Mechanisms of asthma and allergic inflammationGene-environment interactions with CD14 C-260T and their relationship to total serum IgE levels in adults
Section snippets
Study population
This study was approved by the Institutional Review Board at Henry Ford Health System and was compliant with its Health Insurance Portability and Accountability Act policy. Expectant mothers receiving prenatal care from a large, integrated health care delivery system in metropolitan Detroit, Michigan, were invited to participate in WHEALS. To be eligible, pregnant women in their second and third trimesters had to be at least 21 years of age, live in a geographically defined area of urban and
Results
Recruitment for this longitudinal cohort study began in August 2003 and was ongoing at the time of these analyses. The population used in this study comprised mothers with due dates beginning September 1, 2003, and with 1 month of postnatal follow-up data as of July 19, 2005. During this time period, 1112 women were identified as eligible and were invited to participate. Of these 1112 women, 505 (45.4%) refused participation, and 607 (54.6%) enrolled. At the time of this study, 517 (85.2%)
Discussion
In this study we observed a significant relationship between CD14 C-260T genotype and total serum IgE levels. Although other studies have found individuals with the CC genotype to have higher total serum IgE levels12, 13, 22 when compared with CT and TT individuals, this study suggests that the magnitude and possibly the direction of this relationship is predicated on the level of endotoxin exposure. For example, at lower levels of endotoxin exposure, the CC genotype appeared to be associated
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Supported by grants from the National Institute of Allergy and Infectious Diseases, National Institutes of Health (AI61774, AI50681, AI51598, AI50594), and by the Fund for Henry Ford Hospital.
Disclosure of potential conflict of interest: L. K. Williams has received grant support from the National Institute of Allergy and Infections Diseases (NIAID); the National Heart, Lung, and Blood Institute; and the National Institute of Diabetes and Digestive and Kidney Diseases. D. R. Ownby has received grant support from the NIAID. The rest of the authors have declared that they have no conflict of interest.