Unconjugated bilirubin is associated with protection from early-life wheeze and childhood asthma

Autor: Tebeb Gebretsadik, Brittney D. Snyder, Chang Yu, Echo-Crew investigators, Robert F. Lemanske, Daniel J. Jackson, Kathyrn McCauley, Suzanne Havstad, Christine M. Seroogy, Kedir N. Turi, Susan V. Lynch, Tina V. Hartert, Christopher McKennan, Edward M. Zoratti, Carole Ober, James E. Gern
Rok vydání: 2021
Předmět:
Zdroj: Journal of Allergy and Clinical Immunology. 148:128-138
ISSN: 0091-6749
DOI: 10.1016/j.jaci.2020.12.639
Popis: Background Wheeze and allergic sensitization are the strongest early-life predictors of childhood asthma development; the molecular origins of these early-life phenotypes are poorly understood. Objectives We sought to identify metabolites associated with early-life wheeze, allergic sensitization, and childhood asthma. Methods We conducted a nested case-control study using Environmental influences on Child Health Outcomes Program cohorts for discovery and independent replication. Wheeze and allergic sensitization were defined by number of wheeze episodes and positive specific IgE at age 1 year, respectively. Asthma was defined as physician diagnosis of asthma at age 5 or 6 years. We used untargeted metabolomics, controlling for observed and latent confounding factors, to assess associations between the plasma metabolome and early-life wheeze, allergy, and childhood asthma. Results Eighteen plasma metabolites were associated with first-year wheeze in the discovery cohort (n = 338). Z,Z unconjugated bilirubin (UCB) and its related metabolites exhibited a dose-response relationship with wheeze frequency; UCB levels were 13% (β = 0.87; 95% CI, 0.74-1.02) and 22% (β = 0.78; 95% CI, 0.68-0.91) lower in children with 1 to 3 and 4+ wheeze episodes compared with those who never wheezed, respectively. UCB levels were also associated with childhood asthma (β = 0.82; 95% CI, 0.68-0.98). Similar trends were observed in 2 independent cohorts. UCB was significantly negatively correlated with eicosanoid- and oxidative stress–related metabolites. There were no significant associations between metabolites and allergic sensitization. Conclusions We identified a novel inverse, dose-dependent association between UCB and recurrent wheeze and childhood asthma. Inflammatory lipid mediators and oxidative stress byproducts inversely correlated with UCB, suggesting that UCB modulates pathways critical to the development of early-life recurrent wheeze and childhood asthma.
Databáze: OpenAIRE
Externí odkaz: