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Published on: August 7, 2017
How the early life microbiome shapes immune programming in childhood asthma and allergies
Courtney Hoskinson1, Charisse Petersen1, Stuart E Turvey1
1Department of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Insights
Pediatric allergies are rising, linked to infant gut microbiome changes. Proper gut microbiome development is crucial for immune system maturation and preventing childhood allergic diseases.
Area of Science:
- Pediatric Allergy and Immunology
- Microbiome Research
- Immune System Development
Background:
- Pediatric allergies represent a growing global health concern, increasing over the past 50 years.
- Changes in lifestyle and early-life environments correlate with altered infant gut microbiome composition.
- The gut microbiome is integral to immune system development and influences allergic disease susceptibility.
Purpose of the Study:
- To review the critical role of the gut microbiome in pediatric allergic diseases.
- To explore the interplay between immune system development and the microbiome in children.
- To identify novel prevention and management strategies for pediatric allergies.
Main Methods:
- Literature review focusing on pediatric allergic diseases and gut microbiome research.
- Analysis of studies examining the impact of microbiome composition on immune maturation.
- Synthesis of findings on early-life environmental factors and their influence on the microbiome.
Main Results:
- The gut microbiome's maturation and composition are essential for healthy immune development in children.
- Dysbiosis in the infant gut microbiome is associated with an increased risk of allergic diseases.
- Interventions targeting the gut microbiome may offer new avenues for allergy prevention.
Conclusions:
- The gut microbiome is a key factor in the development and progression of pediatric allergic diseases.
- Understanding the microbiome-immune system axis provides insights into novel therapeutic targets.
- Future research should focus on modulating the infant gut microbiome to mitigate allergy risk.
Abstract:
Despite advances in our understanding of their diagnosis and treatment, pediatric allergies impose substantial burdens on affected children, families, and healthcare systems. Further, the prevalence of allergic diseases has dramatically increased over the past half-century, leading to additional concerns and concerted efforts to identify the origins, potential predictors and preventions, and therapies of allergic diseases. Together with the increase in allergic diseases, changes in lifestyle and early-life environmental influences have corresponded with changes in colonization patterns of the infant gut microbiome. The gut microbiome plays a key role in developing the immune system, thus greatly influencing the development of allergic disease. In this review, we specifically highlight the importance of the proper maturation and composition of the gut microbiome as an essential step in healthy child development or disease progression. By exploring the intertwined development of the immune system and microbiome across pediatric allergic diseases, we provide insights into potential novel strategies for their prevention and management.
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