Exacerbation of allergic rhinitis by the commensal bacterium Streptococcus salivarius

Ping Miao1,2, Yiming Jiang3, Ying Jian1

  • 1Department of Laboratory Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Nature Microbiology
|January 12, 2023
PubMed

Insights

The nasal microbiome differs in allergic rhinitis (AR) patients, with increased Streptococcus salivarius. This bacterium promotes AR symptoms, suggesting new antibacterial treatment strategies for hay fever.

Area of Science:

  • Microbiology
  • Immunology
  • Otolaryngology

Background:

  • Allergic rhinitis (AR), or hay fever, is a common condition impacting millions globally.
  • The precise mechanisms driving AR pathophysiology are not fully understood.
  • The role of the nasal microbiome in AR development is largely unknown.

Purpose of the Study:

  • To investigate differences in the nasal microbiome between AR patients and healthy individuals.
  • To determine if specific nasal bacteria contribute to AR development.
  • To explore potential therapeutic targets for AR based on microbial interactions.

Main Methods:

  • 16S ribosomal RNA sequencing was employed to analyze the nasal microbiome composition.
  • Ex vivo and in vivo models were utilized to study the effects of bacteria on AR.
  • Assessment of inflammatory cytokine release and nasal epithelial morphology.

Main Results:

  • Nasal microbiomes of AR patients exhibited distinct differences from healthy controls, notably reduced diversity.
  • An increased abundance of Streptococcus salivarius was observed in AR patients.
  • S. salivarius was shown to promote AR-like inflammatory responses and epithelial changes in experimental models, linked to its adherence.

Conclusions:

  • The nasal commensal bacterium Streptococcus salivarius contributes to allergic rhinitis pathogenesis.
  • Altered nasal microbiota composition, specifically increased S. salivarius, is associated with AR.
  • Targeted antibacterial therapies may offer a novel approach for managing allergic rhinitis.

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