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Final Report: CECEHDPR - University of Southern California

EPA Grant Number: R826708
Center: CECEHDPR - University of Southern California
Center Director: Gong, Henry
Title: CECEHDPR - University of Southern California
Investigators: Gong, Henry , Avol, Edward L. , Diaz-Sanchez, David , Gauderman, William , Gilliland, Frank , Hinds, William C. , Jones, Craig , McConnell, Rob , Peters, John M.
Institution: University of California - Los Angeles
EPA Project Officer: Fields, Nigel
Project Period: August 1, 1998 through July 31, 2003
Project Amount: $2,895,926
RFA: Centers for Children's Environmental Health and Disease Prevention Research (1998)
Research Category: Children's Health , Health Effects

Description:

Objective:

The broad objectives of the Center’s research activities during its first 5 years were:

(1) To identify childhood determinants of respiratory susceptibility to environmental factors with a focus on ambient air pollution and secondhand smoke;

(2) To identify the modulating effects of secondhand smoke on allergic inflammation in children; and

(3) To determine the feasibility and efficacy of a community-based intervention to reduce adverse health outcomes from co-exposures to indoor allergens and secondhand smoke in a high-risk group of children.

Summary/Accomplishments (Outputs/Outcomes):

The Children’s Environmental Health Center (CEHC) was established in 1998 as a specialized center for investigating the effects of the environment on children’s respiratory health with a focus on asthma and allergic airway disease. The theme of the Center and its research focus were chosen based on the clinical and public health importance of childhood respiratory diseases and the potential importance of common environmental exposures on the etiology of these conditions, especially among susceptible subgroups of children. In 1998, the Center also established a community outreach and education program to translate research findings into education and public health policy. During the first 5 years of the CEHC, we made substantial progress in understanding the effects of ambient air pollutants and tobacco smoke on children’s respiratory health and identified important susceptible groups of children. The specific accomplishments are summarized in the Final Reports for R826708C001–R826708C003.

Conclusions:

The key findings for the first 5 years of Center research are:

Taken together, these findings support the conclusions that in utero and childhood exposures to tobacco smoke and childhood exposure to ambient air pollution at current levels have adverse effects on children’s airways.

References:

Avol E, Cozen W, Diaz-Sanchez D. A novel antigen/dust collection method performed by residents for use in field investigations. Presented at the International Society for Exposure Analysis Annual Meeting, Charleston, SC, November 4-8, 2001b.

Avol EL, Gauderman WJ, Tan SM, London SJ, Peters JM. Respiratory effects of relocating to areas of differing air pollution levels. American Journal of Respiratory and Critical Care Medicine 2001;164(11):2067-2072.

Bastain TM, Gilliland FD, Li Y-F, Saxon A, Diaz-Sanchez D. Intra-individual reproducibility of nasal allergic responses to diesel exhaust particles indicates a susceptible phenotype. American Journal of Respiratory and Critical Care Medicine 2003;167:A218.

Bastain TM, Gilliland FD, Li Y-F, Saxon A, Diaz-Sanchez D. Intraindividual reproducibility of nasal allergic responses to diesel exhaust particles indicates a susceptible phenotype. Clinical Immunology 2003;109(2):130-136.

Berhane K, McConnell R, Gilliland F, Islam T, Gauderman WJ, Avol E, London SJ, Rappaport E, Margolis HG, Peters JM. Sex-specific effects of asthma on pulmonary function in children. American Journal of Respiratory and Critical Care Medicine 2000;162(5):1723-1730.

Berhane K, Thomas D. A two-stage model for time series data of counts from many sites. Biostatistics 2002;3:21-32.

Diaz-Sanchez D, Rumold R, Gong H. Controlled second-hand smoke exposure enhances ragweed-induced IgE, Th2 cytokines and histamine production in allergic subjects. Journal of Allergy and Clinical Immunology 2002;109(S1):S90.

Gauderman WJ, Gilliland GF, Vora H, Avol E, Stram D, McConnell R, Thomas D, Lurmann F, Margolis HG, Rappaport EB, Berhane K, Peters JM. Association between air pollution and lung function growth in southern California children: results from a second cohort. American Journal of Respiratory and Critical Care Medicine 2002;166(1):76-84.

Gauderman WJ, McConnell R, Gilliland F, London S, Thomas D, Avol E, Vora H, Berhane K, Rappaport EB, Lurmann F, Margolis HG, Peters J. Association between air pollution and lung function growth in southern California children. American Journal of Respiratory and Critical Care Medicine 2000;162(4):1383-1390.

Gilliland F, Li Y, Peters J. Effects of vitamin A, C, and E intake on children’s lung function. American Journal of Respiratory and Critical Care Medicine 2001b;163:A37.

Gilliland FD, Berhane K, Rappaport EB, Thomas DC, Avol E, Gauderman WJ, London SJ, Margolis HG, McConnell R, Islam KT, Peters JM. The effects of ambient air pollution on school absenteeism due to respiratory illnesses. Epidemiology 2001c;12(1):43-54.

Gilliland FD, Li Y-F, Dubeau L, Berhane K, Avol E, McConnell R, Gauderman WJ, Peters JM. Effects of glutathione S-transferase M1, maternal smoking during pregnancy, and environmental tobacco smoke on asthma and wheezing in children. American Journal of Respiratory and Critical Care Medicine 2002a;166(4):457-463.

Gilliland FD, Rappaport EB, Berhane K, Islam T, Dubeau L, Gauderman WJ, McConnell R. Effects of glutathione S-transferase P1, M1, and T1 on acute respiratory illness in school children. American Journal of Respiratory and Critical Care Medicine 2002;166(3):346-351.

Gilliland FD, Berhane K, Islam T, Wenten M, Rappaport E, Avol E, Gauderman WJ, McConnell R, Peters JM. Environmental tobacco smoke and absenteeism related to respiratory illness in schoolchildren. American Journal of Epidemiology 2003;157(10):861-869.

Gilliland FD, Li Y-F, Tsai W, Dubeau L. GSTP1 and GSTM1 contribute to susceptibility for asthma and wheezing following in utero exposure to tobacco smoke. American Journal of Respiratory and Critical Care Medicine 2003a;167:A942.

Gilliland FD, Salam MT, Li Y-F, Langholz B. Early life risk factors for asthma: findings from the Children’s Health Study. American Journal of Respiratory and Critical Care Medicine 2003c;167:A831.

McConnell R, Berhane K, Gilliland F, London SJ, Vora H, Avol E, Gauderman WJ, Margolis HG, Lurmann F, Thomas DC, Peters JM. Air pollution and bronchitic symptoms in Southern California children with asthma. Environmental Health Perspectives 1999; 107(9):757-760.

McConnell R, Berhane K, Gilliland F, Molitor J, Thomas D, Lurmann F, Avol E, Gauderman WJ, Peters JM. Prospective study of air pollution and bronchitic symptoms in children with asthma. American Journal of Respiratory and Critical Care Medicine 2003a;168(7):790-797.

McConnell R, Jones C, Milam J, Gonzalez P, Berhane K, Clement L, Richardson J, Hanley-Lopez J, Kwong K, Maalouf N, Galvan J, Platts-Mills T. Cockroach counts and house dust allergen concentrations after professional cockroach control and cleaning. Annals of Allergy, Asthma and Immunology 2003;91(6):546-552.


Journal Articles: 50 Displayed | Download in RIS Format

Other center views: All 80 publications 52 publications in selected types All 50 journal articles

Type Citation Sub Project Document Sources
Journal Article Berhane K, McConnell R, Gilliland F, Islam T, Gauderman WJ, Avol E, London SJ, Rappaport E, Margolis HG, Peters JM. Sex specific effects of asthma on pulmonary function in children. American Journal of Respiratory and Critical Care Medicine 2000;162(5):1723-1730. R826708 (2000)
R826708 (2001)
R826708 (2002)
R826708 (Final)
R826708C001 (2001)
R826708C003 (2001)
R831861 (2004)
R831861 (2005)
  • Abstract from PubMed
  • Full-text: ATS Full Text
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  • Journal Article Chang MC, Sioutas C, Kim S, Gong Jr H, Linn WS. Reduction of nitrate losses from filter and impactor samplers by means of concentration enrichment. Atmospheric Environment 2000;34(1):85-98. R826708 (2000)
    R826708 (2001)
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  • Full-text: Science Direct Full Text
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  • Abstract: Science Direct Abstract
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  • Journal Article Corren J, Diaz-Sanchez D, Saxon A, Deniz Y, Reimann J, Sinclair D, Davancaze T, Adelman D. Effects of omalizumab, a humanized monoclonal anti-IgE antibody, on nasal reactivity to allergen and local IgE synthesis. Annals of Allergy, Asthma and Immunology 2004;93(3):243-248. R826708 (2000)
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  • Journal Article Diaz-Sanchez D, Proietti L, Polosa R. Diesel fumes and the rising prevalence of atopy: an urban legend? Current Allergy and Asthma Reports 2003;3(2):146-152. R826708 (2000)
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  • Journal Article Diaz-Sanchez D, Riedl M. Diesel effects on human health: a question of stress? American Journal of Physiology—Lung Cellular and Molecular Physiology 2005;289(5):L722-L723. R826708 (2000)
    R826708 (2001)
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  • Full-text: AJP Full Text
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  • Journal Article Enright PL, Linn WS, Avol EL, Margolis HG, Gong H Jr, Peters JM. Quality of spirometry test performance in children and adolescents: experience in a large field study. Chest 2000;118(3):665-671. R826708 (2000)
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  • Journal Article Finkelman FD, Yang M, Orekhova T, Clyne E, Bernstein J, Whitekus M, Diaz-Sanchez D, Morris SC. Diesel exhaust particles suppress in vivo IFN-γ production by inhibiting cytokine effects on NK and NKT cells. Journal of Immunology 2004;172(6):3808-3813. R826708 (2000)
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  • Full-text: Journal of Immunology Full Text
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  • Journal Article Gauderman WJ, McConnell R, Gilliland F, London S, Thomas D, Avol E, Vora H, Berhane K, Rappaport EB, Lurmann F, Margolis HG, Peters J. Association between air pollution and lung function growth in southern California children. American Journal of Respiratory and Critical Care Medicine 2000;162(4 Pt 1):1383-1390. R826708 (2000)
    R826708 (2001)
    R826708 (2002)
    R826708 (Final)
    R826708C001 (2000)
    R826708C001 (2001)
    R826708C003 (2001)
    R831861 (2004)
    R831861 (2005)
  • Abstract from PubMed
  • Full-text: ATS Full Text
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  • Journal Article Gilliland FD, McConnell R, Peters J, Gong H Jr. A theoretical basis for investigating ambient air pollution and children’s respiratory health. Environmental Health Perspectives 1999;107(Suppl 3):403-407. R826708 (2000)
    R826708 (2001)
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    R826708C001 (2000)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Other: Environmental Health Perspectives PDF
  • Journal Article Gilliland FD, Linn W, Rappaport E, Avol E, Gong H, Peters J. Effect of spirometer temperature on FEV1 in a longitudinal epidemiological study. Occupational and Environmental Medicine 1999;56(10):718-720. R826708 (2000)
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  • Journal Article Gilliland FD, Berhane K, McConnell R, Gauderman WJ, Vora H, Rappaport EB, Avol E, Peters JM. Maternal smoking during pregnancy, environmental tobacco smoke exposure and childhood lung function. Thorax 2000;55(4):271-276. R826708 (2000)
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  • Journal Article Gilliland FD, Li YF, Peters JM. Effects of maternal smoking during pregnancy and environmental tobacco smoke on asthma and wheezing in children. American Journal of Respiratory and Critical Care Medicine 2001;163(2):429-436. R826708 (2000)
    R826708 (2001)
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  • Journal Article Gilliland FD, Berhane K, Rappaport EB, Thomas DC, Avol E, Gauderman WJ, London SJ, Margolis HG, McConnell R, Islam KT, Peters JM. The effects of ambient air pollution on school absenteeism due to respiratory illnesses. Epidemiology 2001;12(1):43-54. R826708 (2000)
    R826708 (2001)
    R826708 (2002)
    R826708 (Final)
    R826708C003 (2001)
    R831861 (2004)
    R831861 (2005)
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  • Full-text: Epidemiology Full Text
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  • Journal Article Gilliland FD, Berhane KT, Li YF, Kim DH, Margolis HG. Dietary magnesium, potassium, sodium, and children’s lung function. American Journal of Epidemiology 2002;155(2):125-131. R826708 (2000)
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  • Full-text: Oxford Journals Full Text
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  • Journal Article Gilliland FD, Berhane KT, Li Y-F, Gauderman WJ, McConnell R, Peters J. Children’s lung function and antioxidant vitamin, fruit, juice, and vegetable intake. American Journal of Epidemiology 2003;158(6):576-584. R826708 (2000)
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  • Journal Article Gilliland FD, Berhane K, Islam T, McConnell R, Gauderman WJ, Gilliland SS, Avol E, Peters JM. Obesity and the risk of newly diagnosed asthma in school-age children. American Journal of Epidemiology 2003;158(5):406-415. R826708 (2000)
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  • Journal Article Gilliland FD, Li Y-F, Saxon A, Diaz-Sanchez D. Glutathione-S-Transferase M1 and P1 genotypes protect against xenobiotic enhancement of allergic responses. Lancet 2004;363:119-125. R826708 (2000)
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  • Journal Article Gilliland F, Avol E, Kinney P, Jerrett M, Dvonch T, Lurmann F, Buckley T, Breysse P, Keeler G, de Villiers T, McConnell R. Air pollution exposure assessment for epidemiologic studies of pregnant women and children: lessons learned from the Centers for Children’s Environmental Health and Disease Prevention Research. Environmental Health Perspectives 2005;113(10):1447-1454. R826708 (2000)
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  • Journal Article Gong H, Sioutas C, Linn WS, Clark KW, Terrell SL, Terrell LL, Anderson KR, Kim S, Chang M-C. Controlled human exposures to concentrated ambient fine particles in metropolitan Los Angeles: methodology and preliminary health-effect findings. Inhalation Toxicology 2000;12(1):107-119. R826708 (2000)
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  • Abstract: Informa World Abstract
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  • Journal Article Gong H. Urban air pollution and health inequities: a workshop report. Environmental Health Perspectives 2001;109(Suppl 3):357-374. R826708 (2000)
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  • Journal Article Gong Jr H, Linn WS, Terrell SL, Anderson KR, Clark KW. Anti-inflammatory and lung function effects of montelukast in asthmatic volunteers exposed to sulfur dioxide. Chest 2001;119:402-408. R826708 (2000)
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  • Full-text: Chest Journal Full Text
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  • Journal Article Harrington-Brock K, Cabrera M, Collard DD, Doerr CL, McConnell R, Moore MM, Sandoval H, Fuscoe JC. Effects of arsenic exposure on the frequency of HPRT-mutant lymphocytes in a population of copper roasters in Antofagasta, Chile: a pilot study. Mutation Research – Fundamental and Molecular Mechanisms of Mutagenesis 1999;431(2):247-257. R826708 (2000)
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  • Journal Article Kim S, Sioutas C, Chang M-C, Gong Jr H. Factors affecting the stability of the performance of ambient fine-particle concentrators. Inhalation Toxicology 2000;12(11, Suppl 4):281-298. R826708 (2000)
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    R828598C700 (Final)
    R829095C004 (2005)
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  • Journal Article Kunzli N, McConnell R, Bates D, Bastain TM, Hricko A, Lurmann F, Avol E, Gilliland FD, Peters JM. Breathless in Los Angeles: The exhausting search for clean air. American Journal of Public Health 2003;93(9):1494-1499. R826708 (2000)
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  • Journal Article Li YF, Gilliland FD, Berhane K, McConnell R, Gauderman WJ, Rappaport EB, Peters JM. Effects of in utero and environmental tobacco smoke exposure on lung function in boys and girls with and without asthma. American Journal of Respiratory and Critical Care Medicine 2000;162(6):2097-2104. R826708 (2000)
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  • Journal Article Li YF, Tsao YH, Gauderman WJ, Conti DV, Avol E, Dubeau L, Gilliland FD. Intercellular adhesion molecule-1 and childhood asthma. Human Genetics 2005;117(5):476-484. R826708 (2000)
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  • Journal Article Li Y-F, Langholz B, Salam MT, Gilliland FD. Maternal and grandmaternal smoking patterns are associated with early childhood asthma. Chest 2005;127:1232-1241. R826708 (2000)
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  • Full-text: Chest Journal Full Text
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  • Journal Article Li Y-F, Gauderman WJ, Avol E, Dubeau L, Gilliland FD. Associations of tumor necrosis factor G-308A with childhood asthma and wheezing. American Journal of Respiratory and Critical Care Medicine 2006;173(9):970-976. R826708 (2000)
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  • Journal Article Linn WS, Gong Jr H, Clark KW, Anderson KR. Day-to-day particulate exposures and health changes in Los Angeles area residents with severe lung disease. Journal of the Air & Waste Management Association 1999;49(9 PM):108-115. R826708 (2000)
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  • Journal Article Linn WS, Szlachcic Y, Gong Jr H, Kinney PL, Berhane KT. Air pollution and daily hospital admissions in metropolitan Los Angeles. Environmental Health Perspectives 2000;108(5):427-434. R826708 (2000)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article Linn WS, Adkins RH, Gong Jr H, Waters RL. Pulmonary function in chronic spinal cord injury: a cross-sectional survey of 222 Southern California adult outpatients. Archives of Physical Medicine and Rehabilitation 2000;81(6):757-763. R826708 (2000)
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  • Journal Article McConnell R, Berhane K, Gilliland F, London SJ, Vora H, Avol E, Gauderman WJ, Margolis HG, Lurmann F, Thomas DC, Peters JM. Air pollution and bronchitic symptoms in Southern California children with asthma. Environmental Health Perspectives 1999;107(9):757-760. R826708 (2000)
    R826708 (2001)
    R826708 (2002)
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    R826708C001 (2000)
    R831861 (2004)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Other: Environmental Health Perspectives PDF
  • Journal Article McConnell R, Berhane K, Gilliland F, London SJ, Islam T, Gauderman WJ, Avol E, Margolis HG, Peters JM. Asthma in exercising children exposed to ozone: A cohort study. Lancet 2002;359(9304):386-391. R826708 (2000)
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  • Full-text: Science Direct Full Text
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  • Journal Article McConnell R, Berhane K, Gilliland FD, Molitor J, Thomas D, Lurmann F, Avol E, Gauderman WJ, Peters JM. Prospective study of air pollution and bronchitic symptoms in children with asthma. American Journal of Respiratory and Critical Care Medicine 2003;168(7):790-797. R826708 (2000)
    R826708 (2001)
    R826708 (2002)
    R826708 (Final)
    R826708C003 (Final)
    R827352 (2004)
    R827352 (Final)
    R827352C007 (Final)
    R827352C009 (Final)
    R831861 (2004)
    R831861 (2005)
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  • Full-text: American Thoracic Society Full Text
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  • Journal Article McConnell R, Milam J, Richardson J, Galvan J, Jones C, Thorne PS, Berhane K. Educational intervention to control cockroach allergen exposure in the homes of hispanic children in Los Angeles: results of the La Casa study. Clinical & Experimental Allergy 2005;35(4):426-433. R826708 (2000)
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  • Journal Article Peters JM, Avol E, Navidi W, London SJ, Gauderman WJ, Lurmann F, Linn WS, Margolis H, Rappaport E, Gong H, Thomas DC. A study of twelve Southern California communities with differing levels and types of air pollution. I. Prevalence of respiratory morbidity. American Journal of Respiratory and Critical Care Medicine 1999;159(3):760-767. R826708 (2000)
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  • Journal Article Peters JM, Avol E, Gauderman WJ, Linn WS, Navidi W, London SJ, Margolis H, Rappaport E, Vora H, Gong H Jr, Thomas DC. A study of twelve Southern California communities with differing levels and types of air pollution. II. Effects on pulmonary function. American Journal of Respiratory and Critical Care Medicine 1999;159(3):768-775. R826708 (2000)
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  • Journal Article Richardson JL, Milam JE, Galvan J, Jones C, McConnell R. Knowledge of skin test results among parents of asthmatic children. Journal of Asthma 2005;41(2):199-204. R826708 (2000)
    R826708 (2001)
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  • Journal Article Riedl MA, Landaw EM, Saxon A, Diaz-Sanchez D. Initial high-dose nasal allergen exposure prevents allergic sensitization to a neoantigen. Journal of Immunology 2005;174(11):7440-7445. R826708 (2000)
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  • Full-text: Journal of Immunology Full Text
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  • Journal Article Riedl M, Diaz-Sanchez D. Biology of diesel exhaust effects on respiratory function. Journal of Allergy and Clinical Immunology 2005;115(2):221-228. R826708 (2000)
    R826708 (2001)
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  • Journal Article Rumold R, Jyrala M, Diaz-Sanchez D. Secondhand smoke induces allergic sensitization in mice. The Journal of Immunology 2001;167(8):4765-4770. R826708 (2000)
    R826708 (2001)
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  • Journal Article Salam MT, Gilliland F, Li Y-F, Langholz B. Early life environmental risk factors for asthma: Findings from the Children’s Health Study. Environmental Health Perspectives 2004;112(6):760-765. R826708 (2000)
    R826708 (2001)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article Salam MT, Langholz B, Li Y-F, Gilliland FD. Maternal fish consumption during pregnancy and risk of childhood asthma. Journal of Asthma 2005;42(6):513-518. R826708 (2000)
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  • Journal Article Saxon A, Diaz-Sanchez D. Air pollution and allergy: you are what you breathe. Nature Immunology 2005;6(3):223-226. R826708 (2000)
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  • Journal Article Sioutas C, Kim S, Chang M, Terrell LL, Gong Jr H. Field evaluation of a modified DataRAM MIE scattering monitor for real-time PM2.5 mass concentration measurements. Atmospheric Environment 2000;34(28):4829-4838. R826708 (2000)
    R826708 (2001)
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    R827352 (Final)
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  • Journal Article Thorne PS, Metwali N, Avol E, McConnell RS. Surface sampling for endotoxin assessment using electrostatic wiping cloths. Annals of Occupational Hygiene 2005;49(5):401-406. R826708 (2000)
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  • Journal Article Wan J, Diaz-Sanchez D. Phase II enzymes induction blocks the enhanced IgE production in B cells by diesel exhaust particles. Journal of Immunology 2006;177(5):3477-3483. R826708 (2000)
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  • Full-text: The Journal of Immunology Full Text
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  • Journal Article Wenten M, Berhane K, Rappaport EB, Avol E, Tsai WW, Gauderman WJ, McConnell R, Dubeau L, Gilliland FD. TNF-308 modifies the effect of second-hand smoke on respiratory illness-related school absences. American Journal of Respiratory and Critical Care Medicine 2005;172:1563-1568. R826708 (2000)
    R826708 (2001)
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  • Journal Article Whitekus MJ, Li N, Zhang M, Wang M, Horwitz MA, Nelson SK, Horwitz LD, Brechun N, Diaz-Sanchez D, Nel AE. Thiol antioxidants inhibit the adjuvant effects of aerosolized diesel exhaust particles in a murine model for ovalbumin sensitization. The Journal of Immunology 2002;168(5):2560-2567. R826708 (2000)
    R826708 (2001)
    R826708 (2002)
    R826708 (Final)
    R826708C001 (Final)
    R826708C002 (Final)
    R827352 (Final)
    R827352C002 (Final)
    R831861 (2004)
    R831861 (2005)
  • Abstract from PubMed
  • Full-text: Journal of Immunology Full Text
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  • Journal Article Xie B, Gilliland FD, Li YF, Rockett HR. Effects of ethnicity, family income, and education on dietary intake among adolescents. Preventive Medicine 2003;36(1):30-40. R826708 (2000)
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  • Supplemental Keywords:

    children’s health, respiratory health, allergic airway disease, secondhand smoke, air pollution, diesel exhaust particles, integrated pest management, community-based participatory research, susceptibility, genetics, gene expression, inflammation, , Geographic Area, Scientific Discipline, Health, RFA, Risk Assessments, Health Risk Assessment, Epidemiology, Children's Health, Allergens/Asthma, State, California (CA), asthma indices, allergen, respiratory problems, respiratory disease, children's environmental health, asthmatic children, second hand smoke, cigarette smoke, childhood respiratory disease, human health risk, susceptibility, acute lung injury, air pollution, airborne pollutants, airway disease, children, tobacco smoke, exposure, children's vulnerablity, asthma triggers, allergic response, asthma, human exposure
    Relevant Websites:

    http://www.usc.edu/schools/medicine/departments/preventive_medicine/divisions/occupational/occ_environmental/cehc/index.html exit EPA

    Progress and Final Reports:
    2000 Progress Report
    2001 Progress Report
    2002 Progress Report
    Original Abstract

    Subprojects under this Center: (EPA does not fund or establish subprojects; EPA awards and manages the overall grant for this center).
    R826708C001 Asthma in Children: A Community-based Intervention Project
    R826708C002 Children's Exposure to Environmental Tobacco Smoke: Changes in Allergic Response
    R826708C003 Respiratory Disease and Prevention Center

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    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Conclusions drawn by the principal investigators have not been reviewed by the Agency.


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