The fetal and early infant origins of a number of adult cardiovascular and
metabolic diseases have received considerable attention, but the long-term
consequences of early environments for human immune function have not been
reported. We investigated the effects of pre- and postnatal environments on
thymic hormone production in adolescents participating in an ongoing longi
tudinal study in the Philippines. Prospective data collected at birth, duri
ng y 1 of life, in childhood and in adolescence were used to predict plasma
thymopoietin concentration in 14- to 15-y-old adolescents (n = 103). Thymo
poietin concentration was compared for small-for-gestational-age and approp
riate-for-gestational-age individuals while controlling for a range of post
natal exposures. Prenatal undernutrition was significantly associated with
reduced thymopoietin production in interaction with the duration of exclusi
ve breast-feeding (P = 0.006). Growth in length during y 1 of life was posi
tively associated with adolescent thymopoietin production (P = 0.002). Thes
e associations remained significant after adjusting for a range of potentia
lly confounding variables. These findings provide support for the importanc
e of fetal and early infant programming of thymic function, and suggest tha
t early environments may have long-term implications for immunocompetence a
nd adult disease risk.