Department of Pediatrics, Kansai Medical University, Osaka, Japan.
Department of Pediatrics, Kansai Medical University, Osaka, Japan.
Allergol Int. 2022 Jul;71(3):301-309. doi: 10.1016/j.alit.2022.02.004. Epub 2022 Mar 18.
The gut microbiota resides in the human gastrointestinal tract, where it plays an important role in maintaining host health. The human gut microbiota is established by the age of 3 years. Studies have revealed that an imbalance in the gut microbiota, termed dysbiosis, occurs due to factors such as cesarean delivery and antibiotic use before the age of 3 years and that dysbiosis is associated with a higher risk of future onset of allergic diseases. Recent advancements in next-generation sequencing methods have revealed the presence of dysbiosis in patients with allergic diseases, which increases attention on the relationship between dysbiosis and the development of allergic diseases. However, there is no unified perspective on the characteristics on dysbiosis or the mechanistic link between dysbiosis and the onset of allergic diseases. Here, we introduce the latest studies on the gut microbiota in children with allergic diseases and present the hypothesis that dysbiosis characterized by fewer butyric acid-producing bacteria leads to fewer regulatory T cells, resulting in allergic disease. Further studies on correcting dysbiosis for the prevention and treatment of allergic diseases are warranted.
肠道微生物群存在于人类的胃肠道中,在维持宿主健康方面发挥着重要作用。人类肠道微生物群在 3 岁时就已经建立。研究表明,由于 3 岁前剖宫产和使用抗生素等因素,肠道微生物群会出现失衡,即所谓的生态失调,而且生态失调与未来发生过敏疾病的风险增加有关。下一代测序方法的最新进展揭示了过敏疾病患者存在生态失调,这引起了人们对生态失调与过敏疾病发展之间关系的关注。然而,对于生态失调的特征或生态失调与过敏疾病发病之间的机制联系,目前还没有统一的观点。在这里,我们介绍了儿童过敏疾病中肠道微生物群的最新研究,并提出了这样一种假设,即产丁酸细菌较少的生态失调会导致调节性 T 细胞减少,从而导致过敏疾病。有必要进一步研究纠正生态失调以预防和治疗过敏疾病。