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Perturbations of gut microbiome genes in infants with atopic dermatitis according to feeding type - 05/04/18

Doi : 10.1016/j.jaci.2017.11.045 
Min-Jung Lee, MS a, Mi-Jin Kang, PhD b, So-Yeon Lee, MD c, Eun Lee, MD d, Kangjin Kim, MS e, Sungho Won, PhD e, f, Dong In Suh, MD g, Kyung Won Kim, MD h, Youn Ho Sheen, MD i, Kangmo Ahn, MD j, Bong-Soo Kim, PhD a, , Soo-Jong Hong, MD c,
a Department of Life Science, Multidisciplinary Genome Institute, Hallym University, Chuncheon, Korea 
b Asan Institute for Life Science, University of Ulsan College of Medicine, Seoul, Korea 
c Department of Pediatrics, Childhood Asthma Atopy Center, Environmental Health Center, University of Ulsan College of Medicine, Seoul, Korea 
d Department of Pediatrics, Chonnam National University Hospital, Gwangju, Korea 
e Department of Public Health Science, Seoul National University, Seoul, Korea 
f Institute of Health and Environment, Seoul National University, Seoul, Korea 
g Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea 
h Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea 
i Department of Pediatrics, CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea 
j Department of Pediatrics, Environmental Health Center for Atopic Disease, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 

Corresponding author: Soo-Jong Hong, MD, Department of Pediatrics, Childhood Asthma Atopy Center, Environmental Health Center, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul 05505, Republic of Korea.Department of PediatricsChildhood Asthma Atopy CenterEnvironmental Health CenterAsan Medical CenterUniversity of Ulsan College of MedicineSongpa-guSeoul05505Republic of KoreaBong-Soo Kim, PhD, Department of Life Science, Multidisciplinary Genome Institute, Hallym University, Chuncheon, Gangwon-do 24252, Republic of Korea.Department of Life ScienceMultidisciplinary Genome InstituteHallym UniversityChuncheonGangwon-do24252Republic of Korea

Abstract

Background

Perturbations of the infant gut microbiota can shape development of the immune system and link to the risk of allergic diseases.

Objective

We sought to understand the role of the gut microbiome in patients with atopic dermatitis (AD). The metagenome of the infant gut microbiome was analyzed according to feeding types.

Methods

Composition of the gut microbiota was analyzed in fecal samples from 129 infants (6 months old) by using pyrosequencing, including 66 healthy infants and 63 infants with AD. The functional profile of the gut microbiome was analyzed by means of whole-metagenome sequencing (20 control subjects and 20 patients with AD). In addition, the total number of bacteria in the feces was determined by using real-time PCR.

Results

The gut microbiome of 6-month-old infants was different based on feeding types, and 2 microbiota groups (Bifidobacterium species–dominated and Escherichia/Veillonella species–dominated groups) were found in breast-fed and mixed-fed infants. Bacterial cell amounts in the feces were lower in infants with AD than in control infants. Although no specific taxa directly correlated with AD in 16S rRNA gene results, whole-metagenome analysis revealed differences in functional genes related to immune development. The reduction in genes for oxidative phosphorylation, phosphatidylinositol 3-kinase–Akt signaling, estrogen signaling, nucleotide-binding domain–like receptor signaling, and antigen processing and presentation induced by reduced colonization of mucin-degrading bacteria (Akkermansia muciniphila, Ruminococcus gnavus, and Lachnospiraceae bacterium 2_1_58FAA) was significantly associated with stunted immune development in the AD group compared with the control group (P < .05).

Conclusions

Alterations in the gut microbiome can be associated with AD because of different bacterial genes that can modulate host immune cell function.

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Graphical abstract




Le texte complet de cet article est disponible en PDF.

Key words : Atopic dermatitis, infant, gut, microbiome, immune

Abbreviations used : AD, BFGM, IRB, MFGM, NOD, OTU, PI3K, RR


Plan


 Supported by the Basic Science Research Program of the National Research Foundation of Korea (NRF), which is funded by the Ministry of Science, Communications Technology (ICT), and Future Planning (NRF-2014R1A2A1A10050687).
 Disclosure of potential conflict of interest: The authors declare that they have no relevant conflicts of interest.


© 2018  American Academy of Allergy, Asthma & Immunology. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 141 - N° 4

P. 1310-1319 - avril 2018 Retour au numéro
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