Abstract

BackgroundAllergic asthma is strongly associated with the exposure to house dust mite (HDM) and is characterized by eosinophilic pulmonary inflammation and airway hyperresponsiveness (AHR). Recently, there is an increased interest in using dietary oligosaccharides, also known as prebiotics, as a novel strategy to prevent the development of, or reduce, symptoms of allergy.AimWe investigated the preventive capacity of dietary galacto-oligosaccharides (GOS) compared to an intra-airway therapeutic treatment with budesonide on the development of HDM-induced allergic asthma in mice.MethodsBALB/c mice were intranasally sensitized with 1 μg HDM on day 0 followed by daily intranasal challenge with PBS or 10 μg HDM on days 7 to 11. Two weeks prior to the first sensitization and throughout the experiment mice were fed a control diet or a diet containing 1% GOS. Reference mice were oropharyngeally instilled with budesonide (500 μg/kg) on days 7, 9, 11, and 13, while being fed the control diet. On day 14, AHR was measured by nebulizing increasing doses of methacholine into the airways. At the end of the experiment, bronchoalveolar lavage fluid (BALF) and lungs were collected.ResultsSensitization and challenge with HDM resulted in AHR. In contrast to budesonide, dietary intervention with 1% GOS prevented the development of AHR. HDM sensitization and challenge resulted in a significant increase in BALF leukocytes numbers, which was suppressed by budesonide treatment and dietary intervention with 1% GOS. Moreover, HDM sensitization and challenge resulted in significantly enhanced concentrations of IL-6, CCL17, IL-33, CCL5 and IL-13 in lung tissue. Both dietary intervention with 1% GOS or budesonide treatment significantly decreased the HDM-induced increased concentrations of CCL5 and IL-13 in lung tissue, while budesonide also reduced the HDM-enhanced concentrations of IL-6 and CCL17 in lung tissue.ConclusionNot only did dietary intervention with 1% GOS during sensitization and challenge prevent the induction of airway eosinophilia and Th2-related cytokine and chemokine concentrations in the lung equally effective as budesonide treatment, it also prevented AHR development in HDM-allergic mice. GOS might be useful for the prevention and/or treatment of symptoms in asthmatic disease.Electronic supplementary materialThe online version of this article (doi:10.1186/s12931-015-0171-0) contains supplementary material, which is available to authorized users.

Highlights

  • Asthma is a complex disease from which the exact underlying immunological processes are still not fully understood [1]

  • Conclusion: did dietary intervention with 1% GOS during sensitization and challenge prevent the induction of airway eosinophilia and Th2-related cytokine and chemokine concentrations in the lung effective as budesonide treatment, it prevented airway hyperresponsiveness (AHR) development in house dust mite (HDM)-allergic mice

  • Airway hyperresponsiveness was abrogated upon dietary intervention with 1% GOS in HDM-allergic mice Airway hyperresponsiveness (AHR) as a measure of lung function upon HDM exposure was determined in mice that were fed the control diet or the 1% GOS diet or those treated with budesonide

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Summary

Introduction

Asthma is a complex disease from which the exact underlying immunological processes are still not fully understood [1]. Galacto-oligosaccharides (GOS) are non-digestible carbohydrates with prebiotic capacity, meaning that they selectively support growth and/or activity of bifidobacteria and lactobacilli These bacteria are associated with a positive health benefit [17,20]. In a murine OVA-induced chronic asthma model, Sagar et al showed a decrease in pulmonary inflammation and airway remodeling after long-term treatment with scFOS/lcFOS/AOS in combination with Bifidobacterium breve [27]. The development of allergic asthma is strongly associated with the exposure to house dust mite (HDM) [29] For this reason, this study uses a HDMinduced allergic asthma model to study the preventive effect of dietary GOS on the AHR, pulmonary inflammation and lung cytokine concentrations in comparison with the therapeutic treatment budesonide. Allergic asthma is strongly associated with the exposure to house dust mite (HDM) and is characterized by eosinophilic pulmonary inflammation and airway hyperresponsiveness (AHR). There is an increased interest in using dietary oligosaccharides, known as prebiotics, as a novel strategy to prevent the development of, or reduce, symptoms of allergy

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