A medical service system for testing antigen levels of Dermatophagoides farinae Hughes and D. pteronyssinus (Trouessart) mites in house dust was established to allow physicians to monitor the environment of patients with allergies. Dust samples were collected from a 1-m2 area at different sites for 1 min using a commercial collection apparatus attached to a vacuum cleaner. Extracts from fine dust fractions were processed quantitatively for antigen by a sandwich enzyme-linked immunosorbent assay. Mean antigen levels contained in samples from carpets, tatamis, and futons ranged from 431 to 852 micrograms per unit weight of dust (g). When data were expressed as micrograms per m2, the mean antigen level obtained from carpets (41 micrograms/m2) was significantly higher than that obtained from tatamis (15 micrograms/m2) and futons (14 micrograms/m2). Comparison of 37 paired samples collected from 10 homes at an interval of 1 to 2 mo indicated that high antigen levels of > 50 micrograms/m2 at four sites (three carpets and one tatami) decreased sharply after improvement of hygienic conditions surrounding allergic patients.

Double-antibody sandwich enzyme-linked immunosorbent assay (ELISA) using a monoclonal antibody as capture and detector antibodies was developed for quantifying antigens of Dermatophagoides farinae Hughes and D. pteronyssinus (Trouessart) mites contained in house dust samples. This monoclonal antibody was directed against mite antigens that were also reactive to immunoglobulin E antibody in all of 10 serum samples obtained from patients allergic to mites. Histological study using fluorescent antibody revealed that the monoclonal antibody was bound to the major part of the D. farinae mite body section including fecal matter and cuticles. The detection limit of the assay system was 0.17 microgram of soluble antigens of both mite species and the antigen amount corresponding to 0.5 mites per microplate well, whether in live or dead mites. This system did not react to antigens of Tyrophagus putrescentiae (Schrank) and Cheyletus malaccensis Oudemans. Slight inhibition of less than or equal to 21.3% was observed with nonspecific substances contained in house dust, such as wool, cotton, human dander, human hair, soil, and biscuit, but no direct ELISA reactions were obtained with any of these materials. In 49 house dust samples, ELISA was significantly correlated with the conventional microscopic observation method.

Dust samples collected in 61 homes of patients with mite allergies and 11 homes of non-allergic people as controls were examined for antigen levels of Dermatophagoides farinae Hughes and Dermatophagoides pteronyssinus (Trouessart) to reveal the current distribution of allergenic mites in homes in Japan. Patient homes had higher antigen levels than control homes in comforters and pillows but not in futons, carpets, tatamis and wooden floors. Samples with antigen levels of > or = 10 micrograms m-2 were more frequent in and around summer (approximately April-October) than other seasons of the year in most materials and the differences between patient and control homes in comforters and pillows observed in yearly totals was also observed during this period. Wooden structures showed higher antigen levels than concrete structures in comforters, futons, pillows, carpets and tatamis in patient homes. Mite contamination in patient homes in relation to environmental factors was discussed.

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Passenger trains were surveyed for contamination with Dermatophagoides farinae Hughes and Dermatophagoides pteronyssinus (Trouesart) mites in Japan. A total of 492 dust samples were collected from upholstered seats in six commuter trains, one long-distance express train and three night trains in October, 1996 and January, April, and July, 1997. Mite antigen levels contained in fine dust fractions of these samples were measured by an enzyme-linked immunosorbent assay. Most samples obtained from commuter trains showed relatively high mite antigen levels of > 10 microgm(-2) (corresponding to > 100 mites). Express and night trains showed lower antigen levels per square meter, but higher mite antigen levels per gram of fine dust than commuter trains, indicating relatively high mite antigen densities. Seasonal comparisons indicated that commuter trains showed the highest mean antigen level per square meter in winter (January), whereas the highest antigen level per gram of fine dust was observed in summer (July) in express and night trains.