“…The methodology for measuring FE NO allows for noninvasive collection and measurement of NO produced by resident airway cells in response to inflammatory cytokines and mediators (37). Although its diagnostic use in children remains debated (37,38), FE NO has been established as a biomarker of airway inflammation in response to air pollutants, with more than a decade of epidemiology studies (20,22,23,39,40). In population-based studies, the majority of subjects with asthma have mild disease with infrequent exacerbations, making temporal associations between environmental exposures and exacerbations difficult to establish.…”