Department of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Department of Microbiology and Immunology, University of British Columbia, Vancouver, BC, Canada.
Nat Commun. 2023 Aug 29;14(1):4785. doi: 10.1038/s41467-023-40336-4.
Allergic diseases affect millions of people worldwide. An increase in their prevalence has been associated with alterations in the gut microbiome, i.e., the microorganisms and their genes within the gastrointestinal tract. Maturation of the infant immune system and gut microbiota occur in parallel; thus, the conformation of the microbiome may determine if tolerant immune programming arises within the infant. Here we show, using deeply phenotyped participants in the CHILD birth cohort (n = 1115), that there are early-life influences and microbiome features which are uniformly associated with four distinct allergic diagnoses at 5 years: atopic dermatitis (AD, n = 367), asthma (As, n = 165), food allergy (FA, n = 136), and allergic rhinitis (AR, n = 187). In a subset with shotgun metagenomic and metabolomic profiling (n = 589), we discover that impaired 1-year microbiota maturation may be universal to pediatric allergies (AD p = 0.000014; As p = 0.0073; FA p = 0.00083; and AR p = 0.0021). Extending this, we find a core set of functional and metabolic imbalances characterized by compromised mucous integrity, elevated oxidative activity, decreased secondary fermentation, and elevated trace amines, to be a significant mediator between microbiota maturation at age 1 year and allergic diagnoses at age 5 years (β = -2.28; p = 0.0020). Microbiota maturation thus provides a focal point to identify deviations from normative development to predict and prevent allergic disease.
过敏性疾病影响着全球数百万人。其发病率的增加与肠道微生物组的改变有关,即胃肠道内的微生物及其基因。婴儿免疫系统和肠道微生物群的成熟是并行发生的;因此,微生物组的构成可能决定婴儿体内是否会出现耐受的免疫编程。在这里,我们使用在 CHILD 出生队列中进行了深度表型分析的参与者(n=1115)表明,存在生命早期的影响和微生物组特征,这些影响和特征与 5 岁时的四种不同过敏性诊断均有关联:特应性皮炎(AD,n=367)、哮喘(As,n=165)、食物过敏(FA,n=136)和过敏性鼻炎(AR,n=187)。在具有 shotgun 宏基因组和代谢组学分析的亚组中(n=589),我们发现,1 岁时的微生物组成熟受损可能是儿科过敏的普遍现象(AD p=0.000014;As p=0.0073;FA p=0.00083;AR p=0.0021)。在此基础上,我们发现了一组核心的功能和代谢失衡特征,表现为黏液完整性受损、氧化活性升高、二次发酵减少和痕量胺升高,这是 1 岁时微生物组成熟度和 5 岁时过敏诊断之间的重要中介(β=-2.28;p=0.0020)。因此,微生物组成熟为确定偏离正常发育的情况提供了一个焦点,以预测和预防过敏性疾病。
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