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Allergies to cats are one of the most common allergies among human individuals. Among the eight known cat allergens, the most prominent allergen is
secretoglobin Secretoglobins (SCGBs) are a family of small, alpha-helical, disulfide linked, dimeric proteins found only in mammals. This family was formerly known as the Uteroglobin/Clara cell 10-kDa family, after the two aliases of its founding member Uterog ...
Fel d 1 Fel d 1 is a secretoglobin protein complex that, in cats, is encoded by the ''CH1'' (chain 1/Fel d 1-A) and ''CH2'' (chain 2/Fel d 1-B) genes. Among cats, Fel d 1 is produced largely in their saliva and by the sebaceous glands located in the ...
, which is produced in the anal glands, salivary glands, and, mainly, in
sebaceous glands A sebaceous gland is a microscopic exocrine gland in the skin that opens into a hair follicle to secrete an oily or waxy matter, called sebum, which lubricates the hair and skin of mammals. In humans, sebaceous glands occur in the greatest num ...
of cats, and is ubiquitous in the United States, even in households without cats. Allergic symptoms associated with cats include coughing, wheezing, chest tightening, itching, nasal congestion,
rash A rash is a change of the human skin which affects its color, appearance, or texture. A rash may be localized in one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, chapped, dry, cr ...
, watery eyes, sneezing, chapped lips, and similar symptoms. In worst-case scenarios, allergies to cats can develop into more life-threatening conditions such as
rhinitis Rhinitis, also known as coryza, is irritation and inflammation of the mucous membrane inside the nose. Common symptoms are a stuffy nose, runny nose, sneezing, and post-nasal drip. The inflammation is caused by viruses, bacteria, irritants o ...
and mild to severe forms of
asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, cou ...
. Despite these symptoms, there are many types of solutions to mitigate the allergic effects of cats, including medications, vaccines, and home remedies. Hypoallergenic cats are another solution for individuals who want pets without the allergic consequences. Furthermore, prospective pet owners can reduce allergic reactions by selecting female cats, which are associated with a lower production of allergens.


Cat allergens

Eight cat allergens have been recognized by the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
/International Union of Immunological Societies (WHO/IUIS) Allergen Nomenclature Sub‐Committee.
Fel d 1 Fel d 1 is a secretoglobin protein complex that, in cats, is encoded by the ''CH1'' (chain 1/Fel d 1-A) and ''CH2'' (chain 2/Fel d 1-B) genes. Among cats, Fel d 1 is produced largely in their saliva and by the sebaceous glands located in the ...
is the most prominent cat allergen, accounting for 96% of human cat allergies. The remaining cat allergens are Fel d 2–8, with Fel d 4, a major urinary protein found in the saliva of cats, occurring the most in humans among the other seven allergens. All cats produce Fel d 1, including hypoallergenic cats. The main method of transmission is through a cat's saliva or dander, which adheres to clothing. A study found that 63% of people allergic to cats have antibodies against Fel d 4.


Fel d 1

Fel d 1 is the most dominant cat
allergen An allergen is a type of antigen that produces an abnormally vigorous immune response in which the immune system fights off a perceived threat that would otherwise be harmless to the body. Such reactions are called allergies. In technical terms ...
. It is part of the secretoglobulin family, which are proteins found only in mammals and birds. Fel d 1 is primarily secreted through the
sebaceous glands A sebaceous gland is a microscopic exocrine gland in the skin that opens into a hair follicle to secrete an oily or waxy matter, called sebum, which lubricates the hair and skin of mammals. In humans, sebaceous glands occur in the greatest num ...
and can be found on the skin and fur of a cat. It is less commonly secreted through the
salivary gland The salivary glands in mammals are exocrine glands that produce saliva through a system of ducts. Humans have three paired major salivary glands (parotid, submandibular, and sublingual), as well as hundreds of minor salivary glands. Salivary gla ...
,
lacrimal gland The lacrimal glands are paired exocrine glands, one for each eye, found in most terrestrial vertebrates and some marine mammals, that secrete the aqueous layer of the tear film. In humans, they are situated in the upper lateral region of each or ...
s, and skin and anal glands.


Fel d 4 and Fel d 7

Fel d 4 and Fel d 7 are cat
lipocalin The lipocalins are a family of proteins which transport small hydrophobic molecules such as steroids, bilins, retinoids, and lipids and most lipocalins are also able to bind to complexed iron (via siderophores or flavonoids) as well as heme. T ...
s. Fel d 4 and Fel d 7 are two of the most common cat allergens after
Fel d 1 Fel d 1 is a secretoglobin protein complex that, in cats, is encoded by the ''CH1'' (chain 1/Fel d 1-A) and ''CH2'' (chain 2/Fel d 1-B) genes. Among cats, Fel d 1 is produced largely in their saliva and by the sebaceous glands located in the ...
. Fel d 4 is produced in the submandibular salivary glands and is secreted in the saliva of cats, via which it is deposited on to cat dander during grooming, and is associated with
atopic dermatitis Atopic dermatitis (AD), also known as atopic eczema, is a long-term type of inflammation of the skin (dermatitis). It results in puritis, itchy, red, swollen, and cracked skin. Clear fluid may come from the affected areas, which often thickens o ...
in children with cat allergies.


Symptoms

Symptoms of an allergic reaction to cats range from mild to severe, and include swollen, red, itchy, and watery eyes, nasal congestion, itchy nose, ear pain similar to pain caused by an ear infection, sneezing, chronic sore throat or itchy throat, coughing, wheezing,
asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, cou ...
,
hay fever Allergic rhinitis, of which the seasonal type is called hay fever, is a type of inflammation in the nose that occurs when the immune system overreacts to allergens in the air. Signs and symptoms include a runny or stuffy nose, sneezing, red, i ...
, hives or rash on the face or chest, or itchy skin. If a cat has scratched, licked, or bitten someone who is allergic to cats, redness and sometimes even swelling of the affected area will occur. For those severely allergic, a reaction may resemble that of someone with a severe food allergy, and such reactions require emergency medical care.


Pathophysiology

As the allergen enters through the nose or mouth,
antigen In immunology, an antigen (Ag) is a molecule or molecular structure or any foreign particulate matter or a pollen grain that can bind to a specific antibody or T-cell receptor. The presence of antigens in the body may trigger an immune response. ...
cells analyze the allergen and present antigenic peptides to
helper T cells The T helper cells (Th cells), also known as CD4+ cells or CD4-positive cells, are a type of T cell that play an important role in the adaptive immune system. They aid the activity of other immune cells by releasing cytokines. They are considere ...
. The helper T cells acquire a type 2 phenotype (Th2) and stimulate
plasma cells Plasma cells, also called plasma B cells or effector B cells, are white blood cells that originate in the lymphoid organs as B lymphocytes and secrete large quantities of proteins called antibodies in response to being presented specific substan ...
to produce
IgE Immunoglobulin E (IgE) is a type of antibody (or immunoglobulin (Ig) " isotype") that has been found only in mammals. IgE is synthesised by plasma cells. Monomers of IgE consist of two heavy chains (ε chain) and two light chains, with the ε c ...
due to the presence of specific
cytokine Cytokines are a broad and loose category of small proteins (~5–25 kDa) important in cell signaling. Cytokines are peptides and cannot cross the lipid bilayer of cells to enter the cytoplasm. Cytokines have been shown to be involved in autocrin ...
s. If Th2 is expressed too much, the symptoms of cat allergies appear. Inhaled cat allergens will activate
mast cell A mast cell (also known as a mastocyte or a labrocyte) is a resident cell of connective tissue that contains many granules rich in histamine and heparin. Specifically, it is a type of granulocyte derived from the myeloid stem cell that is a par ...
s, causing coughing, increased mucous production, and airway constriction.


Treatments


Medications

Cat allergies can often be controlled with over the counter or prescription medications.
Antihistamines Antihistamines are drugs which treat allergic rhinitis, common cold, influenza, and other allergies. Typically, people take antihistamines as an inexpensive, generic (not patented) drug that can be bought without a prescription and provides re ...
and
decongestants A decongestant, or nasal decongestant, is a type of pharmaceutical drug that is used to relieve nasal congestion in the upper respiratory tract. The active ingredient in most decongestants is either pseudoephedrine or phenylephrine (the latter o ...
may provide allergy relief.


Immunotherapy injections

Some people with allergies find relief in
allergen immunotherapy Allergen immunotherapy, also known as desensitization or hypo-sensitization, is a medical treatment for environmental allergies, such as insect bites, and asthma. Immunotherapy involves exposing people to larger and larger amounts of allergen in ...
, a periodic injection therapy designed to suppress the body's natural immune responses to the cat allergens. In its early stages, AIT utilized cat dander extract, which consists of microscopic dry skin flakes of cats, but later resorted to Fel d 1 due to issues of standardization. One way researchers use Fel d 1 in immunotherapy is through the alteration of its chemical structure.
Disulfide In biochemistry, a disulfide (or disulphide in British English) refers to a functional group with the structure . The linkage is also called an SS-bond or sometimes a disulfide bridge and is usually derived by the coupling of two thiol groups. In ...
bonds between Fel d 1 chains were broken to reduce the binding between the allergen and immunoglobulin E (IgE), inhibiting an allergic response.


Cat bathing

Regularly bathing a cat may remove significant amounts of allergens from fur. After bathing, the levels of Fel d 1 on cat skin and fur return within two days of bathing. In addition, amounts of Fel d 1 in the surrounding air return after a 24-hour period of bathing the cat. Feeding the cat a high quality diet with plenty of
omega-3 fatty acid Omega−3 fatty acids, also called Omega-3 oils, ω−3 fatty acids or ''n''−3 fatty acids, are polyunsaturated fatty acids (PUFAs) characterized by the presence of a double bond, three atoms away from the terminal methyl group in their chem ...
s will help keep the coat healthy and minimize dander.


Development of other treatments

Development of several human vaccines have been abandoned, including Allervax and Cat-SPIRE. As of 2019, the Swiss company HypoPet AG is developing a vaccine it hopes could be administered to cats to reduce the emission of Fel d 1 proteins.


Hypoallergenic cats

A ''hypoallergenic cat'' is a
cat The cat (''Felis catus'') is a domestic species of small carnivorous mammal. It is the only domesticated species in the family Felidae and is commonly referred to as the domestic cat or house cat to distinguish it from the wild members of ...
that is less likely to provoke an allergic reaction in humans. Although the topic is controversial, owners' experiences and clinical studies suggest that Siberian cats,
Devon Rex The Devon Rex is a tall-eared, short-haired breed of cat that emerged in England during the late 1950s. They are known for their slender bodies, wavy coat, and large ears. This breed of cat is capable of learning difficult tricks but can be hard ...
and Cornish Rex cats,
Abyssinian cats The Abyssinian is a breed of domestic short-haired cat with a distinctive "ticked" tabby coat, in which individual hairs are banded with different colors. They are also known simply as Abys. The source of the name is not because Ethiopia, for ...
,
Balinese cat The Balinese is a long-haired breed of domestic cat with Siamese-style point coloration and sapphire-blue eyes. The Balinese is also known as the purebred long-haired Siamese, since it originated as a natural mutation of that breed and hence ...
s, and several other breeds, especially females, are likely to have low levels of
Fel d 1 Fel d 1 is a secretoglobin protein complex that, in cats, is encoded by the ''CH1'' (chain 1/Fel d 1-A) and ''CH2'' (chain 2/Fel d 1-B) genes. Among cats, Fel d 1 is produced largely in their saliva and by the sebaceous glands located in the ...
, the main allergenic protein. From among the above cats noted, the most popular cat breeds to be renowned for their hypoallergenic quality are the Siberian and Balinese. These cats produce much fewer protein allergens in comparison to regular domestic household cats or other cat breeds. Cats that have some Balinese ancestry might produce lower amounts of protein allergens. Cat breeds that often have some Balinese lineage include the
Oriental Shorthair The Oriental Shorthair is a breed of domestic cat that is developed from and closely related to the Siamese cat. It maintains the modern Siamese head and body type but appears in a wide range of coat colors and patterns. Like the Siamese, Ori ...
,
Oriental Longhair The Oriental Longhair is a variety of domestic cat. It is closely related to the Oriental Shorthair. The Oriental Longhair in some registries, such as The International Cat Association (TICA), is a separate breed. In others, such as the Cat ...
, and some
Siamese cats The Siamese cat ( th, แมวไทย, Maeo Thai; แมวสยาม, Maeo Seeaam) is one of the first distinctly recognized breeds of Asian cat. Derived from the Wichianmat landrace, one of several varieties of cat native to Thailand ( ...
. The common theory among these two hypoallergenic medium- to long-haired cat breeds is that their long-haired gene is associated with producing reduced amounts of allergens. This may be the case as the
Balinese cat The Balinese is a long-haired breed of domestic cat with Siamese-style point coloration and sapphire-blue eyes. The Balinese is also known as the purebred long-haired Siamese, since it originated as a natural mutation of that breed and hence ...
, a medium to long-haired cat breed (also referred to as the ''Long-haired Siamese cat'') is regarded as hypoallergenic, whereas the Siamese cat, a short-haired breed, is not. Some Siamese cats might possess hypoallergenic qualities if they have Balinese ancestry. This might provide some evidence that the long-haired genes or traits within this cat breed have resulted in a cat that can genetically produce less amounts of the cat allergens. In 2006, the
Allerca Lifestyle Pets, formerly Allerca, was a Delaware-based company which in the mid-2000s claimed to have bred hypoallergenic cats, although it was later revealed that the company's founder had previously engaged in multiple fraudulent enterprises. ...
company announced the successful breeding of a line of
hypoallergenic Hypoallergenic, meaning "below average" or "slightly" allergenic, is a term meaning that something (usually cosmetics, pets, textiles, food, etc.) causes fewer allergic reactions. The term was first used in 1953 in an advertising campaign for cosm ...
cats. However, no peer-reviewed studies have been done to confirm their claims and many scientists and consumers are skeptical of the company's assertions. The company announced that on January 1, 2010, they will cease their breeding activities. Another company, Felix Pets, also claims to be developing a breed of hypoallergenic cat.


Cat sex and color

Female cats produce a lower level of allergens than males, and neutered males produce a lower level of allergens than unneutered males. In 2000, researchers at the Long Island College Hospital found that cat owners with dark-colored cats were more likely to report allergy symptoms than those with light-colored cats. A later study by the Wellington Asthma Research Group found that fur color had no effect on how much allergen a cat produced.


See also

*
List of allergies This is a list of allergies, which includes the allergen, potential reactions, and a brief description of the cause where applicable. Allergens Food Medical Environmental Contact Many substances can cause an allergic reaction when in c ...


References


External links

*

- Hypoallergenic Cat breed list and information
Cat Choo
- News on immunisation
Coping with Allergies
- Pet Allergy Information {{DEFAULTSORT:Cat Allergy Cats as pets Allergology