The disease scabies is one of the earliest diseases of humans for which the cause was known. It is caused by the mite, Sarcoptes scabiei, that burrows in the epidermis of the skin of humans and many other mammals. This mite was previously known as Acarus scabiei DeGeer, 1778 before the genus Sarcoptes was established (Latreille 1802) and it became S. scabiei. Research during the last 40 years has tremendously increased insight into the mite’s biology, parasite-host interactions, and the mechanisms it uses to evade the host’s defenses. This review highlights some of the major advancements of our knowledge of the mite’s biology, genome, proteome, and immunomodulating abilities all of which provide a basis for control of the disease. Advances toward the development of a diagnostic blood test to detect a scabies infection and a vaccine to protect susceptible populations from becoming infected, or at least limiting the transmission of the disease, are also presented.
Scabies continues to be an important parasitic disease of humans, and other mammals. Suprisingly for a disease that has afflicted humans since antiquity, little is directly known about the basic biology of the parasite, the host-parasite interactions, the host immune response, and host susceptibility. Much more research in these areas is needed if we are to understand fully the occurrence, transmission, and epidemiology of both human and animal scabies.
Many species of arthropods are the sources of potent allergens that sensitize and induce IgE-mediated allergic reactions in humans. Most of these arthropod allergens are proteins, and the allergic response mechanism to these allergens is the same as it is for allergens from other sources such as plant pollens, molds, and foods. Aside from ingestion of crustaceans (shrimp, lobster), among arthropods, humans have the greatest contact with insects and mites, and as a result allergies to these two groups of arthropods have been the most frequently reported. Because of the large number of people affected by allergic reactions to stinging insects, cockroaches, and dust mites, many allergens of these organisms have been extensively studied, purified, and immunobiochemically characterized and for some recombinant allergens, produced. Cocktails of these recombinant allergens have the potential for use in diagnosis and immunotherapy. In this chapter, we review the insects and mites that induce allergic reactions. Where the information exists, the immunobiochemical characterization of the allergens and the frequency of sensitivity or clinical reactivity in the human population are also reviewed. As background, the beginning of this review includes sections that define allergens, explain the allergic reaction mechanism, and describe the methods for naming allergens.
The house dust mites, Dermatophagoides farinae, D. pteronyssinus and Euroglyphus maynei, are prevalent in homes in humid geographical areas throughout the world. These mites thrive in humid environments in human dwellings where there is no liquid water to drink. However, their bodies contain 70-75% water by weight, which must be maintained in order to reproduce. Their primary source of water is water vapor which is actively extracted from unsaturated air. At relative humidities above 65-70%, adequate amounts of water can be extracted from unsaturated air to compensate for that lost by all avenues. Active uptake is associated with ingestion of a hyperosmotic solution which is secreted by the supracoxal glands. Active mites do not survive longer than 6-11 days at RHs < or = 50%. They survive extended dry periods by forming a desiccation-resistant protonymphal stage which can survive for months at RHs below the critical humidity for active stages. Feeding rate and allergen production is directly influenced by RH. Mites feed, multiply, and produce more fecal matter at higher RHs than at lower ones.
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