Christmann Benjamin S, Abrahamsson Thomas R, Bernstein Charles N, Duck L Wayne, Mannon Peter J, Berg Göran, Björkstén Bengt, Jenmalm Maria C, Elson Charles O
Department of Medicine, University of Alabama at Birmingham, Birmingham, Ala.
Department of Clinical and Experimental Medicine, Linköping University, Linkoping, Sweden.
J Allergy Clin Immunol. 2015 Nov;136(5):1378-86.e1-5. doi: 10.1016/j.jaci.2015.03.036. Epub 2015 May 23.
Although immune responses directed against antigens from the intestinal microbiota are observed in certain diseases, the normal human adaptive immune response to intestinal microbiota is poorly defined.
Our goal was to assess the adaptive immune response to the intestinal microbiota present in 143 healthy adults and compare this response with the response observed in 52 children and their mothers at risk of having allergic disease.
Human serum was collected from adults and children followed from birth to 7 years of age, and the serum IgG response to a panel of intestinal microbiota antigens was assessed by using a novel protein microarray.
Nearly every subject tested, regardless of health status, had serum IgG that recognized a common set of antigens. Seroreactivity to the panel of antigens was significantly lower in atopic adults. Healthy infants expressed the highest level of IgG seroreactivity to intestinal microbiota antigens. This adaptive response developed between 6 and 12 months of age and peaked around 2 years of age. Low IgG responses to certain clusters of microbiota antigens during infancy were associated with allergy development during childhood.
There is an observed perturbation of the adaptive response to antigens from the microbiota in allergic subjects. These perturbations are observable even in childhood, suggesting that optimal stimulation of the adaptive immune system by the microbiota might be needed to prevent certain immune-mediated diseases.
尽管在某些疾病中可观察到针对肠道微生物群抗原的免疫反应,但正常人类对肠道微生物群的适应性免疫反应仍不清楚。
我们的目标是评估143名健康成年人对肠道微生物群的适应性免疫反应,并将这种反应与52名有患过敏性疾病风险的儿童及其母亲的反应进行比较。
收集从出生到7岁的成年人和儿童的血清,使用新型蛋白质微阵列评估血清对一组肠道微生物群抗原的IgG反应。
几乎每个接受测试的受试者,无论健康状况如何,其血清IgG都能识别一组常见抗原。特应性成年人对该组抗原的血清反应性显著较低。健康婴儿对肠道微生物群抗原的IgG血清反应性最高。这种适应性反应在6至12个月大时出现,并在2岁左右达到峰值。婴儿期对某些微生物群抗原簇的低IgG反应与儿童期过敏的发生有关。
在过敏受试者中观察到对微生物群抗原的适应性反应存在扰动。这些扰动在儿童期就可观察到,这表明可能需要微生物群对适应性免疫系统进行最佳刺激以预防某些免疫介导的疾病。