Reduced interferon gamma production and soluble CD14 levels in early life predict recurrent wheezing by 1 year of age

Am J Respir Crit Care Med. 2004 Jan 1;169(1):70-6. doi: 10.1164/rccm.200304-499OC. Epub 2003 Oct 2.

Abstract

It is unknown whether reduced production of IFNgamma in early life, before any lower respiratory tract illness, is a risk factor for recurrent wheezing in infancy. We followed 238 infants prospectively from birth to 1 year of age. At birth and at 3 months of age, IFNgamma production from polyclonally stimulated peripheral blood mononuclear cells and soluble CD14 (sCD14) levels in plasma were measured. The odds of developing recurrent wheezing (assessed by questionnaire) in the first year of life were up to 4.5 times higher for children in the lowest quartile of IFNgamma production at 3 months (p = 0.0005) and 3.2 times higher for children in the lowest quartile of sCD14 levels at birth (p = 0.004) as compared with children in the other 3 combined quartiles of IFNgamma and sCD14, respectively. Findings were confirmed in the multivariate analysis. IFNgamma production at 3 months and sCD14 levels at birth were correlated (r = 0.188, p = 0.031). Our findings from a longitudinal cohort suggest that impaired IFNgamma production at 3 months and reduced plasma-sCD14 levels at birth significantly increase the risk of developing recurrent wheezing in the first year of life.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Age Factors
  • Asthma / diagnosis*
  • Asthma / epidemiology
  • Asthma / immunology
  • Biomarkers / analysis
  • Child, Preschool
  • Cohort Studies
  • Confidence Intervals
  • Female
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Interferon-gamma / analysis
  • Interferon-gamma / biosynthesis*
  • Lipopolysaccharide Receptors / analysis
  • Lipopolysaccharide Receptors / biosynthesis*
  • Longitudinal Studies
  • Male
  • Odds Ratio
  • Predictive Value of Tests
  • Prognosis
  • Recurrence
  • Respiratory Sounds / diagnosis*
  • Respiratory Sounds / immunology
  • Severity of Illness Index
  • Sex Distribution

Substances

  • Biomarkers
  • Lipopolysaccharide Receptors
  • Interferon-gamma