The association between early-life salivary cytokines in premature
infants and asthma development
Abstract
Background Prematurity is a well-known risk factor for asthma.
Biomarkers from sputum or serum were determined to have association with
childhood asthma but no existing study has focused on salivary cytokines
nor on prematurity. Thus, our study aimed to determine the relationship
between childhood asthma and salivary cytokines in the early life of
prematurity. Methods Preterm neonates from August 2012 to May 2017 were
recruited and those with bacterial infection within seven days of life,
maternal sepsis, and maternal clinical chorioamnionitis were excluded.
Their gestational age, birth body weight, comorbidities, intubation
duration, and infectious times during hospitalization were documented.
The salivary cytokines on the first (D1) and seventh (D7) day of life
were detected by MILLPLEX® MAP Human multiplex assay. They were followed
up and divided into asthma and non-asthma groups. Kaplan-Meier or
Cox-regression were used for analyzing the data. Results A total of 125
preterm infants were enrolled with 21 in the asthma group and 104 in the
non-asthma group. Patients in the asthma group had longer duration of
intubation (p < 0.001) and higher re-hospitalization
rate for respiratory tract infection (p < 0.001),
especially for respiratory syncytial virus bronchiolitis (p =
0.008). For salivary cytokines, the levels of D1 interleukin (IL)-8 were
significantly higher in the asthma group (p = 0.04). Conclusions
Salivary IL-8 at one day of life was associated with the development of
asthma in childhood of premature neonates. Therefore, we can intervene
early on these high-risk premature infants to prevent the occurrence of
asthma.