Maternal C-reactive protein levels in pregnancy are associated with wheezing and lower respiratory tract infections in the offspring

Eva Morales, Stefano Guerra, Raquel Garca-Esteban, Monica Guxens, Mar Alvarez-Pedrerol, Mariona Bustamante, Xavier Estivill, Josep Maria Ant, Jordi Sunyer

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Objective We assessed whether maternal C-reactive protein (CRP) levels during pregnancy and CRP gene variations are associated with wheezing and lower respiratory tract infections (LRTIs) in offspring. Study Design Information on wheezing and LRTIs in the offspring at 6 and 14 months of age, and maternal CRP levels and genotype was obtained from a population-based birth cohort. Results A total of 63 children (12.5%) experienced recurrent wheezing and 61 (12.4%) a recurrent diagnosis of LRTIs. Children in the highest tertile of maternal CRP levels had a higher risk of experiencing recurrent wheezing (adjusted odds ratio, 2.87; 95% confidence interval, 1.236.71) and being diagnosed with recurrent LRTIs (odds ratio, 2.37; 95% confidence interval, 1.015.55), as compared with children in the lowest tertile. The rs1205 polymorphism influenced maternal serum CRP levels but not the risk of the offspring outcomes. Conclusion Higher CRP levels in pregnancy are associated with wheezing and LRTIs in offspring. However, genetic variation in CRP influencing maternal levels is not related to these phenotypes.

Original languageEnglish (US)
Pages (from-to)164.e1-164.e9
JournalAmerican journal of obstetrics and gynecology
Volume204
Issue number2
DOIs
StatePublished - Feb 2011

Keywords

  • C-reactive protein
  • children
  • pregnancy
  • respiratory infections
  • wheezing

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Morales, E., Guerra, S., Garca-Esteban, R., Guxens, M., Alvarez-Pedrerol, M., Bustamante, M., Estivill, X., Ant, J. M., & Sunyer, J. (2011). Maternal C-reactive protein levels in pregnancy are associated with wheezing and lower respiratory tract infections in the offspring. American journal of obstetrics and gynecology, 204(2), 164.e1-164.e9. https://doi.org/10.1016/j.ajog.2010.08.056