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Published on: August 7, 2017
Denaturing gradient gel electrophoresis of neonatal intestinal microbiota in relation to the development of asthma
Carl Vael1, Liesbeth Vanheirstraeten, Kristine N Desager
1Department of Microbiology, University of Antwerp, Antwerp, Belgium. carl.vael@telenet.be
Insights
Early infant gut bacteria, specifically Bacteroides fragilis and Clostridium coccoides, may predict asthma development. This research highlights the importance of the infant gut microbiota in atopic disease.
Area of Science:
- Microbiology
- Pediatric Allergy
- Immunology
Background:
- The infant gut microbiota plays a crucial role in immune system development and the onset of atopic diseases.
- Differences in gut microbiota composition between allergic and non-allergic infants are observable early in life, particularly within the first six months.
- The extended 'hygiene hypothesis' posits that early microbial exposure influences long-term health outcomes.
Purpose of the Study:
- To investigate the association between early intestinal microbial colonization and the development of asthma within the first three years of life.
- To utilize denaturing gradient gel electrophoresis (DGGE) for analyzing the infant gut microbiota.
Main Methods:
- A prospective birth cohort of 110 children was enrolled.
- Children were classified using the Asthma Predictive Index (API), considering wheezing, eczema, and parental history of asthma.
- Fecal samples were collected at 3 weeks of age and analyzed using DGGE with universal and genus-specific primers.
Main Results:
- 22% (24/110) of children had a positive API.
- A significant association was found between a positive API and the presence of specific bacterial bands: Clostridium coccoides XIVa and a Bacteroides fragilis subgroup.
- A predictive model incorporating both bacterial groups achieved 73% accuracy in classifying cases.
Conclusions:
- Early colonization with specific species of Bacteroides fragilis and Clostridium coccoides at 3 weeks of age can serve as an early indicator for potential asthma development.
- Further validation through longitudinal follow-up studies is recommended to confirm these findings.
Background:
The extended 'hygiene hypothesis' suggests that the initial composition of the infant gut microbiota is a key determinant in the development of atopic disease. Several studies have demonstrated that the microbiota of allergic and non-allergic infants are different even before the development of symptoms, with a critical time window during the first 6 months of life. The aim of the study was to investigate the association between early intestinal colonisation and the development of asthma in the first 3 years of life using DGGE (denaturing gradient gel electrophoresis).
Methods:
In a prospective birth cohort, 110 children were classified according to the API (Asthma Predictive Index). A positive index included wheezing during the first three years of life combined with eczema in the child in the first years of life or with a parental history of asthma. A fecal sample was taken at the age of 3 weeks and analysed with DGGE using universal and genus specific primers.
Results:
The Asthma Predictive Index was positive in 24/110 (22%) of the children. Using universal V3 primers a band corresponding to a Clostridum coccoides XIVa species was significantly associated with a positive API. A Bacteroides fragilis subgroup band was also significantly associated with a positive API. A final DGGE model, including both bands, allowed correct classification of 73% (80/110) of the cases.
Conclusion:
Fecal colonisation at age 3 weeks with either a Bacteroides fragilis subgroup or a Clostridium coccoides subcluster XIVa species is an early indicator of possible asthma later in life. These findings need to be confirmed in a new longitudinal follow-up study.
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