Related Experiment Video
Updated: Aug 21, 2026

Generating a Reproducible Model of Mid-Gestational Maternal Immune Activation using Poly(I:C) to Study Susceptibility and Resilience in Offspring
Published on: August 17, 2022
Placental Epigenetic Alterations and IL-10 Dysregulation Drive Early Persistent Food Allergy
Eom Ji Choi1, Seung Hwa Lee2, Si Hyeon Lee2
1Department of Pediatrics, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Republic of Korea.
Insights
Early persistent food allergy (FA) in children is linked to specific placental DNA methylation changes and altered cytokine profiles. These factors may drive the allergic inflammation and persistence observed in this food allergy trajectory.
Area of Science:
- Immunology
- Pediatrics
- Epigenetics
Background:
- Distinct food allergy (FA) trajectories in children lack clear underlying mechanisms.
- Understanding these trajectories is crucial for targeted interventions.
Purpose of the Study:
- Classify food allergy trajectories in children.
- Investigate differences in placental DNA methylation and serum cytokine profiles across these trajectories.
Main Methods:
- Utilized group-based trajectory modeling to classify 1518 children from the COCOA study into FA trajectories until age 7.
- Measured serum cytokine levels at ages 3 and 7.
- Performed placental DNA methylation profiling using Infinium MethylationEPIC BeadChip.
Main Results:
- Identified four FA trajectories: no FA (87.3%), early remission (6.9%), early persistent (4.6%), and late remission (1.1%).
- The early persistent FA group showed elevated IL-4, IL-5, and IL-6 levels at ages 3 and 7, and lower IL-10 at age 3.
- Significant hypermethylation of RPS6KA2 and GCSAML genes was observed in the early persistent FA trajectory compared to others. GCSAML methylation correlated with IgE, eosinophils, and IL-5.
Conclusions:
- Early persistent FA is associated with hypermethylation of RPS6KA2 and GCSAML.
- Reduced IL-10 levels and elevated Th2 cytokines characterize the early persistent FA trajectory.
- These epigenetic and cytokine alterations may contribute to allergic inflammation and persistence in early persistent food allergy.
Background:
The mechanisms underlying distinct food allergy (FA) trajectories in children remain unclear. This study aimed to classify FA trajectories and examine differences in placental DNA methylation and serum cytokine profiles.
Methods:
A total of 1518 children from the COCOA (COhort for Childhood Origin of Asthma and Allergic Diseases) study, followed until age 7, were classified into FA trajectories using group-based trajectory modeling. Serum cytokine levels were measured at ages 3 and 7 years. Placental methylation profiling was performed with Infinium MethylationEPIC BeadChip.
Results:
Children were classified into four trajectories: no FA (87.3%), early remission (6.9%), early persistent (4.6%), and late remission (1.1%). At ages 3 and 7, the early persistent FA trajectory exhibited higher interleukin (IL)-4, IL-5, and IL-6 levels than the no FA trajectory. At age 3, IL-10 levels were lower in the early persistent trajectory than in the late remission trajectory. In DNA methylation analysis, the Ribosomal Protein S6 Kinase A2 (RPS6KA2) and Germinal Center Associated Signaling And Motility Like (GCSAML) genes were significantly hypermethylated in the early persistent FA trajectory compared to the no FA and early remission trajectory (p < 0.05). GCSAML methylation was positively correlated with total IgE, egg white-specific IgE, early-life eosinophils, and IL-5 at age 7 (all p < 0.05).
Conclusion:
Hypermethylation of RPS6KA2 and GCSAML, reduced IL-10 levels, and elevated Th2 cytokines were associated with early persistent FA trajectory, potentially influencing its allergic inflammation and persistence.
Related Concept Videos
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Type I Diabetes I: Introduction
Genomic Imprinting and Inheritance
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...
Allergic Reactions
Transcytosis of IgG
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
Inflammatory Bowel Disease III: Crohn's Disease

