Evidence map›Paper›PMID 27977294›Full record

ArticleAnnals of the American Thoracic Society2017

House Dust Endotoxin Levels Are Associated with Adult Asthma in a U.S. Farming Population.

Megan Ulmer Carnes, Jane A Hoppin, Nervana Metwali, Annah B Wyss, John L Hankinson, Elizabeth Long O'Connell, Marie Richards, Stuart Long, Laura E Beane Freeman, Dale P Sandler and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Annals of the American Thoracic Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07328516 (Natural History Study of Early Life Exposures in Agriculture), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
4.8field-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.

NCT07328516 enrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Natural History Study of Early Life Exposures in Agriculture (ELEA)

TypeobservationalSponsorNational Cancer Institute (NCI)Ran2026 to 2030Enrolled64,277ConditionsProstate Cancer, Leukemia, Breast Cancer, Melanoma
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Smoking drives an epigenetic memory of aberrant hematopoiesis.medRxiv : the preprint server for health sciences · 2026
    Article
  6. Article
  7. Review
  8. Respiratory Diseases Associated With Organic Dust Exposure.The journal of allergy and clinical immunology. In practice · 2024
    Review
  9. Article
  10. Environmental Interventions for Preventing Atopic Diseases.Current allergy and asthma reports · 2024
    Review
  11. Article
  12. Article
  13. Metagenomics reveals novel microbial signatures of farm exposures in house dust.medRxiv : the preprint server for health sciences · 2023
    Article
  14. Article
  15. Early-life farm exposures and eczema among adults in the Agricultural Lung Health Study.The journal of allergy and clinical immunology. Global · 2022
    Article
  16. Influence of Rural Environmental Factors in Asthma.Immunology and allergy clinics of North America · 2022
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Megan Ulmer Carnes1 Epidemiology Branch and.
Jane A Hoppin2 Department of Biological Sciences, Center for Human Health and the Environment, North Carolina State University, Raleigh, North Carolina.
Nervana Metwali3 Department of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa.
Annah B Wyss1 Epidemiology Branch and.
John L Hankinson4 Hankinson Consulting, Inc., Athens, Georgia.
Elizabeth Long O'Connell5 Social & Scientific Systems, Inc., Durham, North Carolina.
Marie Richards6 Westat, Durham, North Carolina.
Stuart Long6 Westat, Durham, North Carolina.
Laura E Beane Freeman7 Occupational and Environmental Epidemiology Branch, National Cancer Institute, Bethesda, Maryland; and.
Dale P Sandler1 Epidemiology Branch and.
Paul K Henneberger8 Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Department of Health and Human Services, Morgantown, West Virginia.
Christie Barker-Cummings5 Social & Scientific Systems, Inc., Durham, North Carolina.
David M Umbach9 Biostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina.
Peter S Thorne3 Department of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa.
Stephanie J London1 Epidemiology Branch and.
Social and Scientific Systems (United States) · USUniversity of Iowa · USWestat (United States) · USNational Cancer Institute · USNational Institute for Occupational Safety and Health · USNational Institutes of Health · USNorth Carolina State University · US

Funding

Studies of Occupational Cancer (Pesticides)ZIACP010119 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI BEANE FREEMAN, LAURA · 2009 to 2025
$46.1M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Health Effects Of Exposures In AgricultureZIAES049030 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 2009 to 2025
$11.2M
Lung Health Study in the Agricultural Health StudyZIAES102385 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI LONDON, STEPHANIE · 2009 to 2025
$6.1M
STUDIES OF OCCUPATIONAL CANCER--PESTICIDESZ01CP010119 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALAVANJA, MICHAEL · 1996 to 2008
$5.0M
Environmental Exposures And Risk For Cancer and Chronic Diseases In AdultsZIAES049028 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 2009 to 2024
$1.6M
Statistical techniques applied to environmental health sciencesZIAES103126 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI UMBACH, DAVID M · 2012 to 2025
$1.0M
HEALTH EFFECTS OF EXPOSURES IN AGRICULTUREZ01ES049030 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 1997 to 2008
$889k
Intramural NIH HHS Z01 CP010119Intramural NIH HHS Z01 ES049030NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

rationaleEndotoxin initiates a proinflammatory response from the innate immune system. Studies in children suggest that endotoxin exposure from house dust may be an important risk factor for asthma, but few studies have been conducted in adult populations.

objectivesTo investigate the association of house dust endotoxin levels with asthma and related phenotypes (wheeze, atopy, and pulmonary function) in a large U.S. farming population.

methodsDust was collected from the bedrooms (n = 2,485) of participants enrolled in a case-control study of current asthma (927 cases) nested within the Agricultural Health Study. Dust endotoxin was measured by Limulus amebocyte lysate assay. Outcomes were measured by questionnaire, spirometry, and blood draw. We evaluated associations using linear and logistic regression. MEASUREMENTS AND MAIN

resultsEndotoxin was significantly associated with current asthma (odds ratio [OR], 1.30; 95% confidence interval [CI], 1.14-1.47), and this relationship was modified by early-life farm exposure (born on a farm: OR, 1.18; 95% CI, 1.02-1.37; not born on a farm: OR, 1.67; 95% CI, 1.26-2.20; Interaction P = 0.05). Significant positive associations were seen with both atopic and nonatopic asthma. Endotoxin was not related to either atopy or wheeze. Higher endotoxin was related to lower FEV

conclusionsHouse dust endotoxin was associated with current atopic and nonatopic asthma in a U.S. farming population. The degree of the association with asthma depended on early-life farm exposures. Furthermore, endotoxin was associated with lower pulmonary function in patients with asthma.

Indexed as

Gene-Environment InteractionAgedAgricultureAsthmaCase-Control StudiesDustEndotoxinsEnvironmental ExposureFemaleHumansLipopolysaccharide ReceptorsLogistic ModelsMaleMiddle AgedOdds RatioRespiratory SoundsDustEndotoxinsLipopolysaccharide ReceptorsTLR4 protein, humanToll-Like Receptor 4atopyCD14pulmonary functionTLR4wheeze

Identifiers

PMID27977294
PMCPMC5427722
OpenAlexW2564256022

What OpenQuestion holds

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Registered trials

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.