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Table 3 Key dust mite allergen groups with known biochemical identity conferring allergenicity

From: International consensus (ICON) on: clinical consequences of mite hypersensitivity, a global problem

Allergens Groups

Biochemical Identity

Mechanism of TH2immune induction

Group 1

Cystein protease

Increased permeability through disruption of airway and cutaneous epithelial tight junctions

Group 2

Der p 2, Der f 2

MD-2 like lipid-binding protein

Molecular mimicry of MD2 and DC activation via TLR4

TLR2 activation on DC

Group 3

Der p 3, Der f 3

Trypsin-like serine protease

Increased permeability through disruption of airway and cutaneous epithelial tight junctions

PAR-2 activation in airway epithelial cells and keratinocytes

Group 5

Blo t 5, Der p 5, Der f 5

Lipid binding protein

TLR activation?

Group 6

Der p 6, Der f 6

Chymotrypsin-like serine protease

Increased permeability through disruption of airway and cutaneous epithelial tight junctions

PAR-2 activation in keratinocytes

Group 7

Der p 7, Der f 7

Lipid binding Protein

Molecular mimicry of lipid binding protein and dendritic cell activation via TLR2, 3, 4

Group 9

Der p 9, Der f 9

Collagenolytic protease

Increased permeability through disruption of airway and cutaneous epithelial tight junctions PAR-2 activation in airway epithelial calls and keratinocytes.