Division of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Department of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, CT, USA.
Allergy. 2018 Sep;73(9):1918-1921. doi: 10.1111/all.13493. Epub 2018 Jun 25.
It has been documented that the airway microbiome differs between asthmatics and healthy individuals. However, the microbial signature associated with asthma remains unclear. One of the major limitations is that the case-control study design used in existing studies may not adequately control for baseline variation in bacterial abundance between individuals. In order to further identify asthma-associated airway microbes, we performed a family-based pilot study. In this study, we investigated the microbiome of induced sputum samples from 14 participants from three two-generational pedigrees. Each pedigree has both asthmatic and non-asthmatic offspring. We compared the differences in the relative abundance of bacteria between asthmatic and non-asthmatic siblings within each family and identified bacterial genus with the same trend across the three families. Our results, for the first time, linked asthma with decreased abundance of sputum Granulicatella and verified the previous finding that Veillonella is increased in the airway of asthmatic subjects. This demonstrates the promise of a family-based study design in the search for a bacterial signature for asthma.
已有文献证明,哮喘患者和健康个体的气道微生物组存在差异。然而,与哮喘相关的微生物特征尚不清楚。其中一个主要限制因素是,现有研究中使用的病例对照研究设计可能无法充分控制个体间细菌丰度的基线差异。为了进一步确定与哮喘相关的气道微生物,我们进行了一项基于家庭的试点研究。在这项研究中,我们调查了来自三个两代同堂家系的 14 名参与者的诱导痰样本中的微生物组。每个家系既有哮喘患者也有非哮喘患者的后代。我们比较了每个家系中哮喘和非哮喘兄弟姐妹之间细菌相对丰度的差异,并确定了在三个家系中具有相同趋势的细菌属。我们的研究结果首次将哮喘与痰中 Granulicatella 丰度降低联系起来,并验证了先前的发现,即哮喘患者气道中韦荣球菌增加。这表明在家系研究设计中寻找哮喘的细菌特征具有很大的潜力。