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The propionate-GPR41 axis in infancy protects from subsequent bronchial asthma onset
Takashi Ito1, Yumiko Nakanishi1, Ryohei Shibata1,2
1Laboratory for Intestinal Ecosystem, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan.
Insights
Propionate from breast milk can reduce childhood asthma by impacting airway inflammation. Lower fecal propionate levels in infants are linked to later asthma development.
Area of Science:
- Microbiome research
- Immunology
- Pediatric allergy
Background:
- Gut microbiota metabolites, like propionate, are implicated in disease pathogenesis.
- The role of intestinal propionate in pediatric bronchial asthma remains unclear.
Purpose of the Study:
- To investigate the impact of intestinal propionate during lactation on pediatric bronchial asthma development.
- To identify the mechanisms and receptors involved in propionate's effect on asthma.
Main Methods:
- Utilized a murine house dust mite-induced asthma model.
- Administered propionate via breast milk during lactation.
- Conducted translational studies on a human birth cohort, analyzing fecal propionate levels.
Main Results:
- Propionate intake significantly reduced airway inflammation in a murine asthma model.
- G-protein coupled receptor 41 (GPR41) was identified as the propionate receptor mediating this suppression.
- Lower fecal propionate levels were observed in infants who later developed bronchial asthma.
Conclusions:
- Intestinal propionate during lactation plays a protective role against pediatric bronchial asthma.
- Propionate may prevent asthma pathogenesis by regulating immune function, potentially via GPR41 and Toll-like receptors.
- Findings highlight propionate as a potential therapeutic target for preventing childhood asthma.
Abstract:
Evidence has accumulated that gut microbiota and its metabolites, in particular the short-chain fatty acid propionate, are significant contributors to the pathogenesis of a variety of diseases. However, little is known regarding its impact on pediatric bronchial asthma, one of the most common allergic diseases in childhood. This study aimed to elucidate whether, and if so how, intestinal propionate during lactation is involved in the development of bronchial asthma. We found that propionate intake through breast milk during the lactation period resulted in a significant reduction of airway inflammation in the offspring in a murine house dust mite-induced asthma model. Moreover, GPR41 was the propionate receptor involved in suppressing this asthmatic phenotype, likely through the upregulation of Toll-like receptors. In translational studies in a human birth cohort, we found that fecal propionate was decreased one month after birth in the group that later developed bronchial asthma. These findings indicate an important role for propionate in regulating immune function to prevent the pathogenesis of bronchial asthma in childhood.
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