Allergic disease and atopic sensitization in children in relation to measles vaccination and measles infection

Helen Rosenlund1, Anna Bergström, Johan S Alm

  • 1Karolinska Institutet, Institute of Environmental Medicine, Department of Environmental Epidemiology, Box 210, SE-171 77 Stockholm, Sweden. helen.rosenlund@ki.se

Pediatrics
|March 4, 2009
PubMed

Insights

Measles infection appears to protect children against developing allergic diseases. While measles vaccination showed a similar trend, only natural infection demonstrated a significant protective effect against allergies.

Area of Science:

  • Pediatric Allergy and Immunology
  • Infectious Disease Epidemiology
  • Immunology

Background:

  • Allergic diseases and atopic sensitization are significant global health concerns.
  • The role of childhood infections, including measles, in modulating allergic disease development is debated.
  • Anthroposophic lifestyles, which may involve delayed or avoided immunizations, provide a unique context for studying these associations.

Purpose of the Study:

  • To investigate the relationship between measles infection and vaccination and the subsequent development of allergic disease and atopic sensitization in children.
  • To explore potential protective effects of measles infection against allergic conditions.

Main Methods:

  • Cross-sectional, multicenter study involving 14,893 children aged 5-13 years across 5 European countries.
  • Data collected via parental questionnaires on lifestyle, exposure, symptoms, and diagnoses.
  • Immunoglobulin E (IgE) analyses performed on blood samples from a subset of children (4049).

Main Results:

  • Atopic sensitization was inversely associated with prior measles infection in the overall cohort.
  • Excluding children with early-onset eczema or wheezing, measles infection showed inverse associations with any allergic symptom and physician-diagnosed allergy.
  • No significant association was found between measles vaccination and allergic disease development.

Conclusions:

  • Measles infection may confer a protective effect against the development of allergic diseases in children.
  • Further research is warranted to elucidate the mechanisms behind this potential protective association.
Abstract

Related Concept Videos

Allergic Reactions02:06

Allergic Reactions

Overview
Vaccinations01:51

Vaccinations

Overview
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Allergic Reactions: Anaphylaxis01:30

Allergic Reactions: Anaphylaxis

Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin, heparin),...
Allergic Drug Reactions01:27

Allergic Drug Reactions

Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing numerous...
Drug Toxicity: Allergic Reactions01:30

Drug Toxicity: Allergic Reactions

Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...