Zubeldia-Varela Elisa, Ibáñez-Sandín María Dolores, Gomez-Casado Cristina, Pérez-Gordo Marina
Institute of Applied Molecular Medicine Nemesio Díez (IMMA), Department of Basic Medical Sciences, Facultad de Medicina. Universidad San Pablo-CEU, CEU Universities, Madrid, Spain.
Department of Allergy, H. Infantil Universitario Niño Jesús, FibHNJ, ARADyAL- RETICs Instituto de Salud Carlos III, IIS-P, Madrid, Spain.
Front Allergy. 2024 Feb 23;5:1359142. doi: 10.3389/falgy.2024.1359142. eCollection 2024.
The prevalence and severity of allergic diseases have increased over the last 30 years. Understanding the mechanisms responsible for these diseases is a major challenge in current allergology, as it is crucial for the transition towards precision medicine, which encompasses predictive, preventive, and personalized strategies. The urge to identify predictive biomarkers of allergy at early stages of life is crucial, especially in the context of major allergic diseases such as food allergy and atopic dermatitis. Identifying these biomarkers could enhance our understanding of the immature immune responses, improve allergy handling at early ages and pave the way for preventive and therapeutic approaches. This minireview aims to explore the relevance of three biomarker categories (proteome, microbiome, and metabolome) in early life. First, levels of some proteins emerge as potential indicators of mucosal health and metabolic status in certain allergic diseases. Second, bacterial taxonomy provides insight into the composition of the microbiota through high-throughput sequencing methods. Finally, metabolites, representing the end products of bacterial and host metabolic activity, serve as early indicators of changes in microbiota and host metabolism. This information could help to develop an extensive identification of biomarkers in AD and FA and their potential in translational personalized medicine in early life.
在过去30年中,过敏性疾病的患病率和严重程度有所增加。了解这些疾病的发病机制是当前过敏学面临的一项重大挑战,因为这对于向精准医学的转变至关重要,精准医学涵盖了预测、预防和个性化策略。在生命早期识别过敏预测生物标志物的迫切需求至关重要,尤其是在食物过敏和特应性皮炎等主要过敏性疾病的背景下。识别这些生物标志物可以增进我们对未成熟免疫反应的理解,改善早期过敏的处理,并为预防和治疗方法铺平道路。本综述旨在探讨生命早期三种生物标志物类别(蛋白质组、微生物组和代谢组)的相关性。首先,某些蛋白质的水平成为某些过敏性疾病中粘膜健康和代谢状态的潜在指标。其次,细菌分类学通过高通量测序方法深入了解微生物群的组成。最后,代谢物作为细菌和宿主代谢活动的终产物,是微生物群和宿主代谢变化的早期指标。这些信息有助于广泛识别特应性皮炎和食物过敏中的生物标志物及其在生命早期转化个性化医学中的潜力。