The aerobiome-health axis: a paradigm shift in bioaerosol thinking

Promoting global collaboration to improve bioaerosol exposure assessment and understanding of associated health impacts: outcomes from a series of workshops

We are surrounded, in both indoor and outdoor environments, by air containing particles of biological origin (bioaerosols). We constantly inhale them, and, depending upon their size, they deposit in different parts of our airways. Despite their ubiquitous nature and our constant exposure, bioaerosol diversity and composition of the environment are not well characterized, and we understand little about which bioaerosols we are exposed to and how this impacts our health, either positively or negatively. Indoor/Outdoor Bioaerosols Interface and Relationships Network (BioAirNet), a Clean Air Programme-funded network, has recognized the need for the bioaerosol community to reflect on the current challenges facing bioaerosol exposure assessment and the determination of the associated cellular/molecular responses driving specific health outcomes. A series of online workshops for the bioaerosol community were hosted by BioAirNet in September 2022, which aimed to bring together global expertise to discuss the current challenges impeding improved assessment of bioaerosol exposure and understanding of the downstream cellular and molecular mechanisms driving health outcomes by discussing these challenges; considering where we need to be, where we are now and how we get there. Professional facilitation was key to their success, enabling the multidisciplinary bioaerosol community to explore and address these challenges within a focused and productive environment to prioritize themes and agree on action plans for continued momentum following the workshops. These themes were as follows: (1) conceptual model; (2) stakeholder mapping; (3) knowledge transfer; (4) writing project and (5) conference-type event, collectively covering research, knowledge mobilization and networking activities. A subsequent in-person follow-up workshop was held in November 2023. It provided an opportunity to share progress on the five themes, critique what had already been done and act as a launch-pad to progress the actions further. Delegates also had the opportunity to share ongoing or upcoming work, particularly projects requiring input from others, to encourage collaborative working and sharing expertise. The use of facilitated workshops is a valuable tool for all scientific communities to collectively explore and successfully address key issues within their field.

Persistent Desert Microbiota in the Southern European Sky

Long-range atmospheric processes facilitate global microbial dispersal, with a pivotal role in Earth's ecosystem functioning and global health. Aerobiological studies have traditionally focused on low troposphere aerosols, leading to the assumption that airborne communities are primarily controlled by neighbouring ecosystems. We show a temporal sampling of aerosols from the free troposphere extending a period of almost three decades, coupled with the study of both high troposphere air masses provenances and genetic data of topsoils from North Africa and from a global public bacterial database. The results unveil a long-lasting influence of airborne North African desert microorganisms in Southern Europe. Although sea spray dominates global aerosol emissions, the predominance of desert microorganisms was widespread even in rain traced back to the Atlantic Ocean. The frequency of dust outbreaks, altitude reached, and long residence times are postulated as critical factors that significantly shape the long-range and persistence of aerial assemblages, with air mass provenance playing a secondary role. This study advances the current understanding of atmospheric microorganisms, underscoring their close and long-lasting relationship with terrestrial ecosystems. Further research is needed to fully understand intercontinental aerial connections with deserts and drylands elsewhere, and the influence of desert immigrants on worldwide ecosystems.

Impact of urban biodiversity and climate change on children's health and well being

In recent decades, biodiversity loss has greatly impacted planetary and human health. Children are at additional risk of adverse effects due to unique biological, developmental, and behavioral factors, as well as their longer exposure to an altered planet as a function of their young age. These effects are heightened for children living in vulnerable socioeconomic conditions. Here, we review the role of biodiversity loss on accelerating the consequences of climate change from the perspective of pediatric health. With the loss of biodiversity's protective role against the consequences of climate change, the adverse effects of the changing planet are impacting pediatric health. For example, trees provide shelter against heat waves, unsealed soil and wetlands mitigate flooding, and rewilded green space hosts high microbial richness and consequently supports immune and mental health. The effects of the loss of biodiversity may impact the discovery and development of novel pharmaceuticals and thus the future of children's medicine as a whole. We also highlight areas for further study and detail efforts that have been made to restore biodiversity, with the aim to improve the current and future health of local pediatric populations. IMPACT: Loss of biodiversity is occurring at a rapid pace affecting the health of the planet and disproportionately pediatric health. This paper describes the role of biodiversity loss in accelerating the impact of climate change on children's health, and highlights particularly vulnerable populations. This paper details steps that can be taken to maintain and restore biodiversity at the local and global levels to protect these populations and pediatric health in general.

A Breath of Fresh Air: Perspectives on Inhaled Nutrients and Bacteria to Improve Human Health

We propose that the human respiratory system and olfactory pathways sequester airborne nutrients (vitamins, fatty acids, and trace minerals) that are beneficial for health, which we term "aeronutrients." In addition, airborne bacteria, termed "aeromicrobes," have the potential for positive health effects by improving species diversity in the microbiotas of the respiratory and gastrointestinal tracts. These concepts have implications for people living in urban areas or those who have limited access to nature, such as astronauts exposed for long periods to highly filtered air that may be depleted of aeronutrients and aeromicrobes. The possibility that fresh air contributes to human nutrition and health may stimulate a re-evaluation of guidelines pertaining to nutrition and access to natural environments, and will open new avenues of scientific enquiry.

A 15-day pilot biodiversity intervention with horses in a farm system leads to gut microbiome rewilding in 10 urban Italian children

To provide some glimpses on the possibility of shaping the human gut microbiome (GM) through probiotic exchange with natural ecosystems, here we explored the impact of 15 days of daily interaction with horses on the GM of 10 urban-living Italian children. Specifically, the children were in close contact with the horses in an "educational farm", where they spent almost 10 h/day interacting with the animals. The children's GM was assessed before and after the horse interaction using metabarcoding sequencing and shotgun metagenomics, along with the horses' skin, oral and fecal microbiomes. Targeted metabolomic analysis for GM-produced beneficial metabolites (i.e., short-chain fatty acids) in the children's feces was also performed. Interaction with horses facilitated the acquisition of health-related traits in the children's GM, such as increased diversity, enhanced butyrate production and an increase in several health-promoting species considered to be next-generation probiotics. Among these, the butyrate producers Facecalibacterium prausnitzii and F. duncaniae and a species belonging to the order Christensenellales. Interaction with horses was also associated with increased proportions of Eggerthella lenta, Gordonibacter pamelae and G. urolithinfaciens, GM components known to play a role in the bioconversion of dietary plant polyphenols into beneficial metabolites. Notably, no increase in potentially harmful traits, including toxin genes, was observed. Overall, our pilot study provides some insights on the existence of possible health-promoting exchanges between children and horses microbiomes. It lays the groundwork for an implemented and more systematic enrollment effort to explore the full complexity of human GM rewilding through exchange with natural ecosystems, aligning with the One Health approach.

The climate change-pollution-aerobiome nexus: A 'systems thinking' mini-review

The interrelationship between climate change, pollution and the aerobiome (the microbiome of the air) is a complex ecological dynamic with profound implications for human and ecosystem health. This mini-review explores the multifaceted relationships among these factors. By synthesising existing research and integrating interdisciplinary perspectives, we examine the mechanisms driving interactions within the climate change-pollution-aerobiome nexus. We also explore synergistic and cascading effects and potential impacts on human health (including both communicable and non-communicable diseases) and that of wider ecosystems. Based on our mini-review results, climate change influences air pollution and, independently, air pollution affects the composition, diversity and activity of the aerobiome. However, we apply a 'systems thinking' approach and create a set of systems diagrams to show that climate change likely influences the aerobiome (including bacteria and fungi) via climate change-pollution interactions in complex ways. Due to the inherent complexity of these systems, we emphasise the importance of holistic and/or interdisciplinary approaches and collaborative efforts in understanding this nexus to safeguard planetary health in an era of rapid environmental change.

Editorial for Special Issue: "Airborne Microbes and Their Potential Influence"

Airborne microbes, comprising a diverse range of bacteria and fungi, are a pervasive component of the atmosphere, with concentrations typically ranging from 102 to 107 cells per cubic meter [...].

Air monitoring by nanopore sequencing

While the air microbiome and its diversity are essential for human health and ecosystem resilience, comprehensive air microbial diversity monitoring has remained rare, so that little is known about the air microbiome's composition, distribution, or functionality. Here we show that nanopore sequencing-based metagenomics can robustly assess the air microbiome in combination with active air sampling through liquid impingement and tailored computational analysis. We provide fast and portable laboratory and computational approaches for air microbiome profiling, which we leverage to robustly assess the taxonomic composition of the core air microbiome of a controlled greenhouse environment and of a natural outdoor environment. We show that long-read sequencing can resolve species-level annotations and specific ecosystem functions through de novo metagenomic assemblies despite the low amount of fragmented DNA used as an input for nanopore sequencing. We then apply our pipeline to assess the diversity and variability of an urban air microbiome, using Barcelona, Spain, as an example; this randomized experiment gives first insights into the presence of highly stable location-specific air microbiomes within the city's boundaries, and showcases the robust microbial assessments that can be achieved through automatable, fast, and portable nanopore sequencing technology.