The role of probiotics and postbiotics in modulating the gut microbiome-immune system axis in the pediatric age

Laura Carucci1,2, Serena Coppola1,2, Anna Luzzetti1,2

  • 1Department of Translational Medical Science, Federico II University, Naples, Italy.

Minerva Pediatrics
|April 21, 2021
PubMed

Insights

The gut microbiome-immune system axis is crucial for immunity. Interventions like probiotics and postbiotics can positively modulate this axis, offering new strategies for pediatric health conditions.

Area of Science:

  • Microbiology
  • Immunology
  • Pediatrics

Background:

  • The gut microbiome significantly influences the human immune system via the gut microbiome-immune system axis.
  • Optimal function of this axis maintains host-microorganism symbiosis and beneficial immune responses.
  • Dysfunction of this axis is linked to pediatric conditions like allergies and autoimmune disorders.

Purpose of the Study:

  • To explore the role of the gut microbiome-immune system axis in health and disease.
  • To investigate environmental factors affecting this axis.
  • To highlight the potential of interventional strategies for pediatric conditions.

Main Methods:

  • Review of current scientific literature on the gut microbiome and immune system interactions.
  • Analysis of evidence on environmental modulators of the gut microbiome-immune system axis.
  • Evaluation of interventional strategies, including diet, probiotics, and postbiotics.

Main Results:

  • The gut microbiome-immune system axis is vital for immune development and function.
  • Environmental factors can positively or negatively impact this axis, affecting health.
  • Probiotics and postbiotics show promise in modulating this axis for pediatric conditions.

Conclusions:

  • The gut microbiome-immune system axis is a key factor in maintaining health.
  • Prenatal and postnatal interventions targeting this axis can improve immune function.
  • Probiotics and postbiotics offer innovative therapeutic and preventive approaches for pediatric diseases.

Related Concept Videos

Microorganisms in Medicine and Therapeutics01:29

Microorganisms in Medicine and Therapeutics

Microorganisms play a fundamental role in vaccine development, gene therapy, and therapeutic production. Their biological properties are harnessed to advance medicine and public health. Beyond immunization, microorganisms contribute to gut health, antibiotic synthesis, and genetic disease treatment.Live Attenuated and Inactivated VaccinesLive attenuated vaccines, such as the measles, mumps, and rubella (MMR) vaccine, utilize weakened forms of pathogens to closely resemble natural infections.
613
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
72
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
71
Anatomy of the Intestines01:23

Anatomy of the Intestines

Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
84.9K
Physiology of Enteric Nervous System and Gut Health01:05

Physiology of Enteric Nervous System and Gut Health

The gastrointestinal tract, responsible for the digestion and absorption of nutrients, is safeguarded by the intestinal barrier, which consists of secretory, physical, and immune components. At the forefront is the secretory barrier, composed of essential elements such as mucus, gut microbiota, and defense proteins. They collaborate to break down food particles, facilitate nutrient absorption, and maintain optimal gut health. These secretory components ensure the smooth functioning of the...
567
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.0K