Perinatal and early childhood environmental factors influencing allergic asthma immunopathogenesis.

Perinatal and early childhood environmental factors influencing allergic asthma immunopathogenesis.
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影响过敏性哮喘免疫发病机制的围产期和幼儿期环境因素。

DOI:
10.1016/j.intimp.2014.06.005
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发表时间:
2014-09
影响因子:
5.6
通讯作者:
Phipatanakul W
Phipatanakul W
中科院分区:
医学2区
文献类型:
--
作者:
Gaffin JM;Kanchongkittiphon W;Phipatanakul W

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在过去的几十年里,哮喘的患病率急剧增加。虽然遗传因素非常重要,但这种快速增长的速度超过了基因组变异的速度。人们非常重视导致儿童哮喘的潜在的可改变的早期生活暴露。我们回顾了最近的医学文献中讨论围产期和儿童早期暴露的作用和儿童哮喘发病的重要研究。早期生活暴露于过敏原(屋尘螨(HDM)、毛皮宠物、蟑螂、啮齿动物和霉菌)、空气污染(二氧化氮(NO2)、臭氧(O3)、挥发性有机化合物(VOC)和颗粒物(PM))和病毒性呼吸道感染(呼吸道合胞病毒(RSV)和人鼻病毒(hRV))与高危儿童哮喘的发生有关。相反,在围产期接触微生物多样性可能会减少特应性和哮喘症状的发展。
The prevalence of asthma has increased dramatically over the past several decades. While hereditary factors are highly important, the rapid rise outstrips the pace of genomic variation. Great emphasis has been placed on potential modifiable early life exposures leading to childhood asthma. We reviewed the recent medical literature for important studies discussing the role of the perinatal and early childhood exposures and the inception of childhood asthma. Early life exposure to allergens (House dust mite (HDM), furred pets, cockroach, rodent and mold)air pollution (nitrogen dioxide (NO2), ozone (O3), volatile organic compounds (VOCs), and particulate matter (PM)) and viral respiratory tract infections (Respiratory syncytial virus (RSV) and human rhinovirus (hRV)) have been implicated in the development of asthma in high risk children. Conversely, exposure to microbial diversity in the perinatal period may diminish the development of atopy and asthma symptoms.
DOI: 10.1186/1710-1492-9-15
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期刊: Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology
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