Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils

There are few studies on associations between respiratory health and allergens, fungal and bacterial compounds in schools in tropical countries. The aim was to study associations between respiratory symptoms in pupils and ethnicity, chemical microbial markers, allergens and fungal DNA in settled dus...

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Main Authors: Norback, Dan, Markowicz, Pawel, Cai, Gui Hong, Hashim, Zailina, Ali, Faridah, Zheng, Yi Wu, Lai, Xu Xin, Spangfort, Michael Dho, Larsson, Lennart, Hashim, Jamal Hisham
Format: Article
Language:English
Published: Public Library of Science 2014
Online Access:http://psasir.upm.edu.my/id/eprint/37438/
http://psasir.upm.edu.my/id/eprint/37438/1/Endotoxin%2C%20ergosterol%2C%20fungal%20DNA%20and%20allergens%20.pdf
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author Norback, Dan
Markowicz, Pawel
Cai, Gui Hong
Hashim, Zailina
Ali, Faridah
Zheng, Yi Wu
Lai, Xu Xin
Spangfort, Michael Dho
Larsson, Lennart
Hashim, Jamal Hisham
author_facet Norback, Dan
Markowicz, Pawel
Cai, Gui Hong
Hashim, Zailina
Ali, Faridah
Zheng, Yi Wu
Lai, Xu Xin
Spangfort, Michael Dho
Larsson, Lennart
Hashim, Jamal Hisham
author_sort Norback, Dan
building UPM Institutional Repository
collection Online Access
description There are few studies on associations between respiratory health and allergens, fungal and bacterial compounds in schools in tropical countries. The aim was to study associations between respiratory symptoms in pupils and ethnicity, chemical microbial markers, allergens and fungal DNA in settled dust in schools in Malaysia. Totally 462 pupils (96%) from 8 randomly selected secondary schools in Johor Bahru, Malaysia, participated. Dust was vacuumed from 32 classrooms and analysed for levels of different types of endotoxin as 3-hydroxy fatty acids (3-OH), muramic acid, ergosterol, allergens and five fungal DNA sequences. Multiple logistic regression was applied. Totally 13.1% pupils reported doctor’s diagnosed asthma, 10.3% wheeze and 21.1% pollen or pet allergy. Indian and Chinese children had less atopy and asthma than Malay. Carbon dioxide levels were low (380–690 ppm). No cat (Fel d1), dog (Can f 1) or horse allergens (Ecu cx) were detected. The levels of Bloomia tropicalis (Blo t), house dust mite allergens (Der p 1, Der f 1, Der m 1) and cockroach allergens (Per a 1 and Bla g 1) were low. There were positive associations between levels of Aspergillus versicolor DNA and daytime breathlessness, between C14 3-OH and respiratory infections and between ergosterol and doctors diagnosed asthma. There were negative (protective) associations between levels of C10 3-OH and wheeze, between C16 3-OH and day time and night time breathlessness, between cockroach allergens and doctors diagnosed asthma. Moreover there were negative associations between amount of fine dust, total endotoxin (LPS) and respiratory infections. In conclusion, endotoxin at school seems to be mainly protective for respiratory illness but different types of endotoxin could have different effects. Fungal contamination measured as ergosterol and Aspergillus versicolor DNA can be risk factors for respiratory illness. The ethnical differences for atopy and asthma deserve further attention.
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spelling upm-374382015-12-03T06:54:47Z http://psasir.upm.edu.my/id/eprint/37438/ Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils Norback, Dan Markowicz, Pawel Cai, Gui Hong Hashim, Zailina Ali, Faridah Zheng, Yi Wu Lai, Xu Xin Spangfort, Michael Dho Larsson, Lennart Hashim, Jamal Hisham There are few studies on associations between respiratory health and allergens, fungal and bacterial compounds in schools in tropical countries. The aim was to study associations between respiratory symptoms in pupils and ethnicity, chemical microbial markers, allergens and fungal DNA in settled dust in schools in Malaysia. Totally 462 pupils (96%) from 8 randomly selected secondary schools in Johor Bahru, Malaysia, participated. Dust was vacuumed from 32 classrooms and analysed for levels of different types of endotoxin as 3-hydroxy fatty acids (3-OH), muramic acid, ergosterol, allergens and five fungal DNA sequences. Multiple logistic regression was applied. Totally 13.1% pupils reported doctor’s diagnosed asthma, 10.3% wheeze and 21.1% pollen or pet allergy. Indian and Chinese children had less atopy and asthma than Malay. Carbon dioxide levels were low (380–690 ppm). No cat (Fel d1), dog (Can f 1) or horse allergens (Ecu cx) were detected. The levels of Bloomia tropicalis (Blo t), house dust mite allergens (Der p 1, Der f 1, Der m 1) and cockroach allergens (Per a 1 and Bla g 1) were low. There were positive associations between levels of Aspergillus versicolor DNA and daytime breathlessness, between C14 3-OH and respiratory infections and between ergosterol and doctors diagnosed asthma. There were negative (protective) associations between levels of C10 3-OH and wheeze, between C16 3-OH and day time and night time breathlessness, between cockroach allergens and doctors diagnosed asthma. Moreover there were negative associations between amount of fine dust, total endotoxin (LPS) and respiratory infections. In conclusion, endotoxin at school seems to be mainly protective for respiratory illness but different types of endotoxin could have different effects. Fungal contamination measured as ergosterol and Aspergillus versicolor DNA can be risk factors for respiratory illness. The ethnical differences for atopy and asthma deserve further attention. Public Library of Science 2014-02 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37438/1/Endotoxin%2C%20ergosterol%2C%20fungal%20DNA%20and%20allergens%20.pdf Norback, Dan and Markowicz, Pawel and Cai, Gui Hong and Hashim, Zailina and Ali, Faridah and Zheng, Yi Wu and Lai, Xu Xin and Spangfort, Michael Dho and Larsson, Lennart and Hashim, Jamal Hisham (2014) Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils. PLOS ONE, 9 (2). art. no. e88303. pp. 1-10. ISSN 1932-6203 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0088303 10.1371/journal.pone.0088303
spellingShingle Norback, Dan
Markowicz, Pawel
Cai, Gui Hong
Hashim, Zailina
Ali, Faridah
Zheng, Yi Wu
Lai, Xu Xin
Spangfort, Michael Dho
Larsson, Lennart
Hashim, Jamal Hisham
Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils
title Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils
title_full Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils
title_fullStr Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils
title_full_unstemmed Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils
title_short Endotoxin, ergosterol, fungal DNA and allergens in dust from schools in Johor Bahru, Malaysia- Associations with asthma and respiratory infections in pupils
title_sort endotoxin, ergosterol, fungal dna and allergens in dust from schools in johor bahru, malaysia- associations with asthma and respiratory infections in pupils
url http://psasir.upm.edu.my/id/eprint/37438/
http://psasir.upm.edu.my/id/eprint/37438/
http://psasir.upm.edu.my/id/eprint/37438/
http://psasir.upm.edu.my/id/eprint/37438/1/Endotoxin%2C%20ergosterol%2C%20fungal%20DNA%20and%20allergens%20.pdf