Mechanisms of allergy and clinical immunology
Maternal and cord blood miR-223 expression associates with prenatal tobacco smoke exposure and low regulatory T-cell numbers

https://doi.org/10.1016/j.jaci.2013.06.036Get rights and content

Background

There is evidence that microRNAs (miRNAs) are sensitive to environmental stressors, including tobacco smoke. On the other hand, miRNAs are involved in immune regulation, such as regulatory T (Treg) cell differentiation. The aim of the present study was to investigate the association between prenatal tobacco smoke exposure, miRNAs, and Treg cell numbers.

Methods

Within a prospective mother-child study (Lifestyle and Environmental Factors and Their Influence on Newborns Allergy Risk), we analyzed the expression of miR-155 and miR-223 together with Treg cell numbers in maternal blood during pregnancy, as well as in cord blood (n = 441). Tobacco smoke exposure was assessed based on questionnaire answers and maternal urine cotinine levels. Additionally, the concentration of smoking-related volatile organic compounds was measured in dwellings of study participants.

Results

Both maternal and cord blood miR-223 expressions were positively correlated with maternal urine cotinine levels. An association was also found between maternal miR-223 expression and indoor concentrations of benzene and toluene. High miR-223 expression was associated with lower Treg cell numbers in maternal and cord blood. Furthermore, children with lower Treg cell numbers at birth had a higher risk of atopic dermatitis during the first 3 years of life. The concentration of the toluene metabolite S-benzylmercapturic acid in maternal urine was associated with decreased cord blood, but not maternal blood, miR-155 expression. A relationship between miR-155 expression and Treg cell numbers was not found.

Conclusions

For the first time, we show that maternal tobacco smoke exposure during pregnancy correlates with the level of miRNA-223 expression in blood, with an effect on children's cord blood Treg cell numbers and subsequent allergy risk.

Section snippets

Methods

For more detailed information, please see the Methods section in this article's Online Repository at www.jacionline.org.

Characteristics of the study population

Characteristics of the study population are listed in Table I. There were no differences in the distribution of considered parameters in the analyzed subcohort compared with the entire LINA cohort (Table I). Complete data, including miRNA analysis, cord blood Treg cell numbers, and VOC/metabolite measurements, were available from 441 children at birth and from 315 pregnant mothers (see Fig E1).

At the age of 1 year, 606 children had participated in the study, and 546 and 514 children

Discussion

In the present study we show for the first time that maternal tobacco smoke exposure during pregnancy associates with the blood expression level of miRNA-223, with an effect on children's cord blood Treg cell numbers and the subsequent allergy risk. We analyzed maternal blood during pregnancy and children's cord blood and demonstrate that both maternal and cord blood miRNA-223 expression were positively correlated with maternal urine cotinine levels. High miR-223 expression was associated with

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    The LINA study was supported by Helmholtz institutional funding (Helmholtz Centre for Environmental Research–UFZ).

    Disclosure of potential conflict of interest: The authors declare that they have no relevant conflicts of interest.

    These authors contributed equally to this work.

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