Airway Microbiota Profiles in Children With and Without Asthma: A Comparative Study.

IF 3.7 3区 医学 Q2 ALLERGY
Journal of Asthma and Allergy Pub Date : 2025-03-05 eCollection Date: 2025-01-01 DOI:10.2147/JAA.S498803
Aisha Alamri, Meshal Alhassan, Abdullah K Almutairi, Nithya Jayaseeli, Rebecca P Berg, Christen Rune Stensvold, Lee O'Brien Andersen, Henrik Vedel Nielsen, Suzan A AlKhater
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Abstract

Background: Asthma is a common chronic respiratory disease that affects children and adults and can have a serious impact on their quality of life. Factors contributing to the development of asthma and related exacerbations are multifactorial, with microbial communities colonizing the airways possibly playing a key role.

Methods: The study included asthmatic (79) and healthy children (57) aged 5-16 years. Nasal and throat swabs were collected, and bacterial (16s rRNA) and fungal (18s rRNA) amplicon sequence analysis was performed. Diversity indices and the most abundant microbial genera were estimated accordingly.

Results: At the level of the bacteriome in the nasal samples, the asthma group had significantly lower diversity than the control group (p = 0.02). However, the microbiota of the asthma cohort was more evenly distributed, and staphylococci were enriched in the control group. Throat samples collected from the asthma cohort revealed significantly lower diversity (p < 0.0001), with a significant difference in species composition between the two groups (p = 0.005). Enriched bacterial species were different within the asthma subgroups (controlled vs uncontrolled asthma). The fungal microbiome of the nasal and throat samples showed no difference in species richness between the two groups, however, a significant difference in beta diversity (species composition) was detected. The nasal samples from the control group were enriched with Malassezia species, while the asthma cases were enriched with Mucor species. On the other hand, throat specimens of the asthma group were found to be enriched with Candida and Saccharomyces.

Conclusion: Our findings suggest that asthmatic samples were less diverse than the control samples with certain microbial genera enriching some study groups. Addressing the biomarkers that influence the progression of asthma could lead to improved care for children suffering from severe asthmatic episodes, possibly by including targeted therapies and prevention strategies.

哮喘儿童和非哮喘儿童气道微生物群的比较研究
背景:哮喘是一种常见的慢性呼吸道疾病,影响儿童和成人,并可严重影响他们的生活质量。导致哮喘发展和相关恶化的因素是多因素的,气道中的微生物群落可能起着关键作用。方法:选取5 ~ 16岁哮喘儿童79例,健康儿童57例。采集鼻咽拭子,进行细菌(16s rRNA)和真菌(18s rRNA)扩增子序列分析。据此估计了多样性指数和最丰富的微生物属。结果:在鼻标本细菌组水平上,哮喘组的多样性明显低于对照组(p = 0.02)。然而,哮喘队列的微生物群分布更为均匀,对照组葡萄球菌丰富。从哮喘队列中收集的喉咙样本显示多样性显著降低(p < 0.0001),两组之间的物种组成差异显著(p = 0.005)。哮喘亚组(控制哮喘与不控制哮喘)中富集的细菌种类不同。两组间鼻腔和咽喉真菌菌群的物种丰富度差异不显著,但β多样性(物种组成)差异显著。对照组鼻标本中富集马拉色菌,哮喘组鼻标本中富集毛霉菌。另一方面,哮喘组喉咙标本中发现念珠菌和酵母菌富集。结论:我们的研究结果表明,哮喘样本的多样性低于对照样本,某些微生物属丰富了一些研究组。解决影响哮喘进展的生物标志物可能会改善对患有严重哮喘发作的儿童的护理,可能包括靶向治疗和预防策略。
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来源期刊
Journal of Asthma and Allergy
Journal of Asthma and Allergy Medicine-Immunology and Allergy
CiteScore
5.30
自引率
6.20%
发文量
185
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal publishing original research, reports, editorials and commentaries on the following topics: Asthma; Pulmonary physiology; Asthma related clinical health; Clinical immunology and the immunological basis of disease; Pharmacological interventions and new therapies. Although the main focus of the journal will be to publish research and clinical results in humans, preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies.
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