The Journal of Allergy and Clinical Immunology
Volume 122, Issue 4 , Pages 760-765 , October 2008

Expired nitric oxide and airway reactivity in infants at risk for asthma

  • Robert S. Tepper, MD, PhD

      Affiliations

    • Department of Pediatrics, Indiana University Medical Center, James Whitcomb Riley Hospital for Children, Wells Center for Pediatric Research, Indianapolis, Ind
    • Corresponding Author InformationReprint requests: Robert S. Tepper, MD, PhD, Department of Pediatrics Indiana University Medical Center, James Whitcomb Riley Hospital for Children, 702 Barnhill Dr, ROC 4270, Indianapolis, IN 46202-5225.
  • ,
  • Conrado J. Llapur, MD

      Affiliations

    • Department of Pediatrics, Hospital del Niño Jesús, Cátedra de Metodología de la Investigación, Facultad de Medicina, Universidad Nacional de Tucumán, Tucumán, Argentina
  • ,
  • Marcus H. Jones, MD, PhD

      Affiliations

    • Department of Pediatrics, Pontifícia Universidade Católica do Rio Grande do Sul, Porte Alegre, Brazil
  • ,
  • Christina Tiller, RRT

      Affiliations

    • Department of Pediatrics, Indiana University Medical Center, James Whitcomb Riley Hospital for Children, Wells Center for Pediatric Research, Indianapolis, Ind
  • ,
  • Cathy Coates, RN

      Affiliations

    • Department of Pediatrics, Indiana University Medical Center, James Whitcomb Riley Hospital for Children, Wells Center for Pediatric Research, Indianapolis, Ind
  • ,
  • Risa Kimmel, RN

      Affiliations

    • Department of Pediatrics, Indiana University Medical Center, James Whitcomb Riley Hospital for Children, Wells Center for Pediatric Research, Indianapolis, Ind
  • ,
  • Jeffrey Kisling, RRT

      Affiliations

    • Department of Pediatrics, Indiana University Medical Center, James Whitcomb Riley Hospital for Children, Wells Center for Pediatric Research, Indianapolis, Ind
  • ,
  • Barry Katz, PhD

      Affiliations

    • Department of Biostatistics, Indiana University Medical Center, Indianapolis, Ind
  • ,
  • Yan Ding, MS

      Affiliations

    • Department of Biostatistics, Indiana University Medical Center, Indianapolis, Ind
  • ,
  • Nancy Swigonski, MD, MPH

      Affiliations

    • Department of Pediatrics, Indiana University Medical Center, James Whitcomb Riley Hospital for Children, Wells Center for Pediatric Research, Indianapolis, Ind

Received 12 March 2008 ,Revised 24 July 2008 ,Accepted 25 July 2008.

  • Image Result

    Comparison of infants sensitized to either egg or milk and those infants not sensitized to either egg or milk. Box plots illustrate distribution of data. A, Mean ± SE forced expiratory flows (FEF75) w

    Comparison of infants sensitized to either egg or milk and those infants not sensitized to either egg or milk. Box plots illustrate distribution of data. A, Mean ± SE forced expiratory flows (FEF75) were significantly less in the infants sensitized to egg or milk (336 ± 12 vs 280 ± 16 mL/s, P < .003). B, Mean ± SE PC30 values were significantly less in infants sensitized to egg or milk (−0.6 ± 0.2 vs −1.2 ± 0.2 mg/mL, P < .023). C, Mean ± SE eNO levels were not significantly different for the 2 groups (11.6 ± 1.0 vs 13.8 ± 1.3 ppb, P = .15).

  • Image Result
    Box plots illustrate distribution of eNO. Mean ± SE values were significantly greater (11.2 ± 1.0 vs 14.6 ± 1.3 ppb, P < .023) for infants with IgE levels of 20 IU/mL or greater versus those with IgE

    Box plots illustrate distribution of eNO. Mean ± SE values were significantly greater (11.2 ± 1.0 vs 14.6 ± 1.3 ppb, P < .023) for infants with IgE levels of 20 IU/mL or greater versus those with IgE levels of less than 20 IU/mL.

  • Image Result
    Increasing eNO levels (in parts per billion) correlated with lower PC30 values (in milligrams per milliliter) or heightened airway reactivity (r = −0.26, P = .02).

    Increasing eNO levels (in parts per billion) correlated with lower PC30 values (in milligrams per milliliter) or heightened airway reactivity (r = −0.26, P = .02).

 Supported by National Institutes of Health grant no. HL54062.

 Disclosure of potential conflict of interest: The authors have declared that they have no conflict of interest.

PII: S0091-6749(08)01351-1

doi: 10.1016/j.jaci.2008.07.022

The Journal of Allergy and Clinical Immunology
Volume 122, Issue 4 , Pages 760-765 , October 2008