Background: According to recent studies in children, IgE sensitization not only against perennial allergens, but also against food allergens, is related to asthma risk and increased airway inflammation. During the last decade, a new technique for IgE determination based on allergen components has become available, but its use in epidemiological studies has been limited. Aims: To investigate the relationship between the pattern of IgE sensitization to allergen components and the prevalence of asthma, airway inflammation and hyperresponsiveness in a population-based setting. To examine the relationship of IgE sensitization to allergen extract, and airway inflammation, airway hyperresponsiveness and blood eosinophilia in asthmatics. To examine the natural history of IgE sensitization to food allergens in adults. To compare extract-based and component-based IgE measurements in relation with new-onset respiratory disease and airway inflammation and hyperresponsiveness. Methods: The present thesis is based on cross-sectional and longitudinal analyses of the adult, the population-based study ECRHS (European Community Health Survey) and a cross-sectional, observational study of young subjects with asthma. IgE sensitization was examined by means of both extract-based and component-based tests. Airway inflammation was assessed by exhaled NO and airway hyperresponsiveness with methacholine test. Results: IgE sensitization to food allergens independently related to increased airway inflammation in both a population-based study and a study of asthmatics. Furthermore, a relation was found with increased blood eosinophils in asthmatics. The decrease in prevalence of IgE sensitization against food allergens during a 9-year follow-up was larger than the decrease of aeroallergens. Subjects with IgE sensitization to both cat extract and components showed more frequent airway inflammation, greater bronchial responsiveness and higher likelihood of developing asthma and rhinitis than subjects with IgE sensitization only to cat extract. Conclusions: The presence of IgE antibodies against food allergens was independently associated with airway and systemic inflammation. Both aeroallergens and food allergens should be examined in order to understand the signaling of local and systemic inflammation in asthma. Prevalence of IgE sensitization to food decreased in adults to a larger extent than IgE sensitization against aeroallergens. Measurement of IgE sensitization to cat allergen components appears to have a higher clinical value than extract-based measurement

Made available in DSpace on 2015-04-22T22:14:12Z (GMT). No. of bitstreams: 1 Wally Victoria.pdf: 2663856 bytes, checksum: ecb49cfdc11a071bf247bc9d401b6d9d (MD5) Previous issue date: 2005-11-30 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / In the Amazon the accidents caused by venomous snakes represent a serious public health problem. Serotherapy neutralizes the systemic effects from the venoms, but not local effects; therefore, there is need for research on natural inhibitors of the local effects from snake envenomation. Andiroba (Carapa guianensis Aublet, 1775) is a plant from tropical and equatorial forests and its seeds produce an oil which has medicinal properties, with anti-inflammatory and antiseptic activities, and wound healing properties, besides being a fine repellent. With the objective of evaluating the activity of the andiroba oil on the local inflammation induced by Amazonian snakes, an experimental study was done on the general pharmacological effects of the andiroba oil and on the inflammatory process induced in mice by the venoms of Bothrops atrox and Crotalus durissus ruruima, two snakes species of epidemiological importance in the Amazon region. The inhibitory kinetics of the edema in mice was evaluated by measuring the paw edema diameter and by histopathological methods. There was a significant inhibition in the inflammatory infiltrate of 87,03% and 82,10% after 3 and 12 hours respectively, after treating with andiroba oil the paws induced with the venom of Bothrops atrox. With the venom of Crotalus durissus ruruima inhibition reached 89,37% and 75,60% after 3 and 6 hours respectively, after treatment with andiroba oil. There was significant reduction in the kinetics of the edema induced by the venom of Bothrops atrox (37,67%) and of Crotalus durissus ruruima (42,41%) as early as the first hour of treatment with andiroba oil. This reduction progressed to 50,64% (for Bothrops atrox) and 82,37% (Crotalus durissus ruruima) after three hours after treatment. Histologically, it was observed a reduction of the edema induced by Bothrops atrox venom by 29,18% after 3 hours. With the venom of Crotalus durissus ruruima the reduction of the edema was 30,87% after 3 hours. Neither haemorrhagy nor myonecrosis were reduced or inhibited by andiroba oil administrated intraperitoneally. It is suggested that the inhibitory activity of Carapa guianensis could be related to leucocitary migration reduction / Na Amazônia, os acidentes por serpentes peçonhentas constituem sério problema de saúde pública. A soroterapia neutraliza os efeitos sistêmicos do veneno, mas não os efeitos locais; portanto, são necessárias pesquisas sobre inibidores naturais dos efeitos locais do envenenamento. A andiroba (Carapa guianensis Aublet, 1775) é uma planta de florestas tropicais e equatoriais, cujas sementes fornecem um óleo com propriedades medicinais, com atividades antiinflamatória, cicatrizante e anti-séptica, além de ser um ótimo repelente. Com o objetivo de avaliar a atividade do óleo de andiroba na inflamação local induzida por venenos de serpentes amazônicas, foram estudados experimentalmente os efeitos farmacológicos gerais do óleo de andiroba e sua atividade sobre o processo inflamatório local, induzido em camundongos pelos venenos de serpentes Bothrops atrox ou Crotalus durissus ruruima, serpentes de importância epidemiológica na região da Amazônia. A cinética inibitória do edema em camundongos foi avaliada pela medição do diâmetro do edema das patas dos camundongos e por métodos histopatológicos. Após o tratamento com o óleo de andiroba, obteve-se uma inibição significativa no infiltrado inflamatório de 87,03% e 82,10%, às 3 e 12 horas respectivamente, nas patas experimentais induzidas com o veneno de Bothrops atrox. Com o veneno de Crotalus durissus ruruima a inibição atingiu 89,37% e 75,60%, às 3 e 6 horas, respectivamente, pós-tratamento. Quanto ao edema avaliado pela medição do diâmetro das patas dos camundongos, foi observada uma diminuição significativa em 37,67% no edema induzido pelo veneno de Bothrops atrox e em 42,41% no edema induzido pelo veneno de Crotalus durissus ruruima, a partir da primeira hora após a administração desses venenos nos grupos tratados com o óleo de andiroba. A redução dos edemas progrediu até 50,64% (para Bothrops atrox) e 82,37% (para Crotalus durissus ruruima) às 3 horas pós-tratamento. Histologicamente observou-se uma redução no edema induzido por Bothrops atrox de 29,18% às 3 horas pós-tratamento. Com o veneno de Crotalus durissus ruruima a redução do edema foi de 30,87% às 3 horas pós-tratamento. Nem a hemorragia e nem a mionecrose foram inibidas significativamente pela administração do óleo de andiroba por via intraperitoneal. Sugere-se que a atividade inibitória da Carapa guianensis poderia estar relacionada à diminuição da migração leucocitária