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• W2035565569 abstract "We would like to comment on the article by Knutsen et al.1Knutsen A.P. Bush R.K. Demain J.G. Denning D.W. Dixit A. Fairs A. et al.Fungi and allergic lower respiratory tract diseases.J Allergy Clin Immunol. 2012; 129: 280-291Abstract Full Text Full Text PDF PubMed Scopus (344) Google Scholar The possible role of basidiospores as airborne allergens was already reported, and their review listed 19 species belonging to the phylum Basidiomycota as causative organisms. The results of our series of studies in patients with allergic lower respiratory tract diseases suggest that 2 additional basidiomycetous (BM) fungi should be added to their review.Schizophyllum commune (SC) is a BM fungus that can cause allergic bronchopulmonary mycosis.2Kamei K. Unno H. Nagao K. Kuriyama T. Nishimura K. Miyaji M. Allergic bronchopulomonary mycosis caused by the basidiomycetous fungus Schizophyllum commune.Clin Infect Dis. 1994; 18: 305-309Crossref PubMed Scopus (91) Google Scholar Our recent studies suggested that SC is an important causative fungal antigen of bronchial asthma.3Ogawa H. Fujimura M. Takeuchi Y. Makimura K. Two cases of Schizophyllum asthma: is this a new clinical entity or a precursor of ABPM?.Pulm Pharmacol Ther. 2011; 24: 559-562Crossref PubMed Scopus (29) Google Scholar Therefore, this BM fungus may be a candidate organism influencing the clinical manifestations of asthma via sensitization to this fungus, similar to Aspergillus.4Agarwal R. Gupta D. Severe asthma and fungi: current evidence.Med Mycol. 2011; 49: S150-S157Crossref PubMed Scopus (96) Google Scholar Our multivariate analysis demonstrated that SC sensitization is correlated with both asthma severity and exacerbation frequency,5Ogawa H. Fujimura M. Takeuchi Y. Makimura K. The influence of Schizophyllum commune on the severity and exacerbation of asthma.Lung. 2011; 189: 485-492Crossref PubMed Scopus (16) Google Scholar and therefore it is important to determine the correlation between SC sensitization and decline of lung function. The efficacy of antifungal drugs against fungal-sensitized asthma is an important issue,1Knutsen A.P. Bush R.K. Demain J.G. Denning D.W. Dixit A. Fairs A. et al.Fungi and allergic lower respiratory tract diseases.J Allergy Clin Immunol. 2012; 129: 280-291Abstract Full Text Full Text PDF PubMed Scopus (344) Google Scholar but their routine use in fungus-sensitized asthma requires further evaluation.4Agarwal R. Gupta D. Severe asthma and fungi: current evidence.Med Mycol. 2011; 49: S150-S157Crossref PubMed Scopus (96) Google Scholar Clinical studies concerning this issue regarding sensitization to this fungus may yield important new insights.Bjerkandera adusta is well known in the field of agricultural science because it secretes multiple lignin peroxidase isozymes, but its clinical significance has not been clarified.6Gonzalez G.M. Sutton D.A. Thompson E. Tijerina R. Rinaldi M.G. In vitro activities of approved and investigational antifungal agents against 44 clinical isolates of basidiomycetous fungi.Antimicrob Agents Chemother. 2001; 45: 633-635Crossref PubMed Scopus (60) Google Scholar Our recent studies indicated that B adusta is an important environmental fungi due to its potential role in enhancing the severity of cough symptoms by sensitization to this fungus.7Ogawa H. Fujimura M. Takeuchi Y. Makimura K. Is Bjerkandera adusta important to fungus-associated chronic cough (FACC) as an allergen? Eight cases' report.J Asthma. 2009; 46: 849-855PubMed Google Scholar Further studies indicated growth of the filamentous B adusta at 4°C to 37°C on Sabouraud's dextrose agar and showed that abundant asexual spores, arthroconidia, were produced from the hyphae of this fungus (Fig 1). The yearlong sensitization caused by B adusta may therefore be part of the reason why this fungus, which is a mushroom growing primarily in fields, acts as an allergen in winter as well as in summertime.SC and B adusta are correlated with common diseases encountered in ordinary clinics, that is, bronchial asthma and chronic cough, respectively. Therefore, it is important to investigate the interactions of inflammatory cells and cytokines induced on the bronchial wall by these BM fungi, to evaluate the relationships between sensitization to these fungi and patients' clinical manifestations, and to plan strategies including antifungal therapy that have shown potential advantages in vitro.The role of climate change in fungus-related respiratory tract diseases has also been discussed.1Knutsen A.P. Bush R.K. Demain J.G. Denning D.W. Dixit A. Fairs A. et al.Fungi and allergic lower respiratory tract diseases.J Allergy Clin Immunol. 2012; 129: 280-291Abstract Full Text Full Text PDF PubMed Scopus (344) Google Scholar As both fungi colonize rotting wood and are distributed throughout the world, their growing conditions may always be affected by natural environmental factors, such as global climate change and other geographical characteristics. Thus, among the approximately 30,000 species in the BM phylum, we suggest 2 additional BM fungi that should be taken into consideration when managing such patients. We would like to comment on the article by Knutsen et al.1Knutsen A.P. Bush R.K. Demain J.G. Denning D.W. Dixit A. Fairs A. et al.Fungi and allergic lower respiratory tract diseases.J Allergy Clin Immunol. 2012; 129: 280-291Abstract Full Text Full Text PDF PubMed Scopus (344) Google Scholar The possible role of basidiospores as airborne allergens was already reported, and their review listed 19 species belonging to the phylum Basidiomycota as causative organisms. The results of our series of studies in patients with allergic lower respiratory tract diseases suggest that 2 additional basidiomycetous (BM) fungi should be added to their review. Schizophyllum commune (SC) is a BM fungus that can cause allergic bronchopulmonary mycosis.2Kamei K. Unno H. Nagao K. Kuriyama T. Nishimura K. Miyaji M. Allergic bronchopulomonary mycosis caused by the basidiomycetous fungus Schizophyllum commune.Clin Infect Dis. 1994; 18: 305-309Crossref PubMed Scopus (91) Google Scholar Our recent studies suggested that SC is an important causative fungal antigen of bronchial asthma.3Ogawa H. Fujimura M. Takeuchi Y. Makimura K. Two cases of Schizophyllum asthma: is this a new clinical entity or a precursor of ABPM?.Pulm Pharmacol Ther. 2011; 24: 559-562Crossref PubMed Scopus (29) Google Scholar Therefore, this BM fungus may be a candidate organism influencing the clinical manifestations of asthma via sensitization to this fungus, similar to Aspergillus.4Agarwal R. Gupta D. Severe asthma and fungi: current evidence.Med Mycol. 2011; 49: S150-S157Crossref PubMed Scopus (96) Google Scholar Our multivariate analysis demonstrated that SC sensitization is correlated with both asthma severity and exacerbation frequency,5Ogawa H. Fujimura M. Takeuchi Y. Makimura K. The influence of Schizophyllum commune on the severity and exacerbation of asthma.Lung. 2011; 189: 485-492Crossref PubMed Scopus (16) Google Scholar and therefore it is important to determine the correlation between SC sensitization and decline of lung function. The efficacy of antifungal drugs against fungal-sensitized asthma is an important issue,1Knutsen A.P. Bush R.K. Demain J.G. Denning D.W. Dixit A. Fairs A. et al.Fungi and allergic lower respiratory tract diseases.J Allergy Clin Immunol. 2012; 129: 280-291Abstract Full Text Full Text PDF PubMed Scopus (344) Google Scholar but their routine use in fungus-sensitized asthma requires further evaluation.4Agarwal R. Gupta D. Severe asthma and fungi: current evidence.Med Mycol. 2011; 49: S150-S157Crossref PubMed Scopus (96) Google Scholar Clinical studies concerning this issue regarding sensitization to this fungus may yield important new insights. Bjerkandera adusta is well known in the field of agricultural science because it secretes multiple lignin peroxidase isozymes, but its clinical significance has not been clarified.6Gonzalez G.M. Sutton D.A. Thompson E. Tijerina R. Rinaldi M.G. In vitro activities of approved and investigational antifungal agents against 44 clinical isolates of basidiomycetous fungi.Antimicrob Agents Chemother. 2001; 45: 633-635Crossref PubMed Scopus (60) Google Scholar Our recent studies indicated that B adusta is an important environmental fungi due to its potential role in enhancing the severity of cough symptoms by sensitization to this fungus.7Ogawa H. Fujimura M. Takeuchi Y. Makimura K. Is Bjerkandera adusta important to fungus-associated chronic cough (FACC) as an allergen? Eight cases' report.J Asthma. 2009; 46: 849-855PubMed Google Scholar Further studies indicated growth of the filamentous B adusta at 4°C to 37°C on Sabouraud's dextrose agar and showed that abundant asexual spores, arthroconidia, were produced from the hyphae of this fungus (Fig 1). The yearlong sensitization caused by B adusta may therefore be part of the reason why this fungus, which is a mushroom growing primarily in fields, acts as an allergen in winter as well as in summertime. SC and B adusta are correlated with common diseases encountered in ordinary clinics, that is, bronchial asthma and chronic cough, respectively. Therefore, it is important to investigate the interactions of inflammatory cells and cytokines induced on the bronchial wall by these BM fungi, to evaluate the relationships between sensitization to these fungi and patients' clinical manifestations, and to plan strategies including antifungal therapy that have shown potential advantages in vitro. The role of climate change in fungus-related respiratory tract diseases has also been discussed.1Knutsen A.P. Bush R.K. Demain J.G. Denning D.W. Dixit A. Fairs A. et al.Fungi and allergic lower respiratory tract diseases.J Allergy Clin Immunol. 2012; 129: 280-291Abstract Full Text Full Text PDF PubMed Scopus (344) Google Scholar As both fungi colonize rotting wood and are distributed throughout the world, their growing conditions may always be affected by natural environmental factors, such as global climate change and other geographical characteristics. Thus, among the approximately 30,000 species in the BM phylum, we suggest 2 additional BM fungi that should be taken into consideration when managing such patients. We thank Dr Kazuo Akiyama (Clinical Research Center for Allergy and Rheumatology, National Hospital Organization, Sagamihara National Hospital) for preparing the antigenic solution of B adusta and S commune and honorary professor Hideyo Yamaguchi (Teikyo University) for supporting our series of studies. Fungi and allergic lower respiratory tract diseasesJournal of Allergy and Clinical ImmunologyVol. 129Issue 2PreviewAsthma is a common disorder that in 2009 afflicted 8.2% of adults and children, 24.6 million persons, in the United States. In patients with moderate and severe persistent asthma, there is significantly increased morbidity, use of health care support, and health care costs. Epidemiologic studies in the United States and Europe have associated mold sensitivity, particularly to Alternaria alternata and Cladosporium herbarum, with the development, persistence, and severity of asthma. In addition, sensitivity to Aspergillus fumigatus has been associated with severe persistent asthma in adults. Full-Text PDF ReplyJournal of Allergy and Clinical ImmunologyVol. 130Issue 1PreviewOgawa et al1 describe 2 additional basidiomycetous fungi that we omitted from our review of fungal sensitivity and allergic lower respiratory tract diseases.2 We thank Professor Ogawa and colleagues for bringing this to our attention. Basidiomycetous fungi have been implicated in respiratory allergy including asthma and allergic bronchopulmonary mycosis. Ogawa et al3 reported IgE sensitivity to Schizophyllum commune associated with the severity of asthma. In addition, Kamei et al4 reported the case of a 57-year-old Japanese woman who developed allergic bronchopulmonary mycosis caused by S commune. Full-Text PDF" @default.
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