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Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Perinatal granulopoiesis and risk of pediatric asthma
Benjamin A Turturice1,2, Juliana Theorell2, Mary Dawn Koenig3
1Department of Microbiology and Immunology, University of Illinois, Chicago, United States.
Insights
Neutrophil granule abundance at birth, indicated by PGLYRP-1 levels, predicts pediatric asthma risk. This finding offers insights into early life factors influencing childhood respiratory health and adolescent lung function.
Area of Science:
- Immunology
- Genetics
- Pediatrics
Background:
- Perinatal factors like gestational age are linked to pediatric asthma risk.
- Understanding biological pathways affected by these factors can improve risk stratification and identify therapeutic targets.
- Transcriptional changes may mediate asthma risk influenced by perinatal factors.
Purpose of the Study:
- To investigate if transcriptional changes associated with epidemiologic risk factors mediate pediatric asthma risk.
- To identify specific biological processes and gene signatures linked to perinatal asthma risk factors.
Main Methods:
- Analysis of publicly available transcriptomic data from cord blood mononuclear cells.
- Validation of gene signatures in an independent prospective cohort.
- Measurement of umbilical cord blood serum PGLYRP-1 concentration.
Main Results:
- Transcription of myeloid differentiation genes inversely correlated with a pediatric asthma risk score.
- This gene signature localized to neutrophil-specific granules.
- Higher cord blood PGLYRP-1 levels were associated with lower risk of mid-childhood asthma and better adolescent lung function (FEV1/FVC).
Conclusions:
- Neutrophil-specific granule abundance at birth is a predictor of pediatric asthma risk.
- Umbilical cord blood neutrophil markers can predict adolescent pulmonary function.
- These findings highlight the role of early-life neutrophil biology in respiratory health outcomes.
Abstract:
There are perinatal characteristics, such as gestational age, reproducibly associated with the risk for pediatric asthma. Identification of biologic processes influenced by these characteristics could facilitate risk stratification or new therapeutic targets. We hypothesized that transcriptional changes associated with multiple epidemiologic risk factors would be mediators of pediatric asthma risk. Using publicly available transcriptomic data from cord blood mononuclear cells, transcription of genes involved in myeloid differentiation was observed to be inversely associated with a pediatric asthma risk stratification based on multiple perinatal risk factors. This gene signature was validated in an independent prospective cohort and was specifically associated with genes localizing to neutrophil-specific granules. Further validation demonstrated that umbilical cord blood serum concentration of PGLYRP-1, a specific granule protein, was inversely associated with mid-childhood current asthma and early-teen FEV1/FVCx100. Thus, neutrophil-specific granule abundance at birth predicts risk for pediatric asthma and pulmonary function in adolescence.
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