Evidence map›Paper›PMID 29684578›Full record

ArticleThe journal of allergy and clinical immunology. In practice

Exposure and Sensitization to Pets Modify Endotoxin Association with Asthma and Wheeze.

Angelico Mendy, Jesse Wilkerson, Päivi M Salo, Richard D Cohn, Darryl C Zeldin, Peter S Thorne

Open access · greenAbstract 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. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 50 citations in OpenAlex.

  1. Indoor allergen exposure in relation to sleep health among US adults.The journal of allergy and clinical immunology. Global · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Environmental endotoxin exposure and asthma.The Journal of allergy and clinical immunology · 2021
    Article
  14. The nasal microbiome, nasal transcriptome, and pet sensitization.The Journal of allergy and clinical immunology · 2021
    Article
  15. Article
  16. Indoor endotoxin, proximity to a major roadway, and severe asthma exacerbations among children in Puerto Rico.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020
    Article
  17. Review
  18. Article
  19. The effect of dog allergen exposure on asthma morbidity among inner-city children with asthma.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Observational
  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

6 authors at 3 institutions in 1 country.

Angelico MendyDepartment of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa.
Jesse WilkersonSocial & Scientific Systems, Inc, Durham, NC.
Päivi M SaloDivision of Intramural Research, National Institute of Environmental Health Sciences, NIH, Research Triangle Park, NC.
Richard D CohnSocial & Scientific Systems, Inc, Durham, NC.
Darryl C ZeldinDivision of Intramural Research, National Institute of Environmental Health Sciences, NIH, Research Triangle Park, NC.
Peter S ThorneDepartment of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa. Electronic address: peter-thorne@uiowa.edu.
National Institute of Environmental Health Sciences · USSocial and Scientific Systems (United States) · USUniversity of Iowa · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Brandi Janssen · 1990 to 2026
$40.5M
Indoor Allergens And AsthmaZIAES025041 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI ZELDIN, DARRYL C · 2009 to 2025
$8.5M
INDOOR ALLERGENS AND ASTHMAZ01ES025041 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI ZELDIN, DARRYL C · 1998 to 2008
$1.9M
Intramural NIH HHS Z01 ES025041NIEHS NIH HHS HHSN273201600002CNIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

backgroundPets are major contributors of endotoxin in homes, but whether they influence endotoxin association with respiratory outcomes is unclear.

objectiveTo examine whether exposure and sensitization to dog and cat modify the relationship between endotoxin exposure and asthma and wheeze.

methodsWe analyzed data from 6051 participants in the 2005-2006 cycle of the National Health and Nutrition Examination Survey (NHANES). House dust from bedroom floor and bedding was evaluated for endotoxin and for dog (Canis familiaris 1) and cat (Feline domesticus 1) allergens. The NHANES also collected data on respiratory outcomes and measured IgE specific to allergens. Associations of log-endotoxin and pet exposure with respiratory outcomes were examined, adjusting for covariates including pet avoidance.

resultsDog and cat ownership among participants was 48.3% and 37.5%, respectively. Endotoxin geometric mean (SE) was 15.49 (0.50) EU/mg. Endotoxin and pet allergen levels were significantly higher in households with a dog or cat. Overall, endotoxin was positively associated with wheeze (odds ratio [OR], 1.30; 95% CI, 1.04-1.62), but not with asthma. However, in participants nonsensitized to dog, the odds of endotoxin association with wheeze were higher with exposure to dog allergen (OR, 1.80; 95% CI, 1.27-2.53; P

conclusionsExposure to dog and cat allergens enhances the association of endotoxin with asthma and wheeze.

Indexed as

AdolescentAdultAir Pollution, IndoorAllergensAnimalsAsthmaCatsChildDogsDustEndotoxinsEnvironmental ExposureFemaleHumansImmunizationMaleAllergensDustEndotoxinsAsthmaEndotoxinHouse dustPetsSensitizationWheeze

Identifiers

PMID29684578
PMCPMC6524530
OpenAlexW2801389488

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.