益生菌在儿童变态反应性疾病中的防治作用

夏利平; 姜毅

doi:10.7499/j.issn.1008-8830.2016.02.017

PDF(920 KB)

HTML

中国当代儿科杂志 ›› 2016, Vol. 18 ›› Issue (2) : 189-194. DOI: 10.7499/j.issn.1008-8830.2016.02.017

综述

益生菌在儿童变态反应性疾病中的防治作用

夏利平, 姜毅

作者信息 +

Effect of probiotics in prevention and treatment of allergic diseases in children

XIA Li-Ping, JIANG Yi

Author information +

文章历史 +

摘要

变态反应性疾病逐年升高的发病率已引起全球的关注,严重危害儿童健康,其共同发病机制是机体对常见的吸入性或食物性过敏原产生以特异性IgE介导的或者细胞介导的免疫反应。流行病学调查、粪便菌群分析和临床研究均提示,变态反应性疾病的发生、发展与早期肠道菌群的紊乱密切相关。益生菌可调节肠道免疫反应、增加上皮细胞屏障功能和抑制病原菌的粘附定植,恢复或重建肠道正常微生物群。随着人们对变态反应性疾病认识的加深,益生菌对其防治作用将越来越受到人们的重视。

Abstract

The increasing incidence rate of allergic diseases has attracted global attention, and these diseases greatly threaten children's health.The common pathogenesis of allergic diseases is the specific IgE-or cell-mediated immune response to common inhalant or food allergens.Epidemiological investigation, analysis of fecal flora, and clinical studies all suggest that the development and progression of allergic diseases are closely related to the early disturbance of intestinal flora.Probiotics can regulate intestinal immune response, increase the barrier function of epithelial cells, inhibit the adhesion and colonization of pathogenic bacteria, and thus restore or reconstruct normal intestinal flora.With the increasing understanding of allergic diseases, the effect of probiotics in the prevention and treatment of such diseases will be taken more and more seriously.

导出引用

夏利平, 姜毅. 益生菌在儿童变态反应性疾病中的防治作用[J]. 中国当代儿科杂志. 2016, 18(2): 189-194 https://doi.org/10.7499/j.issn.1008-8830.2016.02.017

XIA Li-Ping, JIANG Yi. Effect of probiotics in prevention and treatment of allergic diseases in children[J]. Chinese Journal of Contemporary Pediatrics. 2016, 18(2): 189-194 https://doi.org/10.7499/j.issn.1008-8830.2016.02.017

参考文献

[1] Houghteling PD, Walker WA. From birth to "immunohealth," allergies and enterocolitis[J]. J Clin Gastroenterol, 2015, 49 Suppl 1:S7-S12.
[2] Matamoros S, Gras-Leguen C, Le Vacon F, et al. Development of intestinal microbiota in infants and its impact on health[J]. Trends Microbiol, 2013, 21(4):167-173.
[3] Tang RB, Chang JK, Chen HL. Can probiotics be used to treat allergic diseases?[J]. J Chin Med Assoc, 2015, 78(3):154-157.
[4] 吴江, 吴正钧, 郭本恒. 益生菌辅助防治过敏性疾病的研究进展[J]. 微生物学通报, 2013, 40(2):279-286.
[5] Aureli P, Capurso L, Castellazzi AM, et al. Probiotics and health:an evidence-based review[J]. Pharmacol Res, 2011, 63(5):366-376.
[6] Qin J, Li R, Raes J, et al. A human gut microbial gene catalogue established by metagenomic sequencing[J]. Nature, 2010, 464(7285):59-65.
[7] Dylag K, Hubalewska-Mazgaj M, Surmiak M, et al. Probiotics in the mechanism of protection against gut inflammation and therapy of gastrointestinal disorders[J]. Curr Pharm Des, 2014, 20(7):1149-1155.
[8] 刘梅, 黄永坤. 食物过敏与肠道菌群的研究进展[J]. 世界华人消化杂志, 2012, 20(16):1421-1427.
[9] 高金生, 杨书良. 肠黏膜屏障损伤的原因与机制研究进展[J]. 世界华人消化杂志, 2009, 17(15):1540-1544.
[10] 雷春龙, 董国忠. 肠道菌群对动物肠黏膜免疫的调控作用[J]. 动物营养学报, 2012, 24(3):416-422.
[11] 杨锡强. 益生菌对免疫功能的影响[J]. 实用儿科临床杂志, 2010, 25(9):623-625.
[12] Ohland CL, Macnaughton WK. Probiotic bacteria and intestinal epithelial barrier function[J]. Am J Physiol Gastrointest Liver Physiol, 2010, 298(6):G807-G819.
[13] 王颖, 奚海燕, 李玲慧, 等. 肠道细菌移位与血流感染[J]. 东南国防医药, 2014, 16(5):514-516.
[14] Hwang JS, Im CR, Im SH. Immune disorders and its correlation with gut microbiome[J]. Immune Netw, 2012, 12(4):129-138.
[15] Gaboriau-Routhiau V, Rakotobe S, Lécuyer E, et al. The key role of segmented filamentous bacteria in the coordinated maturation of gut helper T cell responses[J]. Immunity, 2009, 31(4):677-689.
[16] Kwon HK, Lee CG, So JS, et al. Generation of regulatory dendritic cells and CD4+Foxp3+ T cells by probiotics administration suppresses immune disorders[J]. Proc Natl Acad Sci U S A, 2010, 107(5):2159-2164.
[17] Bieber T. Atopic dermatitis[J]. N Engl J Med, 2008, 358(14):1483-1494.
[18] Spergel JM. From atopic dermatitis to asthma:the atopic march[J]. Ann Allergy Asthma Immunol, 2010, 105(2):99-106.
[19] McGowan EC, Keet CA. Prevalence of self-reported food allergy in the National Health and Nutrition Examination Survey(NHANES) 2007-2010[J]. J Allergy Clin Immunol, 2013, 132(5):1216-1219.
[20] 陈剑, 尚云晓, 张晗, 等. 哮喘儿童特应性疾病与其父母哮喘及特应性疾病史的相关性研究[J]. 中国小儿急救医学, 2013, 20(6):634-635.
[21] 姚苗苗, 王克明, 许群英, 等. 婴幼儿喘息的病因及相关危险因素分析[J]. 中国当代儿科杂志, 2011, 13(3):195-198.
[22] 屈文静, 亓淑萍, 蔺建娟. 毛细支气管炎患儿分子遗传学检验与哮喘的相关性及临床应用[J]. 中国儿童保健杂志, 2014, 22(7):763-765.
[23] 洪建国. 中国儿童支气管哮喘防治指南修订要点的探讨[J]. 临床儿科杂志, 2014, 32(2):101-103.
[24] 全国儿科哮喘协作组, 中国疾病预防控制中心环境与健康相关产品安全所. 第三次中国城市儿童哮喘流行病学调查[J]. 中华儿科杂志, 2013, 51(10):729-735.
[25] 江满杰, 李泽卿, 季俊峰, 等. 南京市区儿童过敏性鼻炎及其生活质量相关问题问卷调查[J]. 中国实用儿科杂志, 2006, 21(2):117-119.
[26] Burgess JA, Matheson MC, Gurrin LC, et al. Factors influencing asthma remission:a longitudinal study from childhood to middle age[J]. Thorax, 2011, 66(6):508-513.
[27] 赵京, 柏娟, 申昆玲, 等. 北京、重庆、广州三城市中心城区0~14岁儿童过敏性疾病问卷调查[J]. 中华儿科杂志, 2011, 49(10):740-744.
[28] Pan SJ, Kuo CH, Lam KP, et al. Probiotics and allergy in children-an update review[J]. Pediatr Allergy Immunol, 2010, 21(4 Pt 2):659-666.
[29] 李敏, 娄春艳. 儿童过敏性疾病的发生与早期预防[J]. 实用医院临床杂志, 2013, 10(6):18-22.
[30] Compare D, Nardone G. The role of gut microbiota in the pathogenesis and management of allergic diseases[J]. Eur Rev Med Pharmacol Sci, 2013, 17(Suppl 2):11-17.
[31] Tao B, Ruan G, Wang D, et al. Imbalance of peripheral Th17 and regulatory T cells in children with allergic rhinitis and bronchial asthma[J]. Iran J Allergy Asthma Immunol, 2015, 14(3):273-279.
[32] 唐雪梅. 过敏性紫癜病因及免疫发病机制[J]. 实用儿科临床杂志, 2012, 27(21):1634-1636.
[33] 张琳. 肠道菌群与过敏[J]. 中国实用儿科杂志, 2010, 25(7):510-512.
[34] 颜君, 周国华. 肠黏膜生物屏障的研究进展[J]. 医学综述, 2011, 17(21):3246-3247.
[35] 胡燕. 重视开展儿童食物过敏研究[J]. 中国儿童保健杂志, 2011, 19(6):489-491.
[36] Tollånes MC, Moster D, Daltveit AK, et al. Cesarean section and risk of severe childhood asthma:a population-based cohort study[J]. J Pediatr, 2008, 153(1):112-116.
[37] Penders J, Thijs C, van den Brandt PA, et al. Gut microbiota composition and development of atopic manifestations in infancy:the KOALA Birth Cohort Study[J]. Gut, 2007, 56(5):661-667.
[38] Vael C, Nelen V, Verhulst SL, et al. Early intestinal Bacteroides fragilis colonisation and development of asthma[J]. BMC Pulm Med, 2008, 8:19.
[39] Yang SI, Lee E, Jung YH, et al. Effect of antibiotic use and mold exposure in infancy on allergic rhinitis in susceptible adolescents[J]. Ann Allergy Asthma Immunol, 2014, 113(2):160-165.
[40] Ueno N, Fujiya M, Segawa S, et al. Heat-killed body of lactobacillus brevis SBC8803 ameliorates intestinal injury in a murine model of colitis by enhancing the intestinal barrier function[J]. Inflamm Bowel Dis, 2011, 17(11):2235-2250.
[41] Kang HJ, Im SH. Probiotics as an Immune Modulator[J]. J Nutr Sci Vitaminol(Tokyo), 2015, 61 Suppl:S103-S105.
[42] Żukiewicz-Sobczak W, Wróblewska P, Adamczuk P, et al. Probiotic lactic acid bacteria and their potential in the prevention and treatment of allergic diseases[J]. Cent Eur J Immunol, 2014, 39(1):104-108.
[43] Madonini ER. Probiotics and allergies:myth or reality?[J]. Eur Ann Allergy Clin Immunol, 2014, 46(6):196-200.
[44] 周洁, 朱俊萍, 诸欣平. 益生菌对肠道疾病的作用机制及应用进展[J]. 中国新药杂志, 2015, 24(13):1484-1487.
[45] 魏晓晨, 朱立勤, 王春革. 联用益生菌和益菌生对肝移植患者术后细菌感染影响的系统评价[J]. 中国新药杂志, 2013, 22(23):2779-2785.
[46] Aureli P, Capurso L, Castellazzi AM, et al. Probiotics and health:an evidence-based review[J]. Pharmacol Res, 2011, 63(5):366-376.
[47] Weiss G, Christensen HR, Zeuthen LH, et al. Lactobacilli and bifidobacteria induce differential interferonβ profiles in dendritic cells[J]. Cytokine, 2011, 56(2):520-530.
[48] Elawadli I, Brisbin JT, Mallard BA, et al. Differential effects of lactobacilli on activation and maturation of mouse dendritic cells[J]. Benef Microbes, 2014, 5(3):323-334.
[49] 黄石, 赵宇. 益生菌与变应性疾病[J]. 临床耳鼻咽喉头颈外科杂志, 2013, 27(2):109-112.
[50] Kim HJ, Kim HY, Lee SY, et al. Clinical efficacy and mechanism of probiotics in allergic diseases[J]. Korean J Pediatr, 2013, 56(9):369-376.
[51] Walker WA. Initial intestinal colonization in the human infant and immune homeostasis[J]. Ann Nutr Metab, 2013, 63 Suppl 2:8-15.
[52] Huang J, Zhong Y, Cai W, et al. The effects of probiotics supplementation timing on an ovalbumin-sensitized rat model[J]. FEMS Immunol Med Microbiol, 2010, 60(2):132-141.
[53] Isolauri E, Arvola T, Sütas Y, et al. Probiotics in the management of atopic eczema[J]. Clin Exp Allergy, 2000, 30(11):1604-1610.
[54] Taibi A, Comelli EM. Practical approaches to probiotics use[J]. Appl Physiol Nutr Metab, 2014, 39(8):980-986.
[55] Kimura G, Akagi H, Okada C, et al. Clinical effects of Lactobacillus acidophilus strain L-55-contained yogurt on symptoms of Japanese cedar pollen allergy[J]. Arerugi, 2012, 61(5):628-641.
[56] Maldonado Galdeano C, Novotny Nuñez I, Carmuega E, et al. Role of probiotics and functional foods in health:gut immune stimulation by two probiotic strains and a potential probiotic yoghurt[J]. Endocr Metab Immune Disord Drug Targets, 2015, 15(1):37-45.