大气污染物增加 IgE 介导的过敏性疾病的风险:系统评价和荟萃分析。
Ambient air pollutants increase the risk of immunoglobulin E-mediated allergic diseases: a systematic review and meta-analysis.
机构信息
Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, Anhui, China.
出版信息
Environ Sci Pollut Res Int. 2022 Jul;29(33):49534-49552. doi: 10.1007/s11356-022-20447-z. Epub 2022 May 20.
Immunoglobulin E (IgE)-mediated allergic diseases, including eczema, atopic dermatitis (AD), and allergic rhinitis (AR), have increased prevalence in recent decades. Recent studies have proved that environmental pollution might have correlations with IgE-mediated allergic diseases, but existing research findings were controversial. Thus, we performed a comprehensive meta-analysis from published observational studies to evaluate the risk of long-term and short-term exposure to air pollutants on eczema, AD, and AR in the population (per 10-μg/m increase in PM and PM; per 1-ppb increase in SO, NO, CO, and O). PubMed, Embase, and Web of Science were searched to identify qualified literatures. The Cochran Q test was used to assess heterogeneity and quantified with the I statistic. Pooled effects and the 95% confidence intervals (CIs) were used to evaluate outcome effects. A total of 55 articles were included in the study. The results showed that long-term and short-term exposure to PM increased the risk of eczema (PM, RR = 1.583, 95% CI: 1.328, 1.888; RR = 1.006, 95% CI: 1.003-1.008) and short-term exposure to NO (RR = 1.009, 95% CI: 1.008-1.011) was associated with eczema. Short-term exposure to SO (RR: 1.008, 95% CI: 1.001-1.015) was associated with the risk of AD. For AR, PM (RR = 1.058, 95% CI: 1.014-1.222) was harmful in the long term, and short-term exposure to PM (RR: 1.028, 95% CI: 1.008-1.049) and NO (RR: 1.018, 95% CI: 1.007-1.029) were risk factors. The findings indicated that exposure to air pollutants might increase the risk of IgE-mediated allergic diseases. Further studies are warranted to illustrate the potential mechanism for air pollutants and allergic diseases.
免疫球蛋白 E(IgE)介导的过敏疾病,包括湿疹、特应性皮炎(AD)和过敏性鼻炎(AR),在最近几十年的发病率有所上升。最近的研究已经证明,环境污染可能与 IgE 介导的过敏疾病有关,但现有的研究结果存在争议。因此,我们从已发表的观察性研究中进行了一项全面的荟萃分析,以评估长期和短期暴露于空气污染物对人群中湿疹、AD 和 AR 的影响(每增加 10μg/m 的 PM 和 PM;每增加 1ppb 的 SO、NO、CO 和 O)。我们检索了 PubMed、Embase 和 Web of Science 以确定合格的文献。使用 Cochran Q 检验评估异质性,并使用 I 统计量进行量化。使用汇总效应和 95%置信区间(CI)评估结果效应。共有 55 篇文章纳入研究。结果表明,长期和短期暴露于 PM 增加了湿疹的风险(PM,RR=1.583,95%CI:1.328,1.888;RR=1.006,95%CI:1.003-1.008),而短期暴露于 NO(RR=1.009,95%CI:1.008-1.011)与湿疹有关。短期暴露于 SO(RR:1.008,95%CI:1.001-1.015)与 AD 的风险有关。对于 AR,PM(RR=1.058,95%CI:1.014-1.222)在长期内是有害的,而短期暴露于 PM(RR:1.028,95%CI:1.008-1.049)和 NO(RR:1.018,95%CI:1.007-1.029)是危险因素。研究结果表明,暴露于空气污染物可能会增加 IgE 介导的过敏疾病的风险。需要进一步的研究来阐明空气污染物和过敏疾病的潜在机制。
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