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KMID : 1130320080510070754
Korean Journal of Pediatrics
2008 Volume.51 No. 7 p.754 ~ p.759
Relationship between cord blood level of IL-12 in preterm newborns and development of wheezing
Yu Hyo-Jung

Park Eun-Ae
Kim Ji-Young
Cho Su-Jin
Kim Young-Ju
Park Hye-Sook
Ha Eun-Hee
Abstract
Purpose : Abnormal activation patterns of Th1/Th2-cells have been suggested to increase the prevalence of allergic diseases. Prevention is regarded as an important corner stone in the management of allergic diseases. In this study, we have investigated the relationship between cord blood levels of IL-4, IL-10, and IL-12 in preterm newborns and the development of allergic respiratory diseases in infancy

Methods : Forty-six preterm newborns born at the Ewha Womans University Mokdong Hospital between January 2003 and July 2005, were enrolled for this study, and consent was obtained to test their cord blood samples. Clinical history was obtained from the hospital records. Cord blood was obtained at birth and kept frozen until it was tested. The levels of IL-4, IL-10, and IL-12 were determined by enzyme-linked immunosorbent assay (ELISA).

Results : All infants were followed-up for a median of 16.0 months?3.2 d (range, 12.0 to 36.0 months). Eighteen infants who developed wheezing showed lower cord blood levels of IL-12 (366.60?40.40 vs 435.09?1.20 pg/mL, P=0.009). Cord blood levels of IL-4 and IL-10 showed no significant difference between the two groups. Four newborns who later developed asthma, and infants with asthma showed lower IL-12 level in the cord blood than other groups.

Conclusion : Lower concentration of cord blood levels of IL-12 in newborns who later developed wheezing and asthma suggested that they had abnormal activation patterns of Th1/Th2-cells at the time of birth, and cord blood IL-12 level can be used as a predictor of allergic respiratory diseases.
KEYWORD
Cord blood, IL-12, Wheezing, Asthma, Preterm infant
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