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Published on: August 7, 2017
Altered early infant gut microbiota in children developing allergy up to 5 years of age
Y M Sjögren1, M C Jenmalm, M F Böttcher
1Department of Immunology, The Wenner Gren Institute, Arrhenius Laboratory of Natural Sciences F5, Stockholm University, Stockholm, Sweden. ylva.sjogren@imun.su.se
Insights
Early infant gut microbiota diversity, including specific bifidobacteria and lactobacilli, is linked to reduced allergy development. Larger families and higher endotoxin exposure correlate with more diverse infant gut bacteria.
Area of Science:
- Microbiome research
- Pediatric allergy
- Immunology
Background:
- Early infant gut colonization by bifidobacteria and lactobacilli is thought to protect against allergies.
- Conversely, Clostridium difficile colonization may be linked to allergic disease.
- Previous studies often used culture-dependent methods and had limited follow-up periods.
Purpose of the Study:
- To investigate the relationship between specific species of bifidobacteria and lactobacilli in early infancy and allergy development up to age 5.
- To explore the influence of environmental factors like family size and allergen exposure on infant gut microbiota composition.
Main Methods:
- Prospective study of 47 Swedish infants with fecal sample analysis at 1 week, 1 month, and 2 months post-birth.
- Real-time PCR used to quantify bacterial DNA, including Clostridium difficile, specific Bifidobacterium and Lactobacillus species, and Bacteroides fragilis.
- Allergy defined by symptoms and positive skin prick tests within the first 5 years; environmental factors included family size and endotoxin/Fel d 1 levels in dust.
Main Results:
- Infants who developed allergies were less frequently colonized with Lactobacillus group I, Bifidobacterium adolescentis, and Clostridium difficile in the first two months.
- Infants with a higher diversity of Bifidobacterium species were associated with greater endotoxin exposure and larger family sizes.
Conclusions:
- A more diverse infant gut microbiota in early life may play a protective role against allergy development.
- This diversity may be influenced by environmental factors such as family size and endotoxin exposure, supporting an inverse relationship with allergy.
Background:
Early colonization with bifidobacteria and lactobacilli is postulated to protect children from allergy, while Clostridium (C.) difficile colonization might be associated with allergic disease. Previous studies of infant gut microbiota in relation to subsequent allergy development have mostly employed culture-dependent techniques, studied genera of bacteria and the follow-up period was limited to 2 years.
Objective:
To relate gut microbiota in early infancy, notably bifidobacteria and lactobacilli at species level, to allergy development during the first 5 years of life and study if environmental factors influence the early infant gut microbiota.
Methods:
Fecal samples were collected at 1 week, 1 month and 2 months after birth from 47 Swedish infants, followed prospectively to 5 years of age. Bacterial DNA was analysed with real-time PCR and related to allergy development, family size as well as endotoxin and Fel d 1 levels in house dust samples. Primers binding to C. difficile, four species of bifidobacteria, two lactobacilli groups and Bacteroides fragilis were used. Children regarded as allergic manifested allergic symptoms and were skin prick test positive during their first 5 years while non-allergic children were neither.
Results:
Children who developed allergy were significantly less often colonized with lactobacilli group I (Lactobacillus (L.) rhamnosus, L. casei, L. paracasei), Bifidobacterium adolescentis and C. difficile during their first 2 months. Infants colonized with several Bifidobacterium species had been exposed to higher amounts of endotoxin and grew up in larger families than infants harbouring few species.
Conclusion:
A more diverse gut microbiota early in life might prevent allergy development and may be related to the previously suggested inverse relationship between allergy, family size and endotoxin exposure.
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