Cord Blood Soluble CD14 Predicts Wheeze and Prolonged Cough in Young Children: The PATCH Study

Kuan-Wen Su1, Yu-Ling Tu, Chih-Yung Chiu

  • 1Department of Pediatrics, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan (ROC).

Insights

Soluble cluster of differentiation 14 (sCD14) in cord blood can predict wheezing and prolonged cough in infants. Higher sCD14 levels indicate an increased risk of developing these common respiratory issues by one year of age.

Area of Science:

  • Pediatric Allergy and Immunology
  • Biomarker Discovery
  • Neonatal Health

Background:

  • Soluble cluster of differentiation 14 (sCD14) is implicated in atopic symptom development, but prior research is inconsistent.
  • The role of sCD14 as an early indicator of allergic conditions in infants requires further investigation.

Purpose of the Study:

  • To assess the utility of cord blood sCD14 as a predictive biomarker for identifying allergy and respiratory symptoms in early childhood.
  • To determine if sCD14 levels at birth can forecast the development of wheeze and prolonged cough by age one.

Main Methods:

  • Enrollment of infants (0-1 year) from the Prediction of Allergies in Taiwanese Children (PATCH) birth cohort.
  • Measurement of sCD14 concentrations in cord blood samples.
  • Periodic pediatrician evaluations and questionnaire-based symptom tracking until 1 year of age.

Main Results:

  • A cohort of 206 infants was analyzed.
  • Cord blood sCD14 showed a positive association with wheeze and prolonged cough.
  • Multivariate analysis identified cord blood sCD14 as the sole independent predictor for wheeze and prolonged cough, with increased levels correlating to higher risk.

Conclusions:

  • Cord blood sCD14 emerges as a potential predictive biomarker for infant wheeze and prolonged cough.
  • Elevated sCD14 levels at birth may signify an increased likelihood of developing these respiratory conditions within the first year of life.
Abstract

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