人乳寡糖在预防病毒感染及早期生活中哮喘发展方面的潜在免疫调节作用。
The potential immunomodulatory role of human milk oligosaccharides in prevention of viral infections and development of asthma in early life.
作者信息
Rijks Vera, Zuurveld Marit, Garssen Johan, Kostadinova Atanaska I, Willemsen Linette E M
机构信息
Department of Pharmaceutical Sciences, div. Pharmacology, Utrecht University, Utrecht, Netherlands.
Global Center of Excellence Immunology, Danone Global Research & Innovation Center, Utrecht, Netherlands.
出版信息
Front Immunol. 2025 Jun 25;16:1572787. doi: 10.3389/fimmu.2025.1572787. eCollection 2025.
Around 10% of the Western population is diagnosed with asthma, and this percentage is only expected to increase in the coming years. Allergic asthma often develops during early infancy and is characterized by chronic pulmonary type 2 inflammation and airway hyperresponsiveness. Severe viral infections in early life are thought to be a risk factor for allergic asthma. The most common causes of severe viral infections in early life are respiratory syncytial virus (RSV) and rhinovirus (RV). How viral infections in early life are related to the later development of asthma is not yet known, but the pathophysiology of RSV/RV infection and asthma overlap in several areas. RSV and RV are both able to induce type 2 immunity which may contribute to the development of allergic asthma which is driven by type 2 responses against airborne allergens such as house dust mites. In early life, infants' intestines, microbiome and immune function need to mature, and breastfeeding helps to facilitate these major steps in development. Human milk oligosaccharides (HMOs) are the third largest component of human milk and have been shown to promote the development and function of the infant microbiome and may have a beneficial effect on immune maturation by promoting type 1 and regulatory immune responses. In addition, they can stimulate epithelial barrier integrity and directly interact with glycan receptors. Certain bacteria in the gut can metabolize HMOs into short-chain fatty acids (SCFA), which can exert beneficial anti-inflammatory effects locally in the gut or systemically and help maintain barrier properties and immune homeostasis. HMOs and SCFA could have protective effects on both the immune pathways in allergic asthma and viral infections. This review describes the molecular and immunomodulatory mechanisms by which different HMOs and SCFA may help defend against viral infections and also protect against allergic asthma.
大约10%的西方人口被诊断患有哮喘,预计这一比例在未来几年还会上升。过敏性哮喘通常在婴儿早期发病,其特征为慢性肺部2型炎症和气道高反应性。早年的严重病毒感染被认为是过敏性哮喘的一个危险因素。早年严重病毒感染最常见的病因是呼吸道合胞病毒(RSV)和鼻病毒(RV)。早年的病毒感染与哮喘后期发展之间的关系尚不清楚,但RSV/RV感染和哮喘的病理生理学在几个方面存在重叠。RSV和RV都能够诱导2型免疫,这可能有助于过敏性哮喘的发展,过敏性哮喘是由针对空气传播过敏原(如屋尘螨)的2型反应驱动的。在生命早期,婴儿的肠道、微生物群和免疫功能需要成熟,母乳喂养有助于促进这些发育中的重要步骤。人乳寡糖(HMOs)是人乳的第三大成分,已被证明可促进婴儿微生物群的发育和功能,并可能通过促进1型和调节性免疫反应对免疫成熟产生有益影响。此外,它们可以刺激上皮屏障的完整性,并直接与聚糖受体相互作用。肠道中的某些细菌可以将HMOs代谢为短链脂肪酸(SCFA),SCFA可以在肠道局部或全身发挥有益的抗炎作用,并有助于维持屏障特性和免疫稳态。HMOs和SCFA可能对过敏性哮喘和病毒感染的免疫途径都有保护作用。这篇综述描述了不同的HMOs和SCFA可能有助于抵御病毒感染并预防过敏性哮喘的分子和免疫调节机制。