减少、增强和补充:保护早期微生物群以减少代际健康差距。
Reduce, reinforce, and replenish: safeguarding the early-life microbiota to reduce intergenerational health disparities.
机构信息
Department of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
出版信息
Front Public Health. 2024 Oct 23;12:1455503. doi: 10.3389/fpubh.2024.1455503. eCollection 2024.
Socioeconomic (SE) disparity and health inequity are closely intertwined and associated with cross-generational increases in the rates of multiple chronic non-communicable diseases (NCDs) in North America and beyond. Coinciding with this social trend is an observed loss of biodiversity within the community of colonizing microbes that live in and on our bodies. Researchers have rightfully pointed to the microbiota as a key modifiable factor with the potential to ease existing health inequities. Although a number of studies have connected the adult microbiome to socioeconomic determinants and health outcomes, few studies have investigated the role of the infant microbiome in perpetuating these outcomes across generations. It is an essential and important question as the infant microbiota is highly sensitive to external forces, and observed shifts during this critical window often portend long-term outcomes of health and disease. While this is often studied in the context of direct modulators, such as delivery mode, family size, antibiotic exposure, and breastfeeding, many of these factors are tied to underlying socioeconomic and/or cross-generational factors. Exploring cross-generational socioeconomic and health inequities through the lens of the infant microbiome may provide valuable avenues to break these intergenerational cycles. In this review, we will focus on the impact of social inequality in infant microbiome development and discuss the benefits of prioritizing and restoring early-life microbiota maturation for reducing intergenerational health disparities.
社会经济(SE)差异和健康不平等密切相关,并与北美及其他地区多种慢性非传染性疾病(NCD)的跨代发生率增加有关。与这一社会趋势同时出现的是,在生活在我们体内和体表的定植微生物群落中,生物多样性明显减少。研究人员正确地指出,微生物群是一个具有潜在缓解现有健康不平等的关键可改变因素。尽管许多研究已经将成年微生物组与社会经济决定因素和健康结果联系起来,但很少有研究调查婴儿微生物组在跨代传播这些结果中的作用。这是一个至关重要的问题,因为婴儿微生物组对外界因素非常敏感,在此关键窗口期观察到的变化往往预示着健康和疾病的长期结果。虽然这通常在直接调节剂的背景下进行研究,如分娩方式、家庭规模、抗生素暴露和母乳喂养,但这些因素中有许多与潜在的社会经济和/或跨代因素有关。通过婴儿微生物组的视角来探讨代际间的社会经济和健康不平等问题,可能为打破这些代际循环提供有价值的途径。在这篇综述中,我们将重点关注社会不平等对婴儿微生物组发育的影响,并讨论优先考虑和恢复早期生命微生物组成熟以减少代际健康差距的好处。