Jing-long Huang - Academia.edu (original) (raw)

Papers by Jing-long Huang

Research paper thumbnail of Early-onset eczema is associated with increased milk sensitization and risk of rhinitis and asthma in early childhood

Journal of Microbiology, Immunology and Infection, 2019

Research paper thumbnail of Trends in eczema prevalence in children and adolescents: A Global Asthma Network Phase I Study

Clinical & Experimental Allergy

BackgroundEczema (atopic dermatitis) is a major global public health issue with high prevalence a... more BackgroundEczema (atopic dermatitis) is a major global public health issue with high prevalence and morbidity. Our goal was to evaluate eczema prevalence over time, using standardized methodology.MethodsThe Global Asthma Network (GAN) Phase I study is an international collaborative study arising from the International Study of Asthma and Allergies in Children (ISAAC). Using surveys, we assessed eczema prevalence, severity, and lifetime prevalence, in global centres participating in GAN Phase I (2015–2020) and one/ both of ISAAC Phase I (1993–1995) and Phase III (2001–2003). We fitted linear mixed models to estimate 10‐yearly prevalence trends, by age group, income, and region.ResultsWe analysed GAN Phase I data from 27 centres in 14 countries involving 74,361 adolescents aged 13–14 and 47,907 children aged 6–7 (response rate 90%, 79%). A median of 6% of children and adolescents had symptoms of current eczema, with 1.1% and 0.6% in adolescents and children, respectively, reporting sy...

Research paper thumbnail of Vitamin D Supplementation in Patients with Juvenile Idiopathic Arthritis

Nutrients

Vitamin D has been implicated in the pathogenesis of skeletal disorders and various autoimmune di... more Vitamin D has been implicated in the pathogenesis of skeletal disorders and various autoimmune disorders. Vitamin D can be consumed from the diet or synthesized in the skin upon ultraviolet exposure and hydroxylation in the liver and kidneys. In its bioactive form, vitamin D exerts a potent immunomodulatory effect and is important for bone health. Juvenile idiopathic arthritis (JIA) is a collection of inflammatory joint diseases in children that share the manifestation of inflamed synovium, which can result in growth arrest, articular deformity, bone density loss, and disability. To evaluate the potential effect of vitamin D on JIA disease manifestations and outcomes, we review the role of vitamin D in bone metabolism, discuss the mechanism of vitamin D in modulating the innate and adaptive immune systems, evaluate the clinical significance of vitamin D in patients with JIA, and summarize the supplementation studies.

Research paper thumbnail of Monthly Recurrent Herpes Simplex Virus Blepharitis in a Boy for More Than 10 Years

Research paper thumbnail of Longitudinal investigation of nasopharyngeal methicillin-resistant Staphylococcus aureus colonization in early infancy: The PATCH birth cohort study

Clinical Microbiology and Infection, 2017

Research paper thumbnail of Clinical experience of childhood hypertensive encephalopathy over an eight year period

Chang Gung medical journal

Hypertensive encephalopathy is an uncommon neurological syndrome in children, usually with revers... more Hypertensive encephalopathy is an uncommon neurological syndrome in children, usually with reversible clinical and neuroimaging findings. Little is known about the precipitating factors, clinical presentations, neuroimaging findings and outcomes of childhood hypertensive encephalopathy in Taiwan. To characterize this syndrome, we retrospectively analyzed 12 children with hypertensive encephalopathy in a tertiary institution from 1998 through 2005. We investigated the precipitating factors, clinical findings, courses, neuroimaging characteristics and outcomes. Twelve patients (10 boys and 2 girls) with hypertensive encephalopathy were identified. Post-streptococcal glomerulonephritis was the most common precipitating underlying disease. Common clinical presentations included mental change (100%), seizure (91.6%), headache (66.6%), nausea or vomiting (75%), and blurred vision (41.6%). Brain imaging studies showed vasogenic edema over the bilateral parietal, occipital and parasagittal ...

Research paper thumbnail of Low cord blood vitamin D levels are associated with increased milk sensitization in early childhood

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2014

The association between vitamin D status at birth and allergen sensitizations is uncertain. The a... more The association between vitamin D status at birth and allergen sensitizations is uncertain. The aim of this study was to investigate the relationship between cord blood vitamin D status with allergen sensitizations and the development of atopic diseases in early childhood. Children aged 0 through 4 yr from a birth cohort in the Prediction of Allergies in Taiwanese Children (PATCH) study were enrolled. Serum levels of 25-hydroxyvitamin D (25(OH)D) in cord blood were measured by a new automated electrochemiluminescence-based assay. Specific IgE antibodies against food and inhalant allergens were measured at 6 months, and 1, 1.5, 2, 3, and 4 yr of age. A total of 186 children were regular followed up at clinics for a 4-yr follow-up period. The mean level of cord blood 25(OH)D was 23.8 ± 9.5 ng/ml with a high prevalence of low vitamin D status (<20 ng/ml) at birth (42%). There was a tendency of low cord blood 25(OH)D levels being associated with higher risk of food sensitization thro...

Research paper thumbnail of Headache in the Pediatric Emergency Service: A Medical Center Experience

Pediatrics & Neonatology, 2014

Research paper thumbnail of Immunologic Difference between Hypersensitivity to Mosquito Bite and Hemophagocytic Lymphohistiocytosis Associated with Epstein-Barr Virus Infection

Research paper thumbnail of Impaired phagocytosis and susceptibility to infection in pediatric-onset systemic lupus erythematosus

Lupus, 2013

ObjectivesImpaired function of polymorphonuclear cells (PMNs) in systemic lupus erythematosus (SL... more ObjectivesImpaired function of polymorphonuclear cells (PMNs) in systemic lupus erythematosus (SLE) leads to severe gram-positive and gram-negative bacterial infection, and to major morbidity and mortality. Few studies have focused on the association of impaired function of PMNs and SLE patients’ susceptibility to infection. This study aimed to analyze function of PMNs in peroxidase production, chemotaxis, and phagocytosis in pediatric-onset SLE with severe infection.MethodsThis study compared function of PMNs among pediatric-onset SLE patients with and without histories of severe infection and in normal control subjects. Human peripheral blood PMNs were isolated from patients and controls. Function of PMNs was measured by analyzing peroxidase, chemotaxis, and phagocytic activities. Different disease activity and severity, and drug use in newly diagnosed SLE patients were also compared.ResultsIn total, 34 SLE patients (12 patients with severe infection, 22 patients without infection...

Research paper thumbnail of The Development and Establishment of a Care Map in Children with Asthma in Taiwan

Research paper thumbnail of Worldwide trends in the burden of asthma symptoms in school-aged children: Global Asthma Network Phase I cross-sectional study

Research paper thumbnail of Pathogenic Bacterial Nasopharyngeal Colonization and Its Impact on Respiratory Diseases in the First Year of Life

Pediatric Infectious Disease Journal, 2015

Research paper thumbnail of The flow of a reversible ratchet

Computer Physics Communications, 2011

A reversible ratchet by which Brownian particles can be transported might be attained through the... more A reversible ratchet by which Brownian particles can be transported might be attained through the periodic change of a potential in space and time. Since the integrated flow of particles in the ratchet along a certain process can be expressed as a contour integral in the space of potential parameters, it is possible, therefore, to investigate what kind of process has a better net flow of particles in a reversible ratchet system. In a certain process, we study the behavior of the particle flow in two potential parameters and then find that structures exist in the net flow of particles in different potentials or processes. Our findings can be useful in the design of Brownian motors.

Research paper thumbnail of Low Mother-to-Child CCL22 Chemokine Levels Are Inversely Related to Mite Sensitization and Asthma in Early Childhood

Scientific reports, Jan 16, 2018

Few studies have addressed the mother-to-child transmission of Th2 immunity and the impact on the... more Few studies have addressed the mother-to-child transmission of Th2 immunity and the impact on the development of atopic diseases in early childhood. We investigated 186 children who were followed-up regularly for 4 years in a birth cohort study. The levels of Th2 related chemokine (C-C motif) ligand 17 (CCL17) and CCL22 were quantified in cord blood and at 1.5 years-of-age using multiplex Luminex kits. The levels of 125 pairs of CCL17 and CCL22 chemokines from birth to 1.5 years were recorded in this study. Using K-means clustering, only the declining trend of CCL22 levels was separately clustered (cluster A, n = 51; cluster B, n = 46; cluster C, n = 28). Mothers of children with higher CCL22 chemokine levels at birth were significantly more likely to display Dermatophagoides pteronyssinus sensitization. A lower CCL22 level at birth with a slight rise during infancy was associated with higher prevalence of mite sensitization and a higher risk of asthma at 3 years-of-age (P = 0.014)....

Research paper thumbnail of Longitudinal urinary metabolomic profiling reveals metabolites for asthma development in early childhood

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, Jan 21, 2018

Several metabolites and altered metabolic pathways have been reported to be associated with asthm... more Several metabolites and altered metabolic pathways have been reported to be associated with asthma. However, longitudinal analysis of the dynamics of metabolites contributing to the development of asthma has not yet been fully clarified. We sought to identify the metabolic mechanisms underlying asthma development in early childhood. Thirty children with asthma and paired healthy controls from a prospective birth cohort were enrolled. Time-series analysis of urinary metabolites collected at ages 1, 2, 3, and 4 years were assessed using H-nuclear magnetic resonance (NMR) spectroscopy coupled with partial least-squares discriminant analysis (PLS-DA). Metabolites identified were studied in relation to changes over time in a linear mixed model for repeated measures. A total of 172 urine samples collected from the enrolled children were analyzed. Urinary metabolomics identified four metabolites significantly associated with childhood asthma development, with longitudinal analysis. Among t...

Research paper thumbnail of Functional Analysis of VDR Gene Mutation R343H in A Child with Vitamin D-Resistant Rickets with Alopecia

Scientific reports, Jan 10, 2017

The functional study of different mutations on vitamin D receptor (VDR) gene causing hereditary v... more The functional study of different mutations on vitamin D receptor (VDR) gene causing hereditary vitamin D-resistant rickets (HVDRR) remains limited. This study was to determine the VDR mutation and the mechanisms of this mutation-causing phenotype in a family with HVDRR and alopecia. Phenotype was analyzed, and in vitro functional studies were performed. The proband and his affected sister exhibited typical HVDRR with alopecia, and their biochemical and radiographic abnormalities but not alopecia responded to supraphysiological doses of active vitamin D3. A novel homozygous missense R343H mutation in the exon 9 of VDR residing in the retinoid X receptor (RXR)-binding domain was identified. The expression level and C-terminal conformation of R343H mutant are not different from the wild-type VDR. This mutant had no effect on the nuclear localization of VDR, VDR-RXR heterodimerization, but it impaired CYP24A1 promoter activity in the presence of 1,25 (OH)2 vitamin D3, at least in part,...

Research paper thumbnail of Introduction of various allergenic foods during infancy reduces risk of IgE sensitization at 12 months of age: a birth cohort study

Research paper thumbnail of Video Program

Research paper thumbnail of Alternation of plasma fatty acids composition and desaturase activities in children with liver steatosis

PloS one, 2017

The aim of this study was to investigate changes in plasma fatty acids proportions and estimated ... more The aim of this study was to investigate changes in plasma fatty acids proportions and estimated desaturase activities for variable grading of liver steatosis in children. In total, 111 schoolchildren (aged 8-18 years) were included in the analysis from March 2015 to August 2016. Anthropometric evaluation, liver ultrasound examination and scoring for nonalcoholic fatty liver disease (NAFLD score = 0-6), and biochemical and plasma fatty acids analysis were performed. We compared the composition ratio of fatty acids between children with high-grade liver steatosis (NAFLD score = 4-6), low-grade liver steatosis (NAFLD score = 1-3), and healthy controls (NAFLD score = 0). In addition, correlation coefficients (r) between NAFLD score, metabolic variables, and estimated activity of desaturase indices (stearoyl-coenzyme A desaturase-1 (SCD1), delta-5 and delta-6 desaturase) were calculated. Compared with healthy controls, children with liver steatosis showed a higher proportion of monounsa...

Research paper thumbnail of Early-onset eczema is associated with increased milk sensitization and risk of rhinitis and asthma in early childhood

Journal of Microbiology, Immunology and Infection, 2019

Research paper thumbnail of Trends in eczema prevalence in children and adolescents: A Global Asthma Network Phase I Study

Clinical & Experimental Allergy

BackgroundEczema (atopic dermatitis) is a major global public health issue with high prevalence a... more BackgroundEczema (atopic dermatitis) is a major global public health issue with high prevalence and morbidity. Our goal was to evaluate eczema prevalence over time, using standardized methodology.MethodsThe Global Asthma Network (GAN) Phase I study is an international collaborative study arising from the International Study of Asthma and Allergies in Children (ISAAC). Using surveys, we assessed eczema prevalence, severity, and lifetime prevalence, in global centres participating in GAN Phase I (2015–2020) and one/ both of ISAAC Phase I (1993–1995) and Phase III (2001–2003). We fitted linear mixed models to estimate 10‐yearly prevalence trends, by age group, income, and region.ResultsWe analysed GAN Phase I data from 27 centres in 14 countries involving 74,361 adolescents aged 13–14 and 47,907 children aged 6–7 (response rate 90%, 79%). A median of 6% of children and adolescents had symptoms of current eczema, with 1.1% and 0.6% in adolescents and children, respectively, reporting sy...

Research paper thumbnail of Vitamin D Supplementation in Patients with Juvenile Idiopathic Arthritis

Nutrients

Vitamin D has been implicated in the pathogenesis of skeletal disorders and various autoimmune di... more Vitamin D has been implicated in the pathogenesis of skeletal disorders and various autoimmune disorders. Vitamin D can be consumed from the diet or synthesized in the skin upon ultraviolet exposure and hydroxylation in the liver and kidneys. In its bioactive form, vitamin D exerts a potent immunomodulatory effect and is important for bone health. Juvenile idiopathic arthritis (JIA) is a collection of inflammatory joint diseases in children that share the manifestation of inflamed synovium, which can result in growth arrest, articular deformity, bone density loss, and disability. To evaluate the potential effect of vitamin D on JIA disease manifestations and outcomes, we review the role of vitamin D in bone metabolism, discuss the mechanism of vitamin D in modulating the innate and adaptive immune systems, evaluate the clinical significance of vitamin D in patients with JIA, and summarize the supplementation studies.

Research paper thumbnail of Monthly Recurrent Herpes Simplex Virus Blepharitis in a Boy for More Than 10 Years

Research paper thumbnail of Longitudinal investigation of nasopharyngeal methicillin-resistant Staphylococcus aureus colonization in early infancy: The PATCH birth cohort study

Clinical Microbiology and Infection, 2017

Research paper thumbnail of Clinical experience of childhood hypertensive encephalopathy over an eight year period

Chang Gung medical journal

Hypertensive encephalopathy is an uncommon neurological syndrome in children, usually with revers... more Hypertensive encephalopathy is an uncommon neurological syndrome in children, usually with reversible clinical and neuroimaging findings. Little is known about the precipitating factors, clinical presentations, neuroimaging findings and outcomes of childhood hypertensive encephalopathy in Taiwan. To characterize this syndrome, we retrospectively analyzed 12 children with hypertensive encephalopathy in a tertiary institution from 1998 through 2005. We investigated the precipitating factors, clinical findings, courses, neuroimaging characteristics and outcomes. Twelve patients (10 boys and 2 girls) with hypertensive encephalopathy were identified. Post-streptococcal glomerulonephritis was the most common precipitating underlying disease. Common clinical presentations included mental change (100%), seizure (91.6%), headache (66.6%), nausea or vomiting (75%), and blurred vision (41.6%). Brain imaging studies showed vasogenic edema over the bilateral parietal, occipital and parasagittal ...

Research paper thumbnail of Low cord blood vitamin D levels are associated with increased milk sensitization in early childhood

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2014

The association between vitamin D status at birth and allergen sensitizations is uncertain. The a... more The association between vitamin D status at birth and allergen sensitizations is uncertain. The aim of this study was to investigate the relationship between cord blood vitamin D status with allergen sensitizations and the development of atopic diseases in early childhood. Children aged 0 through 4 yr from a birth cohort in the Prediction of Allergies in Taiwanese Children (PATCH) study were enrolled. Serum levels of 25-hydroxyvitamin D (25(OH)D) in cord blood were measured by a new automated electrochemiluminescence-based assay. Specific IgE antibodies against food and inhalant allergens were measured at 6 months, and 1, 1.5, 2, 3, and 4 yr of age. A total of 186 children were regular followed up at clinics for a 4-yr follow-up period. The mean level of cord blood 25(OH)D was 23.8 ± 9.5 ng/ml with a high prevalence of low vitamin D status (<20 ng/ml) at birth (42%). There was a tendency of low cord blood 25(OH)D levels being associated with higher risk of food sensitization thro...

Research paper thumbnail of Headache in the Pediatric Emergency Service: A Medical Center Experience

Pediatrics & Neonatology, 2014

Research paper thumbnail of Immunologic Difference between Hypersensitivity to Mosquito Bite and Hemophagocytic Lymphohistiocytosis Associated with Epstein-Barr Virus Infection

Research paper thumbnail of Impaired phagocytosis and susceptibility to infection in pediatric-onset systemic lupus erythematosus

Lupus, 2013

ObjectivesImpaired function of polymorphonuclear cells (PMNs) in systemic lupus erythematosus (SL... more ObjectivesImpaired function of polymorphonuclear cells (PMNs) in systemic lupus erythematosus (SLE) leads to severe gram-positive and gram-negative bacterial infection, and to major morbidity and mortality. Few studies have focused on the association of impaired function of PMNs and SLE patients’ susceptibility to infection. This study aimed to analyze function of PMNs in peroxidase production, chemotaxis, and phagocytosis in pediatric-onset SLE with severe infection.MethodsThis study compared function of PMNs among pediatric-onset SLE patients with and without histories of severe infection and in normal control subjects. Human peripheral blood PMNs were isolated from patients and controls. Function of PMNs was measured by analyzing peroxidase, chemotaxis, and phagocytic activities. Different disease activity and severity, and drug use in newly diagnosed SLE patients were also compared.ResultsIn total, 34 SLE patients (12 patients with severe infection, 22 patients without infection...

Research paper thumbnail of The Development and Establishment of a Care Map in Children with Asthma in Taiwan

Research paper thumbnail of Worldwide trends in the burden of asthma symptoms in school-aged children: Global Asthma Network Phase I cross-sectional study

Research paper thumbnail of Pathogenic Bacterial Nasopharyngeal Colonization and Its Impact on Respiratory Diseases in the First Year of Life

Pediatric Infectious Disease Journal, 2015

Research paper thumbnail of The flow of a reversible ratchet

Computer Physics Communications, 2011

A reversible ratchet by which Brownian particles can be transported might be attained through the... more A reversible ratchet by which Brownian particles can be transported might be attained through the periodic change of a potential in space and time. Since the integrated flow of particles in the ratchet along a certain process can be expressed as a contour integral in the space of potential parameters, it is possible, therefore, to investigate what kind of process has a better net flow of particles in a reversible ratchet system. In a certain process, we study the behavior of the particle flow in two potential parameters and then find that structures exist in the net flow of particles in different potentials or processes. Our findings can be useful in the design of Brownian motors.

Research paper thumbnail of Low Mother-to-Child CCL22 Chemokine Levels Are Inversely Related to Mite Sensitization and Asthma in Early Childhood

Scientific reports, Jan 16, 2018

Few studies have addressed the mother-to-child transmission of Th2 immunity and the impact on the... more Few studies have addressed the mother-to-child transmission of Th2 immunity and the impact on the development of atopic diseases in early childhood. We investigated 186 children who were followed-up regularly for 4 years in a birth cohort study. The levels of Th2 related chemokine (C-C motif) ligand 17 (CCL17) and CCL22 were quantified in cord blood and at 1.5 years-of-age using multiplex Luminex kits. The levels of 125 pairs of CCL17 and CCL22 chemokines from birth to 1.5 years were recorded in this study. Using K-means clustering, only the declining trend of CCL22 levels was separately clustered (cluster A, n = 51; cluster B, n = 46; cluster C, n = 28). Mothers of children with higher CCL22 chemokine levels at birth were significantly more likely to display Dermatophagoides pteronyssinus sensitization. A lower CCL22 level at birth with a slight rise during infancy was associated with higher prevalence of mite sensitization and a higher risk of asthma at 3 years-of-age (P = 0.014)....

Research paper thumbnail of Longitudinal urinary metabolomic profiling reveals metabolites for asthma development in early childhood

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, Jan 21, 2018

Several metabolites and altered metabolic pathways have been reported to be associated with asthm... more Several metabolites and altered metabolic pathways have been reported to be associated with asthma. However, longitudinal analysis of the dynamics of metabolites contributing to the development of asthma has not yet been fully clarified. We sought to identify the metabolic mechanisms underlying asthma development in early childhood. Thirty children with asthma and paired healthy controls from a prospective birth cohort were enrolled. Time-series analysis of urinary metabolites collected at ages 1, 2, 3, and 4 years were assessed using H-nuclear magnetic resonance (NMR) spectroscopy coupled with partial least-squares discriminant analysis (PLS-DA). Metabolites identified were studied in relation to changes over time in a linear mixed model for repeated measures. A total of 172 urine samples collected from the enrolled children were analyzed. Urinary metabolomics identified four metabolites significantly associated with childhood asthma development, with longitudinal analysis. Among t...

Research paper thumbnail of Functional Analysis of VDR Gene Mutation R343H in A Child with Vitamin D-Resistant Rickets with Alopecia

Scientific reports, Jan 10, 2017

The functional study of different mutations on vitamin D receptor (VDR) gene causing hereditary v... more The functional study of different mutations on vitamin D receptor (VDR) gene causing hereditary vitamin D-resistant rickets (HVDRR) remains limited. This study was to determine the VDR mutation and the mechanisms of this mutation-causing phenotype in a family with HVDRR and alopecia. Phenotype was analyzed, and in vitro functional studies were performed. The proband and his affected sister exhibited typical HVDRR with alopecia, and their biochemical and radiographic abnormalities but not alopecia responded to supraphysiological doses of active vitamin D3. A novel homozygous missense R343H mutation in the exon 9 of VDR residing in the retinoid X receptor (RXR)-binding domain was identified. The expression level and C-terminal conformation of R343H mutant are not different from the wild-type VDR. This mutant had no effect on the nuclear localization of VDR, VDR-RXR heterodimerization, but it impaired CYP24A1 promoter activity in the presence of 1,25 (OH)2 vitamin D3, at least in part,...

Research paper thumbnail of Introduction of various allergenic foods during infancy reduces risk of IgE sensitization at 12 months of age: a birth cohort study

Research paper thumbnail of Video Program

Research paper thumbnail of Alternation of plasma fatty acids composition and desaturase activities in children with liver steatosis

PloS one, 2017

The aim of this study was to investigate changes in plasma fatty acids proportions and estimated ... more The aim of this study was to investigate changes in plasma fatty acids proportions and estimated desaturase activities for variable grading of liver steatosis in children. In total, 111 schoolchildren (aged 8-18 years) were included in the analysis from March 2015 to August 2016. Anthropometric evaluation, liver ultrasound examination and scoring for nonalcoholic fatty liver disease (NAFLD score = 0-6), and biochemical and plasma fatty acids analysis were performed. We compared the composition ratio of fatty acids between children with high-grade liver steatosis (NAFLD score = 4-6), low-grade liver steatosis (NAFLD score = 1-3), and healthy controls (NAFLD score = 0). In addition, correlation coefficients (r) between NAFLD score, metabolic variables, and estimated activity of desaturase indices (stearoyl-coenzyme A desaturase-1 (SCD1), delta-5 and delta-6 desaturase) were calculated. Compared with healthy controls, children with liver steatosis showed a higher proportion of monounsa...