2001
DOI: 10.1016/s0140-6736(01)06252-3
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Exposure to farming in early life and development of asthma and allergy: a cross-sectional survey

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Cited by 1,323 publications
(1,134 citation statements)
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“…TLR have been shown to be important in linking innate and adaptive immune responses [16,17]. Several studies comparing farm and non-farm children in the development of allergy and asthma have demonstrated significantly fewer allergies in the later group, who arguably have higher exposure to microbial products [26,27]. A recent study showed that the expression of TLR on peripheral blood cells of farmer' and non-farmer' children are different, suggesting the involvement of altered innate immunity caused by microbial exposure in the modulation of allergic reaction [28].…”
Section: Discussionmentioning
confidence: 99%
“…TLR have been shown to be important in linking innate and adaptive immune responses [16,17]. Several studies comparing farm and non-farm children in the development of allergy and asthma have demonstrated significantly fewer allergies in the later group, who arguably have higher exposure to microbial products [26,27]. A recent study showed that the expression of TLR on peripheral blood cells of farmer' and non-farmer' children are different, suggesting the involvement of altered innate immunity caused by microbial exposure in the modulation of allergic reaction [28].…”
Section: Discussionmentioning
confidence: 99%
“…For example, the protective effect is studied mostly on an atopic, eosinophilic, and Th2-driven background, but cowshed dust components do not change the inflammatory environment toward the Th1 direction (12). In fact, a farm environment seems to offer protection against nonatopic asthma or wheeze as well (11,20). Another reason for skepticism of the classical hypothesis is that the overall decline in asthma prevalence in children and adults over the past decade does not seem to correlate with decreased hygiene, and neither does the increase in asthma prevalence in US inner city populations correlate with increased hygiene (13).…”
Section: "Farm Effect"mentioning
confidence: 99%
“…Several studies have shown that growing up on a farm confers significant protection against the development of atopy (121)(122)(123)(124) probably through endotoxin exposure (124). There are some experiments suggesting that endotoxins may have a role in gene silencing.…”
Section: Role Of Infections In the Prevention Of Allergymentioning
confidence: 99%