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Maternal and newborn vitamin D status and its impact on food allergy development in the German LINA cohort study
K Weisse1, S Winkler, F Hirche
1Department of Environmental Immunology, Helmholtz Centre for Environmental Research - UFZ, Leipzig.
Insights
High vitamin D levels during pregnancy and at birth are linked to an increased risk of food allergies in infants. This finding suggests caution regarding vitamin D supplementation for allergy prevention.
Area of Science:
- Immunology
- Nutritional Science
- Pediatrics
Background:
- Vitamin D's role in atopic disease development is debated.
- Investigating the association between maternal and cord blood vitamin D levels and infant atopic outcomes is crucial.
Purpose of the Study:
- To examine the relationship between maternal and cord blood vitamin D levels and atopic manifestations in early infancy.
- To explore the impact of vitamin D on food allergy development and sensitization.
Main Methods:
- The LINA cohort study measured 25(OH)D in 378 mother-child pairs.
- Atopic manifestations were tracked via parental questionnaires for two years.
- Cord blood regulatory T cells (Treg) were analyzed using methylation-specific PCR.
Main Results:
- Maternal and cord blood 25(OH)D levels showed a strong correlation and seasonal variation.
- Higher maternal and cord blood vitamin D levels were associated with increased risk of food allergy.
- Higher maternal vitamin D levels correlated with a greater risk of food allergen sensitization by age two.
- Cord blood vitamin D levels were inversely correlated with regulatory T cell counts.
Conclusions:
- Elevated vitamin D levels during pregnancy and at birth may increase the risk of food allergies.
- The findings challenge the routine use of vitamin D supplementation for allergy prevention in infants.
Background:
Vitamin D levels are known to be associated with atopic disease development; however, existing data are controversial. The aim of this study was to investigate whether corresponding maternal and cord blood vitamin D levels are associated with atopic outcomes in early infancy.
Methods:
Within the LINA cohort study (Lifestyle and environmental factors and their Influence on Newborns Allergy risk), 25(OH)D was measured in blood samples of 378 mother-child pairs during pregnancy and at birth. Information about children's atopic manifestations during the first 2 years of life was obtained from questionnaires filled out by the parents during pregnancy and annually thereafter. Cord blood regulatory T cells (Treg) were detected by methylation-specific PCR using a Treg-specific demethylated region in the FOXP3 gene.
Results:
The median maternal 25(OH)D(3) level was 22.19 ng/ml (IQR 14.40-31.19 ng/ml); the median cord blood 25(OH)D(3) 10.95 ng/ml (6.99-17.39 ng/ml). A high correlation was seen between maternal and cord blood 25(OH)D(3) levels, both showing a seasonal distribution. Maternal and cord blood 25(OH)D(3) was positively associated with children's risk for food allergy within the first 2 years. Further, higher maternal 25(OH)D(3) resulted in a higher risk for sensitization against food allergens at the age of two. Cord blood 25(OH)D(3) levels were negatively correlated with regulatory T cell numbers.
Conclusion:
Our study demonstrates that high vitamin D levels in pregnancy and at birth may contribute to a higher risk for food allergy and therefore argues against vitamin D supplement to protect against allergy.
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