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Exhaled nitric oxide and urinary EPX levels in infants a pilot study
Carlstedtetal.ClinicalandMolecularAllergy2011,9:8
/content/9/1/8
CMA
RESEARCH
OpenAccess
ExhalednitricoxideandurinaryEPXlevelsin
infants:apilotstudy
FredrikCarlstedt1*,DagmaraLazowska1,Carl-GustafBornehag2,Anna-CarinOlin3andMikaelHasselgren1,4
Abstract
Background:Objectivemarkersofearlyairwayinflammationininfantsarenotestablishedbutareofgreatinterest
inascientificsetting.Exhalednitricoxide(FeNO)andurinaryeosinophilicproteinX(uEPX)areatwosuch
interestingmarkers.
Objective:ToinvestigatethefeasibilityofmeasuringFeNOanduEPXininfantsandtheirmothersandto
determineifanyrelationsbetweenthesetwovariablesandenvironmentalfactorscanbeseeninasmallsample
size.ThiswasconductedasapilotstudyfortheongoingSwedishEnvironmentalLongitudinalMotherandchild
Asthmaandallergystudy(SELMA).
Methods:Consecutiveinfantsbetweentwoandsixmonthsoldandtheirmothersatchildren’shealthcarecentres
wereinvited,and110mother-infantpairsparticipated.FeNOanduEPXwereanalysedinbothmothersandinfants.
FeNOwasanalyzedinthemothersonlinebytheuseofthehandheldNioxMinodeviceandintheinfantsoffline
fromexhaledairsampledduringtidalbreathing.A33-questionmultiple-choicequestionnairethatdealtwith
symptomsofallergicdisease,heredity,andhousingcharacteristicswasused.
Results:FeNOlevelswerereducedininfantswithahistoryofupperrespiratorysymptomsduringtheprevious
twoweeks(p0.002).TherewasatrendtowardshigherFeNOlevelsininfantswithwindowpanecondensationin
thehome(p0.05).TherewasnoassociationbetweenuEPXintheinfantsandtheotherstudiedvariables.
Conclusion:TheuseofuEPXasamarkerofearlyinflammationwasnotsupported.FeNOlevelsininfantswere
associatedtowindowpanecondensation.MeasuringFeNObythepresentmethodmaybeaninterestingwayof
evaluatingearlyairwayinflammation.Inamajorpopulationstudy,however,themethodisdifficulttouse,for
practicalreasons.
Keywords:NitricOxideEosinophilGranuleProteins,Infant,Housing,AllergyandImmunology
Background
Foetalenvironmentandearlylifefactorsaresuggested
Asthma and allergic diseases in children are important to progra
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