaceae, Scrophulariaceae, and Genetianaceae families. RESULTS: Fifty-one of the 292 patients (17%) referred for allergic evaluation had positive SPT responses to pollen of various ornamental plants. A similar incidence was found among the students (23%). However, the incidence among flower growers was significantly higher, reaching 52%. Higher incidence (83%) of positive SPT responses to ornamental plants was found among flower growers also sensitive to the common allergens. All the tested plants, not only those belonging to the Asteraceae family, provoked positive SPT responses in all 3 groups of participants. None of the participants from the general population or the group of students reported exacerbation of allergic symptoms on exposure to the tested plants. In contrast, almost half of the flower growers (45%) described nasal, ocular, or respiratory symptoms associated with occupational exposure to the tested plants. Some 15% of the growers were eventually compelled to change their profession. CONCLUSIONS: The incidence of positive SPT responses to ornamental plants was 17% to 23% among the general public but 52% among flower growers. Thus the effects of ornamental plant pollen on atopic patients should be seriously contemplated.

Adolescent↗
PubMed1998

Emergency room visits of asthmatic children, relation to air pollution, weather, and airborne allergens.

BACKGROUND: The worldwide increase in the incidence, prevalence, and severity of asthma may suggest that environmental factors play a role in these epidemiologic changes. OBJECTIVE: To examine the correlations between air pollutants, weather conditions, airborne allergens, and the incidence of emergency room (ER) visits of children with acute asthma attacks. DESIGN: One-year prospective study. Data of daily concentration of air pollutants, weather conditions, and selective airborne allergens were collected and compared with the number of ER visits of asthmatic children. SUBJECTS: 1076 asthmatic children (aged 1 to 18 years) who presented at the Pediatric ER between January 1 and December 31, 1993. RESULTS: Correlations between fluctuations in ER visits of asthmatic children and various environmental parameters were more relevant for weekly than for daily values. Emergency room visits correlated positively with concentrations of NOx, SO2 and with high barometric pressure; and negatively with O3 concentration and minimal and maximal temperature. There were no significant correlations with concentrations of particulates, humidity, or airborne pollen and spores. An exceptionally high incidence of ER visits of asthmatic children was observed during September. This peak coincided with the beginning of the school year and the Jewish holidays. The correlations between ER visits and the environmental factors increased significantly when the September peak was excluded, revealing that 61% of the variance in ER visits was explained by NOx, SO2, and 03 concentrations, 46% by weather parameters, 66% by NOx, SO2 and barometric pressure, and 69% by the combination of air pollutants and weather parameters. CONCLUSION: The major factors found to be associated with ER visits of asthmatic children were high NOx, high SO2, and high barometric pressure. Negative correlation was found between ER visits of asthmatic children and ozone concentrations. The particularly high number of ER visits at the beginning of the school year and the Jewish holidays was probably associated with an increase in the number of viral infections and/or emotional stress.

Adolescent↗
PubMed1997

Allergenicity of the pollen of Pistacia.

Differences in IgE binding and skin responses to pollen extracts of four species of Pistacia, and some immunochemical characteristics of this pollen were investigated. The incidence of positive SPT among atopic patients varied between 31.5% to the pollen extracts of P. vera and 24.6% to P. palaestina. The antigens are located on the exine of the grains as well as in their cytoplasm. Some of the antigens are common to all four species, whereas others seem to be specific. Cross-reactivity was found among the four species of Pistacia and between them and Schinus terebintifolious. Five conspicuous IgE-binding bands were observed in the immunoblots of the four examined species, the bands of 49, 57, 64, 68, and 79 kDa. The 36-37-kDa band of P. lentiscus and the 60- and 84-kDa bands of P. atlantica and P. vera were also noticeable. As the flowering seasons of Pistacia and Schinus do not overlap, the patients are exposed to such pollen for more than 4 months a year. Apparently, Pistacia pollen is a major source of allergy.

Binding Sites, Antibody↗
PubMed1997

The 'traveling salesman problem': a new approach for identification of differences among pollen allergens.

BACKGROUND: It is not easy to identify the specific plant species that causes an allergic response in a certain patient at a certain time. This is further complicated by the fact that closely related plant species cause similar allergic responses. A novel mathematical technique is used for analysis of skin responses of a large number of patients to several groups of allergens for improvement of the understanding of their similarity or dissimilarity and their status regarding cross-reactivity. METHODS: The responses of 153 atopic patients to 42 different pollen extracts were tested by skin prick tests. Among the responses of patients to various extracts, a measure of dissimilarity was introduced and calculated for all pairs of allergens. A matrix-structuring technique, based on a solution of the 'Travelling Salesman Problem', was used for clustering of the investigated allergens into groups according to patients' responses. The discrimination among clusters was confirmed by statistical analysis. RESULTS: Sub groups can be discerned even among allergens of closely related plants, i.e. allergens that are usually regarded as fully cross-reactive. A few such cases are demonstrated for various cultivars of olives and pecans and for various sources of date palms, turf grasses, three wild chenopods and an amaranth. CONCLUSION: The usefulness of the proposed approach for the understanding of similarity and dissimilarity among various pollen allergens is demonstrated.

Allergens↗
PubMed1996

[Correlation between exposure to allergenic pollens and allergic manifestations].

Due to increase in allergic morbidity, better understanding of the relationships between environmental parameters and clinical responses of patients is needed. Serious analysis of such correlations requires examination of an entire population. So far there has been no study in Israel that examined an entire population in order to establish the distribution of inhalant allergens, the prevalence of skin hypersensitivity and allergic clinical morbidity. To examine these parameters we studied the population of Kibbutz Netzer Sereni, a rural community exposed to large amounts of various pollen allergens. Of the 505 members aged 4-70 years, 395 (78.2%) responded. Air sampling, once a month throughout the year, identified the most prevalent inhaled allergens and measured amounts. Allergic profiles were evaluated using prick tests with allergenic extracts, clinical questionnaires and medical records. The most prevalent allergenic pollens in the air were pecan, olive, cypress and palm trees, grasses and weeds such as English plantain, sagebrush, pigweed and lamb's quarters. Over 45% of 395 participants were atopic to 1 or more of the 27 allergenic extracts. The most prevalent causes of atopy were the house dust mite (28.9%), sagebrush (16.5%), grasses (18.2%), pecan (13.2%) and cypress (11.1%). Over 50% of atopic residents were symptomatic, while 22.9% of those non-atopic reported symptoms that could be attributed to allergy. This investigation provides solid data for the prevalence of atopy and allergy in the region of this kibbutz.

Adolescent↗
PubMed1996

Antigenicity of the pollen proteins of various cultivars of Olea europaea.

The incidence of positive skin test responses among atopic subjects with suspected respiratory allergy was investigated with commercial and autochthonous pollen extracts of various cultivars of Olea europaea. Pollen was collected from olive trees of well-defined cultivars, extracted, and separated by SDS-PAGE. Immunoblots were used to identify the various IgE-binding proteins of the pollen extracts of the various cultivars. The results revealed six predominant IgE-binding bands, some of which appear in all the cultivars examined. The 18-20-kDa band (Ole e 1) appeared in only eight of the cultivars, but not in the nine others. The presence of specific IgE-binding bands in the various pollen extracts and their correlation with the incidence of positive skin tests are discussed.

Electrophoresis, Polyacrylamide Gel↗
PubMed1996

Hypersensitivity to pollen of Olea europaea in Israel.

The incidence of skin-tested sensitivity to olive pollen allergens among subjects with suspected atopic respiratory allergy was investigated in various populations of Israelis. This incidence was correlated with the olive cultivars, with the abundance of trees in the patient's neighborhoods, and with the history of exposure of the studied populations to olive pollen. Positive skin reactions to olive pollen, among atopic patients of the Jewish population, is rather high where olive trees are abundant (66%), and lower (29%) where trees are scarce (P < 0.003). Sensitization was significantly lower (P < 0.003) among a population of Israeli atopic Arabs (16%), though these Arabs have lived in an olive-rich area for several generations.

Arabs↗
PubMed1996

Allergy to olive pollen: T-cell response from olive allergic patients is restricted by DR7-DQ2 antigens.

BACKGROUND: We have recently described the association between the IgE antibody response to Ole e I (the major antigen from olive tree pollen) and the DR7-DQ2 haplotype in a Spanish population. OBJECTIVE AND METHODS: Due to the linkage disequilibrium between DR7 and DQ2, and thus the difficult distinction between the role of these two antigens in the T-cell activation response, we decided to solve this question by two approaches: 1. The study of another ethnic group, individuals of Arabic origin, with a presumably distinct disequilibrium linkage between DR and DQ antigens. Genomic DNA typing was performed in 46 subjects (allergic and non-allergic) by Restriction Fragment Length Polymorphism (RFLP) and results showed that patients with specific IgE antibodies alpha-Ole e I, were DR7 and/or DQ2. These data show a similar restriction pattern to those previously described for Spanish patients. The phenotypic frequency of DR7 antigen is significantly greater than in the non-allergic population, with a corrected P (Pc) value of 0.03. 2. The analysis of the genetic requirements of Ole e I response, using T-cell lines specific for this antigen. This was first carried out by blocking the proliferative response of these T-cell lines with specific anti-human HLA class II antibodies and then testing the genetic restriction of this response using a panel of histocompatible and histoincompatible Antigen Presenting Cells (APCs). Both experiments corroborate the hypothesis that DR7 and DQ2 are implicated in the recognition of Ole e I.

Adolescent↗
PubMed1996

The importance of the pecan tree pollen in allergic manifestations.

BACKGROUND: Pecan tree pollen is considered to be highly allergenic. However, no specific scientific data about its role in causing allergic diseases are available. OBJECTIVE: To study the role of pecan tree pollen in the development of allergy. METHODS: The presence of pecan tree pollen was determined by weekly and monthly counting of airborne grains. The incidence of pecan tree pollen atopy and clinical manifestations were studied in 395 participants, aged 4-70 years, who comprised 78.2% of the whole eligible population of a rural community. The participants were skin tested for different extracts of allergens, completed detailed questionnaires, and their medical files were evaluated. RESULTS: During May, pecan tree pollen grains comprised 70% of the total airborne grains. A positive skin-prick test (SPT) to pecan was shown by 46 (11.6%) participants, constituting 25.4% of the atopic population. Of those who were found atopic to one or more allergens 50.3% had symptoms, whereas the parallel figure for those atopic to pecan pollen was 76.1% (P < 0.005); 58.7% of the pecan atopic participants had hay fever, 43.5% had asthma, and 31.5% had both hay fever and asthma. Among pecan atopic participants the incidence of hay fever increased with age (P = 0.05), while the incidence of bronchial asthma, as a sole manifestation of allergy, decreased in the > 17-year-old age group (P < 0.01). Of the pecan atopics 65.2% had clinical symptoms coinciding only with the pecan pollen season and an additional 10.9% had perennial symptoms. CONCLUSION: Pecan tree releases highly allergenic pollen grains, which are correlated to the incidence of hay fever in the exposed population. The contribution of pecan tree pollen to the symptoms was highly significant after discounting olive and cypress trees that also pollinate in the spring. In children, the pecan tree constitutes a possible etiologic agent for the development of asthma.

Adolescent↗
PubMed1995

Podocarpus gracilior and Callitris verrucosa--newly identified allergens that crossreact with Cupressus sempervirens.

Thirty-six symptomatic patients, with positive skin reactions to Cupressus sempervirens pollen extract were skin-tested with pollen extracts of Podocarpus gracilior and Callitris verrucosa, of these 17 (47%) had positive responses to P. gracilior, nine (25%) to C. verrucosa, and six (17%) to both. None of the non-atopic healthy controls had positive reactions to either of the extracts. Radioallergosorbent test (RAST)-inhibition studies were performed with pooled sera from three patients. Fifty per cent inhibition was obtained with 11 micrograms protein of C. sempervirens, 54 micrograms of P. gracilior, and 71 micrograms of C. verrucosa; however, when pollen extract of Olea europaea, an unrelated allergen, was tested, 265 micrograms protein were needed to obtain 50% inhibition. One-dimension sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) analysis of pollen extracts from the three species revealed that they had several very similar protein bands. Using Western blot analysis, several closely related IgE binding proteins were identified in the three species. It was concluded that the pollen grains of P. gracilior and of C. verrucosa are potentially allergenic. The presence of common allergenic proteins indicate partial crossreactivity with C. sempervirens.

Allergens↗
PubMed1994

[Allergic responses to date palm and pecan pollen in Israel].

Date palm (Phoenix dactylifera) and pecan (Carya illinoensis) trees are commonly planted in Israel for fruit, for shade, or as ornamental plants. Pollen grains of both species are allergenic; however, the extent of exposure to such pollen and the incidence of allergic response have not been studied here. We therefore investigated skin-test responses to pollen extracts of 12 varieties of palm and 9 of pecan in 705 allergic patients living in 3 cities and 19 rural settlements. Sensitivity to the pollen extracts of both species was much higher among residents of rural than of urban communities. Moreover, there was a definite relationship between the abundance of these trees in a region and the incidence of skin responders to their pollen. Sensitivity was frequent in settlements rich in these 2 species, such as those with nearby commercial date or pecan plantations. In general, sensitivity to date pollen extracts was lower than to pecan. However, differences in skin responses to pollen extracts of various clones were substantiated. Air sampling revealed that pollen pollution decreased considerably with distance from the trees. At approximately 100 m from a source concentrations of airborne pollen were low. Since planting of male palm and pecan trees in population centers would increase pollen pollution, it should be avoided.

Demography↗
PubMed1994

Clustering of allergenic pollen on the basis of skin responses of atopic patients by matrix analysis.

The responses of 148 atopic patients to some 43 different extracts of allergenic pollen were tested by prick tests. The measure of dissimilarity was introduced and calculated for all pairs of allergens. The investigated allergens were clustered into groups, according to their unbiased greatest similarity, by a matrix-structuring method. Results indicate that subgroups of allergens can be distinguished even within groups of closely related pollen allergens that were believed to be fully cross-reactive. A few cases are demonstrated for various varieties of olives, pecans, date palms, and turf grasses and for some wild chenopods and amaranths. The usefulness of the suggested solution for allergy research and for clinical practice is discussed.

Allergens↗
PubMed1994

Sensitivity to olea Europaea pollen in different populations in Israel.

Sensitivity to olive pollen was studied (by skin tests) in different Israeli populations suffering from respiratory allergies. The results were compared with aerobiological data, in order to correlate amount of exposure to prevalence of sensitization. It was found that in the Jewish population, sensitivity to olive pollen developed in direct proportion with the number of olive trees in the settlement: 66% where trees density is high, 29% where it is low. In the Arab population however, possibly genetically determined, the sensitization to olive pollen was low (only 14%) even though the density of trees is high.

Allergens↗
PubMed1991

[Artemisia monosperma of the coastal plain as an allergen source in Jerusalem].

The possibility that pollen grains of Artemisia monosperma (AM) are transported to Jerusalem from their native habitat along the coastal plain was investigated. Air-borne pollen grains were sampled in the early autumn of 1989 with a Rotorod pollen sampler. During that period only 1 of the 4 species of AM in Israel, A. monosperma, was flowering. The sampling day was typical for the late summer, with a light NW breeze. Sampling was done simultaneously in 3 sites: Tel Aviv, Carmei Yosef and Jerusalem. The greatest concentration of pollen in Tel Aviv was found during the morning hours and decreased during the course of the day. Pollen counts in Carmei Yosef reached a maximum at 11:00 a.m. A substantial number of air-borne AM pollen was recorded in Jerusalem, with a daily peak at 1:00 p.m. Such results fit well the distribution pattern of the pollen as expected from the recorded wind velocity and direction. They also agree well with the data for transportation of other air pollutants from the coastal plain to Jerusalem. Apparently AM pollen is transported to Jerusalem over distances of many tens of kilometers, even on days with light winds. Therefore, such pollen may constitute an allergenic factor in Jerusalem in the autumn. It is reasonable to assume that transportation of pollens of other coastal plants follows a similar pattern.

Allergens↗
PubMed1989

[Sensitization to pollens in a changing environment: Israel].

Israel was originally a country with desert climate and extensive agriculture. During the last 40 years, due to artificial irrigation, a rich vegetation and intensive agriculture have developed. Hayfever prevalence has risen between 1952 and 1986 from an average of 0.3% to 6.3% (with a range from 4% in the urban to 15% in the rural communities). Considering that significant (P less than 0.001) impact of pollen quantity upon hayfever incidence, an elementary pollen information system was organized (as described in the article) to help both allergists and allergic patients in their joint effort to avoid the harmful effect of a changing environment.

Agriculture↗
PubMed1989

Forecasting pollen pollution: correlation with floral development.

Variations in the time course of flowering and in its intensity were recorded for regions in Israel along with variable climatic conditions. Such variations had an effect on pollen release into the air and on pollen counts. Two approaches for forecasting allergenic pollen dispersion were compared: (1) a survey of floral development and flowering intensity and (2) a survey of airborne pollen. There was a positive correlation between the survey of flowering and airborne pollen counts, although pollen was occasionally found after the flowering season. Further, it predicted fairly accurately the beginning of the flowering time of each species in each regio, the expected flowering duration, and intensity. Conducting a survey of flowering is a simple, easy and inexpensive operation. It is highly recommended for regions with variable climates.

Air Pollution↗