Formaldehyde causes upper respiratory tract irritation and has been re
ported in some investigations to be a cause of occupational allergic a
sthma. The data are equivocal, however, and it has proved difficult to
confirm that exposure to formaldehyde induces respiratory sensitizati
on or provokes the production of specific immunoglobulin E (IgE) antib
ody. In this study the sensitizing properties of formaldehyde were exa
mined experimentally. This chemical elicited strong positive responses
in three independent methods for the prospective identification of co
ntact sensitizing chemicals-the guinea pig maximization test, the occl
uded patch test of Buehler and the murine local lymph node assay. In c
ontrast, in a novel predictive test method for assessment of respirato
ry sensitization potential-the mouse IgE test-formaldehyde at the same
test concentrations was negative. Furthermore, formaldehyde induced i
n mice a pattern of cytokine secretion by draining lymph node cells in
consistent with the stimulation of IgE antibody responses or respirato
ry sensitization. These data indicate that, although formaldehyde is a
potent contact allergen, it lacks a significant potential to cause se
nsitization of the respiratory tract. Copyright (C) 1996 Elsevier Scie
nce Ltd