Methods: Seven allergenic extracts produced with Dermatophagoides pteronyssinusfrom six suppliers were compared: extract A (USA), B and C (Spain), D (Argentina), E (Costa Rica), F and G (The Netherlands). This evaluation was carried out comparing the dosages of groups 1 and 2 major allergens of Dermatophagoides (ELISA - INDOOR Biotechnologies), RP (Competition ELISA - FDA Allergenic) and protein bands pattern (SDS-PAGE) among extracts.
Results: The content of groups 1 and 2 allergens ranged from 21 (B) to 49 µg/mL (A), and from 4 (D) to 50 µg/mL (F), respectively. The RP varied from 0.25 (D) to 2.08 (F), when compare with the FDA Allergenic IHR. The protein bands pattern were characteristic of mite D. pteronyssinus, however, in F were observed some protein bands which had not seen in others extracts, and in G were observed only group 1 and 2 major allergens. The results showed that there are significant differences between extracts made with raw material from different suppliers and even between extracts produced with raw material from the same supplier (extracts F and G). The results found in this study cannot be explained by differences in the manufacturing process, since all extracts were produced by the same process. The extracts with the greatest quantities of major allergens and relative potency (A and F) were produced with semi-purified raw material (both with more than 99% of purity), while the other extracts were produced with mite whole culture (mites, feces and culture media).
Conclusions: It was concluded that the quality or purity of raw material used in the manufacturing process of allergenic extracts directly influences the final product quality, and therefore, analytical methods to control the relative potency, in order to assure batch to batch reproducibility, are essential to effectiveness and safety of allergenic products.