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Published on: October 19, 2011
Biomarkers of Stress and Inflammation in Children
Sara L Davis1, Mary Latimer2, Marti Rice3
1College of Nursing, University of South Alabama, Mobile, AL, USA.
Insights
Researchers identified key biomarkers for measuring chronic stress and inflammation in children. Understanding these indicators, like cortisol and C-reactive protein (CRP), is vital for assessing children's health and immune function.
Area of Science:
- Pediatric Health
- Immunology
- Stress Physiology
Background:
- Children face increasing stressors impacting immune function.
- Stress and inflammation negatively affect child health.
- Accurate biomarkers are needed to measure stress and inflammation effects.
Purpose of the Study:
- Review stress and inflammatory pathways in children.
- Identify biomarkers for chronic stress and inflammation in pediatric populations.
- Discuss methodological considerations for measuring stress and inflammation in children.
Main Methods:
- Review of existing literature on stress and inflammatory pathways.
- Identification of central and peripheral biomarkers for chronic stress (e.g., cortisol, oxytocin).
- Identification of common and indirect biomarkers for chronic inflammation (e.g., C-reactive protein (CRP), TNF-α, IL-6, IL-2, IL-1β).
Main Results:
- Cortisol is a frequently used peripheral biomarker for stress in community settings.
- Common inflammation biomarkers in children include C-reactive protein (CRP), TNF-α, and IL-6.
- Indirect biomarkers like oxytocin, IL-2, and IL-1β can complement assessments.
Conclusions:
- Biomarkers for stress and inflammation can be measured using various specimens: blood, saliva, urine, sweat, hair, nails, and tears.
- Each specimen type has unique collection, storage, and assay requirements.
- Standardized biomarker levels across pediatric age groups and further research incorporating additional biomarkers are recommended.
Abstract:
Background: Children are increasingly exposed to stressors that can affect their immune function. Given the possible negative effects of stress and inflammation on health, researchers need to use appropriate biomarkers to measure both the effects of stress and subsequent inflammatory responses. Purpose: The purpose of this paper is to briefly review stress and inflammatory pathways, identify biomarkers used to measure chronic stress and chronic inflammation particularly in children in clinical and community settings, and to discuss methodological considerations when measuring stress and inflammation in children. Discussion: Biomarkers of chronic stress can be classified as central, meaning they are made in the brain, or peripheral, meaning they are made in the peripheral tissues in response to central signals. The peripheral biomarker, cortisol, is most frequently used in the community setting. In addition, indirect measures, such as oxytocin, may complement the assessment of stress. Common biomarkers of chronic inflammation in children are C-reactive protein (CRP), TNF-α, and IL-6. Similarly, indirect biomarkers of chronic inflammation, such as IL-2 and IL-1β, may also be considered. Conclusions: Various types of specimens can be used to measure these biomarkers of stress and inflammation including blood, saliva, urine, sweat, hair, nails, and tears. Each type of specimen has different requirements for collection, storage, and assay. Future research would benefit from standardized biomarker levels across age and development in children and incorporation of other biomarkers.
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