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Published on: August 7, 2017
Maternal influence in the transmission of asthma susceptibility
1Respiratory Immunology and Asthma Program, Lovelace Respiratory Research Institute, Albuquerque, NM 87108, USA. tbarrett@lrri.org <tbarrett@lrri.org>
Insights
Maternal immune factors influence fetal development, potentially increasing a child's risk for asthma. Understanding this maternal influence may lead to new prevention strategies for allergic diseases.
Area of Science:
- Pediatric Allergy and Immunology
- Maternal-Fetal Immunology
- Environmental Health
Background:
- Asthma is a prevalent childhood chronic disease with rising rates.
- Genetic and allergen exposures are known risk factors for asthma.
- Maternal mediation of fetal-infant immune responses to allergens is increasingly recognized.
Purpose of the Study:
- To elucidate the maternal role in fetal-infant immune development related to allergens.
- To clarify the mechanisms linking maternal influence to allergic sensitization and asthma.
- To identify potential targets for preventing allergic sensitization and asthma.
Main Methods:
- Review of current evidence on maternal immune environment during pregnancy.
- Analysis of immune system development in offspring exposed to maternal factors.
- Investigation of the transition from Th2 to Th1 immune responses.
Main Results:
- Maternal environment typically promotes a Th2-skewed fetal immune response.
- A normal transition to a non-allergic Th1 response occurs post-birth.
- Maternal allergic status may delay this transition, increasing asthma risk.
Conclusions:
- Maternal immune factors significantly impact fetal-infant immune programming.
- Delayed immune maturation in offspring is linked to increased allergy and asthma risk.
- Further research into maternal-fetal immune interactions is crucial for developing preventive therapies.
Abstract:
Asthma is one of the most common chronic diseases in children, with increasing morbidity and mortality. A genetic predisposition and exposure to allergens have been implicated as major risk factors for the development of asthma. However, increasing evidence indicates that the mother plays a crucial role in mediating the development of fetal-infant immune responses to inhaled allergens. The exact nature and mechanism of this maternal influence and how it might be associated with the development of allergic sensitization and asthma are not clear. Under normal conditions, the maternal environment during pregnancy promotes an initial Th2 skewed immune response in the offspring which transitions to a nonallergic Th1 type response after birth. However, the allergic mother's influence may delay the normal transition to a nonallergic immune response to inhaled allergens in her children, thus increasing the risk for the development of allergic sensitization and/or asthma. Understanding the underlying mechanisms by which the maternal immune environment can influence the development of the fetal-infant immune response to inhaled allergens may lead to identifying new targets for the prevention of allergic sensitization and asthma.
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