Dietary nucleotide and nucleoside exposure in infancy and atopic dermatitis, recurrent wheeze, and allergic

Marijke J C Timmermans1, Pieter C Dagnelie, Esther H E Theunisz

  • 1Department of Epidemiology, Maastricht University, Maastricht, The Netherlands.

Insights

Early life exposure to nucleotides and nucleosides did not significantly reduce the risk of allergies like wheeze or atopic dermatitis in children up to two years old. This study found no clear association between these exposures and the development of atopic outcomes.

Area of Science:

  • Pediatric Allergy and Immunology
  • Nutritional Science
  • Clinical Research

Background:

  • Nucleotides and nucleosides are essential components for cellular function and immune system development.
  • Dietary exposure to nucleotides and nucleosides occurs through breast milk and infant formulas.
  • Previous research suggests potential immunomodulatory roles for nucleotides and nucleosides.

Purpose of the Study:

  • To investigate the association between early life exposure to nucleotides and nucleosides and the risk of developing atopic outcomes.
  • To evaluate the impact of nucleotide and nucleoside exposure via breast milk and formula on allergic sensitization, recurrent wheeze, and atopic dermatitis in infants.

Main Methods:

  • A cohort of 429 children was studied.
  • Nucleotide and nucleoside concentrations were measured in breast milk (using high-performance liquid chromatography) and infant formulas (obtained from manufacturers).
  • Atopic outcomes, including recurrent wheeze, atopic dermatitis, and allergic sensitization, were assessed through questionnaires and home visits up to age 2.

Main Results:

  • In predominantly formula-fed children, adjusted odds ratios for atopic outcomes in the highest tertile of exposure ranged from 1.11 to 1.99 compared to the lowest tertile, but were not statistically significant.
  • In predominantly breast-fed children, adjusted odds ratios ranged from 0.40 to 0.53, also not reaching statistical significance.
  • No significant evidence of association was found between nucleotide and nucleoside exposure and the development of atopic outcomes in children up to 2 years.

Conclusions:

  • The study found no evidence to support the hypothesis that early life exposure to nucleotides and nucleosides protects against common atopic diseases in children.
  • Further research may be needed to explore other dietary factors or different exposure windows in relation to atopic disease development.

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