PMID- 37777136 OWN - NLM STAT- MEDLINE DCOM- 20231115 LR - 20231115 IS - 1879-1026 (Electronic) IS - 0048-9697 (Linking) VI - 906 DP - 2024 Jan 1 TI - Associations of exposure to metals with total and allergen-specific IgE: An NHANES analysis (2005-2006). PG - 167385 LID - S0048-9697(23)06012-6 [pii] LID - 10.1016/j.scitotenv.2023.167385 [doi] AB - BACKGROUND: Immunoglobulin E (IgE) is a diagnostic biomarker for allergic diseases. While some metal exposure has been found to be associated with allergic diseases, there are still a lot of knowledge gaps regarding the relationship between metal exposure and allergen-specific IgE antibodies, particularly in adults. METHODS: We included a total of 1433 adult participants from the 2005-2006 National Health and Nutrition Examination Survey (NHANES), all of whom had concentrations of 10 metals (including Barium (Ba), Cadmium (Cd), Cobalt (Co), Cesium (Cs), Molybdenum (Mo), Lead (Pb), Antimony (Sb), Thallium (Tl), Tungsten (Tu), and Uranium (Ur)) in urine, as well as measurements of 19 allergen-specific IgE and total IgE antibodies. Linear regression, logistic regression, weighted quantile sum (WQS) regression, and Bayesian kernel machine regression (BKMR) were used to estimate associations between metals and total and allergen-specific IgE. RESULTS: Linear regression models revealed a positive correlation between Pb and Cd levels and the total IgE levels. Furthermore, the WQS and BKMR models suggested a positive association between mixed metals and total IgE levels, with the WQS model highlighting Pb and Cd as the major contributors. Logistic regression models showed positive correlations between Pb and food sensitization, Ur and plant sensitization, negative correlations between Cs and plant sensitization, Co and dust mite and pet sensitization, Mo and dust mite and cockroach sensitization, and Tl and mold sensitization. Moreover, the BKMR results indicated a statistically significant negative correlation between mixed metals and mold sensitization. CONCLUSION: According to the research findings, exposure to metals is associated with total and allergen-specific IgE in American adults. Further assessment of these relationships is necessary in representative populations of other countries. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Ran, Zhujie AU - Ran Z AD - Department of Preventive Medicine, School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang 325035, China. FAU - Wang, Ben AU - Wang B AD - Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China. FAU - Zhang, Shu-Yun AU - Zhang SY AD - Department of Preventive Medicine, School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang 325035, China; School of Medicine, Taizhou University, Taizhou, Zhejiang 318000, China. Electronic address: shuyunzh@wmu.edu.cn. LA - eng PT - Journal Article DEP - 20230928 PL - Netherlands TA - Sci Total Environ JT - The Science of the total environment JID - 0330500 RN - 00BH33GNGH (Cadmium) RN - 2P299V784P (Lead) RN - 0 (Allergens) RN - 3G0H8C9362 (Cobalt) RN - 81AH48963U (Molybdenum) RN - AD84R52XLF (Thallium) RN - 1KSV9V4Y4I (Cesium) RN - 4OC371KSTK (Uranium) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Humans MH - Nutrition Surveys MH - Cadmium MH - Bayes Theorem MH - Lead MH - Allergens MH - *Hypersensitivity MH - Cobalt MH - Molybdenum MH - Thallium MH - Fungi MH - Cesium MH - *Uranium MH - Immunoglobulin E OTO - NOTNLM OT - Allergic sensitization OT - Antibodies OT - Bayesian kernel machine regression (BKMR) OT - Metals OT - Weighted quantile sum (WQS) regression COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/10/01 04:44 MHDA- 2023/11/15 06:43 CRDT- 2023/09/30 19:17 PHST- 2023/05/14 00:00 [received] PHST- 2023/08/03 00:00 [revised] PHST- 2023/09/24 00:00 [accepted] PHST- 2023/11/15 06:43 [medline] PHST- 2023/10/01 04:44 [pubmed] PHST- 2023/09/30 19:17 [entrez] AID - S0048-9697(23)06012-6 [pii] AID - 10.1016/j.scitotenv.2023.167385 [doi] PST - ppublish SO - Sci Total Environ. 2024 Jan 1;906:167385. doi: 10.1016/j.scitotenv.2023.167385. Epub 2023 Sep 28.