Recent research on the relationship between pulmonary microbiome and asthma endotypes in children
LI Jing-Yan
Department of Neonatology, the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University/Huai'an Key Laboratory of Diagnosis and Treatment of Pediatric Respiratory Diseases, Huai'an, Jiangsu 223300, China
Abstract Bronchial asthma is not considered a singular disease, but rather a collection of syndromes with multiple phenotypes and mechanisms that involve various signaling pathways. It typically emerges during the preschool years, and its etiology is intricate and diverse. In recent years, the advancement of high-throughput sequencing technology has revealed that early alterations in lung microbiota may be associated with asthma incidence and progression. Moreover, significant variations in lung microbiota have been observed among different airway inflammation profiles, known as asthma endotypes. Hence, a comprehensive understanding of the characteristics of lung microbiota in children with asthma can aid in managing disease progression and improving long-term prognosis. Additionally, such insights may spark novel approaches to diagnosing and treating childhood asthma.
Stikker BS, Hendriks RW, Stadhouders R. Decoding the genetic and epigenetic basis of asthma[J]. Allergy, 2023, 78(4): 940-956. PMID: 36727912. DOI: 10.1111/all.15666.
Paciência I, Cavaleiro Rufo J, Moreira A. Environmental inequality: air pollution and asthma in children[J]. Pediatr Allergy Immunol, 2022, 33(6): e13818. PMID: 35754123. DOI: 10.1111/pai.13818.
van Meel ER, Mensink-Bout SM, den Dekker HT, et al. Early-life respiratory tract infections and the risk of school-age lower lung function and asthma: a meta-analysis of 150 000 European children[J]. Eur Respir J, 2022, 60(4): 2102395. PMID: 35487537. PMCID: PMC9535116. DOI: 10.1183/13993003.02395-2021.
Taylor SL, Leong LEX, Choo JM, et al. Inflammatory phenotypes in patients with severe asthma are associated with distinct airway microbiology[J]. J Allergy Clin Immunol, 2018, 141(1): 94-103.e15. PMID: 28479329. DOI: 10.1016/j.jaci.2017.03.044.
Valverde-Molina J, García-Marcos L. Microbiome and asthma: microbial dysbiosis and the origins, phenotypes, persistence, and severity of asthma[J]. Nutrients, 2023, 15(3): 486. PMID: 36771193. PMCID: PMC9921812. DOI: 10.3390/nu15030486.
Pattaroni C, Watzenboeck ML, Schneidegger S, et al. Early-life formation of the microbial and immunological environment of the human airways[J]. Cell Host Microbe, 2018, 24(6): 857-865.e4. PMID: 30503510. DOI: 10.1016/j.chom.2018.10.019.
Bisgaard H, Hermansen MN, Buchvald F, et al. Childhood asthma after bacterial colonization of the airway in neonates[J]. N Engl J Med, 2007, 357(15): 1487-1495. PMID: 17928596. DOI: 10.1056/NEJMoa052632.
Bourgoin-Heck M, Duféal M, Saf S, et al. Staphylococcal sensitization: a correlate of type 2-high inflammation in children with severe asthma[J]. J Allergy Clin Immunol Pract, 2023, 11(2):564-571.e1. PMID: 37113036. DOI: 10.1016/j.jaip.2022.10.026.
McCauley K, Durack J, Valladares R, et al. Distinct nasal airway bacterial microbiotas differentially relate to exacerbation in pediatric patients with asthma[J]. J Allergy Clin Immunol, 2019, 144(5): 1187-1197. PMID: 31201890. PMCID: PMC6842413. DOI: 10.1016/j.jaci.2019.05.035.
Patel KK, Vicencio AG, Du Z, et al. Infectious Chlamydia pneumoniae is associated with elevated interleukin-8 and airway neutrophilia in children with refractory asthma[J]. Pediatr Infect Dis J, 2010, 29(12): 1093-1098. PMID: 21155094. DOI: 10.1097/inf.0b013e3181eaebdc.
Papaioannou AI, Fouka E, Ntontsi P, et al. Paucigranulocyticasthma: potential pathogenetic mechanisms, clinical features and therapeutic management[J]. J Pers Med, 2022, 12(5):850. PMID: 35629272. PMCID: PMC9145917. DOI: 10.3390/jpm12050850.
Son JH, Kim JH, Chang HS, et al. Relationship of microbial profile with airway immune response in eosinophilic or neutrophilic inflammation of asthmatics[J]. Allergy Asthma Immunol Res, 2020, 12(3): 412-429. PMID: 32141256. PMCID: PMC7061157. DOI: 10.4168/aair.2020.12.3.412.
Durack J, Lynch SV, Nariya S, et al. Features of the bronchial bacterial microbiome associated with atopy, asthma, and responsiveness to inhaled corticosteroid treatment[J]. J Allergy Clin Immunol, 2017, 140(1): 63-75. PMID: 27838347. PMCID: PMC5502827. DOI: 10.1016/j.jaci.2016.08.055.
Singanayagam A, Glanville N, Cuthbertson L, et al. Inhaled corticosteroid suppression of cathelicidin drives dysbiosis and bacterial infection in chronic obstructive pulmonary disease[J]. Sci Transl Med, 2019, 11(507): eaav3879. PMID: 31462509. PMCID: PMC7237237. DOI: 10.1126/scitranslmed.aav3879.
Wei X, Jiang P, Liu J, et al. Association between probiotic supplementation and asthma incidence in infants: a meta-analysis of randomized controlled trials[J]. J Asthma, 2020, 57(2): 167-178. PMID: 30656984. DOI: 10.1080/02770903.2018.1561893.
Chen N, Liu F, Gao Q, et al. A meta-analysis of probiotics for the treatment of allergic airway diseases in children and adolescents[J]. Am J Rhinol Allergy, 2022, 36(4):480-490. PMID: 35238209. DOI: 10.1177/19458924221080159.
Voo PY, Wu CT, Sun HL, et al. Effect of combination treatment with Lactobacillus rhamnosus and corticosteroid in reducing airway inflammation in a mouse asthma model[J]. J Microbiol Immunol Infect, 2022, 55(4): 766-776. PMID: 35487817. DOI: 10.1016/j.jmii.2022.03.006.
Nembrini C, Sichelstiel A, Kisielow J, et al. Bacterial-induced protection against allergic inflammation through a multicomponent immunoregulatory mechanism[J]. Thorax, 2011, 66(9): 755-763. PMID: 21422039. DOI: 10.1136/thx.2010.152512.