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Table of Contents 中文摘要 I Abstract IV 誌謝 VI List of Table XI List of Figures XII Glossary XIII Chapter 1: Introduction 1 Chapter 2. Literature Review 2 A. Prevalence of atopic disease in Taiwan 2 B. Immune response of atopic diseases 2 C. Umbilical cord blood Immunoglobin E (cbIgE) and atopic diseases 3 D. Candidate genes and atopic diseases 4 D-1. Interleukin (IL)-4 4 D-2. High-affinity IgE receptor beta (FcRI-) 5 D-3. Tumor necrosis factors (TNFs) 6 E. Psychosocial stress and atopic diseases 6 F. Environmental factors for atopic diseases 7 F-1. Outdoor air pollution 7 F-2. Indoor environmental factors 8 F-3. Tobacco smoking 9 G. Objectives 10 Chapter 3: Materials and Methods 12 A. Recruitment of research subjects 12 A-1: Birth cohort in our laboratory (BCL) 12 A-2: Taiwan national birth cohort (TBCS) 13 B. Questionnaire 13 B-1: Prenatal - BCL 13 B-2: Follow-up 14 B-2-1: Phone interview - BCL 14 B-2-2: Home interview - TBCS 15 C. Blood sampling and storing 15 D. IgE measurement 15 E. DNA extraction 16 F. Genotype assay 16 G. Statistic analysis 17 G-1: General analysis 17 G-2: Principle component analysis 17 G-3: Predictive model establishment 18 G-4: Receiver-operator characteristic (ROC) curves 18 Chapter 4: Results 19 A. Subject recruitment 19 A-1: BCL 19 A-2: TBCS 19 B. Effects of potential risk factors for cord blood IgE (cbIgE) levels: Association between Cord Blood IgE and Genetic Polymorphisms of Interleukin-4, the Subunit of the High-affinity Receptor for IgE, Lymphotoxin-α, and Tumor Necrosis Factor-α 19 C. Effects of potential risk factors for children’s atopic dermatitis 21 C-1: Predicting risk for early infantile atopic dermatitis by hereditary and environmental factors 21 C-2: Prediction of atopic dermatitis in 2-year-old children by cord blood IgE, genetic polymorphisms in cytokine genes, and maternal mentality during pregnancy 24 Chapter 5: Discussion 28 A. summary 28 B. Risk factors of IgE 28 C. Risk factors of AD 31 C-1. Parental atopy 31 C-2. Environmental factors 31 C-3. Cord blood IgE 33 C-3. Psychological stress 34 C-4. Genetic polymorphism of candidate genes 35 D. Limitation 36 Chapter 6: Conclusion 39 Chapter 7: Further Study 40 Chapter 8: References 41 Chapter 9: Publication List 56 A. SCI Articles 56 B. Conference 57 B-1 International 57 B-2 National 57 Appendix I: Prenatal questionnaire of BCL 83 Appendix II: Published SCI articles 94
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