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Published on: June 29, 2021
Allergic sensitization at school age is a systemic low-grade inflammatory disorder
B L Chawes1, J Stokholm1,2, A-M M Schoos1
1COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Systemic low-grade inflammation, indicated by elevated high-sensitivity C-reactive protein (hs-CRP), is linked to allergic sensitization in children. This finding suggests inflammation is a characteristic of early-onset noncommunicable diseases (NCDs).
Area of Science:
- Immunology
- Pediatrics
- Inflammation Research
Background:
- Systemic low-grade inflammation is a common factor in noncommunicable diseases (NCDs).
- Its role in childhood allergic sensitization remains largely unexplored.
- This study investigates the association between inflammatory biomarkers and allergic sensitization in children.
Purpose of the Study:
- To determine the association between specific inflammatory markers and allergic sensitization in childhood.
- To explore systemic low-grade inflammation as a potential characteristic of early-onset NCDs like allergic sensitization.
Main Methods:
- Measured hs-CRP, IL-1β, IL-6, TNF-α, and CXCL8 in children at 6 months and 7 years.
- Assessed allergic sensitization longitudinally using IgE and skin prick tests.
- Analyzed associations using logistic regression and principal component analyses.
Main Results:
- Elevated hs-CRP at 7 years correlated with allergic sensitization to various allergens.
- This association persisted for sensitization with and without clinical symptoms.
- Inflammatory markers at 6 months did not predict subsequent sensitization.
Conclusions:
- Elevated hs-CRP is associated with allergic sensitization in school-aged children.
- Suggests systemic low-grade inflammation is a phenotypic trait of early-onset NCDs.
- Highlights hs-CRP as a potential indicator in childhood allergic diseases.
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