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Dadha P, Nimmagadda S, Venter C, Gupta R, Kumar PU, Warren CM. Reported food-related symptoms and food allergen sensitization in a selected adult population in Hyderabad, India: A hospital-based survey. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. GLOBAL 2024; 3:100204. [PMID: 38283084 PMCID: PMC10818074 DOI: 10.1016/j.jacig.2023.100204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 10/12/2023] [Accepted: 10/30/2023] [Indexed: 01/30/2024]
Abstract
Background Research on reported food-related triggers of atopic disease in South Asian adults is lacking despite the region's large population and the global significance of allergic diseases. Objectives The study aimed to identify prevalent local food items and assess allergic sensitization rates to potential trigger foods for atopic diseases via skin prick and specific IgE testing. Methods The study began with a pilot survey of 100 subjects recruited from 4 hospitals in Hyderabad, India, focusing on foods perceived to relate to asthma, allergic rhinitis, atopic dermatitis, urticaria, and gastrointestinal allergic symptoms. A subsequent main study evaluated 2010 participants, 1754 of whom were diagnosed with an aforementioned atopic disease and who reported allergic symptoms related to any of 77 foods identified in the pilot study. Ultimately 1622 patients who consented to skin prick and specific IgE testing and who reported at least 1 food item triggering allergic diseases were included in the final analysis. Results Among 1622 patients (average age, 42.6 ± 12.9 years; 55.5% male), asthma was the most commonly diagnosed atopic disease (26.4%), with itching and rash being frequently reported symptoms (22.7%). Notably, 94.9% of patients had total serum IgE > 144 kU/L. Chickpea, cabbage, eggplant, walnut, cumin, and betel leaf were the most commonly reported trigger foods. Conclusion In this sample of South Indian adults diagnosed with allergic disease, reported food triggers were most commonly local dietary staples, while reported reactions to priority allergens like peanut and sesame were conspicuously absent. Observed concordance between patient-reported food triggers and sensitization to reported food triggers was low, highlighting the need for improved clinical evaluation of suspected triggers.
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Affiliation(s)
- Priyanka Dadha
- Center for Food Allergy & Asthma Research (CFAAR), Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill
| | - Sai Nimmagadda
- Center for Food Allergy & Asthma Research (CFAAR), Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill
- Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Ill
| | - Carina Venter
- Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Ill
- Department of Pediatrics–Allergy/Immunology, CFAAR, Chicago, Ill
| | - Ruchi Gupta
- Center for Food Allergy & Asthma Research (CFAAR), Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill
- Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Ill
| | - Putcha Uday Kumar
- Division of Pathology & Microbiology, Indian Council of Medical Research–National Institute of Nutrition, Ministry of Health and Family Welfare, Government of India, Hyderabad, Telangana, India
| | - Christopher M. Warren
- Center for Food Allergy & Asthma Research (CFAAR), Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill
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Ghazali NA, Elmy A, Yuen LC, Sani NZ, Das S, Suhaimi F, Yusof R, Yusoff NH, Thent ZC. Piper betel leaves induces wound healing activity via proliferation of fibroblasts and reducing 11β hydroxysteriod dehydrogenase-1 expression in diabetic rat. J Ayurveda Integr Med 2016; 7:198-208. [PMID: 27889427 PMCID: PMC5192284 DOI: 10.1016/j.jaim.2016.08.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 07/20/2016] [Accepted: 08/06/2016] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Increased oxidative stress and stress enzyme 11β hydroxysteriod dehydrogenase-1 (11β HSD-1) served as the major contributing factors for delayed wound healing in diabetes mellitus (DM). Piper betel (PB) leaves are reported to possess anti-diabetic, anti-oxidant and anti-microbial properties. OBJECTIVE The objective was to investigate the effectiveness of topical application of PB leaves extract on oxidative stress and 11β hydroxysteriod dehydrogenase-1 (11β HSD-1) expression in diabetic wounds. MATERIALS AND METHODS A total 64 male Sprague-Dawley rats were randomly chosen. The experimental rats received a single intramuscular injection of streptozotocin (45 mg/kg). Four full thickness (6 mm) wounds were created on the dorsum of each rat. The animals were equally divided (n = 8) into four groups based on the days of treatment (i.e. days 3 and 7): Control (Ctrl), diabetic untreated (DM-Ctrl), diabetic treated with 1% silver nitrate cream (DM-SN) and diabetic treated with 50 mg/kg of P. betel leaves extract (DM-PB). The rats were sacrificed on day 3 and 7 of post wound creations. RESULTS Following day 7 wound creation, topical application of PB extract showed significant increase in hydroxyproline content, superoxide dismutase (SOD) level and decreased malondialdehyde (MDA) level, 11β-HSD-1 enzyme expression in the diabetic wounds compared to untreated diabetic wounds. The results were supported by the observations based on histological and ultrastructural features of the wound tissue applied with PB extract. CONCLUSION PB leaves extract improved the delayed wound healing in diabetes mellitus by decreasing the oxidative stress markers and 11β HSD-1 expression.
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Affiliation(s)
- Nur Amalina Ghazali
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Azree Elmy
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Lee Chee Yuen
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Nurul Zaidah Sani
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Srijit Das
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Farihah Suhaimi
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Rafizul Yusof
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Nurul Huda Yusoff
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Zar Chi Thent
- Department of Anatomy, Pre-clinical Building, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, 56000, Cheras, Kuala Lumpur, Malaysia; Anatomy Disciplines, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Jalan Hospital, 47000, Sungi Buloh, Selangor, Malaysia.
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