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Published on: August 7, 2017
Prenatal arachidonic acid exposure and selected immune-related variables in childhood
Chantal E H Dirix1, Janneke G F Hogervorst, Patrick Rump
1Department of Human Biology, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Insights
Prenatal exposure to arachidonic acid (AA) showed weak associations with childhood immune markers and lung function. The study found no major impact of early AA exposure on atopy or inflammation at age seven.
Area of Science:
- Pediatric immunology
- Fetal development
- Nutritional science
Background:
- Arachidonic acid (AA) is crucial for fetal development and immune response mediation.
- Investigating the long-term effects of prenatal AA exposure on child health is important.
Purpose of the Study:
- To examine the association between prenatal arachidonic acid (AA) exposure and immune-related conditions in childhood.
- To assess the relationship between early AA exposure and lung function and plasma inflammation markers at age seven.
Main Methods:
- Longitudinal study of 280 children followed to age 7.
- Maternal plasma phospholipid AA concentrations measured during pregnancy and at delivery.
- Umbilical cord plasma and arterial/venous wall phospholipids analyzed for AA levels.
- Statistical analyses included linear and logistic regression to assess relationships.
Main Results:
- Unadjusted analyses showed some associations between maternal AA levels and children's peak expiratory flow and fibrinogen.
- Adjusted analyses revealed only trends, with initial significant findings losing significance.
- A negative association between cord plasma AA and resting peak expiratory flow amplitude was observed but not sustained after adjustment.
Conclusions:
- Few, weak, and inconsistent relationships were found between early arachidonic acid (AA) exposure and immune markers or lung function at age seven.
- A significant impact of prenatal AA exposure on atopy, lung function, or selected inflammation markers in childhood appears unlikely.
- Further research may be needed to fully elucidate the role of AA in early development and immune health.
Abstract:
Arachidonic acid (AA) is considered essential in fetal development and some of its metabolites are thought to be important mediators of the immune responses. Therefore, we studied whether prenatal exposure to AA is associated with some immune-related clinical conditions and plasma markers in childhood. In 280 children aged 7 years, atopy, lung function and plasma inflammation markers were measured and their relationships with early AA exposure were studied by linear and logistic regression analyses. AA exposure was deduced from AA concentrations in plasma phospholipids of the mothers collected at several time points during pregnancy and at delivery, and in umbilical cord plasma and arterial and venous wall phospholipids. In unadjusted regression analyses, significant positive associations were observed between maternal AA concentrations at 16 and 32 weeks of pregnancy (proxies for fetal AA exposure) and peak expiratory flow decline after maximal physical exercise and plasma fibrinogen concentrations of their children, respectively. However, after correction for relevant covariables, only trends remained. A significant negative relationship was observed between AA concentrations in cord plasma (reflecting prenatal AA exposure) and the average daily amplitude of peak expiratory flow at rest, which lost significance after appropriate adjustment. Because of these few, weak and inconsistent relationships, a major impact of early-life exposure to AA on atopy, lung function and selected plasma inflammation markers of children at 7 years of age seems unlikely.
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