PMID- 19032360 OWN - NLM STAT- MEDLINE DCOM- 20090330 LR - 20090203 IS - 1365-2222 (Electronic) IS - 0954-7894 (Linking) VI - 39 IP - 2 DP - 2009 Feb TI - Early-life rotavirus and norovirus infections in relation to development of atopic manifestation in infants. PG - 254-60 LID - 10.1111/j.1365-2222.2008.03128.x [doi] AB - BACKGROUND: The increase in incidence of atopic diseases (ADs) in the developed world over the past decades has been associated with reduced exposure of childhood infections. OBJECTIVE: To investigate the relation between early intestinal viral infections in relation to the development of atopic symptoms (eczema, wheeze and atopic sensitization) in the first and second year(s) of life. METHODS: In the KOALA Birth Cohort Study, we assessed IgG seropositivity for rota- and norovirus (GGI.1 and GGII.4) at 1 year of age. This was related to allergic sensitization [specific immunoglobulin E (IgE)] at 1 and 2 years, and parent reported eczema and wheeze in the first 2 years, using logistic regression analysis adjusted for confounders. RESULTS: Rotavirus seropositivity (39%) was associated with an unexpected higher risk of recurrent wheeze in the first and second year of life [adjusted odds ratio (OR) 3.1 and 95% confidence intervals (CI) 1.1-9.1] and persistent and new recurrent wheeze (adjusted OR 2.7 and 95% CI 1.1-6.2). No further associations were found between intestinal viral seropositivity and atopic manifestations. CONCLUSION: Our data did not show a clear protection by enteric viral infections in young children on development of IgE response to allergens, but rotavirus infection in the first year was a risk factor for wheeze. However, this needs to be followed up to older ages in order to establish the true importance of intestinal viral infections and especially cumulative effects in AD aetiology. Exposure to rotavirus may offer a new and interesting focus on infant wheeze and later asthma development. FAU - Reimerink, J AU - Reimerink J AD - Laboratory for Infectious Diseases and Screening, National Institute of Public Health and the Environment (RIVM), Bilthoven, Maastricht, Amsterdam, The Netherlands. johan.reimerink@rivm.nl FAU - Stelma, F AU - Stelma F FAU - Rockx, B AU - Rockx B FAU - Brouwer, D AU - Brouwer D FAU - Stobberingh, E AU - Stobberingh E FAU - van Ree, R AU - van Ree R FAU - Dompeling, E AU - Dompeling E FAU - Mommers, M AU - Mommers M FAU - Thijs, C AU - Thijs C FAU - Koopmans, M AU - Koopmans M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081117 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 (Allergens) RN - 0 (Antibodies, Viral) RN - 0 (Antigens, Viral) RN - 37341-29-0 (Immunoglobulin E) SB - IM CIN - Clin Exp Allergy. 2009 Feb;39(2):179-80. PMID: 19187329 MH - Allergens/immunology MH - Antibodies, Viral/blood MH - Antigens, Viral/immunology MH - Caliciviridae Infections/*complications/*epidemiology/immunology MH - Child, Preschool MH - Dermatitis, Atopic/epidemiology/etiology MH - Female MH - Humans MH - Hypersensitivity/epidemiology/*etiology/immunology/*virology MH - Immunoglobulin E/blood/immunology MH - Infant MH - Male MH - Netherlands/epidemiology MH - *Norovirus/immunology MH - Odds Ratio MH - Respiratory Sounds/etiology MH - Risk Factors MH - Rotavirus Infections/*complications/*epidemiology/immunology MH - Seroepidemiologic Studies EDAT- 2008/11/27 09:00 MHDA- 2009/03/31 09:00 CRDT- 2008/11/27 09:00 PHST- 2008/11/27 09:00 [pubmed] PHST- 2009/03/31 09:00 [medline] PHST- 2008/11/27 09:00 [entrez] AID - CEA3128 [pii] AID - 10.1111/j.1365-2222.2008.03128.x [doi] PST - ppublish SO - Clin Exp Allergy. 2009 Feb;39(2):254-60. doi: 10.1111/j.1365-2222.2008.03128.x. Epub 2008 Nov 17.