PMID- 24953294 OWN - NLM STAT- MEDLINE DCOM- 20150324 LR - 20140623 IS - 1399-3038 (Electronic) IS - 0905-6157 (Linking) VI - 25 IP - 4 DP - 2014 Jun TI - Immunoglobulin A and immunoglobulin G antibodies against beta-lactoglobulin and gliadin at age 1 associate with immunoglobulin E sensitization at age 6. PG - 329-37 LID - 10.1111/pai.12246 [doi] AB - BACKGROUND: Serum immunoglobulin A (IgA) and immunoglobulin G (IgG) antibodies against wheat gliadin and cow's milk beta-lactoglobulin (BLG) are considered markers of gut permeability and inflammation which modulate the development of mucosal tolerance. Living on a farm has been shown to decrease allergies in children. Our aim was to study whether farm environment affected mucosal tolerance, immunoglobulin E (IgE) sensitization, or allergic diseases. METHODS: The PASTURE birth cohort study was conducted in Finland, France, Germany, Austria, and Switzerland. At age 1, we measured serum IgA and IgG against wheat gliadin (N = 636) and cow's milk BLG (N = 639) using ELISA. Serum-specific IgE was measured at ages 1 and 6 (N = 459). Data on environmental factors and allergic diseases were collected by questionnaires. Discrete time hazard and multivariate logistic regression models were used for analyses. RESULTS: Increased IgA or IgG antibodies against BLG at age 1 increased the risk of sensitization to at least one of the measured allergens or food allergens at age 6. Increased IgG against gliadin at age 1 increased the risk of sensitization to any, at least one inhalant, or at least one food allergen at age 6. Early exposure to cow's milk formula associated with increased IgA or IgG against BLG. No association with farming or clinical allergy was found. CONCLUSIONS: Increased IgA or IgG against BLG or gliadin at age 1 was associated with IgE sensitization at age 6. We suggest that an enhanced antibody response to food antigens reflects mucosal tolerance aberrancies, e.g., altered microbiota and/or increased gut permeability, which is later seen as sensitization to allergens. CI - (c) 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Orivuori, Laura AU - Orivuori L AD - Department of Vaccination and Immune Protection, National Institute for Health and Welfare, Helsinki, Finland. FAU - Mustonen, Kirsi AU - Mustonen K FAU - Roduit, Caroline AU - Roduit C FAU - Braun-Fahrlander, Charlotte AU - Braun-Fahrlander C FAU - Dalphin, Jean-Charles AU - Dalphin JC FAU - Genuneit, Jon AU - Genuneit J FAU - Lauener, Roger AU - Lauener R FAU - Pfefferle, Petra AU - Pfefferle P FAU - Riedler, Josef AU - Riedler J FAU - Weber, Juliane AU - Weber J FAU - von Mutius, Erika AU - von Mutius E FAU - Pekkanen, Juha AU - Pekkanen J FAU - Vaarala, Outi AU - Vaarala O CN - PASTURE Study Group LA - eng PT - Journal Article PT - Multicenter Study PL - England TA - Pediatr Allergy Immunol JT - Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology JID - 9106718 RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin G) RN - 0 (Lactoglobulins) RN - 37341-29-0 (Immunoglobulin E) RN - 9007-90-3 (Gliadin) SB - IM MH - Animals MH - Cattle MH - Child MH - Cohort Studies MH - Environmental Exposure MH - Europe MH - Female MH - Gliadin/*immunology MH - Humans MH - Immunity, Mucosal MH - Immunization MH - Immunoglobulin A/*blood MH - Immunoglobulin E/*immunology MH - Immunoglobulin G/*blood MH - Infant MH - Intestinal Mucosa/*immunology MH - Lactoglobulins/*immunology MH - Male MH - Milk/immunology MH - Milk Hypersensitivity/*diagnosis/immunology MH - Prognosis MH - Triticum/immunology MH - Wheat Hypersensitivity/*diagnosis/immunology OTO - NOTNLM OT - allergy OT - asthma OT - atopic dermatitis OT - formula milk OT - gliadin OT - gut permeability OT - immunoglobulin OT - immunoglobulin E sensitization OT - inflammation OT - beta-lactoglobulin FIR - Karvonen, Anne IR - Karvonen A FIR - Roponen, Marjut IR - Roponen M FIR - Hirvonen, Maija-Riitta IR - Hirvonen MR FIR - Tiittanen, Pekka IR - Tiittanen P FIR - Remes, Sami IR - Remes S FIR - Kaulek, Vincent IR - Kaulek V FIR - Dalphin, Marie-Laure IR - Dalphin ML FIR - Buchele, Gisela IR - Buchele G FIR - Ege, Markus IR - Ege M FIR - Depner, Martin IR - Depner M FIR - Schaub, Bianca IR - Schaub B FIR - Renz, Harald IR - Renz H FIR - Kabesch, Michael IR - Kabesch M FIR - Bitter, Sondhja IR - Bitter S FIR - Loss, Georg IR - Loss G FIR - Frei, Remo IR - Frei R FIR - Doekes, Gert IR - Doekes G EDAT- 2014/06/24 06:00 MHDA- 2015/03/25 06:00 CRDT- 2014/06/24 06:00 PHST- 2014/04/22 00:00 [accepted] PHST- 2014/06/24 06:00 [entrez] PHST- 2014/06/24 06:00 [pubmed] PHST- 2015/03/25 06:00 [medline] AID - 10.1111/pai.12246 [doi] PST - ppublish SO - Pediatr Allergy Immunol. 2014 Jun;25(4):329-37. doi: 10.1111/pai.12246.