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Content of Asthmagen Natural Rubber Latex Allergens in Commercial Disposable Gloves

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Advances in Experimental Medicine and Biology

Abstract

The use of natural rubber latex (NRL) gloves in many occupations may lead to latex sensitization, allergic asthma, and skin reactions. Due to their good properties and environmental safety NRL gloves are still being used in the healthcare setting, but also in the food industry, by hairdressers, cleaners, etc. The aim of our study was to assess the protein and NRL allergen content in commercial gloves by different methods, including a new assay. Twenty commercially available NRL gloves were analyzed. Protein extraction was performed according to the international standard ASTM D-5712. Total protein content was measured with a modified Lowry method, NRL content with the CAP Inhibition Assay, the Beezhold ELISA Inhibition Assay, and an innovative ELISA with IgY-antibodies extracted from eggs of NRL-immunized hens (IgY Inhibition Assay). We found a high protein content in a range of 215.0–1304.7 μg/g in 8 out of the 20 NRL gloves. Seven of the 20 gloves were powdered, four of them with a high protein content. In gloves with high protein content, the immunological tests detected congruently high levels of NRL allergen. We conclude that a high percentage of commercially available NRL gloves still represent a risk for NRL allergy, including asthma. The modified Lowry Method allows to infer on the latex allergen content.

*The authors contributed equally.

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References

  • BAuA. Technische Regel für Gefahrstoffe 401 (TRGS 401) (2008) Available from: http://www.baua.de/de/Themen-von-A-Z/Gefahrstoffe/TRGS/TRGS-401.html. Accessed on 20 Dec 2015

  • Baur X, Chen Z, Raulf-Heimsoth M, Degens P (1997) Protein and allergen content of various natural latex articles. Allergy 52:661–4

    Article  CAS  PubMed  Google Scholar 

  • Boonchai W, Sirikudta W, Iamtharachai P, Kasemsarn P (2014) Latex glove-related symptoms among health care workers: a self-report questionnaire-based survey. Dermatitis 25:135–9

    Article  CAS  PubMed  Google Scholar 

  • Cabanes N, Ilgea JM, de la Hoz B, Agustín P, Blanco C, Domínguez J, Lázaro M, Lleonart R, Méndez J, Nieto A, Rodríguez A, Rubia N, Tabar A, Beitia JM, Dieguez MC, Martínez-Cócera C, Quirce S (2012) Latex allergy: position paper. J Investig Allergol Clin Immunol 22:313–30

    CAS  PubMed  Google Scholar 

  • Deutsches Institut für Normung e.V (2007) DIN EN 455–3. Medizinische Handschuhe zum einmaligen Gebrauch. Teil 3: Anforderung und Prüfung für die biologische Bewertung: Deutsche Fassung EN 455–3: 2006

    Google Scholar 

  • Hansson LO, Flodin M, Nilsen T, Caldwell K, Fromell K, Sunde K, Larsson A (2008) Comparison between chicken and rabbit antibody based particle enhanced cystatin C reagents for immunoturbidimetry. J Immunoassay Immunochem 29:1–9

    Article  CAS  PubMed  Google Scholar 

  • Heilman DK, Jones RT, Swanson MC, Yunginger JW (1996) A prospective, controlled study showing that rubber gloves are the major contributor to latex aeroallergen levels in the operating room. J Allergy Clin Immunol 98:325–30

    Article  CAS  PubMed  Google Scholar 

  • International Union of Immunological Societies Allergen Nomenclature Subcommittee. Allergen nomenclature: Hevea brasiliensis. Available from: http://www.allergen.org/search.php?allergenname%20=%20andallergensource%20=%20Hevea+brasiliensisandTaxSource%20=%20andTaxOrder%20=%20andfoodallerg%20=%20allandbioname%20=. Accessed on 20 Dec 2015

  • Klemperer F (1893) Ueber natürliche immunität und ihre verwerthung für die immunisirungstherapie. Archiv für die Experimentelle Pathologie und Pharmakologie 31:356–82

    Google Scholar 

  • Koch HU (2002) Protein determination in latex gloves. Source of Surgery 9:1. Available from: http://www.ansellhealthcare.com/america/latamer/source/april02-5.htm. Accessed on 20 Dec 2015

  • Lamberti M, Buonanno R, Ritonnaro C, Giovane G, Crispino G, Feola A, Medici A, Sannolo N, Di Carlo A, Di Domenico M (2015) Molecular profile of sensitization in subjects with short occupational exposure to latex. Int J Occup Med Environ Health 28:841–8

    PubMed  Google Scholar 

  • Latza U, Haamann F, Baur X (2005) Effectiveness of a nationwide interdisciplinary preventive programme for latex allergy. Int Arch Occup Environ Health 78:394–402

    Article  CAS  PubMed  Google Scholar 

  • Mabe DO, Singh TS, Bello B, Jeebhay MF, Lopata AL, Wadee A (2009) Allergenicity of latex rubber products used in South African dental schools. S Afr Med J 99:672–4

    CAS  PubMed  Google Scholar 

  • Merget R, van Kampen V, Sucker K, Heinze E, Taeger D, Goldscheid N, Haufs MG, Raulf-Heimsoth M, Kromark K, Nienhaus A, Bruening T (2010) The German experience 10 years after the latex allergy epidemic: need for further preventive measures in healthcare employees with latex allergy. Int Arch Occup Environ Health 83:895–903

    Article  PubMed  Google Scholar 

  • Mota AN, Turrini RN (2012) Perioperative latex hypersensitivity reactions: an integrative review. Rev Lat Am Enfermagem 20:411–20

    Article  PubMed  Google Scholar 

  • Palosuo T, Alenius H, Turjanmaa K (2002) Quantitation of latex allergens. Methods 27:52–8

    Article  CAS  PubMed  Google Scholar 

  • Perrella FW, Gaspari AA (2002) Natural rubber latex protein reduction with an emphasis on enzyme treatment. Methods 27:77–86

    Article  CAS  PubMed  Google Scholar 

  • Raulf-Heimsoth M, Sander I, Chen Z, Borowitzki G, Diewald K, van Kampen V, Baur X (2000) Development of a monoclonal antibody-based sandwich ELISA for detection of the latex allergen Hev b 1. Int Arch Allergy Immunol 123:236–41

    Article  CAS  PubMed  Google Scholar 

  • Sanguanchaiyakrit N, Povey AC, de Vocht F (2014) Personal exposure to inhalable dust and the specific latex aero-allergen, Hev b6.02, in latex glove manufacturing in Thailand. Ann Occup Hyg 58:542–50

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Schade R, Behn I, Erhard M, Hlinak A, Staak C (2001) Chicken egg yolk antibodies, production and application. Springer, Berlin/Heidelberg/New York

    Book  Google Scholar 

  • Tarlo SM, Sussman G, Contala A, Swanson MC (1994) Control of airborne latex by use of powder-free latex gloves. J Allergy Clin Immunol 93:985–9

    Article  CAS  PubMed  Google Scholar 

  • Tomazic-Jezic VJ, Woohlhiser MR, Beezhold DH (2002) ELISA inhibition assay for the quantification of antigenic protein in natural rubber latex. J Immunoassay Immunochem 23:261–78

    Article  CAS  PubMed  Google Scholar 

  • Turjanmaa K, Reunala T, Rasanen L (1988) Comparison of diagnostic methods in latex surgical glove contact urticaria. Contact Dermatitis 19:241–7

    Article  CAS  PubMed  Google Scholar 

  • Turjanmaa K, Alenius H, Mäkinen-Kiljunen S, Reunala T, Palosuo T (1996) Natural rubber latex allergy. Allergy 51:593–602

    Article  CAS  PubMed  Google Scholar 

  • Vandenplas O (1995) Occupational asthma caused by natural rubber latex. Eur Respir J 8:1957–65

    Article  CAS  PubMed  Google Scholar 

  • Wooley JA, Landon J (1995) Comparison of antibody production to human interleukine-6 (I-L6) by sheep and chickens. J Immunol Methods 178:253–65

    Article  Google Scholar 

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Acknowledgements

We would like to thank Frauke Koops for her skillful technical assistance.

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The authors declare no conflicts of interest regarding this publication.

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Correspondence to C. Bittner .

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Bittner, C., Velasco Garrido, M., Krach, L.H., Harth, V. (2016). Content of Asthmagen Natural Rubber Latex Allergens in Commercial Disposable Gloves. In: Advances in Experimental Medicine and Biology(). Springer, Boston, MA. https://doi.org/10.1007/5584_2016_241

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  • DOI: https://doi.org/10.1007/5584_2016_241

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