The purpose of this research is to prospectively evaluated the relationship between the intensity of airborne allergen exposure and the development of allergic sensitivity (production of allergen specific IgE) in a cohort of 80 children followed from birth to four years of age. The children selected for study will have a high genetic risk of atopy based on an elevated cord blood IgE concentration of greater than or equal to 0.6 u/ml. The quantities of the five inhalant allergens, to which young children most commonly become sensitized, will be measured in monthly air samples from each child's bedroom using a small volumetric air sampler, and an ELISA inhibition assay. The allergens selected are: cat, dog mite, ragweed, and timothery. Other variables thought to be related to the risk of atopy; tobacco smoke exposure, feeding history, and respiratory infections, will also be studied to determine whether any or these variables contribute more to the risk of inhalant allergy than intensity of allergen exposure. Tobacco smoke exposure will be quantitated by measuring urinary cotinine concentrations every two months. The child's feeding history and history of respiratory illnesses will be recorded during monthly interviews in a standardized fashion. The onset and degree of allergic sensitization will be determined by measuring serum concentrations of allergen specific IgE, to the same five allergens every six months. The data collected will be analyzed to determine if the intensity of allergen exposure is the most important risk factor for the development of allergic sensitization in a genetically susceptible population. We will also examine whether there is a critical intensity of exposure below which sensitization is unlikely to occur and whether the intensity of exposure and degree of sensitization are correlated. The answers to these questions should suggest the degree to which environmental control measures could reduced the risk of allergic sensitization. This information is important in the effort to reduce the rising prevalence of asthma and other allergic diseases among children.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Project (R01)
Project #
5R01AI024156-05
Application #
3136902
Study Section
Epidemiology and Disease Control Subcommittee 2 (EDC)
Project Start
1987-02-01
Project End
1992-11-30
Budget Start
1991-02-01
Budget End
1992-11-30
Support Year
5
Fiscal Year
1991
Total Cost
Indirect Cost
Name
Henry Ford Health System
Department
Type
Schools of Medicine
DUNS #
073134603
City
Detroit
State
MI
Country
United States
Zip Code
48202
Johnson, Christine Cole; Peterson, Edward L; Joseph, Christine L M et al. (2015) Birth weight and asthma incidence by asthma phenotype pattern in a racially diverse cohort followed through adolescence. J Asthma 52:1006-12
Hensley Alford, Sharon M; Lappin, Rachel E; Peterson, L et al. (2009) Pregnancy associated smoking behavior and six year postpartum recall. Matern Child Health J 13:865-72
Simon, Michael R; Havstad, Suzanne L; Wegienka, Ganesa R et al. (2008) Risk factors associated with transient wheezing in young children. Allergy Asthma Proc 29:161-5
Johnson, Christine Cole; Ownby, Dennis R; Alford, Sharon Hensley et al. (2005) Antibiotic exposure in early infancy and risk for childhood atopy. J Allergy Clin Immunol 115:1218-24
Wegienka, Ganesa; London, Stephanie J; Johnson, Christine Cole et al. (2004) Interpregnancy interval might affect the risk of childhood atopy. J Allergy Clin Immunol 113:169-71
Cole Johnson, Christine; Ownby, Dennis R; Havstad, Suzanne L et al. (2004) Family history, dust mite exposure in early childhood, and risk for pediatric atopy and asthma. J Allergy Clin Immunol 114:105-10
Williams, L Keoki; Peterson, Edward L; Ownby, Dennis R et al. (2004) The relationship between early fever and allergic sensitization at age 6 to 7 years. J Allergy Clin Immunol 113:291-6
Ownby, Dennis R; Johnson, Christine C (2003) Does exposure to dogs and cats in the first year of life influence the development of allergic sensitization? Curr Opin Allergy Clin Immunol 3:517-22
Peterson, Edward L; Ownby, Dennis R; Johnson, Christine C (2003) The relationship of housing and household characteristics to the indoor concentrations of Der f 1, Der p 1, and Fel d 1 measured in dust and air samples. Ann Allergy Asthma Immunol 90:564-71
Carter, Paul M; Peterson, Edward L; Ownby, Dennis R et al. (2003) Relationship of house-dust mite allergen exposure in children's bedrooms in infancy to bronchial hyperresponsiveness and asthma diagnosis by age 6 to 7. Ann Allergy Asthma Immunol 90:41-4

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