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居住地、性别、出生月份和年龄对血清中特异性IgE抗体浓度有影响。波兰过敏性疾病流行病学(ECAP调查):第三部分。

Place of residence, gender, month of birth and age influence on the concentration of specific IgE antibodies in serum. The Epidemiology of Allergic Diseases in Poland (ECAP survey): part three.

作者信息

Namysłowski Andrzej, Lipiec Agnieszka, Zieliński Wojciech, Piekarska Barbara, Raciborski Filip, Szylling Anna, Samel-Kowalik Piotr, Walkiewicz Artur, Borowicz Jacek, Samoliński Bolesław

机构信息

Department of the Prevention of Environmental Hazards, Allergology and Immunology, Medical University of Warsaw, Warsaw, Poland.

Department of Econometrics and Statistics, Warsaw University of Life Sciences, Warsaw, Poland.

出版信息

Postepy Dermatol Alergol. 2022 Aug;39(4):800-805. doi: 10.5114/ada.2022.118924. Epub 2022 Sep 1.

Abstract

INTRODUCTION

Specific immunoglobulins E (sIgE) are important parameters to estimate the severity of allergic diseases.

AIM

To determine the influence of gender, age and place of residence on the concentration of specific IgE antibodies in serum.

MATERIAL AND METHODS

The concentration of sIgE antibodies against allergens of Dermatophagoides pteronyssinus, cat dander, timothy grass, Alternaria alternata were determined in serum of 4077 respondents randomly selected from 8 regions (ECAP study). The positive results of sIgE (≥ 0.35 IU/ml) were correlated with answers to ECAP questionnaires.

RESULTS

IgE antibodies are less frequently detected in respondents living in the country ( < 0.05 to < 0.005); and they are less frequently detected in respondents living in cities of hardly industrialised regions than in respondents living in cities of industrialised regions (D. pteronyssinus < 0.05, cat dander < 0.01). IgE antibodies are more frequently detected in men ( < 0.005 to < 0.001). IgE antibodies are more frequently detected in respondents born in May-July (timothy grass < 0.005, Alternaria alternata < 0.005) and less frequently detected in respondents born in August-October (timothy grass < 0.005, Alternaria alternata < 0.05).

CONCLUSIONS

Characteristics of the urban environment, non-specific factors and gender affect the concentration of specific IgE antibodies in serum. Influence of seasonal allergens within the first months of life and/or in the course of the foetal period alters the production of specific IgE antibodies.

摘要

引言

特异性免疫球蛋白E(sIgE)是评估过敏性疾病严重程度的重要参数。

目的

确定性别、年龄和居住地对血清中特异性IgE抗体浓度的影响。

材料与方法

在从8个地区随机选取的4077名受访者的血清中,测定针对尘螨、猫皮屑、梯牧草、链格孢菌过敏原的sIgE抗体浓度(ECAP研究)。sIgE阳性结果(≥0.35 IU/ml)与ECAP问卷的答案相关。

结果

生活在农村的受访者中IgE抗体检出频率较低(<0.05至<0.005);与生活在工业化地区城市的受访者相比,生活在工业化程度较低地区城市的受访者中IgE抗体检出频率较低(尘螨<0.05,猫皮屑<0.01)。男性中IgE抗体检出频率较高(<0.005至<0.001)。5月至7月出生的受访者中IgE抗体检出频率较高(梯牧草<0.005,链格孢菌<0.005),8月至10月出生的受访者中IgE抗体检出频率较低(梯牧草<0.005,链格孢菌<0.05)。

结论

城市环境特征、非特异性因素和性别影响血清中特异性IgE抗体的浓度。生命最初几个月和/或胎儿期季节性过敏原的影响会改变特异性IgE抗体的产生。

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