PMID- 1489131 OWN - NLM STAT- MEDLINE DCOM- 19930224 LR - 20061115 IS - 0003-0805 (Print) IS - 0003-0805 (Linking) VI - 146 IP - 2 DP - 1992 Aug TI - The interaction between immunoglobulin E and smoking in airflow obstruction in the elderly. PG - 402-7 AB - Airflow obstruction and serum immunoglobulin E (IgE) were assessed in 250 men and women 65 to 91 yr of age who had been selected from a larger general population sample according to reported respiratory symptoms. After allowance for age and sex, serum IgE and smoking interacted synergistically as risk factors for airflow obstruction such that on average an IgE > or = 81 IU/ml in current smokers was associated with a FEV1/FVC ratio 14.4 percentage points (95% CI, 8.8 to 19.9) less than in lifelong nonsmokers with an IgE < or = 10 IU/ml. This synergistic interaction was apparent in subjects who showed no evidence of airway lability (i.e., no hyperresponsiveness to inhaled methacholine or, if bronchial hyperresponsiveness could not be tested, no clear improvement in airflow obstruction after inhalation of salbutamol). The findings suggest that the role of IgE in the pathogenesis of airflow obstruction is not confined to asthmatics. FAU - Dow, L AU - Dow L AD - Department of Medicine I, Southampton General Hospital, UK. FAU - Coggon, D AU - Coggon D FAU - Campbell, M J AU - Campbell MJ FAU - Osmond, C AU - Osmond C FAU - Holgate, S T AU - Holgate ST LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am Rev Respir Dis JT - The American review of respiratory disease JID - 0370523 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Airway Obstruction/*diagnosis/epidemiology/etiology MH - England/epidemiology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Forced Expiratory Volume MH - Health Surveys MH - Humans MH - Immunoglobulin E/*blood MH - Inflammation MH - Male MH - Population Surveillance MH - Prevalence MH - Risk Factors MH - Smoking/adverse effects/*blood/epidemiology MH - Vital Capacity EDAT- 1992/08/01 00:00 MHDA- 1992/08/01 00:01 CRDT- 1992/08/01 00:00 PHST- 1992/08/01 00:00 [pubmed] PHST- 1992/08/01 00:01 [medline] PHST- 1992/08/01 00:00 [entrez] AID - 10.1164/ajrccm/146.2.402 [doi] PST - ppublish SO - Am Rev Respir Dis. 1992 Aug;146(2):402-7. doi: 10.1164/ajrccm/146.2.402.