Allergenic Properties and Their Impact on Human Health: House Dust Mites

Main Article Content

Phuwit Kanjanarujee
Ratnapee Mornchan
Sarunrak Wiwatwongsakul
Chawanakorn Klumwilai
Nitis Smanthong

Abstract

House dust mites (HDMs) are microscopic arthropods recognized as a major source of indoor allergens worldwide, contributing substantially to allergic diseases such as asthma, allergic rhinitis, allergic conjunctivitis, and atopic dermatitis. Their remarkable environmental adaptability facilitates persistence in domestic settings and continuous production of allergens, including cysteine protease (Der p1), chymotrypsin (Der p6), and tropomyosin (Der p10), as well as microbial components such as lipopolysaccharides and β-glucans, which enhance allergenicity and modulate immune responses. These allergens activate epithelial and immune cells, promoting type II inflammation that underlies the pathogenesis of allergic disorders. This review consolidates current knowledge of HDM biology, geographic distribution, allergen profiles, immune mechanisms, and clinical manifestations, while highlighting recent advances in diagnostic and therapeutic approaches. Literature was systematically reviewed from databases including Google Scholar, PubMed, and Scopus using the keywords “house dust mite,” “allergens,” “inflammation,” and “treatment”. A comprehensive understanding of HDMs and their allergenic properties is critical for the development of more effective therapeutic strategies and the improvement of patients’ quality of life.

Article Details

How to Cite
Kanjanarujee, P., Mornchan, R., Wiwatwongsakul, S., Klumwilai, C., & Smanthong, N. (2026). Allergenic Properties and Their Impact on Human Health: House Dust Mites. Rajamangala University of Technology Tawan-ok Research Journal, 19(1). https://doi.org/10.63271/rmuttorj.v19i1.270780
Section
Research article

References

Abu Khweek, A., Kim, E., Joldrichsen, M. R., Amer, A. O. & Boyaka, P. N. (2020). Insights into mucosal innate immune responses in house dust mite-mediated allergic asthma. Frontiers in Immunology, 11, 534501. https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2020.534501/full

Alanazi, H. H., & Li, X.-D. (2020). Modulation of type 2 inflammation by sensing immunomodulatory RNA in house dust mite and viruses. Journal of Allergy and Infectious Diseases, 2(1), 17-23. https://doi.org/10.46439/allergy.2.017

Arevalo, C. F. L., & Ramos, J. D. A. (2025). Artificial intelligence-assisted hypoallergenic Sui p2 design as a potential prophylactic vaccine for house dust mites allergies. Acta Manilana, 73, 17-26. https://www.researchgate.net/publication/393578296_Artificial_Intelligence-Assisted_Hypoallergenic_Sui_p_2_Design_as_a_Potential_Prophylactic_Vaccine_for_House_Dust_Mites_Allergies

Bergmann, K.C. (2022). Biology of house dust mites and storage mites. Allergo Journal International, 31(8), 272-278. https://doi.org/10.1007/s40629-022-00231-8

Bumbacea, R., Corcea, S., Ali, S., Dinica, L., Fanfaret, I., & Boda, D. (2020). Mite allergy and atopic dermatitis: Is there a clear link? (Review). Experimental and Therapeutic Medicine, 20(4), 3554-3560. https://doi.org/10.3892/etm.2020.9120

Caraballo, L. (2024). Exploring the relationship between house dust mites and asthma. Expert Review of Clinical Immunology, 20(9), 1019-1022. https://doi.org/10.1080/1744666X.2024.2346585

Dardaranonda, B., Tansavatdi, T., Tattiyakul, P. (2022). Patterns of aeroallergen sensitization among children with allergic rhinitis in eastern Thailand. Bu J Med. 9(1). available from: https://he01.tci-thaijo.org/index.php/BJmed/article/view/251718 (in Thai)

Eguiluz-Gracia, I., Mathioudakis, A. G., Bartel, S., Vijverberg, S. J. H., Fuertes, E., Comberiati, P., Cai, Y. S., Tomazic, P. V., Diamant, Z., Vestbo, J., Galan, C., & Hoffmann, B. (2020). The need for clean air: The way air pollution and climate change affect allergic rhinitis and asthma. Allergy, 75(9), 2170-2184. https://doi.org/10.1111/all.14177

Hendriks, R. W. (2020). A soluble allergen sensor sounds the alarm. Nature Immunology, 21(7), 724-726. https://www.nature.com/articles/s41590-020-0709-2

Huang, H.-J., Sarzsinszky, E., & Vrtala, S. (2023). House dust mite allergy: The importance of house dust mite allergens for diagnosis and immunotherapy. Molecular Immunology, 158, 54-67. https://www.sciencedirect.com/science/article/pii/S0161589023000846?via%3Dihub

Jongvanitpak, R., Vichyanond, P., Jirapongsananuruk, O., Visitsunthorn, N., & Pacharn, P. (2022). Clinical characteristics and outcomes of ocular allergy in Thai children. Asian Pacific Journal of Allergy and Immunology, 40(4), 407-413. https://www.jacionline.org/article/S0091-6749(14)02896-6/fulltext

Jurkiewicz, K., Jutel, M., & Smolinska, S. (2025). Update on HDM allergy: Principal changes over the years. International Journal of Molecular Sciences, 26(12), 5660. https://www.mdpi.com/1422-0067/26/12/5660

Kiatiwat, P., Mitthamsiri, W., Boonpiyathad, T., Pradubpongsa, P., & Sangasapaviliya, A. (2024). Successful treatment of atopic dermatitis with house dust mite sublingual immunotherapy tablets. Asian Pacific Journal of Allergy and Immunology, 42(3), 253-257. https://pubmed.ncbi.nlm.nih.gov/34246218/

Kim, D., Jeon, H., Park, J. Y., Othman, H., Hien, T. T., Lestari, P., Tantrakarnapa, K., & Lee, K. (2024). Characteristics of house dust mite allergens in Southeast and East Asia with the effect of hygienic practices. Indoor Environments, 1(2), 100010. https://www.sciencedirect.com/science/article/pii/S2950362024000079

Kim, I. S. (2022). New approaches to immunotherapy in house dust mite allergy. Clinical and Experimental Pediatrics, 66(4), 161-168. https://www.e-cep.org/journal/view.php?doi=10.3345/cep.2022.00479

Linn, C., O’Malley, A., Khatri, K., Wright, E. M., Sebagh, D., Grbić, M., Kowal, K., & Chruszcz, M. (2024). Microscopic Menaces: The Impact of Mites on Human Health. International Journal of Molecular Sciences, 25(7), 3675. https://www.mdpi.com/1422-0067/25/7/3675

Miller, J. D. (2019). The role of dust mites in allergy. Clinical Reviews in Allergy & Immunology, 57(3), 312-329. https://link.springer.com/article/10.1007/s12016-018-8693-0

Pumnuan, J., Insung, A., & Wangapai, T. (2020). The use of ozone for controlling European house dust mite, Dermatophagoides pteronyssinus (Trouessart). Current Applied Science and Technology, 420-428. https://li01.tci-thaijo.org/index.php/cast/article/view/243747

Saha, G. K. (2019). House dust mite allergy in Kolkata metropolis in response to change in lifestyle. International Journal of Zoology and Animal Biology, 2(6), 1-8. https://medwinpublishers.com/article-description.php?artId=4736

Seow, I., Siew, Z. Y., Wong, S. T., Wong, S. F., Fang, C. M., Kan, M. S., & Voon, K. (2024). House dust mites eradication treatments: Current updates emphasizing on tropical countries. Tropical Biomedicine, 41(4), 450-460. https://europepmc.org/article/med/39876502

Suratannon, N., Limsuwan, T., Tantilipikorn, P., Chatchatee, P., Saengapaswiriya, A., Boonpiyathad, T., Thongngarm, T., Roongpuvapaht, B., Chantaphakul, H., & Kulalert, P. (2024). A large scale multicentre randomized, placebo-controlled subcutaneous house dust mite allergen immunotherapy (HDM SCIT) in allergic rhinitis: MITAR Study. Asian Pacific Journal of Allergy and Immunology, 42(3), 233-245. https://pubmed.ncbi.nlm.nih.gov/39417769/

Weaver-Agostoni, J., Kosak, Z., & Bartlett, S. (2023). Allergic rhinitis: Rapid evidence review. American Family Physician, 107(5), 466-473. https://pubmed.ncbi.nlm.nih.gov/37192071/

Yuenyongviwat, A., Jintanapanya, N., Sangsupawanich, P., & Koosakulchai, V. (2025). Safety of house dust mite subcutaneous immunotherapy with a rush and cluster combination protocol in the build-up phase. Asian Pacific Journal of Allergy and Immunology, 43(3), 613-619. https://pubmed.ncbi.nlm.nih.gov/37061934/