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Johns Hopkins Center for Childhood Asthma in the Urban Environment

EPA Grant Number: R832139
Center: 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
Institution: Johns Hopkins University
EPA Project Officer: Fields, Nigel
Project Period: November 1, 2003 through October 31, 2008 (Extended to October 31, 2010)
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: 100 Displayed | Download in RIS Format

Other center views: All 103 publications 103 publications in selected types All 100 journal articles

Type Citation Sub Project Document Sources
Journal Article 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)
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  • Abstract from PubMed
  • Full-text: Oxford Journals Full Text
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  • Journal Article Barekzi E, Roman J, Hise K, Georas S, Steinke JW. Lysophosphatidic Acid Stimulates Inflammatory Cascade in Airway Epithelial Cells. Prostaglandins, Leukotrienes & Essential Fatty Acids 2006;74(6):357-363. R832139 (2007)
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    Journal Article 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)
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  • Journal Article Barnes KC, Grant AV, Gao P. A review of the genetic epidemiology of resistance to parasitic disease and atopic asthma: common variants for common phenotypes? Current Opinion in Allergy and Clinical Immunology 2005;5(5):379-385. R832139 (2006)
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    Journal Article Barnes KC, Grant AV, Baltadzhieva D, Zhang S, Berg T, Shao L, Zambelli-Weiner A, Anderson W, Nelsen A, Pillai S, Yarnall DP, Dienger K, Ingersoll RG, Scott AF, Fallin MD, Mathias RA, Beaty TH, Garcia JG, Wills-Karp M. Variants in the gene encoding C3 are associated with asthma and related phenotypes among African Caribbean families. Genes and Immunity 2005;15:1-9. R832139 (2006)
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    Journal Article Barnes KC. Genetic epidemiology of health disparities in allergy and clinical immunology. Journal of Allergy and Clinical Immunology 2006;117(2):243-254. R832139 (2006)
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    Journal Article Barnes KC, Grant A, Gao P, Baltadjieva D, Berg T, Chi P, Zhang S, Zambelli-Weiner A, Ehrlich E, Zardkoohi O, Brummet ME, Stockton M, Watkins T, Gao L, Gittens M, Wills-Karp M, Cheadle C, Beck LA, Beaty TH, Becker KG, Garcia JG, Mathias RA. Polymorphisms in the novel gene acyloxyacyl hydroxylase (AOAH) are associated with asthma and associated phenotypes. Journal of Allergy and Clinical Immunology 2006;118(1):70-77. R832139 (2006)
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    Journal Article Barnes KC, Grant AV, Baltadzhieva D, Zhang S, Berg T, Shao L, Zambelli-Weiner A, Anderson W, Nelsen A, Pillai S, Yarnall DP, Dienger K, Ingersoll RG, Scott AF, Fallin MD, Mathias RA, Beaty TH, Garcia JG, Wills-Karp M. Variants in the gene encoding C3 are associated with asthma and related phenotypes among African Caribbean families. Genes and Immunity 2006;7(1):27-35. R832139 (2007)
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    Journal Article Barnes KC, Grant AV, Hansel NN, Gao P, Dunston GM. African Americans with Asthma: Genetic Insights. Proceedings of the American Thoracic Society 2007;4(1):58-68. R832139 (2007)
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    Journal Article 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)
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  • Full-text: Pediatrics Full Text
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  • Journal Article Bollinger ME, Butz A, Mudd K, Hamilton RG. Contamination of nebulizers with environmental allergens. Annals of Allergy Asthma & Immunology 2005;95(5):429-432. R832139 (2006)
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    Journal Article 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)
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  • Journal Article 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)
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  • Journal Article Butz AM, Pham L, Lewis L, Lewis C, Hill K, Walker J, Winkelstein M. Rural Asthma Education: Impact of Parent and Child Intervention. Journal of Asthma 2005;42:813-821. R832139 (2006)
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    Journal Article Butz AM, Tsoukleris MG, Donithan M, Hsu VD, Zuckerman I, Mudd K, Thompson RE, Rand C, Bollinger ME. Effectiveness of Home Nebulizer Education Intervention in Young Minority Children with Asthma. Archives of Pediatric and Adolescent Medicine 2006;160:622-628. R832139 (2007)
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    Journal Article Butz AM, Walker J, Pulsifer M. Shared Decision Making in Children with Asthma. Pediatric Nursing 2007;33:111-116. R832139C002 (2007)
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    Journal Article Butz A, Tsoukleris M, Donithan M, Hsu V, Mudd K, Zuckerman I, Bollinger ME. Patterns of inhaled anti-inflammatory medication use in young underserved children with asthma. Pediatrics 2006;118(6):2504-2513. R832139 (2007)
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    Journal Article Butz A. Evidence-Based Practice: What is the Evidence for Medication Adherence in Children? Journal of Pediatric Health Care 2006;20(5):338-341. R832139 (2007)
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    Journal Article 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)
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  • Journal Article Cheadle C, Becker KG, Cho-Chung YS, Nesterova M, Watkins T, Wood W 3rd, Prabhu V, Barnes KC. A Rapid Method for Microarray Cross Platform Comparisons using Gene Expression Signatures. Molecular and Cellular Probes 2007;21(1):35-46. R832139 (2007)
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    Journal Article Chen R, Roman J, Guo J, West E, McDyer J, Williams MA, Georas SN. Lysophosphatidic acid modulates the activation of human monocyte-derived dendritic cells. Stem Cells and Development 2006;15(6):797-804. R832139 (2007)
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    Journal Article 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)
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  • Journal Article Diette GB, Patino CM, Merriman B, Paulin L, Okelo S, Thompson K, Krishnan JA, Quartey R, Perez-Williams D, Rand C. Patient Factors that Physicians Use to Assign Asthma Treatment. Archives of Internal Medicine 2007;167:1360-1366. R832139C001 (2007)
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    Journal Article Eggleston PA. Cockroach allergen abatement in inner-city homes. Annals of Allergy, Asthma & Immunology 2003;91(6):512-514. R832139 (2004)
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  • Journal Article Eggleston PA. Environmental control for fungal allergen exposure. Current Allergy and Asthma Reports 2003;3(5):424-429. R832139 (2004)
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  • Journal Article Eggleston PA, Butz A, Rand C, Curtin-Brosnan J, Kanchanaraksa S, Swartz L, Breysse P, Buckley T, Diette G, Merriman B, Krishnan JA. A randomized controlled clinical trial home environmental intervention in inner city asthma. Annals of Allergy, Asthma and Immunology 2005;95:518-524. R832139 (2006)
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    Journal Article 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)
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  • Journal Article Eggleston PA. Improving indoor environments: reducing allergen exposures. Journal of Allergy and Clinical Immunology 2005;116(1):122-126. R832139 (2004)
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  • Journal Article 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)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article 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)
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  • Journal Article Gao L, Grant AV, Rafaels N, Stockton-Porter M, Watkins T, Gao P, Chi P, Munoz M, Watson A, Dunston G, Togias A, Hansel N, Sevransky J, Maloney JP, Moss M, Shanholtz C, Brower R, Garcia JGN, Grigoryev DN, Cheadle C, Beaty TH, Mathias RA, Barnes KC. Polymorphisms in the Myosin Light Chain Kinase Gene that Confer Risk of Severe Sepsis are Associated with a Lower Risk of Asthma. Journal of Allergy and Clinical Immunology 2007;119(5):1111-1118. R832139 (2007)
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    Journal Article Garg A, Serwint J, Higman S, Kanof A, Schell D, Colon I, Butz A. Self-Efficacy at Smoking Cessation Counseling Parents in Primary Care: An Office-Based Intervention for Pediatricians and Family Physicians. Clinical Pediatrics 2007;46(3):252-257. R832139 (2007)
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    Journal Article Georas SN, Berdyshev E, Hubbard W, Gorshkova IA, Usatyuk PV, Saatian B, Myers AC, Williams MA, Xiao HQ, Liu M, Natarajan V. Lysophosphatidic Acid is Detectable in Human Bronchoalveolar Lavage Fluids at Baseline and Increased After Segmental Allergen Challenge. Clinical & Experimental Allergy 2007;37(3):311-322. R832139 (2007)
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    Journal Article Georas S, Guo J, De Fanis U, Casolaro V. T-helper type 2 regulation in allergic disease. European Respiratory Journal 2005;26:1119-37. R832139 (2006)
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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):1442-1454. R832139 (2006)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article Guajardo JR, Schleifer KW, Daines MO, Ruddy RM, Aronow BJ, Wills-Karp M, Hershey GK. Altered gene expression profiles in nasal respiratory epithelium reflect stable versus acute childhood asthma. Journal of Allergy and Clinical Immunology 2005;115(2):243-51. R832139C003 (2006)
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    Journal Article 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)
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  • Journal Article Hansel NN, Eggleston PA, Krishnan JA, Curtin-Brosnan J, Rand CS, Patino CM, Diette GB. Asthma-related health status determinants of environmental control practices for inner-city preschool children. Annals of Allergy, Asthma & Immunology 2006;97(3):409-417. R832139 (2007)
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    Journal Article Hansel NN, Rand CS, Krishnan J, Okelo S, Breysse P, Eggleston P, Matsui E, Diette GB. Influence of Caregiver's Health Beliefs on their Use of Environmental Control Practices in Homes of Pre-school Children with Asthma. Pediatric Asthma, Allergy & Immunology 2006;19(4)231-242. R832139C001 (2007)
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    Journal Article Hansel NN and Diette GB. Gene Expression Profiling in Human Asthma. Proceedings of the American Thoracic Society 2007;4(1):32-36. R832139 (2007)
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    Journal Article 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)
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  • Journal Article 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)
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  • Journal Article Huang I, Frangakis C, Dominici F, Diette GB, Wu AW. Applications of a propensity score approach for risk adjustment in profiling multiple physicians groups on asthma care. Health Services Research 2005;40:253-278. R832139 (2006)
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    Journal Article 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)
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  • Journal Article 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)
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  • Full-text: AJMC Full Text
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  • Journal Article Israel BA, Parker EA, Rowe Z, Salvatore A, Minkler M, Lopez J, Butz A, Mosley A, Coates L, Lambert G, Potito PA, Brenner B, Rivera M, Romero H, Thompson B, Coronado G, Halstead S. Community-based participatory research: lessons learned from the Centers for Children's Environmental Health and Disease Prevention Research. Environmental Health Perspectives 2005;113(10):1463-1471. R832139 (2006)
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  • Journal Article Keen JC, Cianferoni A, Florio G, Guo J, Chen R, Roman J, Wills-Karp M, Casolaro V, Georas SN. Characterization of a novel PMA-inducible pathway of interleukin-13 gene expression in T cells. Immunology 2006;117(1):29-37. R832139 (2006)
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    Journal Article Kohl J, Baelder R, Lewkowich IP, Pandey MK, Hawlisch H, Wang L, Best J, Herman NS, Sproles AA, Zwirner J, Whitsett JA, Gerard C, Sfyroera G, Lambris JD, Wills-Karp M. A regulatory role for the C5a anaphylatoxin in type 2 immunity in asthma. Journal of Clinical Investigation 2006;116(3):783-796. R832139C003 (2006)
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    Journal Article Kohl J, Wills-Karp M. A dual role for complement in allergic asthma. Current Opinion in Pharmacology 2007;7:283-289. R832139C003 (2007)
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    Journal Article Kohl J, Wills-Karp M. Complement regulates inhalation tolerance at the dendritic cell/T cell interface. Molecular Immunology 2007;44:44-56. R832139C003 (2007)
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    Journal Article Krishnan V, Diette GB, Rand CS, Bilderback AL, Merriman B, Hansel NN, Krishnan JA. Mortality in patients hospitalized for asthma exacerbations in the United States. American Journal of Respiratory and Critical Care Medicine 2006;174(6):633-638. R832139 (2007)
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    Journal Article Lewkowich IP, Herman NS, Schleifer KW, Dance MP, Chen BL, Dienger KM, Sproles AA, Shah JS, Kohl J, Belkaid Y, Wills-Karp M. CD4+CD25+ T cells protect against experimentally induced asthma and alter pulmonary dendritic cell phenotype and function. Journal of Experimental Medicine 2005;202(11):1549-1561. R832139 (2006)
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    Journal Article 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)
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  • Journal Article Limb SL, Brown KC, Wood RA, Wise RA, Eggleston PA, Tonascia J, Adkinson NF Jr. Irreversible lung function deficits in young adults with a history of childhood asthma. Journal of Allergy and Clinical Immunology 2005;116(6):1213-1219. R832139 (2006)
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    Journal Article Mathias RA, Gao P, Goldstein JL, Wilson AF, Pugh EW, Furbert-Harris P, Dunston GM, Malveaux FJ, Togias A, Barnes KC, Beaty TH, Huang S-K. A graphical assessment of p-values from sliding window haplotype tests of association to identify asthma susceptibility loci on chromosome 11q. BMC Genetics 2006;7:38. R832139 (2007)
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    Journal Article 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)
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  • Journal Article 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)
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  • Journal Article 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)
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  • Journal Article 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)
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  • Journal Article Matsui EC, Diette GB, Krop EJM, Aalberse RC, Smith AL, Curtin-Brosnan J, Eggleston PA. Mouse allergen-specific immunoglobulin G and Immunoglobulin G4 and allergic symptoms in immunoglobulin E-sensitized laboratory animal workers. Clinical & Experimental Allergy 2005;35:1347-1353. R832139 (2006)
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    Journal Article Matsui EC, Eggleston PA, Buckley TJ, Krishnan JA, Breysse P, Rand C, Diette GB. Household Mouse Allergen Exposure and Asthma Morbidity in Inner-city Pre-school Children. Annals of Allergy, Asthma & Immunology 2006;97(4):514-520. R832139 (2007)
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    Journal Article Matsui EC, Diette GB, Krop EJ, Aalberse RC, Smith AL, Eggleston PA. Mouse Allergen-specific IgG4 and Risk of Mouse Skin Test Sensitivity. Clinical and Experimental Allergy 2006;36(8):1097-1103. R832139 (2007)
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    Journal Article Matsui EC, Eggleston PA, Breysse PN, Rand CS, Diette GB. Mouse allergen-specific antibody responses in inner-city children with asthma. Journal of Allergy and Clinical Immunology 2007;119(4):910-915. R832139 (2007)
    R832139C001 (2007)
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    Journal Article Mudd K, Bollinger ME, Hsu VD, Donithan M, Butz A. Pharmacy fill patterns in young urban children with persistent asthma. Journal of Asthma 2006;43(8):597-600. R832139 (2007)
    R832139C002 (2007)
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    Journal Article 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)
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  • Journal Article Okelo SO, Wu AW, Merriman B, Krishnan JA, Diette GB. Are Physician Estimates of Asthma Severity Less Accurate in Black than in White Patients? Journal of General Internal Medicine 2007;22(7):976-981. R832139 (2007)
    R832139C001 (2007)
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    Journal Article Paasche-Orlow MK, Riekert KA, Bilderback A, Chanmugam A, Hill P, Rand CS, Brancati FL, Krishnan JA. Tailored education may reduce health literacy disparities in asthma self-management. American Journal of Respiratory and Critical Care Medicine 2005;172(8):980-986. R832139 (2006)
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    Journal Article Perkins C, Wills-Karp M, Finkelman FD. IL-4 induces IL-13-independent allergic airway inflammation. Journal of Allergy and Clinical Immunology 2006;118:410-419. R832139C003 (2007)
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    Journal Article Perry TT, Wood RA, Matsui EC, Curtin-Brosnan J, Rand C, Eggleston PA. Room-Specific Characteristics of Suburban Homes as Predictors of Indoor Allergen Concentrations. Annals of Allergy, Asthma & Immunology 2006;97(5):628-635. R832139 (2007)
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    Journal Article 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)
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  • Journal Article 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)
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  • Journal Article 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)
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  • Journal Article Porter M, Karp M, Killedar S, Bauer SM, Guo J, Williams D, Breysse P, Georas SN, Williams MA. Diesel-enriched particulate matter functionally activates human dendritic cells. American Journal of Respiratory Cell and Molecular Biology 2007;37(6):706-719. R832139 (2007)
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    Journal Article Rangasamy T, Guo J, Mitzner WA, Roman J, Singh A, Fryer AD, Yamamoto M, Kensler TW, Tuder RM, Georas SN, Biswal S. Disruption of Nrf2 enhances susceptibility to severe airway inflammation and asthma in mice. Journal of Experimental Medicine 2005;202(1):47-59. R832139 (2006)
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    Journal Article 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)
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  • Journal Article Rubenfeld J, Guo J, Sookrung N, Chen R, Chaicumpa W, Casolaro V, Zhao Y, Natarajan V, Georas S. Lysophosphatidic Acid Enhances Interleukin-13 Gene Expression and Promoter Activity in T Cells. Lung Cellular and Molecular Physiology 2006;290(1):L66-L74. R832139 (2007)
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    Journal Article 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)
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  • Journal Article Rubinson L, Wu AW, Haponik EF, Diette GB. Why don’t Internists follow clinical practice guidelines for the prevention of intravascular catheter Infections? Infection Control and Hospital Epidemiology 2005;26(6):525-33. R832139 (2006)
    R832139C001 (2006)
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    Journal Article Saatian B, Zhao Y, He D, Georas SN, Watkins T, Spannhake EW, Natarajan V. Transcriptional Regulation of Lysophosphatidic Acid-Induced Interleukin-8 Expression and Secretion by p38 MAPK and JNK in Human Bronchial Epithelial Cells. Biochemical Journal 2006;393(3):657-668. R832139 (2007)
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    Journal Article 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)
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  • Journal Article Schmier JK, Manjunath R, Halpern MT, Jones ML, Thompson K, Diette GB. The impact of inadequately controlled asthma in urban children on quality of life and productivity. Annals of Allergy, Asthma & Immunology 2007;98(3):245-251. R832139C001 (2007)
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    Journal Article 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)
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  • Journal Article Sharma HP, Hansel NN, Matsui EC, Diette GB, Eggleston PA, Breysee PN. Indoor Environmental Influences on Children’s Asthma. Pediatric Clinics of North America 2007;54(1):103-120. R832139 (2007)
    R832139C001 (2007)
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    Journal Article Simons E, Curtin-Brosnan J, Buckley TJ, Breysse P, Eggleston PA. Indoor Environmental Differences between Inner City and Suburban Homes of Children with Asthma. Journal of Urban Health 2007;84(4):577-590. R832139 (2007)
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    Journal Article 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)
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  • Journal Article Smith A, Krishnan JA, Bilderback A, Riekert KA, Rand CS, Bartlett SJ. Depressive symptoms and adherence to asthma therapy after hospital discharge. Chest 2006;130(4):1034-1038. R832139 (2007)
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    Journal Article 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)
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  • Journal Article 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)
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  • Journal Article Williams MA, Porter M, Roman J, Breysse P, Williams D, Georas SN. Ambient Baltimore Particulate Matter Directs Non-Classical Immune Activation of Human Myeloid Dendritic Cells. Journal of Allergy and Clinical Immunology 2007;119(2):488-497. R832139 (2007)
    R832139C004 (2007)
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    Journal Article Williams MA, Cheadle C, Watkins T, Killedar S, Tailor A, Barnes K, Georas S. TLR2 and TLR4 are potential biomarkers of environmental particulate matter exposed human myeloid dendritic cells. Biomarker Insights 2007;2:225-239. R832139C004 (2007)
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    Journal Article Williams MC, Georas S. Gene expression patterns and susceptibility to allergic responses. Expert Review of Clinical Immunology 2006;2:59-73. R832139 (2006)
    R832139 (2007)
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    Journal Article Wills-Karp M, Ewart SL. Time to draw breath: asthma-susceptibility genes are identified. Nature Reviews Genetics 2004;5(5):376-387. R832139 (2004)
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  • Journal Article Wills-Karp M, Koehl J. New Insights into the Role of the Complement Pathway in Allergy and Asthma. Current Allergy and Asthma Reports 2005;5(5):362-369. R832139C003 (2006)
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    Journal Article Wills-Karp M. Complement activation pathways: a bridge between innate and adaptive immune responses in asthma. Proceedings of the American Thoracic Society 2007;4:247-251. R832139C003 (2007)
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    Journal Article Winkelstein ML, Quartey R, Pham L, Lewis L, Lewis C, Hill K, Butz A. Asthma Education for Rural School Health Personnel: Resources, Barriers, and Outcomes. Journal of School Nursing 2006;22:170-177. R832139C002 (2006)
    R832139C002 (2007)
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    Journal Article 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)
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  • Journal Article 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)
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  • Journal Article Zambelli-Weiner A, Ehrlich E, Stockton ML, Grant AV, Zhang S, Levett PN, Beaty TH, Barnes KC. Evaluation of the CD14/-260 polymorphism and house dust endotoxin exposure in the Barbados Asthma Genetics Study. Journal of Allergy and Clinical Immunology 2005;115(6):1203-1209. R832139 (2006)
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    Journal Article 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)
    R832139 (2006)
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  • Journal Article Zhao Y, He D, Zhao J, Wang L, Leff AR, Spannhake EW, Georas S, Natarajan V. Lysophosphatidic acid induces interleukin-13 (IL-13) receptor alpha2 expression and inhibits IL-13 signaling in primary human bronchial epithelial cells. Journal of Biological Chemistry 2007;282(14):10172-10179. R832139 (2007)
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    Supplemental Keywords:

    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, , 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
    2006 Progress Report
    2007 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

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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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