Details zur Publikation

Referenztyp Zeitschriften
DOI / URL Link
Creative Commons Lizenz creative commons licence
Titel (primär) Allergic disease trajectories up to adolescence: Characteristics, early-life and genetic determinants
Autor Kilanowski, A.; Thiering, E.; Wang, G.; Kumar, A.; Kress, S.; Flexeder, C.; Bauer, C.-P.; Berdel, D.; von Berg, A.; Bergström, A.; Gappa, M.; Heinrich, J.; Herberth, G.; Koletzko, S.; Kull, I.; Melen, E.; Schikowski, T.; Peters, A.; Standl, M.
Journal / Serie Allergy
Erscheinungsjahr 2022
Department IMMU
Sprache englisch
Topic T9 Healthy Planet
Supplements https://onlinelibrary.wiley.com/action/downloadSupplement?doi=10.1111%2Fall.15511&file=all15511-sup-0001-Supinfo.zip
Keywords Allergic diseases; Epidemiology; Longitudinal clustering; Polygenic risk score; Trajectories
Abstract

Background

Allergic diseases often develop jointly during early childhood but differ in timing of onset, remission and progression. Their disease course over time is often difficult to predict and determinants are not well understood.

Objectives

We aimed to identify trajectories of allergic diseases up to adolescence and to investigate their association with early-life and genetic determinants and clinical characteristics.

Methods

Longitudinal k-means clustering was used to derive trajectories of allergic diseases (asthma, atopic dermatitis and rhinitis) in two German birth cohorts (GINIplus/LISA). Associations with early-life determinants, polygenic risk scores, food and aeroallergen sensitization and lung function were estimated by multinomial models. Results were replicated in the independent Swedish BAMSE cohort.

Results

Seven allergic disease trajectories were identified: “Intermittently allergic”, “rhinitis”, “early-resolving dermatitis”, “mid-persisting dermatitis”, “multimorbid”, “persisting dermatitis plus rhinitis” and “early-transient asthma”. Family history of allergies was more prevalent in all allergic disease trajectories compared the non-allergic controls with stronger effect sizes for clusters comprising more than one allergic disease (e.g. RRR=5.0, 95%CI=[3.1–8.0] in the multimorbid versus 1.8[1.4–2.4] in the mild intermittently allergic cluster). Specific polygenic risk scores for single allergic diseases were significantly associated with their relevant trajectories. The derived trajectories and their association with genetic effects and clinical characteristics showed similar results in BAMSE.

Conclusion

Seven robust allergic clusters were identified and showed associations with early life and genetic factors as well as clinical characteristics.

dauerhafte UFZ-Verlinkung https://www.ufz.de/index.php?en=20939&ufzPublicationIdentifier=26567
Kilanowski, A., Thiering, E., Wang, G., Kumar, A., Kress, S., Flexeder, C., Bauer, C.-P., Berdel, D., von Berg, A., Bergström, A., Gappa, M., Heinrich, J., Herberth, G., Koletzko, S., Kull, I., Melen, E., Schikowski, T., Peters, A., Standl, M. (2022):
Allergic disease trajectories up to adolescence: Characteristics, early-life and genetic determinants
Allergy