1. Exploring Immune Development in Infants With Moderate to Severe Atopic Dermatitis
- Author
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Lies Hulshof, Saskia A. Overbeek, Anne L. Wyllie, Mei Ling J. N. Chu, Debby Bogaert, Wilco de Jager, Leon M. J. Knippels, Elisabeth A. M. Sanders, Wim M. C. van Aalderen, Johan Garssen, Belinda van’t Land, Aline B. Sprikkelman, The Clinical Study Group, A. Blauw, B. Dontje, Y. C. M. Duijvestein, W. H. C. de Boom, I. Groot, M. Boks, Y. van Kooyk, D. H. H. Fandri, D. Hijnen, M. A. Middelkamp-Hup, B. Papi, M. Roelofs, A. Rijnierse, D. Veening, Clinical Trial Support, B. J. Prakken, G. W. Ten Tusscher, R. A. Tupker, and L. E. M. Willemsen
- Subjects
atopic dermatitis ,atopic dermatitis severity ,chemokine profiles ,dietary intervention ,infants ,T helper cell type 2/T helper cell type 1 response ,Immunologic diseases. Allergy ,RC581-607 - Abstract
BackgroundAtopic dermatitis (AD) is the most common chronic inflammatory skin disease in infancy with a complex pathology. In adults, the clinical severity of AD has been associated with increases in T helper cell type (Th) 2, Th22, and Th17 serum markers, including high levels of CC chemokine ligand (CCL) 17 and CCL22 chemokines.ObjectiveTo explore the possible association between serum chemokine levels and AD severity in infants with moderate-to-severe AD and elevated immunoglobulin E (IgE).Subjects and methodsSerum samples (n = 41) obtained from a randomized, double-blind, and clinical dietary intervention study were used to study biomarkers in infants with AD. Baseline- and post-intervention samples (4 months) were used, six chemokines and nine ratios thereof were analyzed using Luminex and correlated to AD severity. In the initial study, the infants were randomized to receive extensively hydrolyzed whey-based formula without (control) or with short-chain galacto-oligosaccharides/long-chain fructo-oligosaccharides (9:1) and Bifidobacterium breve M-16V (active).Results31 Infants up to 11 months of age, with an objective-SCORAD score (oSCORAD) ≥ 20 and elevated total-IgE and/or specific-IgE levels were included. In time, the median oSCORAD decreased in both groups by −8 (control, p
- Published
- 2018
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