Cord blood versus age 5 mononuclear cell proliferation on IgE and asthma

被引:9
作者
Chang C. [1 ]
Gauvey-Kern K. [1 ]
Johnson A. [1 ]
Kelvin E.A. [2 ]
Chew G.L. [2 ]
Perera F. [2 ]
Miller R.L. [1 ,2 ,3 ]
机构
[1] Division of Pulmonary, Allergy and Critical Care Medicine, Columbia University College of Physicians and Surgeons, New York, NY
[2] Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY
[3] Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, NY
关键词
Asthma; Cord Blood; Indoor Allergen; Cockroach Allergen; Allergen Level;
D O I
10.1186/1476-7961-8-11
中图分类号
学科分类号
摘要
Background: Fetal immune responses following exposure of mothers to allergens during pregnancy may influence the subsequent risk of childhood asthma. However, the association of allergen-induced cord blood mononuclear cell (CBMC) proliferation and cytokine production with later allergic immune responses and asthma has been controversial. Our objective was to compare indoor allergen-induced CBMC with age 5 peripheral blood mononuclear cell (PBMC) proliferation and determine which may be associated with age 5 allergic immune responses and asthma in an inner city cohort.Methods: As part of an ongoing cohort study of the Columbia Center for Children's Environmental Health (CCCEH), CBMCs and age 5 PBMCs were cultured with cockroach, mouse, and dust mite protein extracts. CBMC proliferation and cytokine (IL-5 and IFN-γ) responses, and age 5 PBMC proliferation responses, were compared to anti-cockroach, anti-mouse, and anti-dust mite IgE levels, wheeze, cough, eczema and asthma.Results: Correlations between CBMC and age 5 PBMC proliferation in response to cockroach, mouse, and dust mite antigens were nonsignificant. Cockroach-, mouse-, and dust mite-induced CBMC proliferation and cytokine responses were not associated with allergen-specific IgE at ages 2, 3, and 5, or with asthma and eczema at age 5. However, after adjusting for potential confounders, age 5 cockroach-induced PBMC proliferation was associated with anti-cockroach IgE, total IgE, and asthma (p < 0.05).Conclusion: In contrast to allergen-induced CBMC proliferation, age 5 cockroach-induced PBMC proliferation was associated with age 5 specific and total IgE, and asthma, in an inner-city cohort where cockroach allergens are prevalent and exposure can be high. © 2010 Chang et al; licensee BioMed Central Ltd.
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共 49 条
[1]  
Goldstein I.F., Perzanowski M.S., Lendor C., Garfinkel R.S., Hoepner L.A., Chew G.L., Perera F.P., Miller R.L., Prevalence of allergy symptoms and total IgE in a New York City cohort and their association with birth order, Int Arch Allergy Immunol, 137, pp. 249-257, (2005)
[2]  
Edenharter G., Bergmann R.L., Bergmann K.E., Wahn V., Forster J., Zepp F., Wahn U., Cord blood-IgE as risk factor and predictor for atopic diseases, Clin Exp Allergy, 28, pp. 671-678, (1998)
[3]  
Ruiz R.G., Richards D., Kemeny D.M., Price J.F., Neonatal IgE: a poor screen for atopic disease, Clin Exp Allergy, 21, pp. 467-472, (1991)
[4]  
Lilja G., Johansson S.G., Kusoffsky E., Oman H., IgE levels in cord blood and at 4-5 days of age: relation to clinical symptoms of atopic disease up to 18 months of age, Allergy, 45, pp. 436-444, (1990)
[5]  
Bergmann R.L., Edenharter G., Bergmann K.E., Guggenmoos-Holzmann I., Forster J., Bauer C.P., Wahn V., Zepp F., Wahn U., Predictability of early atopy by cord blood-IgE and parental history, Clin Exp Allergy, 27, pp. 752-760, (1997)
[6]  
Karmaus W., Arshad H., Mattes J., Does the sibling effect have its origin in utero? Investigating birth order, cord blood immunoglobulin E concentration, and allergic sensitization at age 4 years, Am J Epidemiol, 154, pp. 909-915, (2001)
[7]  
Tariq S.M., Arshad S.H., Matthews S.M., Hakim E.A., Elevated cord serum IgE increases the risk of aeroallergen sensitization without increasing respiratory allergic symptoms in early childhood, Clin Exp Allergy, 29, pp. 1042-1048, (1999)
[8]  
Pesonen M., Kallio M.J., Siimes M.A., Elg P., Bjorksten F., Ranki A., Cord serum immunoglobulin E as a risk factor for allergic symptoms and sensitization in children and young adults, Pediatr Allergy Immunol, 20, pp. 12-18, (2009)
[9]  
Sadeghnejad A., Karmaus W., Davis S., Kurukulaaratchy R.J., Matthews S., Arshad S.H., Raised cord serum immunoglobulin E increases the risk of allergic sensitisation at ages 4 and 10 and asthma at age 10, Thorax, 59, pp. 936-942, (2004)
[10]  
Chan-Yeung M., Ferguson A., Chan H., Dimich-Ward H., Watson W., Manfreda J., Becker A., Umbilical cord blood mononuclear cell proliferative response to house dust mite does not predict the development of allergic rhinitis and asthma, J Allergy Clin Immunol, 104, pp. 317-321, (1999)