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Aberrant IgA responses to the gut microbiota during infancy precede asthma and allergy development - 19/04/17

Doi : 10.1016/j.jaci.2016.06.047 
Majda Dzidic, MSc a, c, e, Thomas R. Abrahamsson, MD, PhD b, Alejandro Artacho, BSc c, Bengt Björkstén, MD, PhD d, Maria Carmen Collado, PhD e, Alex Mira, PhD c, , , Maria C. Jenmalm, PhD a,
a Department of Clinical and Experimental Medicine, Unit of Autoimmunity and Immune Regulation, Linköping University, Linköping, Sweden 
b Department of Clinical and Experimental Medicine, Division of Paediatrics, Linköping University, Linköping, Sweden 
c Department of Health and Genomics, FISABIO Foundation, Center for Advanced Research in Public Health, Valencia, Spain 
d Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden 
e Institute of Agrochemistry and Food Technology, Spanish National Research Council (IATA-CSIC), Department of Biotechnology, Unit of Lactic Acid Bacteria and Probiotics, Valencia, Spain 

Corresponding author: Maria C. Jenmalm, PhD, Linköping University, Department of Clinical and Experimental Medicine, AIR/Clinical Immunology, 581 85 Linköping, Sweden.Linköping UniversityDepartment of Clinical and Experimental MedicineAIR/Clinical ImmunologyLinköping581 85Sweden∗∗Alex Mira, PhD, Avenida de Cataluna 21, 46020 Valencia, Spain.Avenida de Cataluna 21Valencia46020Spain

Abstract

Background

Although a reduced gut microbiota diversity and low mucosal total IgA levels in infancy have been associated with allergy development, IgA responses to the gut microbiota have not yet been studied.

Objective

We sought to determine the proportions of IgA coating together with the characterization of the dominant bacteria, bound to IgA or not, in infant stool samples in relation to allergy development.

Methods

A combination of flow cytometric cell sorting and deep sequencing of the 16S rDNA gene was used to characterize the bacterial recognition patterns by IgA in stool samples collected at 1 and 12 months of age from children staying healthy or having allergic symptoms up to 7 years of age.

Results

The children with allergic manifestations, particularly asthma, during childhood had a lower proportion of IgA bound to fecal bacteria at 12 months of age compared with healthy children. These alterations cannot be attributed to differences in IgA levels or bacterial load between the 2 groups. Moreover, the bacterial targets of early IgA responses (including coating of the Bacteroides genus), as well as IgA recognition patterns, differed between healthy children and children with allergic manifestations. Altered IgA recognition patterns in children with allergy were observed already at 1 month of age, when the IgA antibodies are predominantly maternally derived in breast-fed children.

Conclusion

An aberrant IgA responsiveness to the gut microbiota during infancy precedes asthma and allergy development, possibly indicating an impaired mucosal barrier function in allergic children.

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Key words : Allergic disease, asthma, secretory IgA, IgA index, IgA recognition patterns, microbiome composition, gut microbiota, childhood

Abbreviations used : ARC, FITC, IgA+, IgA−, LEfSe, qPCR, PCA, RDP, SIgA


Plan


 Supported by the Swedish Research Council (K2011-56X-21854-01-06); the Swedish Heart-Lung Foundation (20140321); the Ekhaga Foundation (210-53); the Medical Research Council of Southeast Sweden; the Olle Engqvist Foundation; the Cancer and Allergy Foundation; the University Hospital of Linköping, Sweden; and grant 2012-40007 from Spanish MINECO (to A.M.).
 Disclosure of potential conflict of interest: T. R. Abrahamsson has received grants and lecture fees from BioGaia. A. Mira has received grants from MINECO M. C. Jenmalm has received honorarium for lectures and Grants from BioGaia. The rest of the authors declare that they have no relevant conflicts of interest.


© 2016  American Academy of Allergy, Asthma & Immunology. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 139 - N° 3

P. 1017 - mars 2017 Retour au numéro
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