The Impact of Air Pollution on Intestinal Microbiome of Asthmatic Children: A Panel Study

Ping Zheng1, Bei Zhang1, Kexing Zhang2

  • 1National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

Insights

Short-term air pollution exposure alters the gut microbiome in children, particularly those with asthma. This shift in intestinal bacteria may influence asthma development and exacerbation, suggesting a novel pathway for air pollution

Area of Science:

  • Environmental Health
  • Microbiology
  • Pediatric Allergy

Background:

  • The intestinal microbiome plays a critical role in immune system development and is linked to allergic diseases like asthma.
  • Emerging evidence suggests a connection between gut microbiota dysbiosis and asthma pathogenesis.
  • Air pollution is a known environmental risk factor for asthma exacerbation.

Purpose of the Study:

  • To investigate the impact of short-term air pollution exposure on the intestinal microbiome composition in children.
  • To explore potential links between air pollution-induced microbial changes and bacteria associated with asthma immunology.
  • To assess differences in microbiome response to air pollution between asthmatic and healthy children.

Main Methods:

  • Longitudinal fecal sample collection from 21 children (11 asthmatic, 10 healthy) on clean and smog days.
  • 16S rRNA gene sequencing to analyze intestinal bacterial composition.
  • Statistical analyses including PERMANOVA, Wilcoxon test, and multiple linear regression to identify significant changes and associations.

Main Results:

  • Air pollution significantly altered the overall intestinal microbiome composition in children (PERMANOVA, P = 0.03).
  • Asthmatic children showed decreased Bifidobacteriaceae and increased Streptococcaceae and Bacteroides during smog days.
  • Specific gut bacteria, including some Firmicutes, exhibited negative associations with air pollutants like PM2.5, PM10, NO2, and SO2.

Conclusions:

  • Short-term air pollution exposure demonstrably impacts the intestinal microbiome in children, with distinct changes observed in asthmatic individuals.
  • Air pollution exposure altered bacteria linked to asthma's immunological mechanisms, suggesting a potential trigger for asthma attacks.
  • The findings propose that air pollution may exacerbate asthma by modulating the gut microbiota.

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