Abstract

BackgroundDeviations in composition and diversity of intestinal microbiota in infancy have been associated with both the development and recurrence of atopic eczema. Thus, we decided to use a deep and global microarray-based method to characterize the diversity and temporal changes of the intestinal microbiota in infancy and to define specific bacterial signatures associated with eczema. Faecal microbiota at 6 and 18 months of age were analysed from 34 infants (15 with eczema and 19 healthy controls) selected from a prospective follow-up study based on the availability of faecal samples. The infants were originally randomized to receive either Lactobacillus rhamnosus GG or placebo.ResultsChildren with eczema harboured a more diverse total microbiota than control subjects as assessed by the Simpson’s reciprocal diversity index of the microarray profiles. Composition of the microbiota did not differ between study groups at age of 6 months, but was significantly different at age of 18 months as assessed by MCPP (p=0.01). At this age healthy children harboured 3 -fold greater amount of members of the Bacteroidetes (p=0.01). Microbiota of children suffering from eczema had increased abundance of the Clostridium clusters IV and XIVa, which are typically abundant in adults. Probiotic Lactobacillus rhamnosus GG supplementation in early infancy was observed to have minor long-term effects on the microbiota composition.ConclusionA diverse and adult-type microbiota in early childhood is associated with eczema and it may contribute to the perpetuation of eczema.

Highlights

  • Deviations in composition and diversity of intestinal microbiota in infancy have been associated with both the development and recurrence of atopic eczema

  • Previous studies have shown associations between the composition of intestinal microbiota and atopic diseases. Most of these have addressed the microbiota composition preceding the development of atopic disease, while microbiota aberrancies in infants already suffering from eczema have obtained less attention

  • B. fragilis polysaccharide has been shown in mice model to direct the cellular and physical maturation of the developing immune system via its ability to direct the development of CD4+ T cells, inducing the differentiation of Th1 lineage and correction of the Th1/Th2 imbalance [65]. These results suggest the significance of Bacteroides spp. in the development and maintenance of healthy infant gut and balanced mucosal immunity and necessitate the role of these bacteria to be considered in future studies

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Summary

Introduction

Deviations in composition and diversity of intestinal microbiota in infancy have been associated with both the development and recurrence of atopic eczema. We decided to use a deep and global microarray-based method to characterize the diversity and temporal changes of the intestinal microbiota in infancy and to define specific bacterial signatures associated with eczema. The early colonization events and the commensal intestinal microbiota shape the Previous studies have shown associations between the composition of intestinal microbiota and atopic diseases. Most of these have addressed the microbiota composition preceding the development of atopic disease, while microbiota aberrancies in infants already suffering from eczema have obtained less attention. The results on specific bacterial species or groups that would either increase or decrease the risk of developing allergy are still conflicting [13,14,15]

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