16 Background : Previously, we showed that neonatal pneumonia caused by Streptococcus 17 pneumoniae (S. pneumoniae) promoted adulthood ovalbumin (OVA) induced allergic 18 asthma. Many studies have demonstrated that vitamin A deficiency induced the development of 19 allergic asthma. Whether neonatal S. pneumoniae pneumonia promoted allergic asthma 20 development was associated with vitamin A concentrations remains unclear. 21 Methods: Female BALB/c neonates were infected with S. pneumoniae strain D39 and 22 subsequently treated with vitamin A. Vitamin A concentrations in lung, serum and liver were 23 monitored on 2, 5, 7, 14, 21, 28 days post infection. Four weeks after infection, mice were 24 sensitized and challenged with OVA to induce allergic airway disease (AAD) in early adulthood. 25 Twenty-four hours after the final challenge, lung histo-pathology, cytokine concentrations in 26 bronchoalveolar lavage fluid (BALF), airway hyperresponsiveness (AHR) and lung CD4 + T cells 27 were measured. 28 Results: We demonstrated that neonatal S. pneumoniae pneumonia induce lung vitamin A 29 deficiency up to early adulthood. Moreover, neonatal S. pneumoniae pneumonia aggravated 30 airway inflammatory cells accumulation and increased AHR during AAD, decreased Foxp3 + Treg 31 and Th1 productions remarkably, while Th2 cell expression was increased significantly. Further 32 study indicated that vitamin A supplement after neonatal S. pneumoniae pneumonia can promote 33 Foxp3 + Treg and Th1 productions, decrease Th2 cell expressions, alleviate AHR and inflammatory 34 cells infiltration during AAD. 35 Conclusions: Using a mouse model, we demonstrate that Vitamin A supplement after neonatal 36