Characteristics of immune function of full-term infants with different feeding patterns at the age of 3 months: a prospective cohort study
MA Jing-Ran, LI Zheng-Hong, ZHANG Wen-Juan, ZHANG Chun-Li, ZHANG Yu-Heng, MEI Hua, ZHUO Na, WANG Hong-Yun, WU Dan
Department of Pediatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences/State Key Laboratory of Complex Severe and Rare Diseases, Beijing 100730, China (Li Z-H, Email: worldlizhengh@outlook.com)
Abstract Objective To explore the characteristics of immune function of healthy full-term infants at the age of 3 months, and to analyze the relationship of immune function with feeding pattern and sex. Methods A total of 84 healthy full-term infants born in four hospitals in Beijing and Hohhot, China were prospectively recruited. Their feeding patterns remained unchanged within 4 months after birth. They were divided into a breast-feeding group and a milk powder feeding group according to their feeding patterns. At the age of 3 months after birth, peripheral venous blood samples of the two groups were collected to evaluate cellular immunity and humoral immunity and perform routine blood test. The laboratory indices were compared between infants with different feeding patterns and sexes. Results Compared with the milk powder feeding group, the breast-feeding group had significantly lower proportion of T cell second signal receptor CD28, immunoglobulin M, and proportion and absolute count of neutrophils (P<0.05) and significantly higher expression and proportion of HLA-DR, a surface activation marker of CD8+ T cells, and proportion of lymphocytes (P<0.05). The male infants had a significantly lower white blood cell count and a significantly higher proportion of eosinophils compared with the female infants (P<0.05). Conclusions Sex has no significant effect on the proportion of lymphocyte subsets in 3-month-old full-term infants, but feeding patterns are associated with the proportion of CD28+ T cells (lymphocyte functional subset) and HLA-DR+ T cells (lymphocyte activation subset), suggesting that feeding patterns have a certain effect on the development of immune function in 3-month-old full-term infants.
MA Jing-Ran,LI Zheng-Hong,ZHANG Wen-Juan et al. Characteristics of immune function of full-term infants with different feeding patterns at the age of 3 months: a prospective cohort study[J]. CJCP, 2021, 23(10): 1002-1007.
MA Jing-Ran,LI Zheng-Hong,ZHANG Wen-Juan et al. Characteristics of immune function of full-term infants with different feeding patterns at the age of 3 months: a prospective cohort study[J]. CJCP, 2021, 23(10): 1002-1007.
Carneiro-Sampaio M, Jacob CMA, Leone CR. A proposal of warning signs for primary immunodeficiencies in the first year of life[J]. Pediatr Allergy Immunol, 2011, 22(3): 345-346. PMID: 21457340. DOI: 10.1111/j.1399-3038.2010.01084.x.
Ding Y, Zhou LN, Xia Y, et al. Reference values for peripheral blood lymphocyte subsets of healthy children in China[J]. J Allergy Clin Immunol, 2018, 142(3): 970-973.e8. PMID: 29746882. DOI: 10.1016/j.jaci.2018.04.022.
Tosato F, Bucciol G, Pantano G, et al. Lymphocytes subsets reference values in childhood[J]. Cytometry A, 2015, 87(1): 81-85. PMID: 25132325. DOI: 10.1002/cyto.a.22520.
Shearer WT, Rosenblatt HM, Gelman RS, et al. Lymphocyte subsets in healthy children from birth through 18 years of age: the pediatric AIDS clinical trials group P1009 study[J]. J Allergy Clin Immunol, 2003, 112(5): 973-980. PMID: 14610491. DOI: 10.1016/j.jaci.2003.07.003.
Garcia-Prat M, álvarez-Sierra D, Aguiló-Cucurull A, et al. Extended immunophenotyping reference values in a healthy pediatric population[J]. Cytometry B Clin Cytom, 2019, 96(3): 223-233. PMID: 30334372. DOI: 10.1002/cyto.b.21728.
ZHANG Ji-Yong, ZHOU Shao-Ming, WANG Shao-Hua, SUI Feng-Xuan, GAO Wu-Hong, LIU Qing, CAI Hua-Bo, JIANG Hong-Ying, LI Wei-Yan, WANG Li-Ting, LI Li, ZHAO Wei, YING Jing, WU Qian-Zhen, WENG Bi-Xia, ZENG Yong-Mei. Risk factors for cow's milk protein allergy in infants: a multicenter survey[J]. CJCP, 2020, 22(1): 42-46.