PMID- 29126169 OWN - NLM STAT- MEDLINE DCOM- 20200403 LR - 20200403 IS - 1469-994X (Electronic) IS - 1462-2203 (Linking) VI - 21 IP - 6 DP - 2019 May 21 TI - Dose-Dependent Effect of Cotinine-Verified Tobacco Smoking on Serum Immunoglobulin E Levels in Korean Adult Males. PG - 813-817 LID - 10.1093/ntr/ntx247 [doi] AB - BACKGROUND: Smoking is one of the risk factors to exacerbate allergic diseases, and it may affect serum immunoglobulin E (IgE) levels. However, few studies have relied on an objective biomarker to examine the effect of tobacco smoking on serum IgE levels. METHOD: A nationwide cross-sectional study was conducted to examine the relationship between urinary cotinine (Ucot) concentrations and IgE levels in 973 males using data from the 2010 Korean National Health and Nutrition Examination Survey (KNHANES). Ucot was classified into four groups based on concentration (ng/mL) as follows: nonsmoker group (Ucot <50 ng/mL) and three tertile groups in smokers (T1 [Ucot: 50.00-921.28 ng/mL]; T2 [Ucot: 921.29-1869.36 ng/mL]; and T3 [Ucot >/=1869.37 ng/mL]). The dose-response relationships between Ucot concentrations and total serum IgE level were estimated using analysis of covariance (ANCOVA) and multiple linear regression analysis after adjusting for confounding variables. RESULTS: We found a significant and positive dose-related effect of cigarette smoking as measured by Ucot concentrations on the total serum IgE level. The multivariate adjusted means of total serum IgE levels (SE) were 321.0 (36.3), 404.4 (102.7), 499.2 (79.2), and 534.7 (82.7) IU/mL, after adjusting for age, body mass index, alcohol ingestion, physical exercise, job, and household income. The regression coefficient beta for total serum IgE was beta = 68.6 with increasing level of Ucot group after adjusting for the same covariables (p = .009). CONCLUSION: These findings suggest that the amount of smoking may have a dose-dependent effect on total serum IgE levels. IMPLICATION: Smoking is one of the risk factors to exacerbate allergic diseases, and it may affect serum immunoglobulin E (IgE) levels, which is closely related to type 1 mediated allergic diseases. However, few studies have relied on an objective biomarker to examine the effect of tobacco smoking on serum IgE levels. We found that tobacco exposure, as measured by Ucot concentrations, increased the serum IgE levels in a dose-response manner in a representative sample of Korean adult males. CI - (c) The Author(s) 2017. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Dong, Jae-June AU - Dong JJ AD - Department of Family Medicine, Yonsei University College of Medicine, Seoul, Korea. AD - Department of Medicine, Graduate School, Yonsei University, Seoul, Republic of Korea. FAU - Shen, Jay J AU - Shen JJ AD - Department of Healthcare Administration and Policy, School of Community Health Sciences, University of Nevada, Las Vegas, NV. FAU - Lee, Yong-Jae AU - Lee YJ AD - Department of Family Medicine, Yonsei University College of Medicine, Seoul, Korea. AD - Department of Healthcare Administration and Policy, School of Community Health Sciences, University of Nevada, Las Vegas, NV. LA - eng PT - Journal Article PL - England TA - Nicotine Tob Res JT - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco JID - 9815751 RN - 0 (Biomarkers) RN - 37341-29-0 (Immunoglobulin E) RN - K5161X06LL (Cotinine) SB - IM MH - Adult MH - Biomarkers/*analysis MH - Body Mass Index MH - Cotinine/*urine MH - Cross-Sectional Studies MH - Dose-Response Relationship, Drug MH - Female MH - Humans MH - Immunoglobulin E/*blood MH - Male MH - Nutrition Surveys MH - Republic of Korea/epidemiology MH - Risk Factors MH - Smokers MH - Tobacco Smoking/*adverse effects/blood/epidemiology/urine EDAT- 2017/11/11 06:00 MHDA- 2020/04/04 06:00 CRDT- 2017/11/11 06:00 PHST- 2017/07/07 00:00 [received] PHST- 2017/11/02 00:00 [accepted] PHST- 2017/11/11 06:00 [pubmed] PHST- 2020/04/04 06:00 [medline] PHST- 2017/11/11 06:00 [entrez] AID - 4596369 [pii] AID - 10.1093/ntr/ntx247 [doi] PST - ppublish SO - Nicotine Tob Res. 2019 May 21;21(6):813-817. doi: 10.1093/ntr/ntx247.