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Clinical Microbiology Reviews
Article . 2005 . Peer-reviewed
License: ASM Journals Non-Commercial TDM
Data sources: Crossref
ZENODO
Article . 2005
Data sources: Datacite
ZENODO
Article . 2005
Data sources: Datacite
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Allergy and Dermatophytes

Authors: Judith A. Woodfolk;
Abstract

SUMMARYTinea pedis (athlete's foot) and onychomycosis (infection of the toenails) caused by the dermatophyte fungusTrichophytonare highly prevalent in adults. SeveralTrichophytonallergens have been identified based on elicitation of immunoglobulin E antibody-mediated immediate-hypersensitivity (IH) responses. Evidence of an etiologic role forTrichophytonin asthma in some subjects with IH and chronic dermatophytosis is provided by bronchial reactivity toTrichophyton. Improvement of asthma after systemic antifungal treatment corroborates this link. A unique feature ofTrichophytonallergens is the ability of the same antigen to elicit delayed-type hypersensitivity (DTH) in individuals who lack IH reactivity. Delayed responses appear to confer protection, while IH responses do not, based on the association with acute versus chronic skin infection. The amino acid sequence identity ofTrichophytonallergens with diverse enzyme families supports a dual role for these proteins in fungal pathogenesis and allergic disease. Characterizing the immunologic properties ofTrichophytonallergens and defining immune mechanisms which drive dichotomous responses are pivotal to understanding the dermatophyte-allergy relationship. Recent studies have identified DTH-associated major T-cell epitopes which could facilitate the development of peptide vaccines. Characterization of additional molecular targets by using new techniques may aid not only in the eradication of infection but also in the resolution of allergic symptoms.

Related Organizations
Keywords

Adult, Hypersensitivity, Immediate, Arthrodermataceae, Molecular Sequence Data, bats, bat, Biodiversity, Allergens, Bat immunology, Fungal Proteins, Trichophyton, Child, Preschool, Chiroptera, Mammalia, Dermatomycoses, Humans, Animalia, Hypersensitivity, Delayed, Amino Acid Sequence, Child, Chordata

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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    132
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
132
Top 10%
Top 10%
Top 10%
bronze