Ellertsen L K, Hetland G, Løvik M
Department of Environmental Immunology, Division of Environmental Medicine, Norwegian Institute of Public Health, Oslo, Norway.
Scand J Immunol. 2008 May;67(5):496-500. doi: 10.1111/j.1365-3083.2008.02090.x. Epub 2008 Feb 26.
Declining exposure to infections has been implicated as a cause for the rising trend of allergy. Gastrointestinal infections, in particular, have been suggested to have a protective effect against allergy development. In contrast, there are only limited data available regarding the effect of respiratory tract infections with encapsulated bacteria on allergy development. We investigated the association between IgG antibodies against the gastrointestinal parasite Toxoplasma gondii and the bacterium Streptococcus pneumoniae and specific IgE to common allergens in Norwegian military recruits. IgG antibodies to T. gondii and to a 23-valent pneumococcal polysaccharide vaccine (Pneumovax) were determined by ELISA. Specific IgE to common airborne allergens was determined by Phadiatop. Individuals with Phadiatop values from class 0-2 were classified as non-atopic (n = 419), while those with class 3-6 were classified as atopic (n = 201). No significant difference was observed in IgG antibody levels to pneumococcal polysaccharides between atopic and non-atopic recruits, whereas seropositivity to T. gondii was found to be less frequent among the atopic recruits (odds ratio, 0.37; 95% CI, 0.17-0.81; P = 0.01). Hence, in Norwegian recruits, the serological response to a gastrointestinal pathogen, but not to the respiratory encapsulated bacteria, was found to be associated with a lower probability for being sensitized according to the criteria used. The present study conforms to the hypothesis that reduced rates of infection with certain microorganisms may be associated with an increased risk of allergic sensitization.
感染暴露的减少被认为是过敏上升趋势的一个原因。特别是胃肠道感染,已被认为对过敏发展具有保护作用。相比之下,关于感染包膜细菌的呼吸道感染对过敏发展的影响,现有数据有限。我们调查了挪威新兵中针对胃肠道寄生虫弓形虫和肺炎链球菌的IgG抗体与常见过敏原特异性IgE之间的关联。通过酶联免疫吸附测定法(ELISA)测定针对弓形虫和23价肺炎球菌多糖疫苗(Pneumovax)的IgG抗体。通过Phadiatop测定针对常见空气传播过敏原的特异性IgE。Phadiatop值为0 - 2级的个体被归类为非特应性(n = 419),而3 - 6级的个体被归类为特应性(n = 201)。在特应性和非特应性新兵之间,肺炎球菌多糖的IgG抗体水平未观察到显著差异,而在特应性新兵中,弓形虫血清阳性的频率较低(优势比,0.37;95%可信区间,0.17 - 0.81;P = 0.01)。因此,在挪威新兵中,根据所使用的标准,发现对胃肠道病原体而非呼吸道包膜细菌的血清学反应与较低的致敏概率相关。本研究符合这样的假设,即某些微生物感染率的降低可能与过敏致敏风险增加有关。