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Observations placeholder

Enterovirus infection during pregnancy is inversely associated with atopic disease in the offspring

Identifier

027583

Type of Spiritual Experience

None

Background

The atopic diseases (eczema, asthma and rhinoconjunctivitis) are clinical syndromes each defined by a group of symptoms and signs. Not all children with atopy will have atopic disease or develop symptoms after exposure to an allergen.

The atopic diseases of childhood consist of the triad of asthma, allergic rhinitis, and atopic dermatitis.

A description of the experience

Clin Exp Allergy. 2018 Sep 19. doi: 10.1111/cea.13280. [Epub ahead of print]
Enterovirus infection during pregnancy is inversely associated with atopic disease in the offspring.
Korhonen L1,2,3, Seiskari T4, Lehtonen J1, Puustinen L1, Surcel HM5,6, Haapala AM4, Niemelä O7, Virtanen SM8,9,10,11, Honkanen H1, Karjalainen M12, Ilonen J13,14, Veijola R12, Knip M15,16,17,18, Lönnrot M1,2,3, Hyöty H1,4.

 
BACKGROUND:
Prenatal environment has been shown to influence child's risk of atopic diseases. Laboratory-confirmed data about the role of maternal infections during pregnancy is scarce.

OBJECTIVE:
The aim of this study was to determine the associations between serologically confirmed maternal infections during pregnancy and atopic disease in the offspring.

METHODS:
This was a nested case-control study within a prospective birth cohort study. Altogether 202 atopic case children and 333 matched non-atopic control children were included. Atopic outcome was defined as having an atopic disease and IgE sensitization by the age of 5 years. We analysed serologically acute

  • enterovirus (EV),
  • influenza virus A (IAV) and
  • Mycoplasma pneumoniae (M. pneumoniae)

infections during pregnancy, and mother's seropositivity against human cytomegalovirus (CMV) and Helicobacter pylori.

RESULTS:
Maternal EV infection during pregnancy was inversely associated with atopic outcome in the offspring (odds ratio 0.43; 95% confidence interval: 0.23-0.80, P = 0.008). Acute IAV or M. pneumoniae infections or seropositivity against CMV or Helicobacter pylori were not associated with the atopic outcome.

CONCLUSIONS AND CLINICAL RELEVANCE:
Our results suggest that maternal EV infections during pregnancy are inversely associated with atopic disease in the offspring. Our finding provides further support to the previous studies suggesting an important role of the in utero environment in the development of atopic diseases.

© 2018 John Wiley & Sons Ltd.
PMID:
30230072

The source of the experience

PubMed

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References