Evidence map›Paper›PMID 30243937›Full record

ArticleJornal de pediatria

Prenatal mold exposure is associated with development of atopic dermatitis in infants through allergic inflammation.

Eun Lee, Kil Yong Choi, Mi-Jin Kang, So-Yeon Lee, Jisun Yoon, Hyun-Ju Cho, Sungsu Jung, Si Hyeon Lee, Dong In Suh, Youn Ho Shin and 3 more

Open access · goldAbstract read
In one paragraph

Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
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

13 authors at 9 institutions in 1 country.

Eun LeeChonnam National University Hospital, Chonnam National University Medical School, Department of Pediatrics, Gwangju, Republic of Korea.
Kil Yong ChoiPusan National University, Department of Environmental Engineering, Busan, Republic of Korea.
Mi-Jin KangUniversity of Ulsan College of Medicine, Asan Institute for Life Sciences, Seoul, Republic of Korea.
So-Yeon LeeUniversity of Ulsan College of Medicine, Childhood Asthma and Atopy Center, Department of Pediatrics, Seoul, Republic of Korea.
Jisun YoonMediplex Sejong Hospital, Department of Pediatrics, Incheon, Republic of Korea.
Hyun-Ju ChoInternational St. Mary's Hospital, Catholic Kwandong University, Department of Pediatrics, Incheon, Republic of Korea.
Sungsu JungUniversity of Ulsan College of Medicine, Childhood Asthma and Atopy Center, Department of Pediatrics, Seoul, Republic of Korea.
Si Hyeon LeeUniversity of Ulsan College of Medicine, Asan Institute for Life Sciences, Seoul, Republic of Korea.
Dong In SuhSeoul National University College of Medicine, Department of Pediatrics, Seoul, Republic of Korea.
Youn Ho ShinCHA Medical Center, CHA University School of Medicine, Department of Pediatrics, Seoul, Republic of Korea.
Kyung Won KimSeverance Children's Hospital, College of Medicine, Yonsei University, Department of Pediatrics, Seoul, Republic of Korea.
Kangmo AhnSungkyunkwan University School of Medicine, Samsung Medical Center, Department of Pediatrics, Seoul, Republic of Korea.
Soo-Jong HongUniversity of Ulsan College of Medicine, Childhood Asthma and Atopy Center, Department of Pediatrics, Seoul, Republic of Korea. Electronic address: sjhong@amc.seoul.kr.
Ulsan College · KRCatholic Kwandong University International St. Mary's Hospital · KRCHA University · KRChonnam National University Hospital · KRPusan National University · KRSamsung Medical Center · KRSejong General Hospital · KRSeoul National University · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMold exposure in early life may be associated with development of atopic dermatitis; however, studies of this link are inconclusive and evidence for the underlying mechanism(s) is lacking. This study identified the association between the time of mold exposure and development of atopic dermatitis and investigated the underlying mechanisms.

methodThe association between atopic dermatitis and mold exposure was examined in the Cohort for Childhood Origin of Asthma and Allergic Diseases birth cohort study (n=1446). Atopic dermatitis was diagnosed at 1 year of age by pediatric allergists. Exposure to mold was assessed by questionnaire. The Illumina MiSeq platform was used to examine the environmental mycobiome in 20 randomly selected healthy infants and 20 infants with atopic dermatitis at 36 weeks of gestation.

resultsPrenatal, but not postnatal, mold exposure was significantly associated with atopic dermatitis (adjusted odds ratio, 1.36; 95% confidence interval, 1.01-1.83). Levels of total serum IgE at 1 year of age were higher in infants with atopic dermatitis exposed to mold during pregnancy than in healthy infants not exposed to mold during pregnancy (p=0.021). The relative abundance of uncultured Ascomycota was higher in infants with atopic dermatitis than in healthy infants. The relative abundance of uncultured Ascomycota correlated with total serum IgE levels at 1 year of age (r=0.613, p<0.001).

conclusionIndoor mold exposure during the fetal period is associated with development of atopic dermatitis via IgE-mediated allergic inflammation. Avoidance of mold exposure during this critical period might prevent the development of atopic dermatitis.

Indexed as

AsthmaDermatitis, AtopicChildCohort StudiesFemaleFungiHumansInfantInflammationOdds RatioPregnancyAllergic inflammationAmbienteAtopic dermatitisDermatite atópicaEnvironmentMicrobiomaMofoMoldMycobiomePrenatalPré-natalReação alérgica

Identifiers

PMID30243937
PMCPMC9432247
OpenAlexW2890697531

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.