肠道菌群调控食物过敏的口腔免疫耐受。

Regulation of oral immune tolerance by the microbiome in food allergy.

机构信息

Division of Immunology, Boston Children's Hospital, Boston, United States; Department of Pediatrics, Harvard Medical School, Boston, United States.

Division of Immunology, Boston Children's Hospital, Boston, United States; Department of Pediatrics, Harvard Medical School, Boston, United States.

出版信息

Curr Opin Immunol. 2019 Oct;60:141-147. doi: 10.1016/j.coi.2019.06.001. Epub 2019 Jul 11.

Abstract

The steep rise in the incidence and prevalence of food allergy (FA) in the last few decades have focused attention of environmental mechanisms which act to promote disease, chief among which is the microbiome. Recent studies have now established the presence of pathogenic dysbiosis in FA that could be precipitated by a variety of environmental insults, including among others antibiotic usage and mode of delivery, that act to subvert the immune regulatory response that enforce tolerance to dietary antigens. A key attribute of this dysbiosis is the loss of Clostridial bacterial species that act to promote the formation of food allergen-specific nascent regulatory T cells in the gut. Significantly, different immunoprotective commensal bacteria, including members of the Clostridiales and Bacteroidales orders act to induce the transcription factor RORγt in nascent Treg cells via an upstream MyD88-dependent mechanism to promote tolerance to dietary antigens. Activation of this axis is disrupted by the dysbiosis, and can be restored by treatment with therapeutic microbiota. These findings highlight the potential for novel microbiota-based approaches to the prevention and treatment of the FA epidemic.

摘要

在过去几十年中,食物过敏(FA)的发病率和患病率急剧上升,这引起了人们对环境机制的关注,这些机制作用是促进疾病的发生,其中主要的是微生物组。最近的研究已经确定了 FA 中存在致病性的菌群失调,这种失调可能是由多种环境因素引起的,包括抗生素的使用和分娩方式等,这些因素会破坏对饮食抗原的免疫调节反应,从而促进过敏反应的发生。这种菌群失调的一个关键特征是,能够促进肠道中食物过敏原特异性新生调节性 T 细胞形成的梭状芽胞杆菌属细菌的缺失。值得注意的是,不同的免疫保护性共生细菌,包括梭状芽胞杆菌目和拟杆菌目成员,通过上游 MyD88 依赖性机制在新生 Treg 细胞中诱导转录因子 RORγt 的表达,从而促进对饮食抗原的耐受性。该轴的激活被菌群失调所破坏,可以通过治疗性微生物组治疗来恢复。这些发现强调了基于微生物组的新方法在预防和治疗 FA 流行方面的潜力。

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