Xiaoli Wang1,2,3, Haiyuan Li1,2,3, Qianqian Zhang1,2,3, Qianwen Shen1,2,3, Dan Zhu1,2,3, Hong Li1,2,3, Zheng Tang1,2,3, Jiuru Zhao4,5,6, Zhiwei Liu7,8,9. 1. International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, 910# Hengshan Road, Shanghai, 200030, China. 2. International Peace Maternity and Child Health Hospital of China Welfare Institute, Shanghai, China. 3. Shanghai Key Laboratory of Embryo Original Disease, Shanghai, China. 4. International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, 910# Hengshan Road, Shanghai, 200030, China. zhaojiurv@163.com. 5. International Peace Maternity and Child Health Hospital of China Welfare Institute, Shanghai, China. zhaojiurv@163.com. 6. Shanghai Key Laboratory of Embryo Original Disease, Shanghai, China. zhaojiurv@163.com. 7. International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, 910# Hengshan Road, Shanghai, 200030, China. liuzhiwei@hotmail.com. 8. International Peace Maternity and Child Health Hospital of China Welfare Institute, Shanghai, China. liuzhiwei@hotmail.com. 9. Shanghai Key Laboratory of Embryo Original Disease, Shanghai, China. liuzhiwei@hotmail.com.
Abstract
BACKGROUND: Chorioamnionitis is associated with various neonatal short- and long-term morbidities. The effect of chorioamnionitis on premature children's outcomes remains controversial. The aim of this study is to investigate the relationship between histological chorioamnionitis (HCA) and physiological development, wheezing, and atopic diseases in preterm children. METHODS: Singleton, preterm children (< 34 weeks), whose mother underwent pathological placental examinations, were retrospectively enrolled and the outcomes were assessed at 24-40 months during follow-up. Wheezing and atopic diseases including eczema, food allergies, and allergic rhinitis were screened by a questionnaire along with medical diagnosis. Anthropometric indexes and blood pressure were measured. Cognitive and behavioural developments were assessed by the Gesell Development and Diagnosis Scale. Blood IgE and routine examination were analyzed with venous blood and serum metabolomic profiling was assessed via liquid chromatography-mass spectrometry (LC-MS). A multivariate logistic regression model was used to estimate the association between HCA and the current outcomes. RESULTS: Among the 115 enrolled children, 47 were exposed to HCA. The incidence of wheezing was significantly higher in children exposed to HCA, as 38.30% of children who were exposed to HCA and 16.18% of children who were not had been diagnosed with wheezing. After adjusting for related confounders in the multivariate logistic regression model, there remained a 2.72-fold increased risk of wheezing in children with HCA (adjusted odds ratio, aOR, 2.72; 95% confidence interval, 1.02-7.23). Moreover, 163 differential metabolites, such as butanoic acid, annotemoyin 1 and charine, were identified in the HCA exposed children's serum. Enrichment analysis revealed that these compounds participated in diverse key metabolomic pathways relating to physical and neuro- developments, including glycerophospholipid, alpha-linolenic acid and choline metabolisms. There were no significant differences in atopic diseases, serum IgE, eosinophils' level, anthropometric indexes, blood pressure, or cognitive or behavioural developments between the two groups. CONCLUSION: HCA exposure is associated with an increased risk of wheezing in preterm children less than 34 gestational weeks.
BACKGROUND:Chorioamnionitis is associated with various neonatal short- and long-term morbidities. The effect of chorioamnionitis on premature children's outcomes remains controversial. The aim of this study is to investigate the relationship between histological chorioamnionitis (HCA) and physiological development, wheezing, and atopic diseases in preterm children. METHODS: Singleton, preterm children (< 34 weeks), whose mother underwent pathological placental examinations, were retrospectively enrolled and the outcomes were assessed at 24-40 months during follow-up. Wheezing and atopic diseases including eczema, food allergies, and allergic rhinitis were screened by a questionnaire along with medical diagnosis. Anthropometric indexes and blood pressure were measured. Cognitive and behavioural developments were assessed by the Gesell Development and Diagnosis Scale. Blood IgE and routine examination were analyzed with venous blood and serum metabolomic profiling was assessed via liquid chromatography-mass spectrometry (LC-MS). A multivariate logistic regression model was used to estimate the association between HCA and the current outcomes. RESULTS: Among the 115 enrolled children, 47 were exposed to HCA. The incidence of wheezing was significantly higher in children exposed to HCA, as 38.30% of children who were exposed to HCA and 16.18% of children who were not had been diagnosed with wheezing. After adjusting for related confounders in the multivariate logistic regression model, there remained a 2.72-fold increased risk of wheezing in children with HCA (adjusted odds ratio, aOR, 2.72; 95% confidence interval, 1.02-7.23). Moreover, 163 differential metabolites, such as butanoic acid, annotemoyin 1 and charine, were identified in the HCA exposed children's serum. Enrichment analysis revealed that these compounds participated in diverse key metabolomic pathways relating to physical and neuro- developments, including glycerophospholipid, alpha-linolenic acid and choline metabolisms. There were no significant differences in atopic diseases, serum IgE, eosinophils' level, anthropometric indexes, blood pressure, or cognitive or behavioural developments between the two groups. CONCLUSION:HCA exposure is associated with an increased risk of wheezing in preterm children less than 34 gestational weeks.
Authors: Darios Getahun; Daniel Strickland; Robert S Zeiger; Michael J Fassett; Wansu Chen; George G Rhoads; Steven J Jacobsen Journal: Arch Pediatr Adolesc Med Date: 2010-02
Authors: Ken K Ong; Kathy Kennedy; Eurídice Castañeda-Gutiérrez; Stewart Forsyth; Keith M Godfrey; Berthold Koletzko; Marie E Latulippe; Susan E Ozanne; Ricardo Rueda; Marieke H Schoemaker; Eline M van der Beek; Stef van Buuren; Mary Fewtrell Journal: Acta Paediatr Date: 2015-10 Impact factor: 2.299