Department of Dermatology, University of Turku, Turku, Finland.
Pediatr Allergy Immunol. 2013 Sep;24(6):562-6. doi: 10.1111/pai.12110.
The first year of infancy is crucial for the development of atopic immune response. Inadequate early Th1 and Treg responses and increased production of Th2 cytokines are associated with atopy. Breast milk contains several immunomodulatory cytokines and other factors that might influence the maturation of the infant's immune system. We assessed the cytokines in breast milk of mother of newborn infants and their associations with black currant seed oil (BCSO) supplementation during pregnancy, mother's atopic status and the development of infant's atopic dermatitis.
Mothers and infants from an intervention study by black currant seed oil (n = 31) or olive oil as placebo (n = 30) were included in the study. Breast milk samples were collected during the first 3 months of breastfeeding. Breast milk levels of IL-4, IL-5, IL-10, IL-12, IFN-γ and TNF were measured by Luminex technology.
BCSO intervention group had decreased level of IL-4 (p = 0.044) and elevated level of IFN-γ (p = 0.014) in breast milk as compared to olive oil group. No significant differences were observed in IL-5, IL-10, IL-12 and TNF levels between the BCSO and olive oil groups. Mothers who had atopic dermatitis had significantly decreased levels of IL-10 (p = 0.044) in breast milk. Breast milk of the mothers of the children who developed atopic dermatitis had lower levels of IFN-γ (p = 0.039) as compared to the breast milk of the mothers of the children without dermatitis.
Dietary intervention with BCSO had immunomodulatory effects on breast milk cytokine production towards Th2 to Th1 immunodeviation.
婴儿期的第一年对过敏性免疫反应的发展至关重要。早期 Th1 和 Treg 反应不足以及 Th2 细胞因子的产生增加与过敏有关。母乳中含有几种免疫调节细胞因子和其他可能影响婴儿免疫系统成熟的因素。我们评估了新生儿母亲母乳中的细胞因子及其与妊娠期间黑加仑籽油(BCSO)补充、母亲过敏状况和婴儿特应性皮炎发展的关系。
来自黑加仑籽油(n = 31)或橄榄油作为安慰剂(n = 30)干预研究的母亲和婴儿被纳入研究。在母乳喂养的头 3 个月收集母乳样本。通过 Luminex 技术测量母乳中 IL-4、IL-5、IL-10、IL-12、IFN-γ 和 TNF 的水平。
与橄榄油组相比,BCSO 干预组母乳中 IL-4 水平降低(p = 0.044),IFN-γ 水平升高(p = 0.014)。BCSO 和橄榄油组之间,IL-5、IL-10、IL-12 和 TNF 水平没有显着差异。患有特应性皮炎的母亲母乳中 IL-10 水平显着降低(p = 0.044)。与无特应性皮炎的儿童的母亲的母乳相比,患有特应性皮炎的儿童的母亲的母乳中 IFN-γ 水平较低(p = 0.039)。
饮食干预用 BCSO 对母乳细胞因子产生产生了免疫调节作用,使 Th2 向 Th1 免疫偏离。