The Effects of Increasing Fruit and Vegetable Intake in Children with Asthma on the Modulation of Innate Immune Responses

Children with asthma are at risk of acute exacerbations triggered mainly by viral infections. A diet high in fruit and vegetables (F&V), a rich source of carotenoids, may improve innate immune responses in children with asthma. Children with asthma (3–11 years) with a history of exacerbations an...

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Main Authors: Banafsheh Hosseini, Bronwyn S. Berthon, Megan E. Jensen, Rebecca F. McLoughlin, Peter A. B. Wark, Kristy Nichol, Evan J. Williams, Katherine J. Baines, Adam Collison, Malcolm R. Starkey, Joerg Mattes, Lisa G. Wood
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/15/3087
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author Banafsheh Hosseini
Bronwyn S. Berthon
Megan E. Jensen
Rebecca F. McLoughlin
Peter A. B. Wark
Kristy Nichol
Evan J. Williams
Katherine J. Baines
Adam Collison
Malcolm R. Starkey
Joerg Mattes
Lisa G. Wood
author_facet Banafsheh Hosseini
Bronwyn S. Berthon
Megan E. Jensen
Rebecca F. McLoughlin
Peter A. B. Wark
Kristy Nichol
Evan J. Williams
Katherine J. Baines
Adam Collison
Malcolm R. Starkey
Joerg Mattes
Lisa G. Wood
author_sort Banafsheh Hosseini
collection DOAJ
description Children with asthma are at risk of acute exacerbations triggered mainly by viral infections. A diet high in fruit and vegetables (F&V), a rich source of carotenoids, may improve innate immune responses in children with asthma. Children with asthma (3–11 years) with a history of exacerbations and low F&V intake (≤3 serves/d) were randomly assigned to a high F&V diet or control (usual diet) for 6 months. Outcomes included respiratory-related adverse events and in-vitro cytokine production in peripheral blood mononuclear cells (PBMCs), treated with rhinovirus-1B (RV1B), house dust mite (HDM) and lipopolysaccharide (LPS). During the trial, there were fewer subjects with ≥2 asthma exacerbations in the high F&V diet group (n = 22) compared to the control group (n = 25) (63.6% vs. 88.0%, <i>p</i> = 0.049). Duration and severity of exacerbations were similar between groups. LPS-induced interferon (IFN)-γ and IFN-λ production showed a small but significant increase in the high F&V group after 3 months compared to baseline (<i>p</i> < 0.05). Additionally, RV1B-induced IFN-λ production in PBMCs was positively associated with the change in plasma lycopene at 6 months (r<sub>s</sub> = 0.35, <i>p</i> = 0.015). A high F&V diet reduced asthma-related illness and modulated in vitro PBMC cytokine production in young children with asthma. Improving diet quality by increasing F&V intake could be an effective non-pharmacological strategy for preventing asthma-related illness by enhancing children’s innate immune responses.
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spelling doaj.art-48f97d8c24fc4e6cb43d9d999894aa8f2023-12-03T12:53:28ZengMDPI AGNutrients2072-66432022-07-011415308710.3390/nu14153087The Effects of Increasing Fruit and Vegetable Intake in Children with Asthma on the Modulation of Innate Immune ResponsesBanafsheh Hosseini0Bronwyn S. Berthon1Megan E. Jensen2Rebecca F. McLoughlin3Peter A. B. Wark4Kristy Nichol5Evan J. Williams6Katherine J. Baines7Adam Collison8Malcolm R. Starkey9Joerg Mattes10Lisa G. Wood11Priority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre Grow Up Well, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre Grow Up Well, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaPriority Research Centre for Healthy Lungs, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW 2305, AustraliaChildren with asthma are at risk of acute exacerbations triggered mainly by viral infections. A diet high in fruit and vegetables (F&V), a rich source of carotenoids, may improve innate immune responses in children with asthma. Children with asthma (3–11 years) with a history of exacerbations and low F&V intake (≤3 serves/d) were randomly assigned to a high F&V diet or control (usual diet) for 6 months. Outcomes included respiratory-related adverse events and in-vitro cytokine production in peripheral blood mononuclear cells (PBMCs), treated with rhinovirus-1B (RV1B), house dust mite (HDM) and lipopolysaccharide (LPS). During the trial, there were fewer subjects with ≥2 asthma exacerbations in the high F&V diet group (n = 22) compared to the control group (n = 25) (63.6% vs. 88.0%, <i>p</i> = 0.049). Duration and severity of exacerbations were similar between groups. LPS-induced interferon (IFN)-γ and IFN-λ production showed a small but significant increase in the high F&V group after 3 months compared to baseline (<i>p</i> < 0.05). Additionally, RV1B-induced IFN-λ production in PBMCs was positively associated with the change in plasma lycopene at 6 months (r<sub>s</sub> = 0.35, <i>p</i> = 0.015). A high F&V diet reduced asthma-related illness and modulated in vitro PBMC cytokine production in young children with asthma. Improving diet quality by increasing F&V intake could be an effective non-pharmacological strategy for preventing asthma-related illness by enhancing children’s innate immune responses.https://www.mdpi.com/2072-6643/14/15/3087childhood asthmainnate immunityfruit and vegetablescarotenoids
spellingShingle Banafsheh Hosseini
Bronwyn S. Berthon
Megan E. Jensen
Rebecca F. McLoughlin
Peter A. B. Wark
Kristy Nichol
Evan J. Williams
Katherine J. Baines
Adam Collison
Malcolm R. Starkey
Joerg Mattes
Lisa G. Wood
The Effects of Increasing Fruit and Vegetable Intake in Children with Asthma on the Modulation of Innate Immune Responses
Nutrients
childhood asthma
innate immunity
fruit and vegetables
carotenoids
title The Effects of Increasing Fruit and Vegetable Intake in Children with Asthma on the Modulation of Innate Immune Responses
title_full The Effects of Increasing Fruit and Vegetable Intake in Children with Asthma on the Modulation of Innate Immune Responses
title_fullStr The Effects of Increasing Fruit and Vegetable Intake in Children with Asthma on the Modulation of Innate Immune Responses
title_full_unstemmed The Effects of Increasing Fruit and Vegetable Intake in Children with Asthma on the Modulation of Innate Immune Responses
title_short The Effects of Increasing Fruit and Vegetable Intake in Children with Asthma on the Modulation of Innate Immune Responses
title_sort effects of increasing fruit and vegetable intake in children with asthma on the modulation of innate immune responses
topic childhood asthma
innate immunity
fruit and vegetables
carotenoids
url https://www.mdpi.com/2072-6643/14/15/3087
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