PMID- 9720822 OWN - NLM STAT- MEDLINE DCOM- 19981110 LR - 20190831 IS - 0954-7894 (Print) IS - 0954-7894 (Linking) VI - 28 IP - 7 DP - 1998 Jul TI - Exhaled and nasal nitric oxide is increased in laboratory animal allergy. PG - 876-80 AB - BACKGROUND: Allergens from rats, mice, guinea pigs or rabbits cause up to 30% of exposed persons to develop specific immunoglobulin E (IgE) responses. Laboratory animal allergy (LAA) is among the highest occupational risks for asthma in the UK. Elevated levels of nitric oxide (NO) are found in exhaled breath in asthma. In LAA symptoms may progress from conjunctivitis, rhinitis to asthma. Health surveillance aims to detect early sensitization. OBJECTIVE: To assess whether an association exists between LAA and exhaled NO. METHODS: A cross-sectional study was performed in 39 laboratory workers undergoing LAA health surveillance. Volunteers completed two health questionnaires, had skin-prick tests, spirometry, total IgE and RAST tests. Exhaled and nasal NO was measured by chemiluminescence analyser (LR2000, Logan Research, Rochester, UK). RESULTS: There were 23 asymptomatic subjects (mean age 29.53 years) and 16 symptomatic subjects (29.63 years, P=0.95); 9 early LAA, seven LAA asthma. Exhaled NO was raised in those with LAA symptoms 17.97 ppb+/-1.24 (mean+/-SEM) compared with asymptomatics 6.08 ppb+/-1.15, P < 0.05. A trend of increased NO by allergic status was observed; asymptomatic, to early LAA, to asthma. One-way analysis of variance compared differences between groups (F ratio 13.93, P < 0.001). Symptomatic subjects also had raised nasal NO, vs asymptomatic subjects (mean difference 378 ppb, P < 0.05). A trend was again observed by allergic status (F ratio 5.28, P=0.01). CONCLUSION: Raised NO levels in LAA increasing with symptom severity suggest NO may prove a useful additional tool in monitoring for LAA, and possibly the response to exposure reduction or allergy due to other respiratory sensitizers. FAU - Adisesh, L A AU - Adisesh LA AD - Occupational Health Department of United Medical and Dental Schools of Guy's & St Thomas' Hospitals, London, UK. FAU - Kharitonov, S A AU - Kharitonov SA FAU - Yates, D H AU - Yates DH FAU - Snashell, D C AU - Snashell DC FAU - Newman-Taylor, A J AU - Newman-Taylor AJ FAU - Barnes, P J AU - Barnes PJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 RN - 31C4KY9ESH (Nitric Oxide) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Animals MH - *Animals, Laboratory MH - Female MH - Humans MH - Hypersensitivity/diagnosis/immunology/*physiopathology MH - Immunoglobulin E/blood MH - Luminescent Measurements MH - Male MH - Mice MH - Nitric Oxide/*analysis MH - Occupational Diseases/diagnosis/immunology/*physiopathology MH - Rabbits MH - Radioallergosorbent Test MH - Rats MH - Respiration MH - Skin Tests MH - Spirometry MH - Surveys and Questionnaires EDAT- 1998/08/28 00:00 MHDA- 1998/08/28 00:01 CRDT- 1998/08/28 00:00 PHST- 1998/08/28 00:00 [pubmed] PHST- 1998/08/28 00:01 [medline] PHST- 1998/08/28 00:00 [entrez] AID - 10.1046/j.1365-2222.1998.00332.x [doi] PST - ppublish SO - Clin Exp Allergy. 1998 Jul;28(7):876-80. doi: 10.1046/j.1365-2222.1998.00332.x.