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Published on: August 7, 2017
Faecal short chain fatty acid pattern and allergy in early childhood
Anna Sandin1, Lennart Bråbäck, Elisabeth Norin
1Department of Clinical Science, Pediatrics, Umeå University, Umeå, Sweden. anna.sandin@jll.se
Insights
A slow maturation of gut microflora, indicated by short-chain fatty acids (SCFAs), is linked to allergies in children. Lower levels of specific SCFAs at one year are associated with allergy symptoms and sensitization by age four.
Area of Science:
- Microbiology
- Immunology
- Pediatrics
Background:
- The gut microbiome plays a crucial role in immune system development.
- Alterations in gut flora composition and function have been implicated in the development of allergies.
Purpose of the Study:
- To examine the relationship between functional changes in gut flora over time and the development of allergic sensitization and symptoms in children at four years of age.
- To investigate the association between fecal short-chain fatty acid (SCFA) levels and allergy development.
Main Methods:
- Fecal samples were collected from 139 infants at one year and 53 at four years.
- Levels of SCFAs, including acetic, propionic, i-butyric, i-valeric, and valeric acids, were measured.
- Associations between SCFA levels, skin prick tests (SPT), and allergic symptoms were analyzed.
Main Results:
- Fecal acetic and propionic acids decreased, while valeric acid increased from one to four years.
- Low levels of i-butyric, i-valeric, and valeric acids at one year were linked to food allergy symptoms at four years.
- Positive SPTs and allergic symptoms at four years were associated with lower levels of i-butyric, i-valeric, and valeric acids.
Conclusions:
- A delayed functional maturation of the gut microflora, reflected in SCFA levels, is associated with allergy development at one and four years of age.
- These findings support a link between allergy and the development of microbial diversity in early life.
Aim:
To investigate whether functional changes of the gut flora over time were related to sensitization and allergic symptoms at four years of age.
Methods:
The levels of short chain fatty acids (SCFAs) in faecal samples at one (n = 139) and four (n = 53) years of age were related to the development of positive skin prick tests (SPT) and allergic symptoms during the first four years of life.
Results:
Faecal acetic (p < 0.01) and propionic (p < 0.01) acids decreased from one to four years of age, while valeric acid (p < 0.001) increased. Low levels of i-butyric (p = 0.01), i-valeric (p = 0.03) and valeric acids (p = 0.02) at one year were associated with questionnaire-reported symptoms of food allergy at four years. Positive SPTs and allergic symptoms at four years were associated with low faecal levels of i-butyric, i-valeric and valeric acids. At one year of age, infants with, as compared to without older siblings had higher median levels of valeric acid.
Conclusion:
A slow functional maturation of the gut microflora, as measured by faecal levels of SCFAs is associated with allergy both at one and four years. The findings lend further support to an association between allergy and the development of microbial diversity.
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