Evidence map›Paper›PMID 27923647›Full record

ArticleThe journal of allergy and clinical immunology. In practice

Mouse Sensitization and Exposure Are Associated with Asthma Severity in Urban Children.

Torie Grant, Charles Aloe, Matthew Perzanowski, Wanda Phipatanakul, Mary E Bollinger, Rachel Miller, Elizabeth C Matsui

Erratum issuedAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Characteristics of inner-city children with life-threatening asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2019
    Trial
  4. Article
  5. Article
  6. The Impact of the Indoor Environment on Childhood Asthma.Current allergy and asthma reports · 2025
    Review
  7. Minimizing Indoor Allergen Exposure: What Works?Current allergy and asthma reports · 2024
    Review
  8. Impact of socioeconomic factors on allergic diseases.The Journal of allergy and clinical immunology · 2024
    Review
  9. Article
  10. Indoor Environmental Exposures and Their Relationship to Allergic Diseases.The journal of allergy and clinical immunology. In practice · 2023
    Article
  11. Review
  12. Article
  13. Allergic rhinitis co-morbidity on asthma outcomes in city school children.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  14. Review
  15. Observational
  16. Review
  17. Predictors of successful mouse allergen reduction in inner-city homes of children with asthma.The journal of allergy and clinical immunology. In practice · 2021
    Article
  18. The Indoor Environment and Childhood Asthma.Current allergy and asthma reports · 2020
    Review
  19. Childhood Origins of Adult Lung Disease as Opportunities for Prevention.The journal of allergy and clinical immunology. In practice · 2020
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Torie GrantDivision of Pediatric Allergy/Immunology, Johns Hopkins School of Medicine, Baltimore, Md.
Charles AloeDivision of Pediatric Allergy/Immunology, Johns Hopkins School of Medicine, Baltimore, Md.
Matthew PerzanowskiDepartment of Environmental Health Sciences, Columbia University, New York, NY.
Wanda PhipatanakulDivision of Pediatric Allergy/Immunology, Boston Children's Hospital, Harvard Medical School, Boston, Mass.
Mary E BollingerDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, Md.
Rachel MillerDepartment of Environmental Health Sciences, Columbia University, New York, NY; Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Columbia University, New York, NY.
Elizabeth C MatsuiDivision of Pediatric Allergy/Immunology, Johns Hopkins School of Medicine, Baltimore, Md. Electronic address: ematsui@jhmi.edu.
Columbia University · USJohns Hopkins University · USHarvard University · USJohns Hopkins Medicine · USUniversity of Maryland, Baltimore · US

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Steven N. Chillrud · 1998 to 2026
$44.7M
Oxidative Stress & Inflammation in a Human PM Nasal ChallengeP50ES015903 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI BREYSSE, PATRICK N · 2007 to 2011
$12.1M
Mouse Allergen and Asthma Intervention TrialU01AI083238 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MATSUI, ELIZABETH C. · 2010 to 2014
$7.9M
The effect of a housing mobility program on environmental exposures and asthma morbidity among low-income minority childrenR01ES026170 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI KEET, CORINNE, MATSUI, ELIZABETH C. · 2016 to 2025
$6.8M
Project 3: Dissecting the Diet Asthma Relationship in Mice Models of AsthmaP01ES018176 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI BISWAL, SHYAM · 2009 to 2013
$4.2M
Environmental Control as Add-on Therapy in Urban Children with AsthmaR01ES023447 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI MATSUI, ELIZABETH C. · 2014 to 2018
$3.4M
Midcareer Investigator Award: Urban School Allergen Exposures and Childhood AsthmK24AI106822 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI PHIPATANAKUL, WANDA · 2013 to 2022
$1.9M
Mentoring in Patient-Oriented Research on Asthma and the Indoor EnvironmentK24AI114769 · NIAID · UNIVERSITY OF TEXAS AT AUSTIN · PI MATSUI, ELIZABETH C. · 2015 to 2023
$1.6M
NIAID NIH HHS K24 AI106822NIAID NIH HHS K24 AI114769NIAID NIH HHS U01 AI083238NIEHS NIH HHS P01 ES018176NIEHS NIH HHS P30 ES009089NIEHS NIH HHS P50 ES015903NIEHS NIH HHS R01 ES023447NIEHS NIH HHS R01 ES026170
6 · The paper itself

Abstract

backgroundMouse sensitization and exposure are associated with uncontrolled asthma, but whether they are associated with asthma severity, an intrinsic disease characteristic and long-term outcome predictor, is unclear.

objectiveTo examine relationships between mouse sensitization and/or exposure and asthma severity in urban children.

methodsA total of 645 children (5-17 years) with uncontrolled asthma underwent mouse sensitization evaluation. Sensitized children had mouse allergen measured in bedroom dust. Relationships between mouse sensitization, allergen levels, and asthma severity measures (treatment step and Composite Asthma Severity Index [CASI]) were examined using regression models adjusted for age, sex, atopy, study site, race, ethnicity, and insurance.

resultsThe study population was predominantly minority (69.6% black, 20.8% Hispanic), low income (61.8%), and mouse sensitized (54.4%). Mean ± SD treatment step was 3.2 ± 1.6, equivalent to medium-dose inhaled corticosteroid. Mean ± SD CASI was 6.5 ± 3.4, reflecting moderate persistent asthma. Mouse sensitization was associated with higher treatment step (3.5 vs 2.9, mouse-sensitized vs nonsensitized, P < .001), independent of potential confounders (β [95% CI], 0.36 [0.07-0.64]; P = .01). Mouse sensitization was associated independently with CASI (β [95% CI], 0.82 [0.16-1.47]; P = .02). Among mouse-sensitized participants, higher bedroom floor and bed Mus m 1 were independently associated with treatment step (β [95% CI], 0.26 [0.09-0.43]; P = .002 and β [95% CI], 0.22 [0.01-0.43]; P = .04), respectively. Higher bedroom floor Mus m 1 was independently associated with CASI (β [95% CI], 0.43 [0.05-0.81]; P = .03).

conclusionsMouse sensitization and exposure are associated with asthma severity, among low-income, minority children. Further studies are needed to determine whether reducing allergen exposure among mouse-sensitized patients with asthma can reduce severity, ultimately altering childhood asthma natural history.

Indexed as

AsthmaAdolescentAllergensAnimalsChildChild, PreschoolCockroachesEnvironmental ExposureFemaleHumansImmunoglobulin EMaleMiceMinority GroupsPovertyRandomized Controlled Trials as TopicAllergensImmunoglobulin EChildhood asthmaIndoor allergensInner-city asthmaMouse allergenMouse sensitization

Identifiers

PMID27923647
PMCPMC5457718
OpenAlexW2558397132

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.