“…There is no doubt that chronic exposure, which is so characteristic of HDM sensitivity, would result in the cumulative build up and continuous replenishment of very high concentrations of allergens in lung tissues. Despite some reported increases in SP-A and SP-D levels 24 h after allergen challenge, which may well represent an innate immune defense mechanism (11,12,15,59), given our findings, we believe that as well as very short-term exposure, which has been discussed above, long-term exposure to HDM allergens would disrupt the physiological levels and functions of SP-D in the lungs, and this could have profound consequences. Consistent with this, decreased levels of SP-A and SP-D in BALF are seen in the chronic phase of allergen exposure in murine models of allergic hypersensitivity to HDM allergens (58).…”