Institute of Environmental Medicine, Karolinska Institutet, Box 210, Stockholm 17177, Sweden; Department of Bacteriology and Immunology, Medicum, University of Helsinki, Helsinki, Finland.
Gastroenterol Clin North Am. 2019 Sep;48(3):377-387. doi: 10.1016/j.gtc.2019.04.005. Epub 2019 Jun 25.
Allergic diseases have been increasing to epidemic proportions during the past century, especially in high-income countries. Recent evidence suggests there might be a link between the allergy epidemic and reduced microbial exposures, resulting from a rapidly evolved modern lifestyle, including changed diets, health and hygiene standards, and daily habits. Recently it has become clear that the microbial communities in our respiratory system and our gut, as well as on our skin, may play a key role in shaping our physiology, and influencing our health. We are only beginning to understand the mechanisms by which the human microbiota may be regulating the immune system, and sudden changes in the composition of the microbiota may have profound effects, linked with an increased risk of developing chronic inflammatory disorders, including allergies.
在过去的一个世纪里,过敏疾病的发病率呈爆炸性增长,尤其是在高收入国家。最近的证据表明,过敏流行可能与微生物暴露的减少有关,而这是由现代生活方式的迅速演变引起的,包括饮食、卫生和日常习惯的改变。最近人们已经清楚地认识到,我们呼吸系统、肠道以及皮肤中的微生物群落可能在塑造我们的生理机能和影响我们的健康方面发挥着关键作用。我们才刚刚开始了解人类微生物组调节免疫系统的机制,而微生物组组成的突然变化可能会产生深远的影响,与慢性炎症性疾病(包括过敏)风险的增加有关。