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Published on: August 7, 2017
Nasopharyngeal Microbiome Differences Between Children with Hypertrophic Adenoids and Healthy Controls
Ulrich Moser1, Thomas Hirsch1, Beate Obermüller2
1Department of Otorhinolaryngology, Medical University of Graz, 8010 Graz, Austria.
Children with enlarged adenoids have a different nasopharyngeal microbiome. This study found distinct bacterial communities in the nose, suggesting the microbiome may contribute to adenoid hypertrophy.
Area of Science:
- Microbiology
- Immunology
- Pediatrics
Background:
- Adenoids are crucial for immune development in children.
- Pathological adenoid hypertrophy causes significant illness.
- The nasopharyngeal microbiome's role in adenoid hypertrophy is not fully understood.
Purpose of the Study:
- To compare the nasopharyngeal microbiome in children with and without symptomatic hypertrophic adenoids.
- To investigate microbial community structure and specific taxa associated with adenoid hypertrophy.
Main Methods:
- Cross-sectional study comparing 26 children with hypertrophic adenoids and 30 healthy controls.
- 16S ribosomal ribonucleic acid (rRNA) gene sequencing for microbial profiling.
- Analysis of alpha and beta diversity, core microbiome, and differential abundance.
Main Results:
- Significant differences in alpha diversity between groups (Fisher's alpha p = 0.048).
- A common core microbiome dominated by Moraxella, Haemophilus, Staphylococcus, Streptococcus, Corynebacterium, and Dolosigranulum.
- Distinct bacterial taxa identified: Fusobacterium in the study group; Dolosigranulum, Corynebacterium, Finegoldia, Micrococcus in controls; Campylobacter, Paludibacteraceae, Fusobacterium, Escherichia-Shigella, Cutibacterium, Nocardia in the study group.
Conclusions:
- Children with symptomatic hypertrophic adenoids have a distinct nasopharyngeal microbiome.
- Altered microbial community structure and specific bacterial shifts are associated with adenoid hypertrophy.
- Findings suggest a potential role for the microbiome in the pathogenesis of adenoid hypertrophy.
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It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...

