Aeroallergen sensitization correlates with PC20 and exhaled nitric oxide in subjects with mild-to-moderate asthma

Timothy Craig, Tonya King, Robert F. Lemanske, Michael E. Wechsler, Nikolina Icitovic, Ronald R. Zimmerman, Stephen Wasserman

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Background: Aeroallergen sensitization in adult asthmatic patients from a wide geographic area has not been correlated with patients' characteristics, markers of airways inflammation, and lung function. Objective: We assessed data obtained from the Asthma Clinical Research Network trials to determine the relationship of aeroallergen sensitization to age, sex, ethnicity, and markers of inflammation and airways function. Methods: Skin testing (14 epicutaneous) was performed on 1338 subjects with objectively diagnosed mild-to-moderate asthma from 11 Asthma Clinical Research Network studies. Skin testing used identical techniques and a quality assurance program to ensure uniformity across centers. Results: Ninety-five percent of the subjects had at least 1 positive skin test response. Of these, 14% had positive reactions to 1 or 2 allergens and 81% had positive reactions to 3 or more allergens, and 2% of subjects reacted only to seasonal allergens, 26% only to perennial allergens, and 67% to both. Increasing IgE and exhaled nitric oxide values, decreasing PC20 values, and minority ethnicity significantly correlated with the number of positive skin test responses. Subjects with late-onset asthma were less likely to be sensitized; nonetheless, 89% of subjects older than 60 years had positive responses. Conclusion: Ninety-five percent of patients with mild-to-moderate asthma might have an allergic component. Age does not significantly affect aeroallergen sensitization, but the pattern of allergic sensitization varies with ethnicity and geography. Measures used to characterize asthma, such as IgE, exhaled nitric oxide, and PC20 values, are correlated with aeroallergen sensitization.

Original languageEnglish (US)
Pages (from-to)671-677
Number of pages7
JournalJournal of Allergy and Clinical Immunology
Volume121
Issue number3
DOIs
StatePublished - Mar 1 2008

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Nitric Oxide
Asthma
Allergens
Skin Tests
Immunoglobulin E
Skin
Geography
Research
Pneumonia
Inflammation

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology

Cite this

Craig, Timothy ; King, Tonya ; Lemanske, Robert F. ; Wechsler, Michael E. ; Icitovic, Nikolina ; Zimmerman, Ronald R. ; Wasserman, Stephen. / Aeroallergen sensitization correlates with PC20 and exhaled nitric oxide in subjects with mild-to-moderate asthma. In: Journal of Allergy and Clinical Immunology. 2008 ; Vol. 121, No. 3. pp. 671-677.
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abstract = "Background: Aeroallergen sensitization in adult asthmatic patients from a wide geographic area has not been correlated with patients' characteristics, markers of airways inflammation, and lung function. Objective: We assessed data obtained from the Asthma Clinical Research Network trials to determine the relationship of aeroallergen sensitization to age, sex, ethnicity, and markers of inflammation and airways function. Methods: Skin testing (14 epicutaneous) was performed on 1338 subjects with objectively diagnosed mild-to-moderate asthma from 11 Asthma Clinical Research Network studies. Skin testing used identical techniques and a quality assurance program to ensure uniformity across centers. Results: Ninety-five percent of the subjects had at least 1 positive skin test response. Of these, 14{\%} had positive reactions to 1 or 2 allergens and 81{\%} had positive reactions to 3 or more allergens, and 2{\%} of subjects reacted only to seasonal allergens, 26{\%} only to perennial allergens, and 67{\%} to both. Increasing IgE and exhaled nitric oxide values, decreasing PC20 values, and minority ethnicity significantly correlated with the number of positive skin test responses. Subjects with late-onset asthma were less likely to be sensitized; nonetheless, 89{\%} of subjects older than 60 years had positive responses. Conclusion: Ninety-five percent of patients with mild-to-moderate asthma might have an allergic component. Age does not significantly affect aeroallergen sensitization, but the pattern of allergic sensitization varies with ethnicity and geography. Measures used to characterize asthma, such as IgE, exhaled nitric oxide, and PC20 values, are correlated with aeroallergen sensitization.",
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Aeroallergen sensitization correlates with PC20 and exhaled nitric oxide in subjects with mild-to-moderate asthma. / Craig, Timothy; King, Tonya; Lemanske, Robert F.; Wechsler, Michael E.; Icitovic, Nikolina; Zimmerman, Ronald R.; Wasserman, Stephen.

In: Journal of Allergy and Clinical Immunology, Vol. 121, No. 3, 01.03.2008, p. 671-677.

Research output: Contribution to journalArticle

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AU - Icitovic, Nikolina

AU - Zimmerman, Ronald R.

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N2 - Background: Aeroallergen sensitization in adult asthmatic patients from a wide geographic area has not been correlated with patients' characteristics, markers of airways inflammation, and lung function. Objective: We assessed data obtained from the Asthma Clinical Research Network trials to determine the relationship of aeroallergen sensitization to age, sex, ethnicity, and markers of inflammation and airways function. Methods: Skin testing (14 epicutaneous) was performed on 1338 subjects with objectively diagnosed mild-to-moderate asthma from 11 Asthma Clinical Research Network studies. Skin testing used identical techniques and a quality assurance program to ensure uniformity across centers. Results: Ninety-five percent of the subjects had at least 1 positive skin test response. Of these, 14% had positive reactions to 1 or 2 allergens and 81% had positive reactions to 3 or more allergens, and 2% of subjects reacted only to seasonal allergens, 26% only to perennial allergens, and 67% to both. Increasing IgE and exhaled nitric oxide values, decreasing PC20 values, and minority ethnicity significantly correlated with the number of positive skin test responses. Subjects with late-onset asthma were less likely to be sensitized; nonetheless, 89% of subjects older than 60 years had positive responses. Conclusion: Ninety-five percent of patients with mild-to-moderate asthma might have an allergic component. Age does not significantly affect aeroallergen sensitization, but the pattern of allergic sensitization varies with ethnicity and geography. Measures used to characterize asthma, such as IgE, exhaled nitric oxide, and PC20 values, are correlated with aeroallergen sensitization.

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