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Published on: January 12, 2024
[Intestine dysbiosis and atopic dermatitis in young children]
Insights
Children with atopic dermatitis and intestinal dysbiosis show increased anti-endotoxin antibodies. Higher levels of specific IgE and IgM correlate with more frequent allergic reactions, indicating a link between gut health and skin allergies.
Area of Science:
- Immunology
- Microbiology
- Pediatrics
Context:
- Atopic dermatitis is a common condition in children, often associated with gut microbiome alterations.
- Intestinal dysbiosis, an imbalance in gut bacteria, may influence immune responses.
- Understanding the gut-skin axis is crucial for managing allergic diseases.
Purpose:
- To investigate the intensity of the anti-endotoxin immune response in the intestines of children with atopic dermatitis and intestinal dysbiosis.
- To correlate the levels of specific antibodies against enterobacterial lipopolysaccharides (LPS) with the severity of dysbiosis and allergic manifestations.
Summary:
- This study examined 110 children with atopic dermatitis, assessing intestinal dysbiosis and quantifying immunoglobulin (IgG, IgA, IgM, IgE) antibodies against enterobacterial LPS in stool samples.
- Results revealed elevated levels of various immunoglobulins specific to LPS, correlating with the degree of dysbiosis.
- Specifically, increased anti-endotoxin IgE and IgM, along with decreased IgA, were associated with allergic conditions. Higher serum anti-LPS antibody levels correlated with increased frequency of allergic manifestations.
Impact:
- The findings establish a correlation between anti-endotoxin serum IgE levels and the occurrence of allergic manifestations in children.
- This research highlights the potential role of gut microbiota and the associated immune response in the pathogenesis of atopic dermatitis.
- Understanding these gut-derived immune signals may offer new therapeutic targets for managing pediatric allergic diseases.
Aim:
Study the intensity of anti-endotoxin response in intestine of children with atopical dermatitis and intestine dysbioses.
Materials And Methods:
110 children with atopic dermatitis of various localization were examined in an outpatient setting. Besides detection of dysbiotic disorders in intestine by using bacteriological seeding on differential-diagnostic media and criteria of evaluation of degree of micro-ecological disorders according to Industry standard of Ministry of Health of Russian Federation "Protocol of patient management. Intestine dysbacteriosis" (2003), content of antibodies against LPS of enterobacteria belonging to various immunoglobulin classes (IgG, IgA, IgM, IgE) by EIA was studied in coprofiltrates.
Results:
An increase of content of various immunoglobulins, specific LPS of enterobacteria that depended on the degree of intensity of dysbiotic disorders was detected in children. Allergization in children correlated with an increase of level of anti-endotoxin IgE and IgM (0.8 +/- 0.2) and decrease of IgA content in intestine (-0.8 +/- 0.2). The higher the level of serum anti-LPS antibodies, the more frequently allergic manifestation occur in children.
Conclusion:
Correlation between the level of anti-endotoxin serum IgE and frequency of occurrence of allergic manifestations in children was shown.
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