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Updated: May 28, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Host-microbial interactions at the nasal mucosa in young children and adults: A retrospective, cross-sectional study
Jesús Reiné1, Lisa A King2, Youvika Singh2
1Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK; Oxford Vaccine Group, University of Oxford, Oxford, UK.
Insights
Young children exhibit distinct nasal immune profiles, with fewer granulocytes but more B and T cells. This immune immaturity correlates with specific bacterial presence, highlighting age-dependent host-microbe interactions.
Area of Science:
- Immunology
- Microbiology
- Pediatrics
Background:
- Young children are highly susceptible to respiratory tract infections due to frequent colonization by respiratory pathogens.
- Limited understanding exists regarding age-related differences in the mucosal immune system between children and adults.
Purpose of the Study:
- To investigate age-dependent variations in the nasal mucosal immune system and host-microbe interactions in young children versus adults.
- To compare immune cell composition, activation status, and microbial colonization patterns across different age groups.
Main Methods:
- Collected nasal samples from 50 young children (1-5 years) and 318 young adults (18-34 years).
- Employed multi-omics data integration, combining host data (immunophenotyping, transcriptomics, cytokines) with microbial data (16S-rRNA sequencing, viral PCRs, pneumococcal culture).
Main Results:
- Young children displayed a lower abundance of mucosal granulocytes but increased B and T cell subsets compared to adults.
- Children exhibited heightened immune activation and inflammation, associated with Haemophilus spp. and Streptococcus pneumoniae colonization, but not viral presence.
- In adults, Haemophilus spp. correlated with T cell and monocyte recruitment, while Dolosigranulum showed a negative association with neutrophil degranulation.
Conclusions:
- Nasal immune composition and host-pathogen interactions are significantly dependent on age.
- Age-related differences in the mucosal immune system influence susceptibility and response to respiratory pathogens in early life.
Abstract:
Young children are at increased risk for respiratory tract infections and are frequently colonized by respiratory pathogens. However, how the mucosal immune system differs between children and adults is relatively unknown. We collected nasal samples from 50 young children (aged 1-5 years) and 318 young adults (aged 18-34 years) to study how the mucosal immune system and host-microbe interactions differ with age. We used multi-omics data integration to combine host (immunophenotyping, transcriptomic, and cytokines) and microbial (16S-rRNA amplicon sequencing, viral PCRs, and pneumococcal culture) datasets. Young children had a paucity of mucosal granulocytes, while B and T cell subsets were increased. Children also had increased immune activation and inflammation, which associated with the presence of Haemophilus spp. and pneumococcus, but not viruses. In adults, Haemophilus spp. associated with T cell and monocyte recruitment, while Dolosigranulum negatively associated with neutrophil degranulation. Thus, nasal immune composition and host-pathogen interactions were clearly age dependent.
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