Children, allergy, diet and environment

Around 30% of children suffer from allergies nowadays. These often start with so-called “childhood eczema”– neurodermatitis – as early as infancy. The symptoms of allergy sometimes disappear, but sometimes the condition deteriorates and additional symptoms occur, i.e. hay fever, asthma and food allergies may develop.

What prevents an allergy from developing in childhood?

This key question is being addressed in a CK-CARE research project. Why does our immune system develop a misdirected inflammatory reaction to harmless substances that surround us every day and actually do us no harm? Our modern lifestyle certainly encourages allergy development – that much is known. Our diet, the move away from an agricultural way of life, excessive hygiene, the use of pharmaceuticals, etc., all combine as contributory factors. However, diet in very early childhood plays a crucial role in whether or not a person develops an allergy, as discovered by CK-CARE – and other research teams worldwide. Hence the digestive has a decisive part to play. As knowledge in this field is still very limited, CK-CARE is conducting what is known as an observational study on the development of allergy in childhood.

Children are being observed from newborn infants up to 3 years of age: this includes keeping a “food diary”, investigating the environmental conditions and regularly checking the children for allergy symptoms. Microbial colonisation of skin, throat and bowel is identified and the function of the immune cells in the body is analysed. Breath tests are carried out and breastmilk is tested. The completed questionnaires are scanned, the data are exported, then transferred in anonymised form to the central CK-CARE study database.

Targeted laboratory testing of substances that might suppress allergies
​Based on early research work, it was possible to treat allergies with short-chain fatty acids (e.g. ingredients of butter). In collaboration with the SIAF, Davos, the team has now investigated in the laboratory whether treatment as early as pregnancy might be helpful. In addition, experiments are being conducted to study a potential effect of these fatty acids on inflammation of the bowel.

Spatial transcriptomics combined with single-cell RNA-sequencing unravels the complex inflammatory cell network in atopic dermatitis

Atopic dermatitis (AD) is a chronic inflammatory skin disorder affecting up to 3%–5% of adults and 20% of children worldwide. The pathophysiology of AD involves various factors including host genetics, altered skin barrier function, and immunological abnormalities. 

Atopic dermatitis: Correlation of distinct risk factors with age of onset in adulthood compared to childhood

Atopic dermatitis (AD) has long been regarded as a primarily pediatric disease. However, there is growing evidence for a high rate of adult-onset AD. We aimed to characterize factors associated with adult-onset versus childhood-onset AD and controls.
An analysis of the CK-CARE-ProRaD cohort revealed adult-onset AD in nearly a quarter of patients. We identified active smoking to be associated with adult-onset AD versus controls. Food allergy, maternal food allergy, palmar hyper linearity, and academic background increased the odds of childhood-onset AD versus controls.

Shared AD-associated factors were maternal AD (4-34x), increased IgE (2-20x), atopic stigmata (2-3x) with varying effect sizes depending on AD onset and control group. Patients with adult-compared to childhood-onset had doubled odds of allergic rhinitis, but reduced odds to feature multiple (3-4) atopic comorbidities. Adult-onset AD, particularly onset ≥61 years, grouped mainly in clusters with low contributions of personal and familial atopy and high frequencies of physical inactivity, childhood-onset AD, particularly infant-onset, mainly in “high-atopic”-clusters.

The identified associated factors suggest partly varying endo- and exogeneous mechanisms underlying adult-onset versus childhood-onset AD. Our findings might contribute to better assessment of the individual risk to develop AD throughout life and encourage prevention by non-smoking and physical activity as modifiable lifestyle factors.

Certification by the Swiss Biobanking Platform – VITA-Label

Building up a proper Governance through accountable mechanisms is key to foster trustworthiness and the pre-requisite for the appropriate use of biological resources. Our CK-CARE Biobank has recently been awarded by Swiss Biobanking Platform (SBP) with the VITA Label, which demonstrates compliance with the applicable legal and ethical framework. This labelling approach is part of our long-term strategy to strengthen biobanking practices and provide high-quality samples to the research community.

CK-CARE Team Meeting October 10th- 11th, 2022

This year’s CK-CARE team event in Davos focused on strengthening cross-center communication and collaboration. Our team members got to know each other and the canton of Grisons better by producing several Grisons specialties as “cross-center team building” in preparation for the scientific work. This as a goal to promote teamwork! Although there was no knowledge about the production of Graubünden delicacies, let alone anyone with appropriate skills, each team excelled in its own way. Driven by trust, respect and genuine motivation to solve the tasks set, the team members met the challenge of working together with fun and creativity as an important preparation for the following day’s research activities. It was a successful meeting – we look forward to many more.

Certification by the Swiss Biobanking Platform – OPTIMA-Label

Davos BioSciences AG achieved the official OPTIMA label of the Swiss Biobanking Platform for its biobank infrastructure as of 30.05.2022. This is another important step for Davos BioSciences AG and CK-CARE. The label attests to the full implementation of a QM system. The OPTIMA-Label confirms: “Compliance with the Good Biobanking Practices; in particular OECD Best practice guidelines for biological resource centres (2007), ISBER Best practices (2018) and IARC Common minimum technical standards (2017). It follows established standards, including the ISO 20387:2018 – general requirements for biobanking. This certification approach is part of our long-term strategy to provide high-quality samples to the research community”.

Certification by the Swiss Biobanking Platform

After some effort, Davos BioSciences AG achieved the official NORMA label of the Swiss Biobanking Platform for its biobank infrastructure as of 17.08.2021. This is an important step for Davos BioSciences AG and CK-CARE. The NORMA-Label confirms: “Compliance with professional standards is essential to perform our daily biobanking activities according to Good Biobanking Practices; in particular OECD Best practice guidelines for biological resource centres (2007), ISBER Best practices (2018) and IARC Common minimum technical standards (2017). It follows established standards, including the ISO 20387:2018 – general requirements for biobanking. This certification approach is part of our long-term strategy to provide high-quality samples to the research community”. Certificate of the Swiss Biobanking Plattform