Heterogeneity of sensitization profiles and clinical phenotypes among patients with seasonal allergic rhinitis in Southern European countries-The @IT.2020 multicenter study.

BACKGROUND: Pollen allergy poses a significant health and economic burden in Europe. Disease patterns are relatively homogeneous within Central and Northern European countries. However, no study broadly assessed the features of seasonal allergic rhinitis (SAR) across different Southern European countries with a standardized approach. OBJECTIVE: To describe sensitization profiles and clinical phenotypes of pollen allergic patients in nine Southern European cities with a uniform methodological approach. METHODS: Within the @IT.2020 multicenter observational study, pediatric and adult patients suffering from SAR were recruited in nine urban study centers located in seven countries. Clinical questionnaires, skin prick tests (SPT) and specific IgE (sIgE) tests with a customized multiplex assay (Euroimmun Labordiagnostika, Lübeck, Germany) were performed. RESULTS: Three hundred forty-eight children (mean age 13.1 years, SD: 2.4 years) and 467 adults (mean age 35.7 years SD: 10.0 years) with a predominantly moderate to severe, persistent phenotype of SAR were recruited. Grass pollen major allergenic molecules (Phl p 1 and/or Phl p 5) ranged among the top three sensitizers in all study centers. Sensitization profiles were very heterogeneous, considering that patients in Rome were highly poly-sensitized (sIgE to 3.8 major allergenic molecules per patient), while mono-sensitization was prominent and heterogeneous in other cities, such as Marseille (sIgE to Cup a 1: n = 55/80, 68.8%) and Messina (sIgE to Par j 2: n = 47/82, 57.3%). Co-sensitization to perennial allergens, as well as allergic comorbidities also broadly varied between study centers. CONCLUSIONS: In Southern European countries, pollen allergy is heterogeneous in terms of sensitization profiles and clinical manifestations. Despite the complexity, a unique molecular, multiplex, and customized in-vitro IgE test detected relevant sensitization in all study centers. Nevertheless, this geographical diversity in pollen allergic patients imposes localized clinical guidelines and study protocols for clinical trials of SAR in this climatically complex region.

Persistência de plantas medicinais em sistemas agroflorestais no município de São Bento do Sul, SC, Brasil / Persistence of medicinal plants in agroforestry systems in the city of São Bento do Sul, Santa Catarina, Brazil

No final da década de 90, a comunidade de Rio Natal, no município de São Bento do Sul, SC, passou a fazer parte de uma Área de Preservação Ambiental e desde então, muitas áreas de cultivo, paulatinamente, estão retomando o processo de formação florestal. Neste cenário, foi sugerido pela comunidade, a possibilidade de cultivo de plantas medicinais adaptadas às condições de sombreamento. Em atendimento a essa demanda foi realizada uma pesquisa participativa na comunidade, de 2005 a 2008, onde foram avaliadas 14 espécies de plantas medicinais com potencial de mercado, cultivadas em áreas sombreadas, em três propriedades familiares. Foram avaliados: taxa de sobrevivência das espécies, incidência de doenças e pragas, teor de massa seca e altura das plantas. Apresentaram persistência ao cultivo em áreas sombreadas as espécies: Curcuma longa L. (açafrão-da-índia); Arctium lappa L. (bardana); Pfaffia glomerata (Spreng) Pedersen (fáfia ou ginseng-brasileiro); Mikania glomerata Sprengel (guaco); Alternanthera brasiliana L. Kuntze (penicilina); Pogostemon cablin (Blanco) Benth (patchuli) e Maytenus ilicifolia Mart. Ex Reissek (espinheira-santa).

In the end of the 1990s, the Rio Natal community, located in the city of São Bento do Sul, in the Brazilian State of Santa Catarina, started to be part of an Environmental Protection Area. Since then, many cultivation areas have been increasingly having their forest restored. In this scenario, the community proposed to cultivate medicinal plants that were adapted to shaded conditions. To attend this demand, we carried out a participatory research in the community between 2005 and 2008. Fourteen species of medicinal plants having market potential were evaluated, and were cultivated in shaded areas, in three family properties. The survival of the species, the incidence of illnesses and pests, the dry matter value and the height of the plants were evaluated. The species that presented persistence to be cultivated in shaded areas were: Curcuma longa L.; Arctium lappa L.; Pfaffia glomerata (Spreng) Pedersen.; Mikania glomerata Sprengel.; Alternanthera sp.; Pogostemon cablin (Blanco) Benth. e Maytenus ilicifolia Mart. Ex Reissek.