Institute of Pathology, Department of Experimental Pathology, University of Bern, Bern, Switzerland; Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland.
Department of Fundamental Microbiology, University of Lausanne, Lausanne, Switzerland.
J Allergy Clin Immunol. 2019 Jul;144(1):157-170.e8. doi: 10.1016/j.jaci.2019.01.043. Epub 2019 Feb 13.
Diet-induced obesity and food allergies increase in tandem, but a potential cause-and-effect relationship between these diseases of affluence remains to be tested.
We sought to test the role of high dietary fat intake, diet-induced obesity, and associated changes in gut microbial community structure on food allergy pathogenesis.
Mice were fed a high-fat diet (HFD) for 12 weeks before food allergen sensitization on an atopic dermatitis-like skin lesion, followed by intragastric allergen challenge to induce experimental food allergy. Germ-free animals were colonized with a signature HFD or lean microbiota for 8 weeks before induction of food allergy. Food-induced allergic responses were quantified by using a clinical allergy score, serum IgE levels, serum mouse mast cell protease 1 concentrations, and type 2 cytokine responses. Accumulation of intestinal mast cells was examined by using flow cytometry and chloroacetate esterase tissue staining. Changes in the gut microbial community structure were assessed by using high-throughput 16S ribosomal DNA gene sequencing.
HFD-induced obesity potentiates food-induced allergic responses associated with dysregulated intestinal effector mast cell responses, increased intestinal permeability, and gut dysbiosis. An HFD-associated microbiome was transmissible to germ-free mice, with the gut microbial community structure of recipients segregating according to the microbiota input source. Independent of an obese state, an HFD-associated gut microbiome was sufficient to confer enhanced susceptibility to food allergy.
These findings identify HFD-induced microbial alterations as risk factors for experimental food allergy and uncouple a pathogenic role of an HFD-associated microbiome from obesity. Postdieting microbiome alterations caused by overindulgence of dietary fat might increase susceptibility to food allergy.
饮食诱导的肥胖和食物过敏呈同步增长,但这两种富裕病之间是否存在因果关系仍有待验证。
我们旨在研究高脂肪饮食摄入、饮食诱导肥胖以及肠道微生物群落结构改变在食物过敏发病机制中的作用。
在致敏形成特应性皮炎样皮肤损伤前,用高脂肪饮食(HFD)喂养小鼠 12 周,然后用胃内过敏原挑战诱导实验性食物过敏。无菌动物在诱导食物过敏前用特征性 HFD 或瘦型微生物群定植 8 周。采用临床过敏评分、血清 IgE 水平、血清鼠肥大细胞蛋白酶 1 浓度和 2 型细胞因子反应来量化食物诱导的过敏反应。通过流式细胞术和氯乙酸酯酶组织染色来检测肠道肥大细胞的积累。采用高通量 16S 核糖体 DNA 基因测序来评估肠道微生物群落结构的变化。
HFD 诱导的肥胖增强了与肠道效应性肥大细胞反应失调、肠道通透性增加和肠道菌群失调相关的食物诱导过敏反应。HFD 相关的微生物组可传递给无菌小鼠,接受者的肠道微生物群落结构根据供体的微生物输入源进行分类。独立于肥胖状态,HFD 相关的微生物组足以赋予食物过敏的易感性增加。
这些发现将 HFD 诱导的微生物改变确定为实验性食物过敏的危险因素,并将 HFD 相关微生物组的致病作用与肥胖脱钩。过度摄入膳食脂肪引起的节食后微生物组改变可能会增加食物过敏的易感性。