Publications by authors named "Stuart Turvey"

Background: Infant antibiotic use is associated with increased risk of asthma. We examined the population impact of antibiotic exposure in the first year of life on the burden of pediatric asthma in British Columbia, Canada, using simulation modeling.

Methods: We performed a Bayesian meta-analysis of empirical studies to construct dose-response equations between antibiotic exposure in the first year of life and pediatric (<19 years of age) asthma.

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Introduction: Throughout the perinatal period children are exposed to complex mixtures, including indoor chemicals such as phthalates, and biological agents. However, few studies focus on interactions between early-life co-exposures to shed light on how co-exposures modify their individual effects. Therefore, our study aims to assess whether early-life exposure to pets and related biological agents, namely pet allergens and endotoxin, modifies the association between di-(2-ethylhexyl) phthalate (DEHP) and asthma and wheeze in preschoolers to gain insight into interactions.

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Despite advances in our understanding of their diagnosis and treatment, pediatric allergies impose substantial burdens on affected children, families, and healthcare systems. Further, the prevalence of allergic diseases has dramatically increased over the past half-century, leading to additional concerns and concerted efforts to identify the origins, potential predictors and preventions, and therapies of allergic diseases. Together with the increase in allergic diseases, changes in lifestyle and early-life environmental influences have corresponded with changes in colonization patterns of the infant gut microbiome.

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Socioeconomic (SE) disparity and health inequity are closely intertwined and associated with cross-generational increases in the rates of multiple chronic non-communicable diseases (NCDs) in North America and beyond. Coinciding with this social trend is an observed loss of biodiversity within the community of colonizing microbes that live in and on our bodies. Researchers have rightfully pointed to the microbiota as a key modifiable factor with the potential to ease existing health inequities.

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  • This study explored the relationship between current human milk feeding (HMF) and infant immune biomarker profiles in a cohort of 605 infants from Canada.
  • Results indicated that infants currently receiving HMF had higher levels of specific immune-related biomarkers compared to those who weren't.
  • The findings suggest that HMF status is important for immune development, but the duration and exclusivity of HMF did not significantly correlate with the biomarkers measured.
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  • * The study assesses the effects of prenatal and postnatal stress and depression on DNA methylation in newborns and 12-month-old children using the CHILD cohort, measuring stress and depression at multiple time points.
  • * Results showed significant associations between both prenatal and postnatal stress/depression and changes in DNA methylation at specific CpG sites in the newborn's cord blood and in blood from 12-month-old children, suggesting a biological impact of maternal mental health on child development.
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Although more than 140 genes have been associated with non-syndromic hereditary hearing loss (HL), at least half of the cases remain unexplained in medical genetic testing. One reason is that pathogenic variants are located in 'novel' deafness genes. A variant prioritization approach was used to identify novel (candidate) genes for HL.

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  • - The CHILD Cohort Study is a long-term Canadian research project tracking the health and development of infants from pregnancy until adulthood, focusing on how early life environments affect disease outcomes like asthma and developmental issues.
  • - The study involves detailed measurements and data collection including biological samples, environmental assessments, and psychosocial factors, with a strong participant retention rate over the years.
  • - A sub-cohort was created during the COVID-19 pandemic to examine its impact on families, and the next major assessment phase will occur from 2022 to 2025, contributing valuable insights into chronic diseases and health complexities.
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  • The JAK-STAT signaling cascade is a crucial pathway in cells that affects immune function and blood cell development, and it’s conserved across evolution.
  • Mutations in the JAK-STAT pathway are linked to an increasing number of diseases, including inherited immune disorders and conditions that mimic them due to acquired genetic changes.
  • This review covers the clinical symptoms and causes of JAK-STAT-related diseases, along with important guidelines for diagnosis and treatment.
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Maternal diet may modulate human milk microbiota, but the effects of nutritional supplements are unknown. We examined the associations of prenatal diet and supplement use with milk microbiota composition. Mothers reported prenatal diet intake and supplement use using self-administered food frequency and standardised questionnaires, respectively.

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  • The study examined how breastfeeding and microbial colonization in infants are related to respiratory health, specifically asthma risk, by analyzing data from over 2,200 children.
  • Researchers discovered that early cessation of breastfeeding can lead to the early introduction of certain harmful microbes linked to immune issues and asthma, while extended breastfeeding supports healthier microbial development.
  • The findings emphasize the significance of prolonged breastfeeding for better respiratory health in children and point to potential new targets for interventions aimed at preventing asthma.
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  • The study investigates the impact of the human milk microbiota (HMM) on the long-term health of children, particularly focusing on asthma and allergic conditions like atopy.
  • Researchers followed 885 mothers and their children from birth to age 5, linking HMM composition to the mothers' genetics and children's health outcomes.
  • Findings suggest that certain bacterial communities in human milk, especially decreased diversity and increased Lawsonella, are correlated with higher rates of childhood atopy and asthma, highlighting the genetic influence on HMM composition.
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  • This study explores the relationship between maternal genetics, human milk oligosaccharides (HMOs), and respiratory health in infants fed human milk.
  • Researchers quantified 19 HMOs from 980 mothers and identified genetic markers linked to HMOs on several chromosomes, including notable findings on chromosomes 19 and 3.
  • The study suggests that certain HMOs may help reduce the risk of respiratory issues, like recurrent wheezing, in preschoolers, depending on their genetic predispositions.
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  • Maternal smoking adversely affects newborn health, but its impact has not been fully quantified using cord blood DNA methylation (DNAm) scores; this study explores the connection in White European and South Asian populations.
  • Researchers examined CpG sites related to maternal smoking in two White European birth cohorts and developed an epigenetic score that predicts smoking exposure, validated in an independent cohort.
  • The epigenetic score correlated with higher smoking levels during pregnancy and was linked to smaller birth size and lower birth weight in newborns, particularly in the South Asian cohort.
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Metagenomic sequencing has provided great advantages in the characterisation of microbiomes, but currently available analysis tools lack the ability to combine subspecies-level taxonomic resolution and accurate abundance estimation with functional profiling of assembled genomes. To define the microbiome and its associations with human health, improved tools are needed to enable comprehensive understanding of the microbial composition and elucidation of the phylogenetic and functional relationships between the microbes. Here, we present MAGinator, a freely available tool, tailored for profiling of shotgun metagenomics datasets.

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  • Dysanapsis is the mismatch between airway size and lung size that can lead to COPD risk; it first appears early in life.
  • Researchers analyzed genetic factors linked to dysanapsis through a genome-wide association study involving over 11,000 adults.
  • They found specific genetic variants and developed a genetic risk score that correlated with obstructive lung function in both children and adults, suggesting dysanapsis may connect genetic factors to lung health issues across a person's life.
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Background: Epigenetic modifications, particularly DNA methylation (DNAm) in cord blood, are an important biological marker of how external exposures during gestation can influence the in-utero environment and subsequent offspring development. Despite the recognized importance of DNAm during gestation, comparative studies to determine the consistency of these epigenetic signals across different ethnic groups are largely absent. To address this gap, we first performed epigenome-wide association studies (EWAS) of gestational age (GA) using newborn cord blood DNAm comparatively in a white European (n = 342) and a South Asian (n = 490) birth cohort living in Canada.

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While its etiology is not fully elucidated, preterm birth represents a major public health concern as it is the leading cause of child mortality and morbidity. Stress is one of the most common perinatal conditions and may increase the risk of preterm birth. In this paper we aimed to investigate the association of maternal perceived stress and anxiety with length of gestation.

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Background: Atopic dermatitis (AD) is the most common chronic inflammatory skin disease in both pediatric and adult populations. The development of AD has been linked to antibiotic usage, which causes perturbation of the microbiome and has been associated with abnormal immune system function. However, imbalances in the gut microbiome itself associated with antibiotic usage have been inconsistently linked to AD.

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Background: A lack of safety data on postpartum medication use presents a potential barrier to breastfeeding and may result in infant exposure to medications in breastmilk. The type and extent of medication use by lactating women requires investigation.

Methods: Data were collected from the CHILD Cohort Study which enrolled pregnant women across Canada between 2008 and 2012.

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Background: Evidence suggests that prenatal air pollution exposure alters DNA methylation (DNAm), which could go on to affect long-term health. It remains unclear whether DNAm alterations present at birth persist through early life. Identifying persistent DNAm changes would provide greater insight into the molecular mechanisms contributing to the association of prenatal air pollution exposure with atopic diseases.

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Maternal stress and depression during pregnancy and the first year of the infant's life affect a large percentage of mothers. Maternal stress and depression have been associated with adverse fetal and childhood outcomes as well as differential child DNA methylation (DNAm). However, the biological mechanisms connecting maternal stress and depression to poor health outcomes in children are still largely unknown.

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We performed whole-genome sequencing (WGS) in 327 children with cerebral palsy (CP) and their biological parents. We classified 37 of 327 (11.3%) children as having pathogenic/likely pathogenic (P/LP) variants and 58 of 327 (17.

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