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Published on: August 7, 2017
Umbilical cord plasma 25-hydroxyvitamin D concentration and immune function at birth: the Urban Environment and
A Chi1, J Wildfire, R McLoughlin
1Division of Pulmonary and Critical Care Medicine, Tufts University School of Medicine, Boston, MA 02111–1800, USA. achi@tuftsmedicalcenter.org
Insights
Higher vitamin D levels at birth may be linked to fewer T-regulatory cells, potentially influencing early immune regulation. This study examined prenatal vitamin D status and newborn immune function.
Area of Science:
- Immunology
- Nutritional Science
- Perinatal Health
Background:
- Conflicting data exists on the association between maternal vitamin D intake during pregnancy and childhood asthma.
- Prenatal vitamin D status is a critical factor for fetal development and immune system maturation.
Purpose of the Study:
- To investigate the relationship between prenatal vitamin D levels and neonatal immune cell function.
- To assess the impact of umbilical cord plasma 25-hydroxyvitamin D (25(OH)D) on cytokine production and T-regulatory cell markers in newborns.
Main Methods:
- Umbilical cord plasma 25(OH)D concentrations were measured in 568 newborns from an inner-city birth cohort.
- Cytokine responses of umbilical cord blood mononuclear cells (UCMCs) to PHA, LPS, and peptidoglycan were analyzed.
- Regulatory T cell markers and suppressive activity of CD4(+) CD25(+) UCMCs were assessed in a subset of infants.
Main Results:
- Most UCMC cytokine responses did not correlate with umbilical cord plasma 25(OH)D levels.
- A weak positive correlation was observed between 25(OH)D concentration and IFN-γ release after LPS stimulation.
- Higher 25(OH)D concentrations were inversely correlated with the proportion of CD4(+) T cells expressing CD25, CD25(Bright), and CD25(+) FoxP3.
Conclusions:
- Prenatal vitamin D status appears to influence immune regulation in early life.
- Higher vitamin D levels at birth may be associated with a reduced number of T-regulatory cells.
- Further research is needed to fully elucidate the role of vitamin D in neonatal immune development and its long-term implications.
Background:
Recent studies have reported conflicting data on the association between maternal intake of vitamin D during pregnancy and asthma.
Objective:
To assess the influence of prenatal vitamin D status on immune function at birth.
Methods:
In an inner-city birth cohort of 568 newborns, 520 of whom had at least one atopic parent, we measured the umbilical cord (UC) plasma concentration of 25-hydroxyvitamin D (25(OH)D) and the cytokine responses of UC blood mononuclear cells (UCMCs) to stimuli including phytohaemagglutinin (PHA), lipopolysaccharide (LPS), and peptidoglycan. In a subset, the UCMC expression of regulatory T cell markers and the suppressive activity of CD4(+) CD25(+) UCMCs were measured. Results The 25th, 50th, and 75th percentiles of UC plasma 25(OH)D level were 15.0, 20.2, and 25.6 ng/mL, respectively. Most cytokine responses of UCMC were not correlated with UC 25(OH)D concentration; however, IFN-γ release after LPS stimulation was weakly positively correlated with UC 25(OH)D concentration (r=0.11, P=0.01). PHA responses were not significantly correlated with 25(OH)D concentration. The UC plasma 25(OH)D concentration was inversely related to the number of CD25(+) (r=-0.20, P=0.06), CD25(Bright) (r=-0.21, P=0.05), and CD25(+) FoxP3 (r=-0.29, P=0.06) cells as a proportion of CD4(+) T cells in UC blood (r=-0.26, P=0.04) but not to the suppressive activity of CD4(+) CD25(+) cells (r=0.17, P=0.22).
Conclusion And Clinical Relevance:
UC 25(OH)D concentration was not correlated with most UCMC cytokine responses to multiple stimuli. There was a suggestion of a weakly positive correlation with IFN-γ release after LPS stimulation. The proportions of CD25(+) , CD25(Bright) , and CD25(+) FoxP3 cells to total CD4(+) T cells were inversely correlated with UC 25(OH)D concentration. Our findings suggest that higher vitamin D levels at birth may be associated with a lower number of T-regulatory cells. Vitamin D status in utero may influence immune regulation in early life.
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