August 26, 2016

Climate Change and Future Pollen Allergy in Europe



Environ Health Perspect; DOI:10.1289/EHP173



Iain R. Lake,1 Natalia R. Jones,1 Maureen Agnew,1 Clare M. Goodess,1 Filippo Giorgi,2 Lynda Hamaoui-Laguel,3,4 Mikhail A. Semenov,5 Fabien Solomon,2 Jonathan Storkey,5 Robert Vautard,3,4 and Michelle M. Epstein6
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  • Background: Globally pollen allergy is a major public health problem, but a fundamental unknown is the likely impact of climate change. To our knowledge, this is the first study to quantify the consequences of climate change upon pollen allergy in humans.
    Objectives: To produce quantitative estimates of the potential impact of climate change upon pollen allergy in humans, focusing upon common ragweed (Ambrosia artemisiifolia) in Europe.

Enhancement of Oral Tolerance Induction in DO11.10 Mice by Lactobacillus gasseri OLL2809 via Increase of Effector Regulatory T Cells

Logo of plosonePLoS OneView this ArticleSubmit to PLoSGet E-mail AlertsContact UsPublic Library of Science (PLoS)
. 2016; 11(7): e0158643.
Published online 2016 Jul 29. doi:  10.1371/journal.pone.0158643
Ayako Aoki-Yoshida,1,2 Kiyoshi Yamada,1 Satoshi Hachimura,3 Toshihiro Sashihara,4 Shuji Ikegami,4 Makoto Shimizu,1 and Mamoru Totsuka1,*
Hossam M Ashour, Editor
Author information ► Article notes ► Copyright and License information ►

Abstract
Food allergy is a serious problem for infants and young children. Induction of antigen-specific oral tolerance is one therapeutic strategy. Enhancement of oral tolerance induction by diet is a promising strategy to prevent food allergy in infants. Thus, in this study, we evaluate the effect of probioticLactobacillus gasseri OLL2809 (LG2809) on oral tolerance induction in a mouse model.

Characterizing the inflammatory response in esophageal mucosal biopsies in children with eosinophilic esophagitis

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Wael N Sayej1, Antoine Ménoret2, Anu S Maharjan2,3, Marina Fernandez1, Zhu Wang4, Fabiola Balarezo5, Jeffrey S Hyams1, Francisco A Sylvester1,2,3,6 and Anthony T Vella2,6
  1. 1Department of Pediatrics, Division of Digestive Diseases, Hepatology & Nutrition, Connecticut Children’s Medical Center, Hartford, CT, USA
  2. 2Department of Immunology, University of Connecticut Health Center, Farmington, CT, USA
  3. 3Department of Pediatrics, Division of Gastroenterology, University of North Carolina School of Medicine, Chapel Hill, NC, USA
  4. 4Department of Research, Connecticut Children’s Medical Center, Hartford, CT, USA
  5. 5Department of Pathology and Laboratory Medicine, Hartford Hospital, Hartford, CT, USA
Correspondence: Dr WN Sayej, Department of Pediatrics, Division of Digestive Diseases, Hepatology and Nutrition, Connecticut Children’s Medical Center, 282 Washington Street, Hartford, CT 06106, USA. E-mail:wsayej@connecticutchildrens.org
6Co-senior authors.
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Abstract

Eosinophilic esophagitis (EoE) is an emerging allergic, IgE- and non-IgE (Th2 cell)-mediated disease. There are major gaps in the understanding of the basic mechanisms that drive the persistence of EoE. We investigated whether esophageal biopsies from children with EoE demonstrate an inflammatory response that is distinct from normal controls. We prospectively enrolled 84 patients, of whom 77 were included in our analysis, aged 4–17 years (12.8±3.8 years; 81% males). Five esophageal biopsies were collected from each patient at the time of endoscopy.

The epidemiologic characteristics of healthcare provider-diagnosed eczema, asthma, allergic rhinitis, and food allergy in children: a retrospective cohort study

  • David A. HillEmail author,
  • Robert W. Grundmeier,
  • Gita Ram and
  • Jonathan M. Spergel
Contributed equally
Abstract
Background
The rates of childhood allergic conditions are changing, prompting the need for continued surveillance. Examination of healthcare provider-based diagnosis data is an important and lacking methodology needed to complement existing studies that rely on participant reporting.
Methods
Utilizing our care network of 1,050,061 urban and sub-urban children, we defined two retrospective cohorts: (1) a closed birth cohort of 29,662 children and (2) a cross-sectional cohort of 333,200 children. These cohorts were utilized to determine the epidemiologic characteristics of the conditions studied. Logistic regression was utilized to determine the extent to which food allergy was associated with respiratory allergy.

Immunotherapy in allergic rhinitis and lower airway outcomes

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Online Version of Record published before inclusion in an issue
  • M. Labrador-Horrillo
  • Abstract
    Allergic rhinitis and asthma constitute two clinical expressions of a single-condition, respiratory allergy. Allergen immunotherapy (AIT) is a form of treatment specifically aimed at modifying the response to sensitizing allergens. The inherent potential benefit of AIT is the simultaneous treatment of all clinical expressions of respiratory allergy. Current data support the effectiveness of subcutaneous and sublingual immunotherapy in rhinitis. Studies also provide proof for a beneficial effect in allergic asthma.

August 25, 2016

Recent advances in component resolved diagnosis in food allergy

Article in Press
Abstract
Due to the high prevalence of food allergic diseases globally there are increasing demands in clinical practice for managing IgE-mediated conditions. During the last decade, component resolved diagnostics has been introduced into the field of clinical allergology, providing information that cannot be obtained from extract-based tests. Component resolved data facilitate more precise diagnosis of allergic diseases and identify sensitizations attributable to cross-reactivity. Furthermore it assists risk assessment in clinical practice as sensitization to some allergenic molecules is related to persistence of clinical symptoms and systemic rather than local reactions. The information may also aid the clinician in prescription of oral immunotherapy (OIT) in patients with severe symptoms, and in giving advice on food allergen avoidance or on the need to perform food challenges. The use of allergen components is rapidly evolving and increases our possibility to treat food allergic patients with a more individual approach. Using molecular allergology, we can already now better diagnose, prognose and grade the food allergy. In summary, daily routine molecular allergy diagnostics offers a number of benefits that give us a higher diagnostic precision and allow for better management of the patient.
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Is Oral Provocation Test Safe for Preschool Children?

Sait Karaman, Semiha Erdem Bahçeci, Hikmet Tekin Nacaroğlu, Canan Şule Karaman, Demet Can


Abstract


Background: Oral food challenges (OFCs) are performed for diagnosis of a food allergy where the food allergy is not supported by the history or because a newly developed tolerance needs to be established.
Objective: Our aims were to investigate the prevalence and severity of reactions during OFC in preschool children.

August 22, 2016

Evaluation of the left and right ventricular systolic and diastolic function in asthmatic children

Esra Akyüz Özkan 
  • and
  • Hashem E. Khosroshahi
  • Abstract
    Background
    Asthma is the most common cause of respiratory disorders among children. We aimed to investigate left (LV) and right (RV) ventricular function in asthmatic children as detected by conventional and tissue Doppler echocardiography.
    Methods
    Fifty pediatric patients with asthma and forty healthy children were studied. Pulmonary function tests, electrocardiography and echocardiographic examinations were performed on all children.