Airborne olive pollen counts are not representative of exposure to the major olive allergen Ole e 1.

Pollen is routinely monitored, but it is unknown whether pollen counts represent allergen exposure. We therefore simultaneously determined olive pollen and Ole e 1 in ambient air in Córdoba, Spain, and Évora, Portugal, using Hirst-type traps for pollen and high-volume cascade impactors for allergen. Pollen from different days released 12-fold different amounts of Ole e 1 per pollen (both locations P < 0.001). Average allergen release from pollen (pollen potency) was much higher in Córdoba (3.9 pg Ole e 1/pollen) than in Évora (0.8 pg Ole e 1/pollen, P = 0.004). Indeed, yearly olive pollen counts in Córdoba were 2.4 times higher than in Évora, but Ole e 1 concentrations were 7.6 times higher. When modeling the origin of the pollen, >40% of Ole e 1 exposure in Évora was explained by high-potency pollen originating from the south of Spain. Thus, olive pollen can vary substantially in allergen release, even though they are morphologically identical.

A numerical model of birch pollen emission and dispersion in the atmosphere. Description of the emission module.

A birch pollen emission model is described and its main features are discussed. The development of the model is based on a double-threshold temperature sum model that describes the propagation of the flowering season and naturally links to the thermal time models to predict the onset and duration of flowering. For the flowering season, the emission model considers ambient humidity and precipitation rate, both of which suppress the pollen release, as well as wind speed and turbulence intensity, which promote it. These dependencies are qualitatively evaluated using the aerobiological observations. Reflecting the probabilistic character of the flowering of an individual tree in a population, the model introduces relaxation functions at the start and end of the season. The physical basis of the suggested birch pollen emission model is compared with another comprehensive emission module reported in literature. The emission model has been implemented in the SILAM dispersion modelling system, the results of which are evaluated in a companion paper.

Towards numerical forecasting of long-range air transport of birch pollen: theoretical considerations and a feasibility study.

This paper considers the feasibility of numerical simulation of large-scale atmospheric transport of allergenic pollen. It is shown that at least small grains, such as birch pollen, can stay in the air for a few days, which leads to a characteristic scale for their transport of approximately 10(3) km. The analytical consideration confirmed the applicability of existing dispersion models to the pollen transport task and provided some reference parameterizations of the key processes, including dry and wet deposition. The results were applied to the Finnish Emergency Dispersion Modelling System (SILAM), which was then used to analyze pollen transport to Finland during spring time in 2002-2004. Solutions of the inverse problems (source apportionment) showed that the main source areas, from which the birch flowering can affect Finnish territory, are the Baltic States, Russia, Germany, Poland, and Sweden-depending on the particular meteorological situation. Actual forecasting of pollen dispersion required a birch forest map of Europe and a unified European model for birch flowering, both of which were nonexistent before this study. A map was compiled from the national forest inventories of Western Europe and satellite images of broadleaf forests. The flowering model was based on the mean climatological dates for the onset of birch forests rather than conditions of any specific year. Utilization of probability forecasting somewhat alleviated the problem, but the development of a European-wide flowering model remains the main obstacle for real-time forecasting of large-scale pollen distribution.

Increased expression of allergen-induced in vitro interleukin-10 and interleukin-18 mRNA in peripheral blood mononuclear cells of allergic rhinitis patients after specific immunotherapy.

BACKGROUND: During specific pollen immunotherapy (SIT) there is a local mucosal shift from Th2- to Th1- type cytokine predominance, with IL-12 having a major role in this shift. IL-10-induced tolerance is supposed to be a key phenomenon in venom immunotherapy (VIT). However, the role of Th1-promoting cytokines, on the one hand, and the role of regulatory cytokines, on the other hand, have not been studied in parallel during SIT. OBJECTIVE: This study was undertaken to analyse the allergen-induced in vitro mRNA expression of Th1-type effector cytokine IL-18 and regulatory cytokines IL-10 and TGF-beta during SIT in peripheral blood mononuclear cells (PBMC) of allergic rhinitis (AR) patients. METHODS: Thirty patients with AR undergoing pollen SIT and 10 patients with AR who were not treated with SIT were included in the study. The symptoms and medications were registered post-seasonally before the beginning of SIT and after 1 year of therapy. PBMC samples were collected and stimulated with pollen allergen extract prior to the treatment, at the maintenance phase in 12 patients and after 1 year of the treatment. The cytokine mRNA expression was assessed using kinetic real-time RT-PCR (TaqMan). RESULTS: There was a clear increase in the treated AR patients, in comparison with untreated AR patients, in the expression of both IL-10 (mean change from baseline (SEM): 3.1 (0.8) vs. -0.3 (0.3), P<0.002, Mann-Whitney U-test) and IL-18 (2.7 (0.9) vs. -0.2 (0.6), P<0.03) mRNA after 1 year. The clearest increase in IL-10 mRNA expression was seen in patients who did not benefit at all (6.0 (2.3), P<0.001 vs. untreated) and the least increase in patients that had the greatest reduction of symptoms (0.8 (0.6), n.s. vs. untreated) at 1 year. The clearest increase in IL-18 mRNA expression was seen in patients with moderate outcome (3.4 (1.6), P<0.04 vs. untreated). In intermediate samples, taken when the maintenance dose was reached, the peak expression of allergen-induced IL-10 mRNA was associated with the most favourable outcome of SIT (P=0.01, Fisher exact test). A similar trend was seen in IL-18 mRNA expression. CONCLUSIONS: The results suggest that an early and transient increase in allergen-specific IL-10 and IL-18 mRNA expression in PBMC is essential for the therapeutic outcome after 1 year of SIT.

Pneumothorax and the value of chest radiography after ultrasound-guided thoracocentesis.

PURPOSE: To determine the incidence, the operator's experience, and other variables that may influence the development of pneumothorax or re-expansion edema after ultrasound (US)-guided thoracocentesis. MATERIAL AND METHODS: The medical records of 264 procedures in 212 patients who had undergone US-guided thoracocentesis in our radiology department or intensive care unit during the period 1996-2001 were retrospectively reviewed. RESULTS: Post-thoracocentesis pneumothorax occurred in 11 cases, the incidence being 4.2% (11/264). None of the pneumothoraces occurred in the 10 mechanically ventilated patients. All but one patient with pneumothorax were asymptomatic or had only minor symptoms. Chest tube drainage was needed in one patient with a large pneumothorax. No re-expansion edema was recorded, although 1500 ml or more pleural fluid was aspirated in 29 patients. The operator's experience had no effect on the complication rate. Needle size was the only significant variable that contributed to the pneumothorax rate. CONCLUSION: US-guided thoracocentesis can be done equally as safely by residents as by senior radiologists. The safety and feasibility of the method are evident among mechanically ventilated intensive care patients. Our results do not support the routine use of post-thoracocentesis chest radiography.

Ambient air quality and occurrence of multiple sclerosis relapse.

Infectious viruses and bacteria can trigger multiple sclerosis (MS) exacerbations. Seasonally changing concentrations of ambient air pollutants are known to predispose to transmissible infections, to induce systemic immune responses and to enhance existing peripheral inflammation. Ambient air quality and monthly MS relapse occurrence in south-western Finland were compared by multivariate logistic regression. The odds ratio of the risk of a relapse onset was over fourfold (4.143, p < 0.001) when the concentration of inhalable particulate matter (PM(10)) was at the highest quartile. Inhalable airborne particulate matter concentrations were connected to relapse occurrence. Poor air quality may enhance the seasonal changes in MS relapse occurrence by an increased susceptibility to transmissible infections.

Responses in the start of Betula (birch) pollen seasons to recent changes in spring temperatures across Europe.

A shift in the timing of birch pollen seasons is important because it is well known to be a significant aeroallergen, especially in NW Europe where it is a notable cause of hay fever and pollen-related asthma. The research reported in this paper aims to investigate temporal patterns in the start dates of Betula (birch) pollen seasons at selected sites across Europe. In particular it investigates relationships between the changes in start dates and changes in spring temperatures over approximately the last 20 years. Daily birch pollen counts were used from Kevo, Turku, London, Brussels, Zurich and Vienna, for the core period from 1982 to 1999 and, in some cases, from 1970 to 2000. The sites represent a range of biogeographical situations from just within the Arctic Circle through to North West Maritime and Continental Europe. Pollen samples were taken with Hirst-type volumetric spore traps. Weather data were obtained from the sites nearest to the pollen traps. The timing of birch pollen seasons is known to depend mostly on a non-linear balance between the winter chilling required to break dormancy, and spring temperatures. Pollen start dates and monthly mean temperatures for January through to May were compiled to 5-year running means to examine trends. The start dates for the next 10 years were calculated from regression equations for each site, on the speculative basis that the current trends would continue. The analyses show regional contrasts. Kevo shows a marked trend towards cooler springs and later starts. If this continues the mean start date will become about 6 days later over the next 10 years. Turku exhibits cyclic patterns in start dates. A current trend towards earlier starts is expected to continue until 2007, followed by another fluctuation. London, Brussels, Zurich and Vienna show very similar patterns in the trends towards earlier start dates. If the trend continues the mean start dates at these sites will advance by about 6 days over the next 10 years. Following this work, amendments will be needed to pollen calendars and local predictive models. It will also be important to assess the implications of earlier seasons for allergy sufferers.

Summer spores of birch rust fungus in Papanicolaou smears from healthy mass screening participants.

OBJECTIVE: To evaluate the origin and identification of mysterious particles in Papanicolaou smears from healthy, asymptomatic women participating in a local mass screening program. STUDY DESIGN: The material consisted of 16,000 cerricovaginal smears studied at the cytology laboratory of Pathology Laboratory of South-Western Finland Ltd. Unidentified particles were found in four apparently independent smears. All the slides were rescreened, but no further positive cases were found. RESULTS: Several swab samples were collected from the investigation room, but all were negative. Attempts at identification included numerous consultations. A telepathology consultation with the Cellular Division, Armed Forces Institute of Pathology, Washington, D.C., U.S.A., was conducted. Another teleconsultation with the reference laboratoryfor intestinal parasites in Iceland was conducted. Finally, the Aerobiology Unit, University of Turku, was consulted. The aerobiologist suggested that the particles were most probably summer spores of birch rust fungus (Melampsoridium betulinum). To confirm this we obtained a reference specimen of the fungus from the herbarium at the University of Turku. The morphology of the spore particles was identical to that in the cervicovaginal smears, proving that the smears were contaminated with birch rust fungus spores. CONCLUSION: Birch rust is ubiqutitous in Finland. Outside the hospital window there is a wide lawn behind which, at a distance of 70 m, there is a forest of birch trees. It is most likely that the rust spores flew in through the open window, to settle down on the surface of material that was used in sample taking. Airborne dust may cause misleading and surprising artefacts. Protection of specimens and instruments against dust should minimize the problem.

Comparison of direct immunostaining and electroimmunoassay for analysis of airborne grass-pollen antigens.

Sensitive pollen-allergic patients have been reported to show allergic symptoms not only during the pollen release of allergenic plants but also both before and after the pollen season. Symptoms before the season are evidently provoked by small-sized particles originating partly from developing pollen grains, partly from other plant parts. After the pollen season, antigenic material settles on various surfaces, which thus form a new source of allergenic material. Measuring the allergen concentrations in indoor and outdoor environments demands an effective sampling method and a rapid and sensitive immunochemical analysis, especially for particles of small-sized fractions which are not detected in microscopic analyses. The efficiency of an ELISA and an immunochemical staining method was tested with monoclonal IgG against Phl p 5, the main grass allergen. The Burkard trap and MPC impactor (Marple personal cascade impactor with six-stage particle size fractionation) were compared. The sampling was carried out in southwestern Finland in the summer of 1994. The number of grass-pollen antigen spots greatly exceeded the simultaneous pollen count, indicating considerable antigen activity outside the pollen grains. The counts were especially high in small-sized fractions after the pollen season, when hardly any airborne pollen was found. Spots and pollen divided according to size were highly intercorrelated, indicating that the threshold values used were appropriate.

Viability and seasonal distribution patterns of Scots pine pollen in Finland.

Germination ability and airborne counts of Scots pine (Pinus sylvestris L.) pollen were studied during the spring of 1993 at Turku in southern Finland (60 degrees 32' N, 22 degrees 28' E) and at Utsjoki in northern Finland (69 degrees 45' N, 27 degrees 01' E). Pollen waas trapped from the beginning of May to the end of June in a high-volume air sampler. Germination tests were performed to determine the in vitro pollen viability of the trapped pollen. Airborne pine pollen counts were obtained from a continuously operating Burkard trap located near each high-volume sampler. When male flowering began, phenological observations were carried out on pollen grains collected in rotored samplers located in pine and spruce stands and open fields near Turku and Utsjoki. In southern Finland, the peak period of pine pollen production was short, lasting for only 3 days, but it accounted for about 80% of the total germinating pine pollen yield for the year. The peak count was on May 20, with over 2000 germinating pollen grains per cubic meter of air. Pollen germination rates of up to 70% were obtained during the week preceding the local pollen peak, and rates reached almost 90% on the peak day. Pollen viability remained at 45 to 65% for 1 week after the peak. There was no significant difference between the pollen counts for day and night, indicating that during the main pollen season, the pollen source was close to Turku. Before the local pollen peak, the counts of living pine pollen were low, indicating that pine pollen transported over long distances was of little ecological importance in 1993 in the Turku area. In northern Finland, the first pollen grains were caught on July 4, and the peak day was July 13. However, no viable pollen was observed during this period, indicating that there was little gene drift from southern to northern Finland in 1993.

Birch-pollen antigenic activity of settled dust in rural and urban homes.

Concentrations of birch-pollen antigens were measured in 10 homes in southwestern Finland, four in urban and six in rural areas. Dust samples were collected once a week with a vacuum cleaner equipped with a special collection device (ALK, Copenhagen) combined with an exchangeable glass microfiber filter in a filter dish. Control samples were taken from horizontal surfaces outdoors. All samples were analyzed by a modification of the IgG-ELISA procedure. The birch-pollen antigenic activity in indoor settled dust was lower than that in dust outdoors. The mean concentration of antigenic activity indoors peaked 3 weeks later than outdoors. The lag indicates that the most important means whereby antigens are carried indoors is via footwear and clothes, rather than, for instance, ventilation. Antigenic activity was still detected 2 months after the peak pollen period. As a source of antigens, both indoor and outdoor dust may be an important cause of pollen-allergy symptoms after the season.

Variations in airborne pollen antigenic particles caused by meteorologic factors.

High birch pollen antigenic activities in outdoor air samples were found in all particle sizes studied (> 7.2, 2.4-7.2, < 2.4 microns and molecular size class, with an ELISA modification). Sampling was done with a low-volume, size-selective bioaerosol sampler (SSBAS) simulating the human respiratory tract in both volume and fractionation. Airborne birch pollen counts for comparisons were obtained from a Burkard trap. No correlations were obtained between antigen concentrations in any particle size fraction and airborne pollen counts. The meteorologic factors studied differed clearly in their effect on antigenicity, depending on the size class studied. Likewise, the effect of meteorologic factors differed among the three study periods (period I, 4 weeks before the peak pollen season; period II, during the season; and period III, 4 weeks after the season). During the peak pollen period, temperature and relative humidity were the most important meteorologic factors. Before the season, large and very small particles predominated, medium-sized particles being totally absent. The largest size class studied (containing all intact pollen grains) clearly reacted to changes in meteorologic factors; for smaller size classes, these factors were found to be less important, a fact which may make the forecasting of antigen concentrations in the air on the basis of meteorologic data impossible.

Airborne birch pollen antigens in different particle sizes.

Two particle samplers for ambient air, situated together: a static size-selective bio-aerosol sampler (SSBAS) and a Burkard pollen and spore trap were compared in sampling intact birch pollen grains through one flowering period of Betula (a total of 44 days). The SSBAS trapped pollen grains three times more efficiently than the Burkard trap, but the variations in pollen counts were significantly correlated. In contrast, birch pollen antigenic activity and the pollen count in the Burkard samples were not closely correlated. The antigenic concentration was occasionally high both before and after the pollination period. There was a high birch pollen antigenic activity in particle size classes where intact pollen grains were absent, even on days when the pollen count was very low. Correspondingly, on days with high birch pollen counts in the air, pollen antigenic activity was on several occasions low, indicating that pollen grains were empty of antigenic material. The small particle size classes are especially important to allergic patients because they are able to penetrate immediately into the alveoli and provoke asthmatic reactions. Therefore, aerobiological information systems based on pollen and spore counts should be supplemented with information concerning antigenic activities in the air.

Does cutting of mugwort stands affect airborne pollen concentrations?

Pollen of mugwort (Artemisia vulgaris L.) is the most important allergenic pollen in urban areas of south and central Finland in late summer. The purpose of this study was to investigate, experimentally, whether the cutting of mugwort stands affects its airborne pollen concentrations. Experimental plots were either cut (4 plots) or uncut (4 plots) in 2 previous seasons: 4 of them were small (less than 0.5 hectare) and 4 large (greater than 5 hectares). Finally, the plots were divided randomly into 2 groups according to a third variable, cutting in the study season, 1989. Samples were taken on 2 rainless mornings at the peak mugwort flowering time. Two rotorod type samplers were used at heights of 1 and 2 m from ground level, simulating the inhalation heights of children and adults, respectively. The results indicate that cutting mugwort stands significantly reduces airborne pollen concentrations, but the treated areas have to be large, since in the town area there are plenty of mugwort pollen sources. The pollen concentrations at the 2 heights tested did not differ significantly.

Significance of sampling height of airborne particles for aerobiological information.

Pollen and spore counts from Burkard traps for routine pollen and spore sampling placed at 15 m above ground and at ground level were compared. Daily counts of most pollen types were higher on the ground than at roof level, but the counts were significantly correlated. The ratios of pollen frequencies at high and low levels varied between 1.0 and 11.5. The most prominent differences were recorded for herbaceous pollen (e.g. Artemisia counts 11.5 and Poaccae counts 4.4 times higher at ground level) and in Botrytis and Ustilaginales spores. Tree pollen grains and basidiomycetous spores were more equally distributed. Wind speed did not affect the variation of pollen frequencies at either height. Large spores are not so unevenly distributed as previously supposed. Artemisia and grass pollen was detected 1 to 2 weeks earlier at ground level than on the roof. It is therefore concluded that especially the beginning of flowering should be monitored at a low level.

Effects of watering and simulated acid rain on quantity of phyllosphere fungi of birch leaves.

The effects of simulated acid rain on the population of birch phyllosphere fungi and species/genera/group composition of fungi on birch leaves were investigated in a field study in the subarctic region of northern Finland. The acid rain treatments consisted of a mixture of H2SO4 and HNO3 with a mass ratio of 2.86∶1 (S∶N) with acidities of pH 4 (A4) and pH 3 (A3). Dry control (DC) plots received only natural precipitation; irrigated control (IC) plots received spring water (pH 6) in a volume equal to the acid treatment plots. Treatments began in 1985. Culturing of the fungi inhabiting the birch leaves was performed five times during the summer of 1988. The number of fungal colonies was significantly decreased on one of five sampling dates in the pH 4 treatment and on three of five sampling dates in the pH 3 treatment. Irrigation with spring water did not have a significant effect. The acid rain treatments affected the microflora of the upper branches (at a height of 2 m) and of the lower branches (at a height of 0.5 m) equally. The lower branches had significantly more fungi than the upper ones on three of five sampling dates. The number of phyllosphere fungi isolated from birch leaves was greater in late summer than in early summer. The most abundant taxon (∼80%) wasAureobasidium pullulons, followed byHormonema sp. and zygomycetes.

Evaluating the penetration of Cladosporium spores into the human respiratory system on the basis of aerobiological sampling results.

The penetration of Cladosporium spores and spore aggregates into human airways was studied using three different spore sampling methods: 1) a Burkard spore trap for determining the aggregation degree of Cladosporium; two samplers, simulating the human respiratory system, 2) a 6-stage Andersen 2000 sampler, and 3) a new size-selective bioaerosol sampler (SSBAS), designed specifically for immunochemical and chemical analyses. The aggregation degree of Cladosporium spores varied between 1.0 and 1.3 spores per dispersal unit. Grouping seems to be of little if any importance to the penetration ability of Cladosporium spores into the respiratory tract. The distribution of spores in the Andersen and SSBAS differed significantly in the largest size class (spores greater than 7 microns in diameter); with the Andersen sampler only 10.8% of the spores were detected in stage 1, compared with 43% with the SSBAS. On the Andersen culture plates 95% of all colonies were detected in stages 1-4, where particles greater than 2.1 microns in diameter are trapped. In the SSBAS altogether 99.4% of spores were found in the first two filter stages (cutoff point approx. 2.5 microns in diameter). Conclusions regarding the penetration of spores to the lungs on the basis of aerobiological results should always be based on the use of properly calibrated spore traps.

Efficiency of a new bioaerosol sampler in sampling Betula pollen for antigen analyses.

A new bioaerosol sampler consisting of Liu-type atmospheric aerosol sampling inlet, coarse particle inertial impactor, two-stage high-efficiency virtual impactor (aerodynamic particle sizes respectively in diameter: greater than or equal to 8 microns, 8-2.5 microns, and 2.5 microns; sampling on filters) and a liquid-cooled condenser was designed, fabricated and field-tested in sampling birch (Betula) pollen grains and smaller particles containing Betula antigens. Both microscopical (pollen counts) and immunochemical (enzyme-linked immunosorbent assay) analyses of each stage were carried out. The new sampler was significantly more efficient than Burkard trap e.g. in sampling particles of Betula pollen size (ca. 25 microns in diameter). This was prominent during pollen peak periods (e.g. May 19th, 1985, in the virtual impactor 9482 and in the Burkard trap 2540 Betula p.g. X m-3 of air). Betula antigens were detected also in filter stages where no intact pollen grains were found; in the condenser unit the antigen concentrations instead were very low.

Mould spores and yeasts in outdoor air.

Most inviable spore counts of outdoor air in Europe are based on Burkard spore trap results. For viable counts different kinds of slit samplers and Andersen sampler are used. Results of viable and inviable sampling methods are not completely comparable, but the results complete each other. Spore frequencies in outdoor air are almost equal in different Nordic countries. Cladosporium is the most important spore type everywhere. In South Finland it accounts for ca. 85% of viable and ca. 50% inviable spore counts. The frequencies are lower in the country than in town. Cladosporium frequencies decrease northwards so that in Lapland the percentage is only ca. 5 and the maxima are 1/4-1/5 of those in South Finland. The frequencies of Alternaria spores are 4-5 times lower in Nordic countries than in Middle Europe. E.g. in Turku weekly maxima have been ca. 250 spores X m-3, in the country even lower. Penicillium accounts for ca. 4% of all colonies in viable counts in South Finland, Botrytis 2%, and yeasts also ca. 2%. The most important yeasts are Cryptococcus albidus, Cr. laurentii, Sporobolomyces roseus and Rhodotorula species. Actinomycetes very seldom occur on culture plates, only 0.02% of all.

Blastobotrys, Sporothrix and Trichosporiella: generic delimitation, new species, and a Stephanoascus teleomorph.

The morphological and physiological characters of the species of Blastobotrys, and of a number of similar species of Sporothrix, Trichosporiella and Candida were studied. Blastobotrys is defined as having mother cells (primary conidia) which form distinct, secondary conidia. Sporothrix has non-catenulate conidia, or the conidia are catenulate without marked differentiation of conidia of first and second order. Trichosporiella is delimited from Candida by a stronger coherence between hyphal cells, arthroconidia being absent. Four new Blastobotrys species are described, and two unnamed species; two new combinations are proposed in Trichosporiella. Related species in other genera are briefly discussed. A new Stephanoascus teleomorph is described in two strains originally identified as Sp. fungorum. Two diagnostic keys to the described taxa, using either morphological or physiological characters, are given.