Maternal intestinal flora and wheeze in early childhood

• Published in: Clinical and experimental allergy 2012-06, Vol.42 (6), p.901-908
• Main Authors: Lange, N. E., Celedón, J. C., Forno, E., Ly, N. P., Onderdonk, A., Bry, L., Delaney, M. L., DuBois, A. M., Gold, D. R., Weiss, S. T., Litonjua, A. A.
• Format: Article
• Language: English
• Subjects: Adult; Allergic diseases; asthma; Biological and medical sciences; Breast Feeding; Chronic obstructive pulmonary disease, asthma; eczema; Eczema - etiology; Environmental Exposure - adverse effects; Female; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Humans; Immunopathology; Infant; infant wheeze; Infant, Newborn; intestinal flora; Intestinal Mucosa - microbiology; Male; maternal flora; Medical sciences; microbiota; Pneumology; Pregnancy; Respiratory Sounds - etiology; Risk Factors; Skin allergic diseases. Stinging insect allergies
• ISSN: 0954-7894; 1365-2222
• DOI: 10.1111/j.1365-2222.2011.03950.x

Summary Background Increasing evidence links altered intestinal flora in infancy to eczema and asthma. No studies have investigated the influence of maternal intestinal flora on wheezing and eczema in early childhood. Objective To investigate the link between maternal intestinal flora during pregnancy and development of wheeze and eczema in infancy. Methods A total of 60 pregnant women from the Boston area gave stool samples during the third trimester of their pregnancy and answered questions during pregnancy about their own health, and about their children's health when the child was 2 and 6 months of age. Quantitative culture was performed on stool samples and measured in log10colony‐forming units (CFU)/gram stool. Primary outcomes included infant wheeze and eczema in the first 6 months of life. Atopic wheeze, defined as wheeze and eczema, was analysed as a secondary outcome. Results In multivariate models adjusted for breastfeeding, day care attendance and maternal atopy, higher counts of maternal total aerobes (TA) and enterococci (E) were associated with increased risk of infant wheeze (TA: OR 2.32 for 1 log increase in CFU/g stool [95% CI 1.22, 4.42]; E: OR 1.57 [95% CI 1.06, 2.31]). No organisms were associated with either eczema or atopic wheeze. Conclusions and Clinical Relevance In our cohort, higher maternal total aerobes and enterococci were related to increased risk of infant wheeze. Maternal intestinal flora may be an important environmental exposure in early immune system development.