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Johns Hopkins Center for Childhood Asthma in the Urban Environment
EPA Grant Number: R832139Center: Johns Hopkins Center for Childhood Asthma in the Urban Environment
Center Director: Breysse, Patrick
Title: Johns Hopkins Center for Childhood Asthma in the Urban Environment
Investigators: Breysse, Patrick
Current Investigators: Breysse, Patrick , Matsui, Elizabet
Institution: Johns Hopkins University
EPA Project Officer: Fields, Nigel
Project Period: August 1, 2003 through July 31, 2008
Project Amount: $4,046,103
RFA: Centers for Children's Environmental Health and Disease Prevention Research (2003)
Research Category: Children's Health , Health Effects
Description:
Objective:The long term goals of the Center for Childhood Asthma in the Urban Environment are to examine how exposures to environmental pollutants and allergens may relate to airway inflammation and respiratory morbidity in children with asthma living in the inner city of Baltimore, and to search for new ways to reduce asthma morbidity by reducing exposure to these agents.
To accomplish these goals, the Center includes both basic and applied research programs in combination with a community-based intervention research project. The first project is a community-based epidemiologic study of 400 children, ages 6-12, and their homes to identify relevant airborne exposures and to examine genetic determinants of asthma morbidity resulting from these exposures. The second project is a community-based participatory research project that is a randomized controlled clinical trial of 120 children of the effectiveness of behavioral methods to reduce pollutant and allergen exposures and their adverse health effects. The third project examines the mechanisms by which particulate matter may exacerbate an allergen-driven response in the airways. The fourth project, conducted by a newly recruited investigator, will examine the effects of environmental particulates on the in vitro maturation of peripheral blood monocytes to dendritic cells. These projects will be supported by core facilities for data management and exposure assessment. Another core facility will increase the Center’s existing community outreach and translational activities. An administrative core will support research and general meetings to integrate the interests and activities of the Center. A community advisory committee has contributed to the planning process both for the environmental epidemiology project and the community-based intervention research project, and the committee has agreed to meet periodically with Center researchers to discuss the Center’s findings and progress. A seven-member External Advisory Committee has been recruited. Information gained by this coordinated, interdisciplinary team will allow plans to be made for future studies to examine children’s susceptibility to asthma, and to plan even more effective interventions in future studies with collaborating families in the East Baltimore community.
Approach:The reasons for the increasing prevalence of asthma and increased asthma morbidity among minority populations living in U.S. inner cities are obviously complex, and include many factors in addition to the environmental ones. We have chosen to study the effect of environmental exposures on children with asthma in the urban environment because we are convinced by recent evidence suggesting that these factors are important contributors to the problem, and because we feel that environmental exposure measurements present an important public health opportunity to have an impact on the health of the urban poor population. We believe that efforts must be directed to increasing our understanding of the science of exposure measurement and individual susceptibility to allergen and pollutant-induced airway disease in order to formulate innovative new interventions. Our multidisciplinary Center will continue to address the effect of environmental exposures on asthma morbidity using a specific model as a conceptual framework. In the model, environmental exposures to allergens and to pollutants such as particulate matter (PM), environmental tobacco smoke (ETS) and ozone affect a susceptible individual to cause airway inflammation and obstruction that leads to respiratory disease. In the model, factors underlying and influencing each step of this process include social susceptibility factors (such as psychosocial stress, high smoking rates, inappropriate medication use, inadequate resources and poor access to high-quality health care) that are specific to the inner city and serve to increase asthma morbidity.
The researchers represent experienced scientists with interests in genetics, airway inflammation and epidemiology, as well as applied scientists conducting community-based research that represents a long and productive collaboration between Pediatrics, Nursing, Behavioral Psychology, Allergy and Immunology and Biostatisticians specializing in clinical trial design and management. Exposure assessment is provided by an experienced team of Environmental Health Scientists with the support of the infrastructure of the Johns Hopkins Center in Urban Environmental Health. The Center is also actively involving the local community, based on relationships established during almost ten years of collaborative community research and service programs.
Expected Results:The Johns Hopkins Center for Childhood Asthma in the Urban Environment represents a coordinated effort by a group of diverse multidisciplinary scientists to address a clear long-term goal. That goal is to understand how exposures to environmental pollutants and allergens may result in airway inflammation and respiratory morbidity in children with asthma living in the inner city of Baltimore and to develop effective strategies to reduce morbidity by changing those exposures.
Journal Articles: 38 Displayed | Download in RIS Format
| Other center views: | All 39 publications | 39 publications in selected types | All 38 journal articles |
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Alberg AJ, Diette GB, Ford JG. Invited commentary: Attendance and absence as markers of health status—the example of active and passive cigarette smoking. American Journal of Epidemiology 2003;157(10):870-873. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Barnes KC, Caraballo L, Munoz M, Zambelli-Weiner A, Ehrlich E, Burki M, Jimenez S, Mathias RA, Stockton ML, Deindl P, Mendoza L, Hershey GK, Nickel R, Wills-Karp M. A novel promoter polymorphism in the gene encoding complement component 5 receptor 1 on chromosome 19q13.3 is not associated with asthma and atopy in three independent populations. Clinical and Experimental Allergy 2004;34(5):736-744. |
R832139 (2004) R832139 (2005) R832139C003 (2004) |
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Bartlett SJ, Krishnan JA, Riekert KA, Butz AM, Malveaux FJ, Rand CS. Maternal depressive symptoms and adherence to therapy in inner-city children with asthma. Pediatrics 2004;113(2):229-237. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Breysse PN, Buckley TJ, Williams D, Beck CM, Jo SJ, Merriman B, Kanchanaraksa S, Swartz LJ, Callahan KA, Butz AM, Rand CS, Diette GB, Krishnan JA, Moseley AM, Curtin-Brosnan J, Durkin NB, Eggleston PA. Indoor exposures to air pollutants and allergens in the homes of asthmatic children in inner-city Baltimore. Environmental Research 2005;98(2):167-176. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Butz AM, Riekert KA, Eggleston P, Winkelstein M, Thompson RE, Rand C. Factors associated with preventive asthma care in inner-city children. Clinical Pediatrics 2004;43(8):709-719. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Callahan KA, Eggleston PA, Rand CS, Kanchanaraksa S, Swartz LJ, Wood RA. Knowledge and practice of dust mite control by specialty care. Annals of Allergy, Asthma & Immunology 2003;90(3):302-307. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Diette GB, Krishnan JA, Wolfenden LL, Skinner EA, Steinwachs DM, Wu AW. Relationship of physician estimate of underlying asthma severity to asthma outcomes. Annals of Allergy, Asthma & Immunology 2004;93(6):546-552. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Eggleston PA. Cockroach allergen abatement in inner-city homes. Annals of Allergy, Asthma & Immunology 2003;91(6):512-514. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Eggleston PA. Environmental control for fungal allergen exposure. Current Allergy and Asthma Reports 2003;3(5):424-429. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Eggleston PA, Butz A, Rand C, Curtin-Brosnan J, Kanchanaraksa S, Swartz L, Breysse P, Buckley T, Diette G, Merriman B, Krishnan JA. Home environmental intervention in inner-city asthma: a randomized controlled clinical trial. Annals of Allergy Asthma & Immunology 2005;95(6):518-524. |
R832139 (2004) R832139 (2005) R832139C002 (2005) R832139C003 (2005) |
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Eggleston PA. Improving indoor environments: reducing allergen exposures. Journal of Allergy and Clinical Immunology 2005;116(1):122-126. |
R832139 (2004) R832139 (2005) R832139C002 (2005) R832139C003 (2005) |
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Eggleston PA, Diette G, Lipsett M, Lewis T, Tager I, McConnell R, Chrischilles E, Lanphear B, Miller R, Krishnan J. Lessons learned from the study of childhood asthma from the Centers for Children’s Environmental Health and Disease Prevention research. Environmental Health Perspectives 2005;113(10):1430-1436. |
R832139 (2004) R832139 (2005) R832139C002 (2005) R832139C003 (2005) R826710 (Final) R827027 (2002) R829389 (2003) R829389 (2004) R829389 (2005) R831710 (2004) R831710 (2005) R831861 (2005) R832141 (2006) |
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Ferrari E, Tsay A, Eggleston PA, Spisni A, Chapman MD. Environmental detection of mouse allergen by means of immunoassay for recombinant Mus m 1. Journal of Allergy and Clinical Immunology 2004;114(2):341-346. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Hansel NN, Hilmer SC, Georas SN, Cope LM, Guo J, Irizarry RA, Diette GB. Oligonucleotide-microarray analysis of peripheral-blood lymphocytes in severe asthma. The Journal of Laboratory and Clinical Medicine 2005;145(5):263-274. |
R832139 (2004) R832139 (2005) R832139C001 (2005) |
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Hawlisch H, Wills-Karp M, Karp CL, Kohl J. The anaphylatoxins bridge innate and adaptive immune responses in allergic asthma. Molecular Immunology 2004;41(2-3):123-131. |
R832139 (2004) R832139 (2005) R832139C003 (2004) |
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Huang I-C, Frangakis C, Dominici F, Diette GB, Wu AW. Application of a propensity score approach for risk adjustment in profiling multiple physician groups on asthma care. Health Services Research 2005;40(1):253-278. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Huang I-C, Dominici F, Frangakis C, Diette GB, Damberg CL, Wu AW. Is risk-adjustor selection more important than statistical approach for provider profiling? Asthma as an example. Medical Decision Making 2005;25(1):20-34. |
R832139 (2004) R832139 (2005) R832139C001 (2005) |
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Huang I-C, Diette GB, Dominici F, Frangakis C, Wu AW. Variations of physician group profiling indicators for asthma care. The American Journal of Managed Care 2005;11(1):38-44. |
R832139 (2004) R832139 (2005) R832139C001 (2005) |
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Limb SL, Brown KC, Wood RA, Wise RA, Eggleston PA, Tonascia J, Hamilton RG, Adkinson Jr NF. Adult asthma severity in individuals with a history of childhood asthma. Journal of Allergy and Clinical Immunology 2005;115(1):61-66. |
R832139 (2004) R832139 (2005) R832139C002 (2005) R832139C003 (2005) |
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Matsui EC, Wood RA, Rand C, Kanchanaraksa S, Swartz L, Curtin-Brosnan J, Eggleston PA. Cockroach allergen exposure and sensitization in suburban middle-class children with asthma. Journal of Allergy and Clinical Immunology 2003;112(1):87-92. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Matsui EC, Krop EJM, Diette GB, Aalberse RC, Smith AL, Eggleston PA. Mouse allergen exposure and immunologic responses: IgE-mediated mouse sensitization and mouse-specific IgG and IgG4 levels. Annals of Allergy, Asthma & Immunology 2004;93(2):171-178. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Matsui EC, Wood RA, Rand C, Kanchanaraksa S, Swartz L, Eggleston PA. Mouse allergen exposure and mouse skin test sensitivity in suburban, middle-class children with asthma. Journal of Allergy and Clinical Immunology 2004;113(5):910-915. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Matsui EC, Simons E, Rand C, Butz A, Buckley TJ, Breysse P, Eggleston PA. Airborne mouse allergen in the homes of inner-city children with asthma. Journal of Allergy and Clinical Immunology 2005;115(2):358-363. |
R832139 (2004) R832139 (2005) R832139C002 (2005) R832139C003 (2005) |
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Okelo SO, Wu AW, Krishnan JA, Rand CS, Skinner EA, Diette GB. Emotional quality-of-life and outcomes in adolescents with asthma. Journal of Pediatrics 2004;145(4):523-529. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Perry T, Matsui E, Merriman B, Duong T, Eggleston P. The prevalence of rat allergen in inner-city homes and its relationship to sensitization and asthma morbidity. Journal of Allergy and Clinical Immunology 2003;112(2):346-352. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Phipatanakul W, Cronin B, Wood RA, Eggleston PA, Shih M-C, Song L, Tachdjian R, Oettgen HC. Effect of environmental intervention on mouse allergen levels in homes of inner-city Boston children with asthma. Annals of Allergy, Asthma & Immunology 2004:92(4):420-425. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Polack FP, Teng MN, Collins PL, Prince GA, Exner M, Regele H, Lirman DD, Rabold R, Hoffman SJ, Karp CL, Kleeberger SR, Wills-Karp M, Karron RA. A role for immune complexes in enhanced respiratory syncytial virus disease. Journal of Experimental Medicine 2002;196(6):859-865. |
R832139 (2004) R832139 (2005) R832139C003 (2004) |
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Riekert KA, Butz AM, Eggleston PA, Huss K, Winkelstein M, Rand CS. Caregiver-physician medication concordance and undertreatment of asthma among inner-city children. Pediatrics 2003;111(3):e214-e220. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Rubinson L, Wu AW, Haponik EF, Diette GB. Why is it that internists do not follow guidelines for preventing intravascular catheter infections? Infection Control and Hospital Epidemiology 2005;26(6):525-533. |
R832139 (2004) R832139 (2005) R832139C001 (2005) |
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Sapkota A, Symons JM, Kleissl J, Wang L, Parlange MB, Ondov J, Breysse PN, Diette GB, Eggleston PA, Buckley TJ. Impact of the 2002 Canadian forest fires on particulate matter air quality in Baltimore city. Environmental Science & Technology 2005;39(1):24-32. |
R832139 (2004) R832139 (2005) R832139C001 (2005) |
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Schweitzer IB, Smith E, Harrison DJ, Myers DD, Eggleston PA, Stockwell JD, Paigen B, Smith AL. Reducing exposure to laboratory animal allergens. Comparative Medicine 2003;53(5):487-492. |
R832139 (2004) R832139 (2005) R832139C002 (2004) |
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Skinner EA, Diette GB, Algatt-Bergstrom PJ, Nguyen TT, Clark RD, Markson LE, Wu AW. The Asthma Therapy Assessment Questionnaire (ATAQ) for children and adolescents. Disease Management 2004;7(4):305-313. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Swartz LJ, Callahan KA, Butz AM, Rand CS, Kanchanaraksa S, Diette GB, Krishnan JA, Breysse PN, Buckley TJ, Mosley AM, Eggleston PA. Methods and issues in conducting a community-based environmental randomized trial. Environmental Research 2004;95(2):156-165. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Walters DM, Breysse PN, Schofield B, Wills-Karp M. Complement factor 3 mediates particulate matter–induced airway hyperresponsiveness. American Journal of Respiratory Cell and Molecular Biology 2002;27(4):413-418. |
R832139 (2004) R832139 (2005) R832139C003 (2004) |
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Wills-Karp M, Ewart SL. Time to draw breath: asthma-susceptibility genes are identified. Nature Reviews Genetics 2004;5(5):376-387. |
R832139 (2004) R832139 (2005) R832139C003 (2004) |
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Wolfenden LL, Diette GB, Krishnan JA, Skinner EA, Steinwachs DM, Wu AW. Lower physician estimate of underlying asthma severity leads to undertreatment. Archives of Internal Medicine 2003;163(2):231-236. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Yurk RA, Diette GB, Skinner EA, Dominici F, Clark RD, Steinwachs DM, Wu AW. Predicting patient-reported asthma outcomes for adults in managed care. The American Journal of Managed Care 2004;10(5):321-328. |
R832139 (2004) R832139 (2005) R832139C001 (2004) |
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Zeldin DC, Eggleston P, Chapman M, Piedimonte G, Renz H, Peden D. How exposures to biologics influence the induction and incidence of asthma. Environmental Health Perspectives 2006;114(4):620-626. |
R832139 (2004) R832139 (2005) R832139C002 (2005) R832139C003 (2005) |
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Health, RFA, scientific discipline, allergens, asthma, atmospheric sciences, biochemistry, children's health, disease and cumulative effects, ecological risk assessment, health risk assessment, risk assessments, human health risk assessment, age-related differences, air pollutants, air pollution, air toxics, airborne pollutants, airborne urban contaminants, airway disease, airway inflammation, ambient particulates, asthma morbidity, asthmatic children, children, children's environmental health, community based, community-based intervention, disease, environmental health, health effects, human exposure, human health risk, morbidity,
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HUMAN HEALTH, Geographic Area, Scientific Discipline, Health, Health Effects, Risk Assessments, Health Risk Assessment, Epidemiology, Biochemistry, Genetics, State, adolescents, Maryland (MD), urban environment, airborne urban contaminants, environmental tobacco smoke, respiratory disease, asthmatic children, ozone, cigarette smoke, children's health, human health risk, air pollution, airway disease, particulate matter, allergic airway disease, asthma, human exposure
Progress and Final Reports:
2004 Progress Report
2005 Progress Report
Subprojects under this Center:
(EPA does not fund or establish subprojects; EPA awards and manages the overall grant for this center).
R832139C001 The Epidemiology of Susceptibility to Airborne Particulates and Allergens to Asthma in African Americans
R832139C002 A Randomized Controlled Trial of Behavior Changes in Home Exposure Control
R832139C003 Mechanisms of Particulate-Induced Allergic Asthma
R832139C004 Dendritic Cell Activation by Particulate Matter and Allergen