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Multiplexed immunoglobulin E sensitization in relation to exhaled nitric oxide in a population sample of children
Authors:T.‐C. Yao  H.‐J. Tsai  Y.‐L. Tu  S.‐W. Chang  M.‐C. Hua  S.‐L. Liao  M.‐H. Tsai  C.‐Y. Chiu  S.‐H. Lai  K.‐W. Yeh  J.‐L. Huang  the PATCH study group
Affiliation:1. Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, , Taoyuan, Taiwan;2. Community Medicine Research Center, Chang Gung Memorial Hospital at Keelung, , Keelung, Taiwan;3. Division of Biostatistics and Bioinformatics, Institutes of Population Health Sciences, National Health Research Institutes, , Miaoli, Taiwan;4. Department of Pediatrics, Feinberg School of Medicine, Northwestern University, , Chicago, IL, USA;5. Department of Genome Medicine, Kaohsiung University, , Kaohsiung, Taiwan;6. Graduate Institute of Clinical Medical Sciences, Chang Gung University College of Medicine, , Taoyuan, Taiwan;7. Clinical Informatics and Medical Statistics Research Center, Chang Gung University College of Medicine, , Taoyuan, Taiwan;8. Department of Pediatrics, Chang Gung Memorial Hospital at Keelung, , Keelung, Taiwan;9. Division of Pediatric Pulmonology, Department of Pediatrics, Chang Gung Memorial Hospital, , Taoyuan, Taiwan
Abstract:This study investigated the relationship between the specific immunoglobulin E (IgE) profile for 40 allergens using a novel microarray technique (BioIC) and fraction of exhaled nitric oxide (FeNO) in a population sample of 1321 children. Significant positive associations were found between FeNO and sensitization to mites (< 0.001), animals (= 0.001), cockroaches (< 0.001), and foods (= 0.042), and furthermore, between FeNO and the number of sensitizations (all < 0.05) or the sum of specific IgE (all  0.01) against the aforementioned allergen categories. Specifically, sensitization to the following allergens was significantly related to higher FeNO: Dermatophagoides pteronyssinus, Dermatophagoides farina, Blomia tropicalis, cat, German cockroach, Oriental cockroach, codfish, crab, shrimp, and cheese (all  0.01). In conclusion, IgE sensitization to mites, pets, cockroaches, seafood, and cheese, respectively, is significantly associated with elevated FeNO levels in a dose‐dependent fashion in children. Our results provide new evidence that sensitization to certain food allergens may contribute to prompt inflammation in the airways.
Keywords:allergic sensitization  Asian  atopy  children  exhaled nitric oxide
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