Increased Frequency of CTLA-4 and PD-1 Expressing Regulatory T Cells and Basophils With an Activating Profile in Infants With Moderate-to-Severe Atopic Dermatitis Hypersensitized to Food Allergens

Background: Infants with severe atopic dermatitis (AD) may be sensitized to foods that have not been introduced into their diet, posing a risk for developing an immediate hypersensitivity reaction on the first exposure to the food to which they are sensitized. The aim of this work was to perform an analysis of the sensitization profile in infants with moderate-to-severe AD and to identify cellular and molecular markers for food allergy (FA).Methods: Blood samples from healthy donors and children with moderate-to-severe AD were studied. Specific IgE to several allergens were determined using ImmunoCAP FEIA system and ISAC technology. Furthermore, using flow cytometry-based studies, basophils and regulatory T (Treg) cells were phenotypically characterized.Results: 90% of children with AD were sensitized to food antigens before introducing them into the diet, and 100% developed FA. Phenotypic analysis showed a significantly higher percentage of CTLA-4 and PD-1 expressing Treg cells in AD patients than in healthy controls. Basophils from patients exhibited a marked reduction in the expression of CD300a, higher expression of FcεRI and CXCR4, and to some extent higher expression of CD63 and CD300c.Conclusions: Infants with moderate-to-severe AD are at high risk of being sensitized to food allergens. Therefore, to avoid allergic reactions, broad-spectrum sensitization studies are necessary before introducing complementary diet. Increased expression of CTLA-4 and PD-1 suggests greater suppressive potential of Treg cells in infants with AD than healthy controls. Furthermore, our results suggest a role for CD300 molecules on circulating basophils as possible biomarkers for FA susceptibility.

Different Blood Metabolomics Profiles in Infants Consuming a Meat- or Dairy-Based Complementary Diet

Background: Research is limited in evaluating the mechanisms responsible for infant growth in response to different protein-rich foods; Methods: Targeted and untargeted metabolomics analysis were conducted on serum samples collected from an infant controlled-feeding trial that participants consumed a meat- vs. dairy-based complementary diet from 5 to 12 months of age, and followed up at 24 months. Results: Isoleucine, valine, phenylalanine increased and threonine decreased over time among all participants; Although none of the individual essential amino acids had a significant impact on changes in growth Z scores from 5 to 12 months, principal component heavily weighted by BCAAs (leucine, isoleucine, valine) and phenylalanine had a positive association with changes in length-for-age Z score from 5 to 12 months. Concentrations of acylcarnitine-C4, acylcarnitine-C5 and acylcarnitine-C5:1 significantly increased over time with the dietary intervention, but none of the acylcarnitines were associated with infant growth Z scores. Quantitative trimethylamine N-oxide increased in the meat group from 5 to 12 months; Conclusions: Our findings suggest that increasing total protein intake by providing protein-rich complementary foods was associated with increased concentrations of certain essential amino acids and short-chain acyl-carnitines. The sources of protein-rich foods (e.g., meat vs. dairy) did not appear to differentially impact serum metabolites, and comprehensive mechanistic investigations are needed to identify other contributors or mediators of the diet-induced infant growth trajectories.

Nutritional quality of formulated complementary diet from defatted almond seed, yellow maize and quality protein maize flours

Traditional complementary foods are mainly starchy foods with limiting nutrient quality and can be fortified using protein rich crops like almond seed. This research thus aimed at investigating the nutritional quality of the formulated complementary diet from locally available almond seeds (Prunus amygdalus), high quality protein (QPM) and yellow maize after blending into flours. The proximate and amino acid compositions, in vitro protein qualities and functional properties of the blended flours were determined using standard methods. The in vivo studies involved feeding the weanling Wister albino rats with blended flours and commercial Cerelac (control), followed by hematological and histopathological determinations, while sensory attributes were evaluated by the semi-trained panelists. The protein contents of the flour blends (24–28%) were significantly (p < 0.05) better with adequate indispensable amino acids and improved functionalities than commercial cerelac (23%). Comparatively, the dried germinated QPM (DGQPM) has significant (p < 0.05) higher biological value (~ 37%) than fermented high QPM (FHQPM) (~ 30%), thereby indicating that the germination process improved protein quality of the diets. Besides, the in vivo data showed a positive effect of germination process as the rats fed with DGQPM has low white blood cells (30 × 102) compared to FHQPM (42 × 102) and cerelac (51 × 102). However, the fermentation process improved the packed cell volume of rats fed with FHQPM (49%) when compared to DGQPM and cerelac (47%). The formulated diets have no negative effects on the protein content (45.19–51.88 mg N/g) and weight (0.25–1.36 g) of the internal organs (liver, kidney and tissue) of the animals when compared to cerelac (53.72–55.04 mg N/g; 0.25–1.98 g), respectively. The panelists generally accepted all the formulated diets, hence encouraging their utilization in the global preparation of complimentary foods for young children to meet their nutritional needs and adding value to the locally produced underutilized almond seeds.

An Egg Feeding Intervention Increased Protein Quantity and Quality Among Young Malawian Children

Objectives Adequate protein quantity and quality are necessary for child health, growth and development, but may be lacking in complementary feeding diets with limited variety and few animal source foods. We assessed the impact of an egg feeding intervention on protein quality and quantity among rural Malawian children aged 9 to 15 months. Methods We enrolled 660 children into a 6-month trial to test the effect of eggs on child growth. Children were randomly assigned to the egg group (n = 331), who received one egg per day, or the control group (n = 329). Dietary intake data were collected at 3-month midline (9–12 months old) and 6-month endline visits (12–15 months old) by 24-hour recall interview with the primary caregiver. Repeat recalls were collected in a subsample at each timepoint. Crude protein intakes were calculated using local recipe and food composition tables. Breast milk intake was estimated as the difference between the estimated energy requirement and energy intake from complementary diet. Protein intakes were adjusted using the Digestible Indispensible Amino Acid Score (DIAAS), which weighs crude amino acid intakes against amino acid requirements. Treatment group differences in DIAAS were tested with ANCOVA. Group differences in adjusted total protein intakes from complementary diet and breastfeeding were tested using the National Cancer Institute method for estimating usual mean intakes with bootstrap standard errors. Adequacy was assessed using World Health Organization protein requirements. Results The egg intervention improved protein quality of the complementary feeding diet (DIAAS of 79 egg v 61 control at midline, 86 v 72 at endline, P &lt; .0001). Inclusion of breast milk in the DIAAS increased mean scores in both groups; total protein quality remained higher in the egg group. Total quality-adjusted protein intakes were 15.4 ± 0.3 g (mean ± standard error) in the egg group v 12.7 ± 0.3 g in the control group at midline and 17.1 ± 0.3 g egg group v 14.6 ± 0.3 g control at endline (P &lt; .0001). Inadequacy of protein intake was lower in the egg group than the control group at midline (2% v 15%, P &lt; 0.01) and very low in both groups at endline (&lt;1% egg v 2% control, P &gt; 0.05). Conclusions The egg intervention increased quantity and quality of protein intakes among young Malawian children, though protein inadequacy was uncommon. Funding Sources The Bill and Melinda Gates Foundation.

Development and nutritional evaluation of a complementary diet from fermented provitamin-a-biofortified maize (Zea mays L.) and germinated lentil seeds (Lens culinaris)

Breast milk often becomes insufficient to meet the nutritional needs of infants from 6 months onwards, and thus there is a need to introduce complementary diets. This study aimed at formulating complementary diets by combining fermented provitamin A biofortified maize flour with germinated lentil flour in ratios of 100%, 90:10%, 80:20% and 70:30%. They were evaluated for proximate composition, functional properties, mineral composition, carotenoid content, anti-nutrient content, amino acid profile and organoleptic properties. The protein contents ranged from 10.65 to 28.17%, 100%; germinated lentil flour (O6R) had the highest value, while the energy values of the diets ranged from 395.62 to 404.13 Kcal/100 g. The foaming capacity, foaming stability, water absorption capacity and bulk density increased, while the oil absorption capacity and dispersibility decreased as the lentils increased. The swelling capacity ranged from 39.92 to 69.42 %. The viscosity increased as the temperature dropped. The potassium and calcium contents increased with increased in the addition of lentils. Sodium and iron contents were high in the sample AM4 (fermented 100% provitamin A biofortified maize). The carotenoid content ranged from 0.80 to 1.27 mg/100 g. The anti-nutritional contents (phytate and oxalate) were reduced, while the trypsin inhibitor increased. The most abundant essential amino acid was leucine, while glutamic acid was the most abundant non-essential amino acid. It was observed that as lentil seed increased, the amino acids increased too. The values obtained for essential amino acid met up with the recommended standards, except for tryptophan, methionine, threonine and cystine. The sample TU1 (70% fermented provitamin A biofortifed maize and 30% germinated lentils seed) was the most acceptable by the panelists compared to the commercial baby formula (control). Therefore, this complementary diet may serve as means to combat protein-energy malnutrition in infants. A further research should be carried out on in-vivo study of this complementary diet.

Comparison of the Proximate Composition, Vitamins (Ascorbic Acid, α-Tocopherol and Retinol), Anti-Nutrients (Phytate and Oxalate) and the GC-MS Analysis of the Essential Oil of the Root and Leaf of Rumex crispus L.

Medicinal plants are a pertinent and effective remedy, employed in indigenous healthcare systems by traditional healers. This study focused on proximate parameters, minerals, vitamins, anti-nutrients and essential oil of the root and leaf of the medicinal plant; R. crispus, using the standard food analysis techniques. The result reveals that the moisture content of the leaf (7.57 ± 0.40%) and root (7.59 ± 0.08%) was not significantly different. The leaf has a higher ash, crude fat, fibre and mineral content than the root, except the carbohydrate (57.74 ± 3.06%) and Ca (1190.0 ± 0 mg/100g) values which are quite higher in the root. Traces of phytate was found in the leaf (1.15 ± 0.74%) and root (1.38 ± 0.27%) of R. crispus. The highest value of retinol, ascorbic acid and α-tocopherol was found in dried leaf (1.29 ± 0.014 mg retinol/100g), fresh leaf (159.73 ± 26.77 mg ascorbic acid/100g) and fresh root (54.90 ± 0.39 mg α-tocopherol/100g) respectively. The principal compound in the essential oil of the leaf are; 5-Eicosene, (E)-, docos-1-ene, trans-5-Octadecene, tetradecane while those found in the root are; 1-Heptacosanol, 4-Methyloctane, ethylcyclohexane, eucalyptol, m-Xylene, octadecane, phytol, and tetradecane. The research reveals that R. crispus may not only be used for medicinal purposes but could also be suitable for a complementary diet.