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albicans, A. fumigatus, or Gram-negative bacterium Pseudomonas aeruginosa (Allard et<br />

al., 2009). When either fungal lysate was administered, a Th2 cytokine response with<br />

airway eosinophilia and mucus cell metaplasia was observed. Administration of the P.<br />

aeruginosa lysate resulted in neutrophil influx with Th1 cytokine secretion and no mucus<br />

production. However, administration of the bacterial lysate with the fungal lysates<br />

resulted in Th1-associated cytokine profiles with neutrophilia and diminished mucous<br />

production. Additional studies using varied amounts and types of fungi and bacteria will<br />

further elucidate the potential synergies and deviations of inflammatory reactions that<br />

may occur in exposures to damp buildings. However, studies currently indicate that such<br />

reactions do occur. These interactions due to co-exposure of bacteria and fungi are<br />

important to consider in exposure studies since both organisms exist in damp buildings.<br />

Mycotoxins and Health Effects<br />

Exposures to mycotoxins in damp buildings and their potential effects on human<br />

health are frequently explored in research. Mycotoxins are secondary metabolites created<br />

by fungal organisms. It is widely believed that some of these mycotoxins are produced as<br />

a defense mechanism to limit the growth of competing organisms. This is the case with<br />

P. chrysogenum which produces penicillin. Mycotoxins are primarily maintained in or on<br />

the cell wall of the spores and hyphae and are readily released into the surrounding<br />

materials (Hinkley and Jarvis, 2000; Curtis et al., 2004; Islam et al., 2007). These<br />

compounds are large enough to not be highly volatile and thus require active agitation or<br />

air currents to become airborne (Kelman et al., 2004).<br />

Mycotoxins have been frequently studied for their ability to induce adverse health<br />

effects (Etzel, 1998; Bunger, 2004; Bondy and Pestka, 2000). The importance of fungal<br />

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