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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Patelis, Antonios Gunnbjörnsdottir, Maria Malinovschi, Andrei Matsson, Per Onell, Annica Högman, Marieann Alving, Kjell Janson, Christer |
| Spatial Coverage | Sweden |
| Description | Country affiliation: Sweden Author Affiliation: Patelis A ( Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala University, Uppsala, Sweden. antonios.patelis@medsci.uu.se) |
| Abstract | BACKGROUND: IgE sensitization is an important risk factor for the development of asthma. OBJECTIVE: The aim of this study was to investigate the IgE antibody profile for a broad spectrum of allergen molecules in asthmatic patients. METHODS: Participants from the European Community Respiratory Health Survey II (n=467) were tested with ImmunoCAP ISAC against 103 allergen molecules. The presence of bronchial hyperresponsiveness was measured with a methacholine challenge test and bronchial inflammation with fraction of exhaled nitric oxide (Feno). RESULTS: A total of 38% of the controls and 72% of the asthmatic patients were sensitized against at least 1 of the allergen components (P<.0001). Asthma was independently related to having IgE antibodies against pollen (odds ratio=2.2) and perennial airway allergens (odds ratio=5.6), increased Feno was independently related to having IgE antibodies against food allergens and perennial allergens, while bronchial responsiveness was independently associated with having IgE antibodies against only perennial allergens. Sensitization to food allergens was related to asthma and increased Feno if IgE antibody against pollen allergens was present. Simultaneous sensitization to perennial, pollen, and food allergens involves the highest risk of asthma (odds ratio=18.3), bronchial inflammation, and responsiveness. CONCLUSIONS: Feno, bronchial responsiveness, and the risk of asthma increase with multiple sensitizations to different allergen groups. We show for the first time that the presence of IgE antibodies against food allergens is independently associated with increased Feno and increases the risk of asthma in subjects with simultaneous sensitization to pollen allergens. |
| File Format | HTM / HTML |
| ISSN | 00916749 |
| e-ISSN | 10976825 |
| Journal | Journal of Allergy and Clinical Immunology |
| Issue Number | 2 |
| Volume Number | 130 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-08-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Immunology Asthma Immunology Bronchial Hyperreactivity Food Hypersensitivity Hypersensitivity, Immediate Immunoglobulin E Allergens Epidemiology Physiopathology Biological Markers Metabolism Bronchial Provocation Tests Exhalation Health Surveys Blood Methacholine Chloride Nitric Oxide Pollen Respiratory Function Tests Risk Factors Sweden Multicenter Study Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Immunology and Allergy Immunology |
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