PMID- 33528926 OWN - NLM STAT- MEDLINE DCOM- 20210930 LR - 20210930 IS - 1578-1267 (Electronic) IS - 0301-0546 (Linking) VI - 49 IP - 1 DP - 2021 TI - The association between seropositivity to human toxocariasis and childhood asthma in northern Iran: a case-control study. PG - 25-31 LID - 10.15586/aei.v49i1.15 [doi] AB - BACKGROUND: Besides the well-known risk factors, Toxocara infection is thought to play a significant etiological role in the development of childhood asthma. To further explore this association, the prevalence of Toxocara infection in sera of asthmatic children and healthy controls in northern Iran was investigated. METHODS: In this case-control study, cases were 145 physician-confirmed asthmatic children diagnosed according to the Global Initiative for Asthma (GINA) guidelines. Controls were 115 age-sex-residence-matched children who did not have physician-diagnosed asthma. The presence of anti-Toxocara immunoglobulin G (IgG) was tested using enzyme-linked immunosorbent assay. Univariate and multivariate logistic regression methods were used for case-control comparisons. RESULTS: Seropositivity rate was 4.1% (95% CI, 3.4-4.7%) in asthmatic children and 0.86% (95% CI, 0.71-1.0%) in controls, suggesting a strong association (P-value < 0.02). Moreover, Toxocara infection was not significantly more prevalent (P-value = 0.12) in children with moderate sustainable asthma (9.3%, 3/32) than in children with mild sustainable asthma (2.3%, 3/113). Mean total immunoglobulin E (IgE) level was significantly higher in Toxocara-infected children (222.3 +/- 367.1) than in non-infected children (143.19 +/- 218.05) in the case group (P-value < 0.05). CONCLUSIONS: Our findings indicated that Toxocara infection can play an important role in childhood asthma. Further experimental and epidemiological studies are needed to clarify this hypothesis. FAU - Darvish, Sorena AU - Darvish S AD - Student Research Committee, Babol University of Medical Sciences, Babol, Iran. FAU - Mohammadzadeh, Iraj AU - Mohammadzadeh I AD - Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. FAU - Mehravar, Saeed AU - Mehravar S AD - Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Science, Tehran, Iran. FAU - Spotin, Adel AU - Spotin A AD - Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Rostami, Ali AU - Rostami A AD - Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran; a.rostami@mubabol.ac.ir; alirostami1984@gmail.com. LA - eng PT - Journal Article DEP - 20210102 PL - Singapore TA - Allergol Immunopathol (Madr) JT - Allergologia et immunopathologia JID - 0370073 RN - 0 (Antibodies, Helminth) SB - IM MH - Adolescent MH - Animals MH - Antibodies, Helminth/blood MH - Asthma/blood/*epidemiology MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Iran/epidemiology MH - Male MH - Prevalence MH - Risk Factors MH - Toxocara/immunology MH - Toxocariasis/blood/*epidemiology OTO - NOTNLM OT - ELISA OT - Iran OT - Toxocara infection OT - association OT - childhood asthma COIS- None of the authors have any conflict of interest. EDAT- 2021/02/03 06:00 MHDA- 2021/10/01 06:00 CRDT- 2021/02/02 12:17 PHST- 2020/05/03 00:00 [received] PHST- 2020/10/07 00:00 [accepted] PHST- 2021/02/02 12:17 [entrez] PHST- 2021/02/03 06:00 [pubmed] PHST- 2021/10/01 06:00 [medline] AID - 10.15586/aei.v49i1.15 [doi] PST - epublish SO - Allergol Immunopathol (Madr). 2021 Jan 2;49(1):25-31. doi: 10.15586/aei.v49i1.15. eCollection 2021.