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ABSTRACT: Background
DEHP, a common plasticizer known for its hormone-disrupting properties, has been associated with asthma. However, a significant proportion of adult asthma cases are "non-atopic", lacking a clear etiology.Methods
In a case-control study conducted between 2011 and 2015, 365 individuals with current asthma and 235 healthy controls from Kaohsiung City were enrolled. The control group comprised individuals without asthma, Type 2 Diabetes Mellitus (T2DM), hypertension, or other respiratory/allergic conditions. The study leveraged asthma clusters (Clusters A to F) established in a prior investigation. Analysis involved the examination of urinary DEHP metabolites (MEHP and MEHHP), along with the assessment of oxidative stress, sphingolipid metabolites, and inflammatory biomarkers. Statistical analyses encompassed Spearman's rank correlation coefficients, multiple logistic regression, and multinomial logistic regression.Results
Asthma clusters (E, D, C, F, A) exhibited significantly higher ORs of MEHHP exposures compared to the control group. When considering asthma-related comorbidities (T2DM, hypertension, or both), patients without comorbidities demonstrated significantly higher ORs of the sum of primary and secondary metabolites (MEHP + MEHHP) and MEHHP compared to those with asthma comorbidities. A consistent positive correlation between urinary HEL and DEHP metabolites was observed, but a consistent negative correlation between DEHP metabolites and selected cytokines was identified.Conclusion
The current study reveals a heightened risk of MEHHP and MEHP + MEHHP exposure in specific asthma subgroups, emphasizing its complex relationship with asthma. The observed negative correlation with cytokines suggests a new avenue for research, warranting robust evidence from epidemiological and animal studies.
SUBMITTER: Hsu YT
PROVIDER: S-EPMC10960985 | biostudies-literature | 2024 Mar
REPOSITORIES: biostudies-literature
Hsu Yuan-Ting YT Wu Chao-Chien CC Wang Chin-Chou CC Sheu Chau-Chyun CC Yang Yi-Hsin YH Cheng Ming-Yen MY Lai Ruay-Sheng RS Leung Sum-Yee SY Lin Chi-Cheng CC Wei Yu-Feng YF Lai Yung-Fa YF Cheng Meng-Hsuan MH Chen Huang-Chi HC Yang Chih-Jen CJ Wang Chien-Jen CJ Liu Huei-Ju HJ Chen Hua-Ling HL Hung Chih-Hsing CH Lee Chon-Lin CL Huang Ming-Shyan MS Huang Shau-Ku SK
Respiratory research 20240323 1
<h4>Background</h4>DEHP, a common plasticizer known for its hormone-disrupting properties, has been associated with asthma. However, a significant proportion of adult asthma cases are "non-atopic", lacking a clear etiology.<h4>Methods</h4>In a case-control study conducted between 2011 and 2015, 365 individuals with current asthma and 235 healthy controls from Kaohsiung City were enrolled. The control group comprised individuals without asthma, Type 2 Diabetes Mellitus (T2DM), hypertension, or ot ...[more]