PMID- 10336590 OWN - NLM STAT- MEDLINE DCOM- 19990714 LR - 20190831 IS - 0954-7894 (Print) IS - 0954-7894 (Linking) VI - 29 IP - 6 DP - 1999 Jun TI - High prevalence of sensitization to cat allergen among Japanese children with asthma, living without cats. PG - 754-61 AB - BACKGROUND: Cat allergy is common among children with asthma. Many cat-allergic patients in Japan and elsewhere do not keep cats, but nonetheless become sensitized through environmental exposure to cat allergen. OBJECTIVE: To assess the frequency of cat allergy and cat-specific immunoglobulin E (IgE) and immunoglobulin G (IgG) antibody responses in young Japanese patients with asthma in relation to self-reported cat exposure and Fel d 1 levels in dust samples. METHODS: Cat dander-specific IgE antibody was measured in sera from asthma patients using the CAP system. IgE and IgG antibody to Fel d 1 was measured by antigen binding radioimmunoassay and by chimeric enzyme immunoassay. Fel d 1 levels in dust samples from a subset of patients' homes were measured by monoclonal antibody-based enzyme immunoassay. RESULTS: Cat-specific IgE (CAP class>/=2) was found in sera from 70% of 44 patients who kept cats and 34% of 394 patients who had never kept cats. The prevalence of sensitization increased progressively to age 6 years (40%: positive), and then increased gradually to age 16 years (approximately 60%: positive) in patients who had never kept cats. There was an excellent correlation between cat CAP values and IgE levels to Fel d 1. The absolute amount of IgE antibody to Fel d 1 ranged from 0.01 to 15.6% of total IgE. Most patients who did not keep cats were exposed to Fel d 1 levels ranging from 0.07-8 microg/g dust. CONCLUSIONS: Sensitization to cat allergen is common among young asthmatic patients in Japan, even among patients who do not keep cats. Use of CAP and the chimeric enzyme-linked immunosorbent assay allows accurate diagnosis of cat allergy and quantification of specific IgE antibody levels. FAU - Ichikawa, K AU - Ichikawa K AD - Department of Pediatrics, Doai Memorial Hospital, Sumida-ku, Tokyo, Japan. FAU - Iwasaki, E AU - Iwasaki E FAU - Baba, M AU - Baba M FAU - Chapman, M D AU - Chapman MD LA - eng GR - AI 32557/AI/NIAID NIH HHS/United States GR - AI 34607/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 RN - 0 (Antibodies) RN - 0 (Dust) RN - 0 (Glycoproteins) RN - 0 (Immunoglobulin G) RN - 37341-29-0 (Immunoglobulin E) RN - G408EE88II (Fel d 1 protein, Felis domesticus) SB - IM CIN - Clin Exp Allergy. 1999 Jun;29(6):725-8. PMID: 10336583 MH - Adolescent MH - Adult MH - Animals MH - Animals, Domestic MH - Antibodies/analysis/immunology MH - Asthma/*immunology MH - Child MH - Child, Preschool MH - Dust/analysis MH - Female MH - Glycoproteins/analysis/*immunology MH - Humans MH - Hypersensitivity/*epidemiology/*immunology MH - Immunoglobulin E/analysis/immunology MH - Immunoglobulin G/analysis/immunology MH - Infant MH - Japan MH - Male MH - Prevalence EDAT- 1999/05/21 00:00 MHDA- 1999/05/21 00:01 CRDT- 1999/05/21 00:00 PHST- 1999/05/21 00:00 [pubmed] PHST- 1999/05/21 00:01 [medline] PHST- 1999/05/21 00:00 [entrez] AID - cea472 [pii] AID - 10.1046/j.1365-2222.1999.00472.x [doi] PST - ppublish SO - Clin Exp Allergy. 1999 Jun;29(6):754-61. doi: 10.1046/j.1365-2222.1999.00472.x.