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Ensayo controlado aleatorizado2008Financiación no declaradaSolo mecanismos

Decreased cord blood IL-4, IL-13, and CCR4 and increased TGF-beta levels after fish oil supplementation of pregnant women

Krauss-Etschmann S, Hartl D, Rzehak P, Heinrich J, Shadid R, Del Carmen Ramírez-Tortosa M, Campoy C, Pardillo S, Schendel DJ, Decsi T, Demmelmair H, Koletzko BV, Nutraceuticals for Healthier Life Study Group

The Journal of allergy and clinical immunology · 106 citas

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Estudiado en
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Resultado principal
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Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2007-12-04 · J Allergy Clin Immunol · vol. 121 · número 2 · págs. 464–470.e6
Editorial
Elsevier BV
Citado
160 citas · más que el 98% de estudios similares · 10.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
41 trabajos
Acceso
De pago
Áreas de investigación
Fatty Acid Research and Health · Asthma and respiratory diseases · Food Allergy and Anaphylaxis Research
Palabras clave
fish oil supplementation, pregnancy, umbilical cord blood, Th1/Th2 balance, IL-4, IL-13, CCR4, TGF-beta, interferon-gamma, interleukin-1, docosahexaenoic acid, eicosapentaenoic acid, maternal immune response, allergy prevention, prenatal nutrition, maternal-fetal immune transfer, methyltetrahydrofolate
MeSH
lymphocyte subsets, fetal blood, humans, docosahexaenoic acids, fish oils, transforming growth factor beta, rna, messenger, inflammation mediators, interleukin-4, interleukin-13, cytokines, delivery, obstetric, double-blind method, pregnancy, dietary supplements, adult, infant, newborn, female, male, receptors, ccr4

12 autores

  • Susanne Krauss‐Etschmann🇩🇪 · autor de correspondenciaHelmholtz Munich; Ludwig-Maximilians-Universität München
  • Dominik Hartl🇩🇪Helmholtz Munich; Ludwig-Maximilians-Universität München
  • Peter Rzehak🇩🇪Helmholtz Munich; Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie; Ludwig-Maximilians-Universität München
  • Joachim Heinrich🇩🇪Helmholtz Munich
  • Rania Shadid🇩🇪Helmholtz Munich; Ludwig-Maximilians-Universität München
  • María del Carmen Ramirez-Tortosa🇪🇸Universidad de Granada
  • Cristina Campoy🇪🇸Universidad de Granada
  • S. Pardillo🇪🇸Universidad de Granada
  • Dolores J. Schendel🇩🇪Helmholtz Munich
  • Támas Décsi🇭🇺University of Pecs
  • Hans Demmelmair🇩🇪Ludwig-Maximilians-Universität München
  • Berthold Viktor Koletzko🇩🇪Ludwig-Maximilians-Universität München

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Altered intakes of n-3 and n-6 polyunsaturated fatty acids were suggested to modulate allergic disease, but intervention trials yielded inconclusive results. Because allergies are primed in early infancy and in utero, the fetus might be more accessible to nutritional intervention strategies.

Objective

We sought to investigate how supplementation of pregnant women with a fish oil (FO) preparation modulates allergy-related immune parameters in mothers and offspring.

Methods

We performed a multicenter, randomized, double-blind, placebo-controlled trial. Three hundred eleven pregnant women received daily either FO with 0.5 g of docosahexaenoic acid and 0.15 g of eicosapentaenoic acid, 400 mug of methyl-tetra-hydrofolic acid, both, or placebo from the 22nd gestational week. T(H)1/T(H)2-related molecules were quantified in 197 maternal and 195 cord blood samples by using real-time RT-PCR. Data are given as geometric means [95% CIs].

Results

FO supplementation was associated with increased TGF-beta mRNA in maternal (0.85 [0.8-0.89]; placebo: 0.68 [0.64-0.72]) and cord blood (0.85 [0.81-0.9]; placebo: 0.75 [0.71-0.79]). IL-1 (0.69 [0.66-0.73]; placebo: 0.83 [0.79-0.88]) and IFN-gamma (0.54 [0.51-0.57]; placebo: 0.65 [0.61-0.69]) were decreased in mothers only (P < .001). Cord blood mRNA levels of IL-4 (0.54 [0.52-0.57]; placebo: 0.64 [0.61-0.68]), IL-13 (0.61 [0.58-0.65]; placebo: 0.85 [0.80-0.89]), CCR4 (0.70 [0.67-0.73]; placebo: 0.88 [0.84-0.92]; all P < .001), and natural killer (P < .001) and CCR3+CD8+ T cells (P < .04) were decreased in the FO group.

Conclusion

Supplementation with FO during pregnancy is associated with decreased mRNA levels of T(H)2-related molecules in the fetus and decreased maternal inflammatory cytokines. We speculate that both effects are mediated by TGF-beta.

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