Association of the gut microbiome and metabolome with wheeze frequency in childhood asthma.

Association of the gut microbiome and metabolome with wheeze frequency in childhood asthma.
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DOI:
10.1016/j.jaci.2022.02.005
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发表时间:
2022-08
影响因子:
14.2
通讯作者:
Weiss, Scott T.
Weiss, Scott T.
中科院分区:
医学1区
文献类型:
--
作者:
Lee-Sarwar, Kathleen;Dedrick, Sandra;Momeni, Babak;Kelly, Rachel S.;Zeiger, Robert S.;O'Connor, George T.;Sandel, Megan T.;Bacharier, Leonard B.;Beigelman, Avraham;Laranjo, Nancy;Gold, Diane R.;Lasky-Su, Jessica;Litonjua, Augusto A.;Liu, Yang-Yu;Weiss, Scott T.

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While the microbiome has an established role in asthma development, less is known about its contribution to morbidity in children with asthma. In this ancillary study of the Vitamin D Antenatal Asthma Reduction Trial (VDAART), we analyzed the gut microbiome and metabolome of wheeze frequency in children with asthma. Bacterial 16s rRNA microbiome and untargeted metabolomic profiling were performed on fecal samples collected from three-year-old children with parent-reported physician-diagnosed asthma. We analyzed wheeze frequency by calculating the proportion of quarterly questionnaires between ages 3 and 5 years in which parents reported the child had wheezed (“wheeze proportion”). Taxa and metabolites associated with wheeze were analyzed by identifying log-fold changes with respect to wheeze frequency and correlation/linear regression analyses, respectively. Microbe-metabolite and microbe-microbe correlation networks were compared between subjects with high and low wheeze proportion. Specific taxa, including the genus Veillonella and histidine pathway metabolites, were enriched in subjects with high wheeze proportion. Amongst wheeze-associated taxa, Veillonella and Oscillospiraceae UCG-005, which was inversely associated with wheeze, were correlated with the greatest number of fecal metabolites. Microbial networks were similar between subjects with low vs. high wheeze frequency. Gut microbiome features are associated with wheeze frequency in children with asthma, suggesting an impact of the gut microbiome on morbidity in childhood asthma. In children with asthma, specific bacteria and small molecules in the gut are associated with increased frequency of wheeze, suggesting that strategies that target the microbiome could reduce morbidity in childhood asthma.
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