Related Experiment Video
Updated: Jul 17, 2026

Derivation of T Cells In Vitro from Mouse Embryonic Stem Cells
Published on: October 14, 2014
Association between antenatal cytokine production and the development of atopy and asthma at age 6 years
C Macaubas1, N H de Klerk, B J Holt
1Telethon Institute for Child Health Research, and Centre for Child Health Research, Faculty of Medicine and Dentistry, University of Western Australia, Western Australia, Perth, Australia.
Insights
Antenatal cytokine levels, specifically interleukin 4 and interferon gamma in cord blood, are linked to a reduced risk of childhood asthma and atopy. Maternal smoking negatively impacts these protective cytokine levels, highlighting a target for asthma prevention.
Area of Science:
- Immunology
- Pediatric Allergy
- Environmental Health
Background:
- Antenatal factors influence susceptibility to atopy and asthma.
- Cytokines play a crucial role in placental immunological homeostasis.
- Investigating antenatal cytokine profiles offers insights into early-life allergy development.
Purpose of the Study:
- To examine the association between cord-blood cytokine concentrations and atopy/asthma outcomes at age 6.
- To explore the influence of family, antenatal, and perinatal factors on these associations.
- To assess the impact of maternal smoking on cord-blood cytokines and asthma risk.
Main Methods:
- Assayed cord-blood serum from 407 children for key interleukins (IL-4, IL-5, IL-6, IL-10, IL-12, IL-13), interferon gamma, and TNF-alpha.
- Utilized logistic regression to analyze associations between factors, cytokines, and outcomes.
- Employed propensity scores to estimate causal effects of cytokines on outcomes.
Main Results:
- Detectable cord-blood IL-4 and interferon gamma were associated with significantly lower risks of physician-diagnosed asthma, current asthma, current wheeze, and atopy at age 6.
- High tumor necrosis factor alpha (TNFalpha) concentrations correlated with reduced atopy risk.
- Maternal smoking was linked to increased wheeze risk and decreased levels of IL-4 and interferon gamma.
Conclusions:
- The fetoplacental unit's cytokine production mechanism, similar to that in high-risk children, appears crucial for immune regulation.
- This mechanism is vulnerable to disruption by maternal smoking, suggesting it's a key target for antenatal asthma prevention strategies.
Background:
Various lines of evidence suggest that antenatal factors are important in determining susceptibility to atopy and asthma. One possible mechanism is cytokines, production of which in the placenta is high throughout gestation and which protect placental integrity via control of local immunological homoeostasis. We investigated antenatal cytokine concentrations in a prospective birth cohort, intensively monitored for atopy and asthma outcomes at age 6 years.
Methods:
Cryopreserved cord-blood serum samples from 407 children were assayed for interleukins 4, 5, 6, 10, 12, and 13, interferon gamma, and tumour necrosis factor alpha (TNFalpha). Associations between family, antenatal, and perinatal factors, cord-blood cytokine concentrations, and atopy or asthma outcomes were analysed by logistic regression. Causal effects of cytokines on outcomes were estimated by propensity scores based on family, antenatal, and perinatal factors.
Findings:
Detectable cord-blood concentrations of interleukin 4 and interferon gamma were each associated with lower risk of physician-diagnosed asthma (adjusted odds ratios 0.60 [95% CI 0.37-0.99] and 0.60 [0.37-0.97] respectively), current asthma (0.59 [0.33-1.00] and 0.39 [0.22-0.71]), and current wheeze (0.55 [0.32-0.93] and 0.52 [0.31-0.90]) and atopy (sensitisation to some inhalant allergens) outcomes at 6 years. High concentrations of TNFalpha were associated with lower risk of atopy but not with asthma risk. These associations were broadly unaltered by propensity-score adjustment. Maternal smoking was associated with higher risk of both wheeze at 6 years and lower concentrations of interleukin 4 and interferon gamma in cord blood.
Interpretation:
The mechanism underlying attenuated T-helper-1/T-helper-2 cytokine production in high-risk children also apparently operates in control of cytokine production in the fetoplacental unit. The finding that this mechanism is dysregulated by maternal smoking suggests it is a target for antenatal environmental factors relevant to asthma aetiology.
Related Concept Videos
Determination
Exon Recombination
Exon shuffling follows “splice frame rules.” Each exon has three reading...
Differentiation of Common Myeloid Progenitor Cells
Zygotic Development And Stem Cell Formation
Cells of the Adaptive Immune Response
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...

