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INDUCTION OF DEPRESSION BY EXPOSURE TO DAMP ...

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allergies and asthma and other inflammation processes (Dales and Dulberg, 1998;<br />

Bornehag et al., 2004; Roponen et al., 2003).<br />

In one study, the levels of inflammatory markers TNF-α, IL-6, and nitric oxide in<br />

nasal lavage fluid were compared between staff members in a fungal-contaminated<br />

school and a reference group (Hirvonen et al., 1999). During the school year, the staff<br />

members from the contaminated building had higher levels of these markers than the<br />

control group, but showed a lower levels of these markers compared to the controls<br />

during the summer break. When the staff went back to the building during the fall<br />

semester, nitric oxide and IL-6 increased again.<br />

Several epidemiological studies have correlated increased inflammatory markers in<br />

serum of people exposed to damp buildings. One study assessed multiple immune<br />

markers in 209 symptomatic patients with self-reported exposures to damp buildings<br />

(Gray et al., 2003). When compared to controls, patients with exposure to moldy<br />

dwellings reported significantly more symptoms, especially those that were neurological<br />

and inflammatory in nature. The research group found significant increases in T-cell<br />

activation, pro-inflammatory cytokines levels, and autoantibodies concentrations to<br />

components of the central and peripheral nervous system.<br />

Another study compared the neurological measurements of 65 patients self-reporting<br />

exposure to damp home environments that supported fungal growth (Kilburn, 2003).<br />

Growth was confirmed via microscopic identification and analysis of air samples. The<br />

patients underwent a battery of neurophysiological and neurobiological tests,<br />

neurological examination, serum antibody measurements to molds and mycotoxins, as<br />

well as respiratory flow and vital capacity testing. When compared to a control group of<br />

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