sabato, Dicembre 9, 2023

Asthma conversity by gut diversity: how that changeling microbiota shapes upper allergic issues

Asthma is a highly prevalent lung disease that results in airway obstruction and chronic inflammation, generally manifesting as coughing, wheezing, tightness in the chest, and difficulty breathing. It affects over 200 million people worldwide and contributes substantially to the economic health burden. The multifactorial process of asthma is associated with chronic inflammation of the airways that causes hyper-reactivity in the bronchioles. A genetic predisposition, environmental factors, diet, and viral infections during childhood are some major risk factors for asthma. Increasing evidence shows that the gut microbiome plays a vital role in health and disease and is involved in fundamental processes of immune responses, defense against pathogens, nutrient absorption, and vitamin production.

The bronchial hyperresponsiveness that occurs during asthma often has a changing pathogenetic basis. Chronic inflammation contributes significantly to bronchial hyperresponsiveness during the initial stages of asthma, while tissue remodeling in the airways is largely responsible in the later stages. The bronchial structural cells release inflammatory mediators such as cytokines and chemokines required for inflammation amplification, and the epithelium in the bronchioles is actively involved in asthma pathogenesis. Interactions with the infectious agent in asthma patients result in a decrease in interferon production by the bronchial epithelial cells, lowering the defense responses against these agents.

Microbiological stimulation in the neonatal period is believed to play an important role in the maturation of gastrointestinal lymph tissue, the diversification of antibodies in the gastrointestinal tract, and immunoglobulin A production. Given that gut microbiome dysbiosis in early childhood can have an impact on the maturation of the immune system, it is important to understand the role of specific gut microbes in the pathogenesis of asthma. In a recent study published in Scientific Reports, researchers examined the role of specific gut microbes in the secretion of cytokines by peripheral blood mononuclear cells (PBMCs), monocyte-derived macrophages (MDM) and human colorectal adenocarcinoma cell line HT-29 cells and its contribution to the pathogenesis of asthma.

In the present study, the researchers examined the influence of lysates from Ruminococcus albus, Parabacteroides distasonis, Clostridium perfringens, and Bacteroides vulgatus on the secretion of selected cytokines. ELISA immunoassays were conducted to analyze the cytokine secretion after cells were stimulated and incubated with lysates from R. albus, P. distasonis, C. perfringens, and B. vulgatus. Previous studies have reported that fecal samples from neonates at high risk of developing asthma showed fewer strains of Faecalibacterium, Rothia, Veillonella and Lachnospira. In this research, there was an increased abundance of Bacteroides and Streptococcus species and a lower abundance of Ruminococcus gnavus and Bifidobacterium species in the fecal samples were at a higher risk of asthma and atopy.

Studies have also found that the gut’s decreased abundance of Akkermansia, Bifidobacteria, and Faecalibacterium species predisposes children to a higher risk of asthma. Given the evidence linking changes in gut microbial abundance to the risk of asthma, the researchers attempted to analyze whether lysates from R. albus, P. distasonis, C. perfringens and B. vulgatus had an impact on the secretion of cytokines.The findings from the present study showed that lysates from specific gut bacteria could modify the secretion of inflammatory mediators such as IL-10, IL-6, IL-1β, and TNF-α. The results indicated that lysates from C. perfringens and B. vulgatus significantly decreased the secretion of IL-1β by MDMs.

Additionally, the secretion of IL-6 by immune cells was significantly higher after the exposure of lysates from P. distasonis and C. perfringens. Lysates from P. distasonis, C. perfringens, and B. vulgatus were found to increase the secretion of IL-10 by PBMCs. In contrast, those from P. distasonis, C. perfringensB. vulgatus, and R. albus brought about a similar increase in IL-10 secretion by MDMs, while lysates from B. vulgatus and P. distasonis were found to increase the secretion of TNF-α by MDMs and HT-29 cells. Scientists deem that the modified secretion of pro-inflammatory cytokines through the action of these bacterial lysates could contribute to the pathogenesis of asthma. The root of this condition, therefore, could really spark from the earliest variation in microbiota composition induced by birth and environemnt themselves.

With some elegant investigations, Abrahamsson et al., more than ten years ago have indeed found and later confirmed that the delivery at birth is strongly linked to atopy; vaginal or caesarean choice seem pivotal, since the two modalities imply a different microbial exposure and, the consequent tipology of early colonization of the baby even in skin, mouth, gut and lungs.

  • Edited by Dr. Gianfrancesco Cormaci, PhD, specialist in Clinical Biochemistry.

Scientific references

Kleniewska P et al. Sci Reports 2023; 13(1):19721.

Dzidic M et al. J Allergy Clin Immunol. 2017; 139(3):1017.

Abrahamsson TR et al. Clin Exp Allergy. 2014; 44(6):842.

Nermes M et al. ISRN Allergy. 2013; 2013:827934.



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Dott. Gianfrancesco Cormaci
Dott. Gianfrancesco Cormaci
Laurea in Medicina e Chirurgia nel 1998, specialista in Biochimica Clinica dal 2002, ha conseguito dottorato in Neurobiologia nel 2006. Ex-ricercatore, ha trascorso 5 anni negli USA alle dipendenze dell' NIH/NIDA e poi della Johns Hopkins University. Guardia medica presso la casa di Cura Sant'Agata a Catania. In libera professione, si occupa di Medicina Preventiva personalizzata e intolleranze alimentari. Detentore di un brevetto per la fabbricazione di sfarinati gluten-free a partire da regolare farina di grano. Responsabile della sezione R&D della CoFood s.r.l. per la ricerca e sviluppo di nuovi prodotti alimentari, inclusi quelli a fini medici speciali.

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