Prenatal factors and the development of asthma

Rajesh Kumar*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

77 Scopus citations

Abstract

Purpose of review There is increasing evidence that both prenatal and perinatal events influence both allergic diseases and early-life respiratory morbidity. Recent findings Studies in the last year have suggested that in-utero exposures including tobacco smoke exposure, dietary exposures including vitamin D, and prenatal infection and exposure to microbial products may modulate both atopy and respiratory disease. There have been studies revealing gene x environment interactions between inflammatory pathway genes and in-utero smoke exposure. There have also been studies which have revealed that prenatal exposure to endotoxin may be protective. On the other hand, a recent study also suggested that chorioamnionitis may increase the risk of recurrent wheezing in combination with preterm birth. Finally, two separate large cohort studies evaluated maternal diet in pregnancy and suggested that vitamin D levels may be protective against asthma and wheezing. Summary There is epidemiological evidence for multiple prenatal factors impacting early-life respiratory morbidity. The mechanisms of these factors need further investigation and may act via various pathways which include effects on lung development, allergic and nonallergic inflammation, and airway remodeling. It remains to be determined if some of these early-life factors which predispose to wheezing will all translate into increased risk of asthma.

Original languageEnglish (US)
Pages (from-to)682-687
Number of pages6
JournalCurrent opinion in pediatrics
Volume20
Issue number6
DOIs
StatePublished - Dec 1 2008

Keywords

  • Asthma
  • Diet
  • Environmental tobacco smoke
  • In-utero environment
  • Infection
  • Stress

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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