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Low diversity of the gut microbiota in infants with atopic eczema
Department of Clinical and Experimental Medicine, Division of Pediatrics, Linköping University, Linköping, Sweden.
Department of Preparedness, Swedish Institute for Communicable Disease Control, Solna, Sweden; Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden.
Science for Life Laboratory, School of Biotechnology, KTH Royal Institute of Technology, Stockholm, Sweden .
Örebro universitet, Institutionen för hälsovetenskap och medicin. Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; .
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2012 (Engelska)Ingår i: Journal of Allergy and Clinical Immunology, ISSN 0091-6749, E-ISSN 1097-6825, Vol. 129, nr 2, s. 434-440.e2Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: It is debated whether a low total diversity of the gut microbiota in early childhood is more important than an altered prevalence of particular bacterial species for the increasing incidence of allergic disease. The advent of powerful, cultivation-free molecular methods makes it possible to characterize the total microbiome down to the genus level in large cohorts.

Objective: We sought to assess microbial diversity and characterize the dominant bacteria in stool during the first year of life in relation to atopic eczema development.

Methods: Microbial diversity and composition were analyzed with barcoded 16S rDNA 454-pyrosequencing in stool samples at 1 week, 1 month, and 12 months of age in 20 infants with IgE-associated eczema and 20 infants without any allergic manifestation until 2 years of age (ClinicalTrials.gov ID NCT01285830).

Results: Infants with IgE-associated eczema had a lower diversity of the total microbiota at 1 month (P = .004) and a lower diversity of the bacterial phylum Bacteroidetes and the genus Bacteroides at 1 month (P = .02 and P = .01) and the phylum Proteobacteria at 12 months of age (P = .02). The microbiota was less uniform at 1 month than at 12 months of age, with a high interindividual variability. At 12 months, when the microbiota had stabilized, Proteobacteria, comprising gram-negative organisms, were more abundant in infants without allergic manifestation (Empirical Analysis of Digital Gene Expression in R [edgeR] test: P = .008, q = 0.02).

Conclusion: Low intestinal microbial diversity during the first month of life was associated with subsequent atopic eczema.

Ort, förlag, år, upplaga, sidor
New York, USA: Elsevier, 2012. Vol. 129, nr 2, s. 434-440.e2
Nyckelord [en]
Allergic disease, Bacteroides species, diversity, eczema, hygiene hypothesis, infant, microbiota, molecular microbiology, pyrosequencing, Sutterella species
Nationell ämneskategori
Medicin och hälsovetenskap Pediatrik
Forskningsämne
Medicin
Identifikatorer
URN: urn:nbn:se:oru:diva-22127DOI: 10.1016/j.jaci.2011.10.025ISI: 000299951700021PubMedID: 22153774Scopus ID: 2-s2.0-84856454758OAI: oai:DiVA.org:oru-22127DiVA, id: diva2:510474
Anmärkning

Funding Agencies:

BioGaia AB, Stockholm, Sweden 

Ekhaga Foundation, the Heart and Lung foundation 

Research Council for the South-East Sweden 

Olle Engqvist Foundation 

Swedish Asthma and Allergy Association

Swedish Research Council 

University Hospital of Linköping 

Söderberg Foundation 

Vardal Foundation for Health Care Science and Allergy Research, Sweden 

BioGaia AB 

Tillgänglig från: 2012-03-16 Skapad: 2012-03-16 Senast uppdaterad: 2017-12-07Bibliografiskt granskad

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Björkstén, Bengt

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Journal of Allergy and Clinical Immunology
Medicin och hälsovetenskapPediatrik

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