PMID- 19179739 OWN - NLM STAT- MEDLINE DCOM- 20090729 LR - 20111117 IS - 0019-6061 (Print) IS - 0019-6061 (Linking) VI - 46 IP - 4 DP - 2009 Apr TI - Cord serum screening test and the newborns allergic status. PG - 295-9 AB - OBJECTIVE: To evaluate the predictive value of a cord serum screen test and possible subsequent development of allergic disease in infants. DESIGN: Cohort study. SETTING: 100 pregnant women were randomly recruited for the study. METHODS: The maternal serum and the cord serum of their matched newborn were analyzed for total serum immunoglobulin E (IgE), gamma interferon (g IFN), house dust mite- Dermatophagoides pteronyssinus allergen (Der p1) and Blomia tropicalis allergen (Blo t5) using immunoassay methods. All infants were followed up for one year. RESULTS: Infants who had allergic diseases in the one year follow-up (n=45) had significantly (P < 0.001) elevated IgE, Der p1, Blo t5, and significantly low g IFN levels in cord serum as compared to the same parameters of infants who did not develop allergic disease in the one year follow-up (n=43). CONCLUSION: In utero exposure to HDM allergens Der p1 and Blot5 is prevalent. We have successfully established a cord serum screening test for predicting allergic diseases in infancy with 93% specificity and sensitivity. FAU - Shah, Shilpa AU - Shah S AD - Breach Candy Hospital Trust, 60A Bhulabhai Desai Road, Mumbai 400 026, India. rescience_5@yahoo.co.in FAU - Bapat, M AU - Bapat M LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20090101 PL - India TA - Indian Pediatr JT - Indian pediatrics JID - 2985062R RN - 0 (Allergens) RN - 0 (Antigens, Dermatophagoides) RN - 0 (Antigens, Plant) RN - 0 (Arthropod Proteins) RN - 0 (allergen Blo t 5) RN - 37341-29-0 (Immunoglobulin E) RN - 82115-62-6 (Interferon-gamma) RN - EC 3.4.22.- (Cysteine Endopeptidases) RN - EC 3.4.22.- (Dermatophagoides pteronyssinus antigen p 1) SB - IM MH - Allergens/blood MH - Antigens, Dermatophagoides/blood MH - Antigens, Plant MH - Arthropod Proteins MH - Cysteine Endopeptidases MH - Female MH - Fetal Blood MH - Follow-Up Studies MH - Humans MH - Hypersensitivity/*blood/*diagnosis MH - Immunoglobulin E/blood MH - Infant, Newborn MH - Interferon-gamma/blood MH - Male MH - Neonatal Screening/*methods MH - Predictive Value of Tests MH - Pregnancy EDAT- 2009/01/31 09:00 MHDA- 2009/07/30 09:00 CRDT- 2009/01/31 09:00 PHST- 2007/03/27 00:00 [received] PHST- 2008/07/21 00:00 [accepted] PHST- 2009/01/31 09:00 [entrez] PHST- 2009/01/31 09:00 [pubmed] PHST- 2009/07/30 09:00 [medline] AID - S001960610800187-1 [pii] PST - ppublish SO - Indian Pediatr. 2009 Apr;46(4):295-9. Epub 2009 Jan 1.