Publications by authors named "Theo Moraes"

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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  • 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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  • - 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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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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Few studies have examined population-level data of the COVID-19 original and bivalent vaccine on its uptake and potential side effects. We used population-based health administrative data from Jan 2021-Feb 2023 to identify Ontario residents aged 12-35 years old to calculate their rates of COVID-19 vaccine uptake and vaccine-related cardiac events (myocarditis and pericarditis). Multivariable Cox, logistic, and negative binomial regression analyses were used to adjust for covariates.

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Introduction: Understanding the factors influencing vaping cessation among young people is crucial for targeted interventions. This review aimed to summarize the individual and environmental factors that predict vaping cessation related behaviours in the young population.

Methods: We systematically searched five databases for studies investigating predictors of vaping cessation behaviours among young people aged 10-35 years.

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  • Scientists studied lung cells from healthy human fetuses to learn how lungs develop and how diseases can affect them.
  • They found different types of lung cells that come from special starting cells which have a key protein called CFTR.
  • This research helps create a detailed map of how human lungs grow, which could help in understanding and treating lung diseases.
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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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Aim: Understanding how COVID-19 impacts the expression of clinically relevant drug metabolizing enzymes and membrane transporters (DMETs) is vital for addressing potential safety and efficacy concerns related to systemic and peripheral drug concentrations. This study investigates the impact of COVID-19 severity on DMETs expression and the underlying mechanisms to inform the design of precise clinical dosing regimens for affected patients.

Methods: Transcriptomics analysis of 102 DMETs, 10 inflammatory markers, and 12 xenosensing regulatory genes was conducted on nasopharyngeal swabs from 50 SARS-CoV-2 positive (17 outpatients, 16 non-ICU, and 17 ICU) and 13 SARS-CoV-2 negative individuals, clinically tested through qPCR, in the Greater Toronto area from October 2020 to October 2021.

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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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Objectives: Asthma is a chronic lung condition that can be exacerbated when triggered by viruses. Pandemic public health restrictions aimed to reduce COVID-19 transmission indirectly effected other circulating viruses. This study assessed the impact of the pandemic and associated public health measures on acute paediatric asthma across four tertiary sites in three Canadian provinces.

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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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Unlabelled: Research suggests that vaping raises oxidative stress levels and has been implicated in poor mental health. The objective of this study is to assess cross-sectional associations between quality of life (QOL) indicators and e-cigarette (EC) use in young Canadian adults. We used data from the 2016-2017 Canadian Health Measures Survey.

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