“…However, because the mites consume the egested pellets, these are present in the gut and, therefore, the subsequent preparation. It should be noted that extracts of commercially available HDM vary according to their preparation, resulting in markedly different biochemical properties such as protease activity, exo- and endochitinase levels and endotoxin content [30]. Soluble HDM extract is increasingly being used but a recent study has shown that pathology is worsened when the allergens are administered in particulate form mimicking inhaled airborne particulate matter.…”