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Folate status, regulatory T cells and MTHFR C677T polymorphism study in allergic children
Anna Socha-Banasiak1, Barbara Kamer1, Agnieszka Gach2
1Gastroenterology, Allergology and Pediatric Department, Polish Mother's Memorial Hospital - Research Institute, Lodz, Poland.
Insights
Early-life folate levels may influence regulatory T cell activity, potentially impacting allergy development in children. Lower folate was seen in children with food allergies and specific MTHFR gene variants.
Area of Science:
- Pediatric Allergy and Immunology
- Nutritional Immunology
- Genetics and Immunology
Background:
- Allergies are a growing concern in childhood.
- Regulatory T (Treg) cells play a crucial role in immune tolerance.
- Folate metabolism, influenced by MTHFR genotypes, is vital for immune function.
Purpose of the Study:
- To investigate serum folate concentrations in allergic children.
- To analyze the relationship between folate levels, Treg cell FoxP3 expression, and MTHFR genotypes.
- To explore the potential role of folate status in childhood allergy development.
Main Methods:
- Study included 83 allergic and 49 healthy children (2-72 months).
- Measured serum folic acid, MTHFR C677T polymorphism, and Treg cell percentage.
- Analyzed medical history and laboratory data.
Main Results:
- Children with food allergy had higher serum folate than those with inhalant allergy (P=0.037).
- TT homozygotes (MTHFR) showed lower folate levels than CC homozygotes (P=0.045).
- A negative correlation between serum folate and Treg cell FoxP3 expression was observed (r=-0.339, P<0.05).
Conclusions:
- Folate status may influence Treg cell function.
- This suggests a potential role for folate in the development and progression of childhood allergies.
- Further research into folate supplementation and allergy management is warranted.
Purpose:
This study aimed to investigate early-life folate serum concentrations in children with food, inhalant or mixed type allergy. The influence of folate levels on the FoxP3 expression in Treg (regulatory T) cells in the studied children, taking into account the MTHFR (5,10-methylenetetrahydrofolate reductase) genotypes was also analyzed.
Material And Methods:
The study was performed in 83 allergic children (study group) and 49 healthy children (control group), aged 2-72 months. Medical history of each child was obtained and laboratory tests (serum folic acid concentrations and MTHFR C677T polymorphism) were carried out. The percentage of Treg cells was evaluated in almost a half of the examined subjects (48.5%).
Results:
Significantly higher serum folate levels in the group of children with food allergy than in those with inhalant allergy was confirmed (P=0.037). In the study group the TT homozygotes were characterized by significantly lower folate concentrations than CC homozygotes (P=0.045). A negative correlation was demonstrated between the FoxP3 expression in CD4+CD25highFoxP3+ peripheral blood lymphocytes and serum folic acid concentrations. The correlation was more pronounced in the group of allergic children and it was statistically significant (r=-0.339, P<0.05).
Conclusions:
The results of the study indicate a possibility of some effects of folate status on Treg cells, thus suggesting their potential role in the development and course of allergy in children.
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