a Microbial Ecology, Nutrition & Health Research Unit. Institute of Agrochemistry and Food Technology, Spanish National Research Council (IATA-CSIC) , Valencia , Spain.
b Genetics and Molecular Medicine Unit. Institute of Biomedicine of Valencia, Spanish National Research Council (IBV-CSIC) , Valencia , Spain.
Gut Microbes. 2018 Nov 2;9(6):551-558. doi: 10.1080/19490976.2018.1451276. Epub 2018 May 9.
Celiac disease (CD) is an immune-mediated enteropathy involving genetic and environmental factors, whose interaction influences disease risk. The intestinal microbiota, including viruses and bacteria, could play a role in the pathological process leading to gluten intolerance. In this study, we investigated the prevalence of pathogens in the intestinal microbiota of infants at familial risk of developing CD. We included 127 full-term newborns with at least one first-degree relative with CD. Infants were classified according to milk-feeding practice (breastfeeding or formula feeding) and HLA-DQ genotype (low, intermediate or high genetic risk). The prevalence of pathogenic bacteria and viruses was assessed in the faeces of the infants at 7 days, 1 month and 4 months of age. The prevalence of Clostridium perfringens was higher in formula-fed infants than in breast-fed over the study period, and that of C. difficile at 4 months. Among breastfed infants, a higher prevalence of enterotoxigenic E. coli (ETEC) was found in infants with the highest genetic risk compared either to those with a low or intermediate risk. Among formula-fed infants, a higher prevalence of ETEC was also found in infants with a high genetic risk compared to those of intermediate risk. Our results show that specific factors, such as formula feeding and the HLA-DQ2 genotype, previously linked to a higher risk of developing CD, influence the presence of pathogenic bacteria differently in the intestinal microbiota in early life. Further studies are warranted to establish whether these associations are related to CD onset later in life.
乳糜泻(CD)是一种涉及遗传和环境因素的免疫介导性肠病,其相互作用影响疾病风险。肠道微生物群,包括病毒和细菌,可能在导致麸质不耐受的病理过程中发挥作用。在这项研究中,我们调查了家族性 CD 发病风险婴儿肠道微生物群中病原体的流行情况。我们纳入了 127 名足月新生儿,他们至少有一位一级亲属患有 CD。根据母乳喂养或配方奶喂养以及 HLA-DQ 基因型(低、中或高遗传风险)对婴儿进行分类。在婴儿出生后 7 天、1 个月和 4 个月时评估粪便中致病菌和病毒的流行情况。在研究期间,配方奶喂养婴儿中梭状芽孢杆菌属(Clostridium perfringens)的流行率高于母乳喂养婴儿,4 个月时艰难梭菌(C. difficile)的流行率更高。在母乳喂养婴儿中,具有最高遗传风险的婴儿与低风险或中风险婴儿相比,肠毒素性大肠杆菌(ETEC)的流行率更高。在配方奶喂养婴儿中,具有高遗传风险的婴儿与中风险婴儿相比,ETEC 的流行率也更高。我们的结果表明,特定因素,如配方奶喂养和 HLA-DQ2 基因型,与 CD 发病风险增加有关,这些因素会在生命早期以不同的方式影响肠道微生物群中致病菌的存在。需要进一步的研究来确定这些关联是否与生命后期 CD 的发病有关。