Exposure to allergens of different cattle breeds and their relevance in occupational allergy

Abstract

Introduction

Cattle are an important source of allergens in the working area of farmers. Asthma caused by cow allergens is a significant occupational problem. Yet in allergological testing, the results of in vivo and in vitro diagnostic tests are often inconsistent even in cases with clearly cattle-related symptoms.

Objectives and methods

The aim of this study was to investigate four different commercial cow allergen extracts and to compare them with self prepared extracts of different cattle breeds by means of SDS-PAGE and immunoblotting using the sera of 42 German farmers with asthma and rhino-conjunctivitis caused by cattle contact.

Results

The commercial extracts investigated in this study showed only minor differences in protein pattern. Using sera in immunoblotting experiments distinct bands were found for all symptomatic farmers, even in 13 farmers with a negative result in commercially available serological allergy tests. Bands with molecular weights in the range between about 11 and 67 kDa were observed; reactivity with the major allergen Bos d 2 at about 20 kDa was detected in all farmers, although it was not the strongest band in all cases.

Conclusions

We demonstrate for the first time the allergenic relevance of additional proteins with molecular weights of 14, 30, 55 and approx. 67–97 kDa in more than 50% of farmers with cattle related symptoms. One of our most striking results was that 32% of the investigated farmers with cattle related symptoms showed negative results with commercial serological tests but distinct reactions with cow allergen in immunoblotting experiments. The Bos d 2 content in hair showed differences between certain breeds whereas German Brown and Simmental had particularly higher quantities of Bos d 2 in their hair than breeds such as Holstein-Friesian. These results strongly support the following recommendation: test results with commercial extracts that are contradictory to the clinical symptoms should be supplemented by skin tests using extracts of the hair of the farmers’ own cattle.

Introduction

Cattle are an important source of allergens in the working environment of farmers. Asthma caused by cow allergens is a significant occupational problem in many countries (Heutelbeck et al. 2007; Karjalainen et al. 2000; Reijula and Patterson 1994). Unlike many other chronic diseases which primarily affect older people, asthma disproportionately affects younger people in their working age. The diagnosis of an occupational asthma caused by cattle allergen has grave economic and occupational consequences for the affected worker, especially in the light of the large number of young patients (Heutelbeck et al. 2007). This constitutes a paramount public health concern, as up to 40% are consequently rated as partially employment-disabled (Blanc et al. 1993, 1996). A diagnosis in an early state of sensitization might be helpful to avoid clinical manifestation of an allergic disease, if essential prevention strategies were initiated.

In contrast to extracts from cat or dog allergens, only little is known about the composition and potency of cattle allergens. Crossed-immunoelectrophoresis extracts of cow hair and dander consisted of at least 17 different proteins whereas three major allergenic proteins were identified in cow dander as well as in other tissues and body fluids (Prahl 1980, 1981; Prahl et al. 1978, 1982). One of the large protein bands detected in all extracts with an estimated molecular weight of 20 kDa has been described previously as major allergen Bos d 2 (Prahl et al. 1982; Rautiainen et al. 1997; Ylönen et al. 1992a, b).

As to the allergological diagnosis of a cattle allergy, results of in vivo and in vitro tests are often inconsistent even in cases with clearly cattle-related symptoms. Clinical experience confirms previously published observations that allergy tests with commercial cattle allergen extracts occasionally show only slightly positive or even negative results even though the tested patients showed clearly cattle-related clinical symptoms (Wortmann 1984; Fuchs et al. 1981). Positive reactions with hair of the patients` own cattle have been reported, without a corresponding result using commercial extracts (Heutelbeck et al. 2007). In a number of cases, allergy tests with extracts of the hair of the patients’ cattle or of cattle of the same breed can thus yield better results. Similar phenomena were described elsewhere (Prahl et al. 1978; Ylönen et al. 1990). In some patients commercial test preparations of cow allergen did not confirm obviously cow related symptoms. The results appeared to be influenced by the composition of the cattle allergen extracts, possibly due to a lack of certain important allergens in the applied extract or breed-specific allergen components.

The aim of the present study was to assess the multiracial cattle allergens by investigating the respective protein patterns and their allergological relevance in symptomatic farmers as well as the Bos d 2 levels in hair of a range of relevant cattle breeds.

Materials and methods

Characterization of the cattle allergic farmers

The sera of 42 farmers (26 male, 16 female; age 25–74, mean 52.2, median 52 years) with cattle-related symptoms (29 upper airway symptoms such as allergic rhinitis, 37 asthmatic symptoms, 19 skin symptoms such as itching, eczema and urtica) were investigated. Most of the farmers kept cattle races such as Holstein-Friesian (HF, n = 23), mainly in the northern parts of Germany; in the southern parts of Germany, the main cattle races were German Simmental (GS, n = 15) and German Brown (GB, n = 14). Only a few farmers kept races uncommon to Germany such as German Red Pied (GRP, n = 7), Charolais (Ch, n = 5), Blonde Aquitaine (BA, n = 2), Jersey (J, n = 1), or Limousin (L, n = 1). Additionally, two non-farming control subjects who had never shown allergic symptoms or reactions against animal-derived antigens were included in the study.

The detection of specific IgE antibodies was performed using CAP RAST^® (CAP-System, Pharmacia Diagnostics, present name: Phadia, Freiburg, Germany).

Commercial cow allergen extracts

Raw material from four different manufacturers of skin test extracts (Allergopharma, Reinbek near Hamburg, Germany; ALK-Scherax, Hamburg, Germany; Bencard, Munich, Germany; HAL, Düsseldorf, Germany, hereafter referred to as A, B, C, and D, respectively) was used. After reconstitution of the lyophilized raw material in distilled water, the total protein content was about 4 mg/ml.

Self-made cow allergen extracts

Cattle selected for this study were all healthy to avoid a possible influence of pathologic conditions on the cattle allergen production. Farmers were instructed to cut the cattle hair close to the skin without visible contamination. The hair of cattle of different breeds was used, including samples of the most common cattle breeds in Germany, namely Holstein-Friesian, German Brown, Limousin, Charolais, German Simmental, Blonde d’Aquitaine and German Red Pied. Two grams of hair were extracted with 20 ml of 0.125 M NH₄HCO₃ for 24–72 h at 4°C, following centrifugation. An incubation period of 44 h was found to yield optimum results in protein content and SDS-PAGE separation (data not shown).

Protein determination

Protein content was determined using the bicinchonic acid procedure as described by Pierce Chemicals, Rockford, USA. The results were verified using different dilutions of each sample. The samples were lyophilised and reconstituted in 10% of the original volume, then stored at −20°C. It was verified that the lyophilized extracts did not show any differences concerning total protein content or SDS-PAGE analysis compared to the unlyophilized extracts (data not shown).

SDS-PAGE/immunoblot

The detection of the allergenic proteins in the extracts was performed by immunoblotting. Proteins were separated with SDS-PAGE using 15% gels to achieve optimum separation of proteins in the relative molecular mass between 6 kDa and about 60 kDa. Molecular weights (MW) were estimated by comparison to commercial MW standard mixtures (“SDS Low Range” from Bio-Rad, Munich, Germany; “Multi Mark” from Invitrogen, Karlsruhe, Germany). Immunoblot experiments were performed for every farmer with extracts from the lyophilised raw material used for the commercial extracts and from the hair of the cattle which were kept on their specific farm.

Equal amounts of extracts with concentrations of 1 mg protein per ml were applied to SDS-PAGE which was conducted at a constant voltage (150 V) for 90–100 min. For the investigation of the protein patterns, the gels were stained with Coomassie blue. The molecular weights of the corresponding allergens were estimated relative to the standard marker proteins.

After separation by SDS-PAGE on a 15% gel, proteins were transferred onto polyvinylidine difluoride (PVDF) membranes in a semi-dry blot apparatus. Membranes were incubated over night in Roti Block solution (Roth, Karlsruhe, Germany) to block non-specific binding sites and were finally incubated with two serum dilutions (1:5 and 1:20) for 1 h at room temperature. After washing five times with Tris-buffered saline (TBS, pH 7.5) containing 0.1% Tween, anti-human-IgE monoclonal antibodies diluted 1: 1000 in Roti Block solution coupled with alkaline phosphatase [Sigma-Aldrich, Steinheim, Germany (Art.-No. A3076)] were added for 1 h at room temperature. After washing five times with TBS containing 0.1% Tween, the detection of alkaline phosphatase was performed using the NBT (p-nitro blue tetrazolium chloride)/BCIP (5-bromo-4-chloro-3-indoyl phosphate p-toluidine salt) system (Bio-Rad, Munich, Germany) according to the recommendations of the manufacturer. The development was completed by removal of the solution and washing with water. The membranes were dried and scanned. Each sample was investigated at least twice in independent experiments. Control experiments were performed with commercial and self prepared extracts and serum samples from two non-farming control subjects who had never shown allergic symptoms or reactions against animal-derived antigens.

Bos d 2 quantification

Using ELISA the cattle allergen Bos d 2 was quantified (modified according to Virtanen et al. 1986, 1988) as follows: NUNC F96 Maxisorp plates were coated overnight with anti-Bos d 2 (obtained from Tuomas Virtanen, Department of Clinical Microbiology, University of Kuopio, Finland) at a concentration of 1.5 μl/ml. Plates were washed with phosphate-buffered saline (PBS, pH 7.4) containing 0.05% Tween 20, blocked with diluent (PBS containing 0.05% Tween 20, 1% BSA) and aspirated. The Bos d 2 standard (obtained from Tuomas Virtanen, Department of Clinical Microbiology, University of Kuopio, Finland) ranged from 100 ng up to 0.2 ng/ml and samples were diluted (PBS containing 0.05% Tween 20, 0.1% BSA), and incubated (100 μl/well) at room temperature. After washing, 100 μl of the biotinylated anti-Bos d 2 (obtained from Tuomas Virtanen, Department of Clinical Microbiology, University of Kuopio, Finland) at the concentration of 0.015 μg/ml was added to the wells and incubated for 1 h at room temperature. After washing, Streptavidin–horseradish peroxidase (Amersham Biosiences) 1:8,000 diluted in PBS containing 0.05% Tween 20 and 0.1% BSA was added to the wells (100 μl/well) and incubated for 30 min at room temperature. 100 μl of an ABTS/H₂O₂ substrate solution (2,2′-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) (Roche Molecular Biochemicals, Mannheim, Germany) was added to reveal the reaction. The optical densities were read with a 405 nm filter after 30 min. Results are given in μg/g hair.

Results

Characterization of the cattle allergic farmers

Exactly 32% (n = 13) showed negative and further 14% (n = 6) slightly positive test results (CAP-RAST class 1) despite clearly cattle related airways symptoms. The remaining symptomatic farmers showed specific IgE antibodies against cattle allergen. In detail 11 farmers showed an amount of specific IgE antibodies against cattle allergen corresponding to CAP-RAST class 2 (26%), three farmers CAP-RAST class 3 (7%), four farmers CAP-RAST class 4 (10%), one farmer CAP-RAST class 5 (2%) and one farmer CAP-RAST class 6 (2%). The total IgE ranged from 2 up to 2,883 kU/l (mean 367, median 173 kU/l), whereas 64.3% (n = 27) showed total IgE values greater than 100 kU/l (Zetterström and Johansson 1981). The characterization of the farmers is presented in Table 1. In the two control subjects no specific IgE reactivity was detectable.

Table 1.

Characterization of the 42 farmers (26 male m, 16 female f) with cattle related symptoms [upper airways (UA), asthma (AB), skin] with respect to the different breeds of cattle [Holstein-Friesian (HF), German Brown (GB), Limousin (L), Charolais (Ch), German Simmental (GS), Blonde d’Aquitaine (BA) and German Red Pied (GRP), Jersey (J)]

Farmer No.	Age (years)	Sex	Cattle related symptoms	Result pharmacia CAP RAST	Total IgE kU/l	Breeds of cattle
1	67	w	UA, AB	0	32	HF, GRP, GS, GB
2	64	m	AB	0	67	HF, Ch, GRP, J
3	32	m	UA, AB	2	223	HF
4	37	m	UA, AB	2	40	HF
5	48	w	UA, AB	0	121	HF
6	60	w	UA, skin	1	9	HF
7	74	m	AB, skin	2	376	HF
8	58	m	UA, skin	0	239	HF, Ch
9	68	w	UA, AB	0	146	HF
10	64	m	UA, AB	4	689	HF, GRP, GS, Ch
11	69	w	UA, AB	4	51	HF
12	46	w	UA, AB, skin	2	27	HF
13	73	m	UA, AB	0	156	HF, Ch, L
14	49	w	AB	3	789	HF
15	61	m	UA, skin	2	50	HF
16	51	w	UA, AB, skin	3	433	HF
17	48	m	UA, AB	3	82	HF
18	41	w	UA, AB, skin	3	254	HF
19	62	w	UA, AB, skin	0	210	HF, Ch
20	61	m	AB, skin	3	2,883	HF, GRP
21	43	m	UA, AB, skin	6	1,621	HF
22	45	w	UA, AB	2	165	GB
23	53	m	AB	0	1,136	GB, GS
24	57	m	AB	2	474	GB
25	54	m	UA, skin	1	19	BA, GRP, GB, GS
26	42	m	AB	0	93	GRP, GS, GB
27	45	w	UA, AB, skin	0	92	GS
28	55	w	UA, AB, skin	0	2	GB
29	60	m	UA, AB, skin	1	194	GB
30	31	m	UA, AB, skin	3	1,115	HF, GB
31	41	w	AB, skin	4	53	GS
32	64	m	AB	2	52	GS
33	51	m	AB, UA	2	214	GS
34	50	m	AB, UA	2	751	GS
35	57	m	AB, UA	1	139	HF, GB
36	67	m	AB	0	659	GRP, GB, BA
37	57	w	UA, AB	1	272	GS
38	25	m	AB, skin	1	69	GB
39	41	w	AB	5	669	GS
40	43	m	UA, AB, skin	2	181	GB, GS
41	35	m	UA, skin	0	152	GB, GS
42	45	m	AB	3	445	GS

SDS-PAGE characterization of the commercial extracts

In all four commercial extracts, distinct protein fractions with a molecular weight lower than 14 kDa and at about 14 kDa were observed. In detail two different bands could be separated; additionally two major and several smaller bands were identified between 18 and 25 kDa. In all commercial extracts we found bands at 20, 22, 24/25, 28, 55 and 67 kDa.

SDS-PAGE characterization of self-prepared cattle allergen extracts

In the extracts of the different cattle breeds, different bands were separated likewise. Especially at about 14 kDa, the extracts of German Brown and German Simmental, Holstein-Friesian, and Red pied showed stronger bands compared to the commercial extracts (data not shown).

In a molecular weight range between 18 and 30 kDa, bands at about 24/25 kDa, about 20, and 22 kDa were found. These proteins were detected in the extracts of all investigated cattle breeds. Furthermore, smaller bands were separated with a molecular weight of about 30 and 32 kDA which could not be found in the commercial extracts.

At a molecular weight of about 42 kDa, especially Simmental and German Brown showed protein bands without corresponding bands in the commercial extracts. In the higher molecular range a smaller protein band corresponding to a molecular weight of about 68 kDa could be found in a number of self-prepared cattle extracts. The investigations did not reveal any striking breed-specific protein bands. Only a small variability could be seen in the intensity of the protein bands among extracts of cattle of the same breed (data not shown).

Detection of allergens (immunoblotting)

In immunoblot experiments using self prepared (HF, RP, B, S, and C) and commercial cow allergen extracts (A–D), distinct bands were found in all farmers, even in 13 farmers with a negative RAST result. The pattern of the immunoreactions with cow allergens differed between the sera of the various farmers. Bands were observed with molecular weights in the range between <14 and >67 kDa; reactivity at 20 kDa was detected in all farmers, although this reaction was not the strongest in every individual. Reactions of proteins were detected in more than 50% of the farmers at MW 14, about 30, about 55, and about 67 in addition to the described major allergens at 20 and 22 kDa.

In all four commercial extracts, two major bands with a molecular weight of 18 and 20 kDa showed a specific reaction with the antibodies in all sera investigated (Figs. 1, 2, 3, and 4). Some sera showed a reaction with proteins of a molecular weight of about 14 kDa (Fig. 4). Using the serum of a highly cattle-sensitized farmer the reactivity was very high with all four commercial extracts at a MW of about 11 kDa (Fig. 4).

Fig. 1.

Immunoblot of commercial and self prepared extract with a human serum (RAST-class 0). Commercial and self prepared extracts were separated using SDS-PAGE, blotted and developed with the serum of a farmer. The following marker and samples were applied: lane 1 molecular weight marker, lane 2 commercial extract A, lane 3 commercial extract B, lane 4 commercial extract C, lane 5 commercial extract D, lane 6 self prepared extract from German Simmental, lane 7 self prepared extract from German Brown. The following amounts of protein were applied: lanes 2–7: 20 μg

Fig. 2.

Immunoblot of commercial and self prepared extract with a human serum from a non-allergic individual. Commercial and self prepared extracts were separated using SDS-PAGE, blotted and developed with the human serum. The following marker and samples were applied: lane 1 molecular weight marker, lane 2 commercial extract A, lane 3 commercial extract B, lane 4 commercial extract C, lane 5 commercial extract D, lane 6 self prepared extract from German Simmental, lane 7 self prepared extract from German Brown, lane 8 self prepared extract from Holstein-Friesian, lane 9 self prepared extract from German Red Pied. The following amounts of protein were applied: lanes 2–9: 20 μg

Fig. 3.

Immunoblot of commercial and self prepared extract with a human serum (RAST-class 4). Commercial and self prepared extracts were separated using SDS-PAGE, blotted and developed with the serum of a farmer. The following marker and samples were applied: lane 1 molecular weight marker, lane 2 commercial extract A, lane 3 commercial extract B, lane 4 commercial extract C, lane 5 commercial extract D, lanes 6, 7 self prepared extract from Holstein-Friesian. The following amounts of protein were applied: lanes 2–6: 20 μg, lane 7: 60 μg

Fig. 4.

Immunoblot of commercial and self prepared extract with a human serum (RAST-class 5). Commercial and self prepared extracts were separated using SDS-PAGE, blotted and developed with the serum of a farmer. The following marker and samples were applied: lane 1 molecular weight marker, lane 2 commercial extract A, lane 3 commercial extract B, lane 4 commercial extract C, lane 5 commercial extract D, lanes 6, 7 self prepared extract from German Simmental. The following amounts of protein were applied: lanes 2–6: 20 μg, lane 7: 60 μg

Only in a few cases additional reactivity was seen at MW of 18, 28, 35, and 44 and about 97 kDa with all four commercial extracts. When comparing the different commercial cattle allergen extracts, differences due to IgE binding capacity were seen especially at MW of 14, 30, 32, 40/42, 55, 67, and more than 67 kDa.

In all self prepared cattle allergen extracts, a reaction was observed at MW of 20 and 22 kDa. These results corresponded to the results with the commercial extracts. Using extracts of some races small additional reactions were noted at MW of 24/25, 30 and 32, 40/42, about 60, and greater than 97 kDa. The self prepared extracts showed reactivity at molecular weights of about 14, 55, and between 66 and 97 kDa in more than 50% of the farmers. When compared to the results of the commercial extracts a heterogenous reactivity became evident; for example only 5% of the sera reacted with a band at 30 kDa in commercial extract C and D but 35% with extract A and 62% with extract D. The reactions at MW of 60 kDa and about 11 kDa were the dominant reactions in some of the farmers (Figs. 1, 4). No marked differences were detectable in the sensitisation patterns between the different breeds of cattle (results not shown).

Using the sera of some patients (e.g., Fig. 3) the reactivity at 14 kDa was only shown with the self prepared extract but not with the commercial extracts.

Negative controls, performed without serum and with serum of the two non-sensitized non-farming persons, showed no reactivity in immunoblotting (e.g., Fig. 2).

Bos d 2 quantification

Hair of eighteen different cattle was investigated, in detail from German Simmental (n = 4), Holstein-Friesian (n = 4), Red Pied (n = 2), Jersey (n = 2), German Brown (n = 3), Blonde d’Aquitaine (n = 1), Charolais (n = 1) and Limousin (n = 1). The amount of Bos d 2 in the tested hair samples showed a high variability with a Bos d 2 content between 12.2 μg and 687 μg/g hair, whereas the Bos d 2 content of the hair of individuals of the same races differed up to the 30-fold. Individual cattle races such as Red Pied (12.4–59.1 μg/g) und Holstein-Friesian (35.7–132 μg/g) showed lower levels of Bos d 2 in their hair, while higher Bos d 2 levels were found in the hair of races such as German Simmental (42.9–687 μg/g) und German Brown (25.8–236 μg/g). Results are shown in Table 2; races were only considered which were represented by two or more individual cattle.

Table 2.

Bos d 2 levels in self-prepared cattle allergen extracts of hair of pure bred cattle of different breed

Breed	Number (n)	Minimum Bos d 2 μg/g hair	Maximum Bos d 2 μg/g hair	Geometric mean Bos d 2 μg/g hair	Median Bos d 2 μg/g hair
German Simmental	4	42.8	687.0	340.0	314.0
Holstein-Friesian	4	35.7	132.0	90.0	101.0
Red Pied	2	12.4	59.1	35.8	35.8
Jersey	2	12.2	357.0	184.6	184.6
German Brown	3	25.8	236.0	135.0	142.0

Discussion

The purpose of the present study was to assess the multiracial cattle allergens by investigation of the respective protein patterns and their allergological relevance in symptomatic farmers. The Bos d 2 levels in the hair of a range of cattle breeds were also investigated. Special attention was paid to the hypothesis that factors related to distinct cattle breeds were relevant to the allergenicity of cattle, but not sufficiently reflected in commercially available allergological diagnostic tests.

Our observation of protein bands at approx. 11, 20, 22, 25, 35, 55, 62, and 66 kDa as well as several bands in the range between 13 to 17 and 25 to 30 confirm previous studies on the isolation and characterisation of cattle related proteins in different extracts from cow hair and dander (Havass et al. 1971; Löwenstein 1981; Prahl et al. 1978, 1982; Ylönen et al. 1990, 1992a, b; Valero Santiago et al. 1997). We observed a variability of the protein patterns between commercial cattle allergen extracts and the extracts of different cattle breeds. In contrast to our observations with dog allergens (Heutelbeck et al. 2008), the cattle showed only negligible interindividual differences within the same breeds.

Hitherto, several studies have been focused on the differences of cattle allergen extracts that were manufactured using various in vivo and in vitro methods. In crossed-immunoelectrophoresis experiments, extracts of cow hair and dander were found to consist of at least 17 different proteins, based on antigens derived from the pelt of black and white cattle, red Danish milk bred, Danish Jersey breed and Charolais, whereas three major allergenic proteins were identified in cow dander as well as in other tissues and body fluids (Prahl 1981; Prahl et al. 1978, 1982). One of the large protein bands detected in all extracts with an estimated molecular weight of 20 kDa has previously been described as major allergen Bos d 2 (Prahl et al. 1982; Ylönen et al. 1992a, b; Rautiainen et al. 1997). Several studies confirm—besides the 20 kDa allergen—the relevance of the 22 kDa allergen in respiratory cow allergy (Ylönen et al. 1992a, b; Virtanen et al. 1996). In our immunoblotting experiments all cow-allergic patients reacted with these allergens.

Previous reports contained only occasional information on the origin of the different breeds, based on antigens derived from the pelt of black and white cattle, red Danish milk bred, Danish Jersey breed and Charolais (Prahl 1981; Prahl et al. 1978, 1982). In our study several cattle breeds with different characteristics concerning geographical origin, history and development, phenotypic characteristics and genetics were compared. For the first time, races such as German Simmental, Red Pied and German Brown were included. Simmental and Brown are cattle races represented in the whole world; especially Holstein-Friesian is regarded as the most common cattle race worldwide. Therefore we consider it necessary for all relevant allergens of these cattle races to be represented in commercially available cattle allergen extracts.

With regard to the commercial allergen extracts included in our investigations, we could find only minor differences in the protein patterns, in contrast to the quantitative and qualitative differences as well as heterogenic skin test results that had been described previously (Dreborg 1993; Vanto et al. 1980). Yet commercial cattle allergen extracts are a mixture of cattle material such as hair and/or dander from various origins.

At present, the standardization of commercial allergen extracts is focused on only a small number of important allergens such as Bos d 2. Yet in all extracts of the individual cattle of distinct breeds, Bos d 2 has been identified as a allergenic component, However, other proteins also seem to be relevant, such as the bands at MW 14 or MW 55 kDa. In consequence, the diversity of the allergen pattern of some breeds was possibly not reflected sufficiently in commercial extracts, when standardization was performed with special regard to the Bos d 2 content.

In the immunoblot experiments we illustrated the comparison of the individual sensitization patterns of cattle allergic farmers using individual as well as commercial cattle allergen extracts. Our results on the IgE binding are in agreement with previous studies showing reactivity at molecular weights at 11, 15–17, 20, 22, 24, 27, 30, 35, 55, and 62 kDa (Prahl et al. 1978, 1982; Ylönen et al. 1990, 1992a, b; Valero Santiago et al. 1997). Additionally, our results described proteins with allergological relevance—besides the major allergens between 18 and 25 kDa—at molecular weights of 14, 30, 55, and in the range of 67–97 kDa, which reacted with sera of more than 50% of patients. Our results substantiate the relevance of these proteins which should be reflected in diagnostic cattle allergen extracts.

One of our most striking results was that 32% of the farmers with cattle related symptoms but negative results with commercial serological tests showed distinct reactions with various cow allergens in the immunoblotting experiments. Therefore we suggest for clinical allergology that skin tests should be performed with self-prepared extracts of cattle hair in patients with obviously cow related symptoms.

Besides the lack of certain allergens, another reason for the discrepant results in allergological testing may be that some proteins could have lost their ability to react with IgE antibodies as a consequence of methods of commercial production. Another reason may be the low concentration level of specific allergens in commercial extracts. In order to improve the accuracy of the results of allergen tests in the future, we recommend the inclusion of a greater number of different proteins in addition to the previously presented major allergens in the extracts because of their relevance as demonstrated by our findings.

An individual’s response to allergens and the related sensitization spectrum depend on, among others, the chemical nature of the allergens as well as the frequency and intensity of the contact. Bos d 2 levels found in air in the stables may differ (Turowski et al. 2007; Virtanen et al. 1986, 1988, 1992). These variations may be linked to environmental factors such as ventilation or construction details of the cattle stable. They may also be linked to the characteristics of cattle in the stable, such as the number of cattle, or different Bos d 2 distribution of the different cattle breeds.

Concerning this aspect our results show characteristics of the Bos d 2 levels in the hair of the cattle: Certain breeds such as German Brown and Simmental have particularly high quantities of Bos d 2 in the hair. We can confirm that individual factors of the cattle influence the concentration so that the Bos d 2 quantities in the hair can differ extremely, up to 30-fold, between individual animals of the same breed. The hair of cattle races such as Holstein-Friesian and Red Pied showed lower Bos d 2 contents compared to other races. Results of the epidemiological cattle allergy study CAS showed cattle related sensitization in cattle farmers of northern Germany toward cattle races such as Holstein-Friesian in almost the same manner as in regions of southern Germany, which were dominated by cattle races such as German Brown and Simmental with a higher Bos d 2 content (Heutelbeck et al. 2007). Further investigations shall investigate whether other cattle allergens besides Bos d 2 represent the airborne availability of allergological significant cattle allergens more appropriately. Beside environmental influences other factors such as genetic traits, e.g., an atopic predisposition, are relevant for occupational sensitization. We therefore recommend the consideration of not only the occupational environment but also the individual factors of the subjects in the prevention of occupational allergy.

In conclusion several practical consequences can be derived from our experiments: If the results with commercial cow allergen extracts are inconsistent, extracts of own cattle hair should be used in diagnostic immunoblot investigations. A possible lack of relevant proteins in commercial extract may be an explanation for inconsistent results of clinical symptoms and in vivo or in vitro diagnostic methods. In the light of our results, an international standard for cattle hair/dander extracts needs to be discussed, especially with regard to the estimation of the antigen content.