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Updated: Sep 19, 2026

Microbiota Analysis Using Two-step PCR and Next-generation 16S rRNA Gene Sequencing
Published on: October 15, 2019
[Research progress on the microbiota-immune-metabolism axis in childhood obesity-related asthma]
1Department of Respiratory Medicine, Nanjing Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, China.
Abstract:
Childhood asthma and obesity are rising in prevalence, and obesity-related asthma has emerged as a distinct clinical phenotype. In children, obesity is not only a trigger for asthma but also a key pathophysiological driver of disease progression and a modifier of treatment response. In obesity, shifts in the composition of the gut microbiota and its metabolites can activate pulmonary immunity through the gut-lung axis, while obesity-induced chronic systemic inflammation and metabolic dysregulation are closely linked to pulmonary immune imbalance, airway remodeling, and airway hyperresponsiveness. Together, these processes constitute the microbiota-immune-metabolism axis. This review summarizes potential mechanisms by which obesity influences childhood asthma via this axis and aims to deepen mechanistic understanding and provide research directions and targets for clinical intervention and translation.
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