微生物组和儿科白血病,糖尿病和过敏:系统性审查和元分析
Rachel Gallant1,2, Samiha Reza1, Joseph L Wiemels1
1Center for Genetic Epidemiology, Department of Population and Public Health Sciences, University of Southern California Keck School of Medicine, Los Angeles, California, United States of America.
PloS one
|May 20, 2025
概括
儿童急性淋巴细胞白血病 (ALL),1型糖尿病 (T1DM) 和过敏症与肠道微生物群多样性减少有关. 这表明肠道微生物组是预防这些常见儿科疾病的可修改因素.
科学领域:
- 儿科免疫学 儿科免疫学
- 微生物组研究的研究.
- 流行病学 流行病学
背景情况:
- 儿童急性淋巴细胞白血病 (ALL),1型糖尿病 (T1DM) 和过敏症与早期暴露和肠道微生物群发育相关的风险因素共同存在.
- 研究肠道微生物群多样性与这些疾病之间的关联对于理解共享的病因路径至关重要.
研究的目的:
- 评估较低的微生物群多样性 (香农指数) 和共享的属/物种概况是否与儿科ALL,过敏和T1DM相关.
- 确定这些儿童疾病的潜在常见风险因素和预防策略.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,Web of Science) 进行了全面的文献搜索.
- 包括1-18岁受试者的病例控制,元分析和队列研究,重点关注诊断或干预前的微生物组数据.
- 分析了88项研究,其中54项使用随机效应模型纳入了元分析.
主要成果:
- 与对照组相比,被诊断患有ALL,T1DM,湿疹和喘的儿童的α-多样性明显较低.
- 虽然趋势表明亚托皮和食物过敏的多样性较低,但在本次元分析中,这些都没有达到统计学意义.
- 研究人员还发现,在这些条件中,特定的属/物种概况是共同的.
结论:
- 这些发现表明,在ALL,T1DM和过敏的儿童中,微生物组的多样性和组成存在相似之处.
- 这支持了与婴儿期免疫启动相关的常见风险因素的假设.
- 肠道微生物组成为预防这些普遍的儿童疾病的潜在可修改的目标.
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