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在患有支气管喘的儿童中,肠道微生物群和益生菌干预
Xiaodan Chen1, Su-Boon Yong2, Chin-Yuan Yii3,4
1Ningbo Medical Center LiHuiLi Hospital, The Affiliated LiHuiLIi Hospitai of Ningbo University, Zhejiang, China.
Heliyon
|August 15, 2024
概括
儿童喘与肠道细菌失衡有关. 益生菌有效地恢复肠道菌群,改善免疫标志物,为儿童喘提供有前途的辅助治疗.
科学领域:
- 儿科过敏和免疫学
- 微生物组研究 微生物组研究
- 免疫学 免疫学 免疫学
背景情况:
- 儿童支气管喘与肠道菌群的变化和免疫系统失调有关.
- 特定的细菌属如 Bacteroides, Faecalibacterium 和 Veillonella 在喘儿童中显示出改变的丰度.
- 在患有喘的儿童中观察到高水平的IgE,某些细胞因子 (IL-4,IL-5,IL-9,IL-13) 和降低的Th1/Th2比率.
研究的目的:
- 为了研究患有支气管喘和没有支气管喘的儿童之间的肠道菌群,T细胞表达,过敏指标和细胞因子水平的差异.
- 评估益生菌制剂作为治疗儿童支气管喘的疗效和安全性.
- 确定用于治疗儿科支气管喘的新型治疗策略.
主要方法:
- 一项队列研究比较66名患有喘的儿童 (3-6岁) 和35名健康儿童.
- 喘组分为益生菌和非益生菌子组进行分层进行比较分析.
- 对肠道微生物群组成,血清IgE,细胞因子 (IL-4,IL-5,IL-9,IL-13),Th1/Th2细胞比例和C反应蛋白的分析.
主要成果:
- 患有喘的儿童表现出肠道菌群多样性的减少和关键品种的丰富性变化 (增加Bacteroides,减少Faecalibacterium和Veillonella).
- 与非益生菌组相比,益生菌干预显著改善了这些肠道细菌的丰富性.
- 免疫标志物显著改善,包括血清IgE,IL-4,IL-5,IL-9和IL-13的降低,以及Th1/Th2比率的增加,特别是在益生菌组中观察到.
结论:
- 患有支气管喘的儿童表现出肠道失调,其特点是特定的细菌失衡,这与过敏性疾病的风险增加有关.
- 益生菌补充剂有效调节肠道微生物群,有助于儿童免疫平衡.
- 益生菌是一种有价值的辅助疗法,可以改善儿科支气管喘的结果.
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