2005
DOI: 10.1097/01.inf.0000187273.47390.01
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Viral Infections, Cytokine Dysregulation and the Origins of Childhood Asthma and Allergic Diseases

Abstract: Associations between clinical wheezing, viral identification, specific cytokine responses and genetic variation provide insight into the immunopathogenesis of childhood asthma and allergic diseases.

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Cited by 45 publications
(39 citation statements)
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“…This would be consistent with the concept that early life exposures to pathogens that elicit Th1-biased immune responses protect offspring from development of allergic airway disease (21)(22)(23)(24)(25). To evaluate whether maternal transfer of Ag-independent factors contributed to the resistance of progeny of OVA-CFA mothers to OVA-induced allergic airway disease (see Fig.…”
Section: Th1-biased Immunity To Bsa Was Not Sufficient For Maternal Tmentioning
confidence: 66%
See 1 more Smart Citation
“…This would be consistent with the concept that early life exposures to pathogens that elicit Th1-biased immune responses protect offspring from development of allergic airway disease (21)(22)(23)(24)(25). To evaluate whether maternal transfer of Ag-independent factors contributed to the resistance of progeny of OVA-CFA mothers to OVA-induced allergic airway disease (see Fig.…”
Section: Th1-biased Immunity To Bsa Was Not Sufficient For Maternal Tmentioning
confidence: 66%
“…Although the concept as originally envisaged has been modified as the field evolved in the past 15 years, support remains for the idea that exposures to microbes could be important to direct maturation of the immune system in early life toward a healthy balance of Th1-and Th2-type immune responsiveness. Epidemiologic studies are supportive of this "hygiene hypothesis," whereby decreased exposure to other children, infectious diseases, or microbial products is associated with increased risk of allergic disease (22)(23)(24)(25). In addition, the ability of certain environmental conditions to increase or decrease asthma susceptibility, such as day care attendance or endotoxin exposure, can be transposed or eliminated based on parental history of atopy or asthma (26,27).…”
mentioning
confidence: 93%
“…This controversy relates in part to small sample size, cross-sectional analysis, lack of precise case definition and incomplete microbial assessment in studies of this phenomenon. 110,111 Respiratory infections in early childhood are associated with early wheezing, 109 but it is unclear whether infection alone has a role in the development of persistent asthma.…”
Section: Antibiotics and Infectionsmentioning
confidence: 99%
“…Interactions of genes with environmental exposures (including allergens, air pollution, environmental tobacco smoke and diet) modulate the host response to infections. 108,109 It remains controversial whether the occurrence or timing of childhood infection is pathogenic or protective for the development and long-term outcome of asthma and allergy and of nonallergic wheeze phenotypes. This controversy relates in part to small sample size, cross-sectional analysis, lack of precise case definition and incomplete microbial assessment in studies of this phenomenon.…”
Section: Antibiotics and Infectionsmentioning
confidence: 99%
“…Several hypotheses have been advanced to explain the mechanisms that trigger asthma crises during respiratory infections (4)(5)(6)(7). Focused mainly on HRV-associated episodes, two nonexclusive theories attribute asthma attacks to direct viral injury and immune-mediated exacerbations (7)(8)(9)(10).…”
mentioning
confidence: 99%