PMID- 8793452 OWN - NLM STAT- MEDLINE DCOM- 19961206 LR - 20190821 IS - 0903-1936 (Print) IS - 0903-1936 (Linking) VI - 9 IP - 5 DP - 1996 May TI - Serum house dust mite antibodies: predictor of increased bronchial responsiveness in adults of a community. PG - 919-25 AB - The purpose of this study was to determine whether the presence of serum specific immunoglobulin E (IgE) antibodies was associated with increased bronchial responsiveness in adults. We studied cross-sectionally a random community sample of 18-73 year old adults, of whom 83% (n = 489) performed bronchial responsiveness testing as well as serum measurements of five specific IgE antibodies. In the crude data, 39% of those with house dust mite antibodies (n = 18) had a bronchial responsiveness < or = 32 g.L-1 methacholine compared with 19% in subjects without any of the five specific IgE antibodies (n = 453). The corresponding percentages for subjects with timothy antibodies (n = 16) was 25%, birch antibodies (n = 13) 23%, cat antibodies (n = 10) 40% and mould antibodies (n = 2) 50%. When assessing the multivariate relationship between the presence of one specific IgE antibody and degree of bronchial responsiveness we used a semi-proportional hazards model with the response as a 20% fall in forced expiratory volume in one second (FEV1) from pretest value. Covariates included in the model were: gender, age, pretest FEV1, smoking habits, pack-years, season and other specific IgE antibodies than that examined. The presence of house dust mite antibodies was a significant predictor (p < 0.01) of increased bronchial responsiveness in never- and ex-smokers. Indoor allergic sensitization (house dust mite, cat and mould) was a significant predictor of increased bronchial responsiveness, while outdoor allergic sensitization (timothy and birch) was not. Excluding subjects with obstructive lung disease (n = 39) or including the covariate log total serum IgE as a potential confounder yielded the same result. Thus, in this community, indoor allergic sensitization rather than allergic sensitization per se was related to increased bronchial responsiveness after adjusting for other relevant covariates. FAU - Omenaas, E AU - Omenaas E AD - Dept of Thoracic Medicine, University of Bergen, Norway. FAU - Bakke, P AU - Bakke P FAU - Eide, G E AU - Eide GE FAU - Elsayed, S AU - Elsayed S FAU - Gulsvik, A AU - Gulsvik A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur Respir J JT - The European respiratory journal JID - 8803460 RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Dust) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Analysis of Variance MH - Animals MH - Antibodies, Anti-Idiotypic/*analysis MH - *Bronchial Hyperreactivity/immunology/physiopathology MH - Bronchial Provocation Tests MH - Cats MH - Cross-Sectional Studies MH - Data Collection MH - Dust/*adverse effects MH - Female MH - Humans MH - Immunoglobulin E/*analysis MH - Male MH - Middle Aged MH - Norway MH - Proportional Hazards Models MH - Random Allocation MH - Respiratory Function Tests MH - Risk Factors MH - Sampling Studies EDAT- 1996/05/01 00:00 MHDA- 1996/05/01 00:01 CRDT- 1996/05/01 00:00 PHST- 1996/05/01 00:00 [pubmed] PHST- 1996/05/01 00:01 [medline] PHST- 1996/05/01 00:00 [entrez] AID - 10.1183/09031936.96.09050919 [doi] PST - ppublish SO - Eur Respir J. 1996 May;9(5):919-25. doi: 10.1183/09031936.96.09050919.