1
|
Liu Y, Dai J, Zhou G, Chen R, Bai C, Shi F. Innovative Therapeutic Strategies for Asthma: The Role of Gut Microbiome in Airway Immunity. J Asthma Allergy 2025; 18:257-267. [PMID: 39996012 PMCID: PMC11849427 DOI: 10.2147/jaa.s504571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2024] [Accepted: 02/13/2025] [Indexed: 02/26/2025] Open
Abstract
There is a growing acknowledgment of the gut microbiome's impact on widespread immune responses, which holds considerable importance for comprehending and addressing asthma. Recent research has clarified the complex interactions between gut microbiota and airway immune systems, demonstrating that microbial diversity and composition can affect both the initiation and advancement of asthma. Gut microbial species and metabolites primarily short-chain fatty acids (SCFAs) may either worsen or reduce airway inflammation by regulating the balance of helper T cell 1 (Th1) / helper T cell 2 (Th2) and other immune mediators. This interaction presents innovative therapeutic possibilities, including modulation of gut microbiome during early life through breastfeeding and control of antibiotic use, particularly with prebiotics, which could selectively stimulate the growth of beneficial bacteria, promote immune maturation, reducing susceptibility to asthma and allergic airway inflammation. Besides, investigating the gut-lung axis reveals new opportunities for personalized medicine in asthma treatment, emphasizing the necessity for integrated strategies that take individual microbiome profiles into account. This paper examines the latest developments in comprehending the mechanisms by which gut microbiota affect airway inflammation and hypersensitivity, especially focusing on treatment strategies.
Collapse
Affiliation(s)
- Yaqin Liu
- The Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, 518020, People’s Republic of China
| | - Junjie Dai
- The Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, 518020, People’s Republic of China
| | - Guibao Zhou
- Department of Pharmacy, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, 518020, People’s Republic of China
| | - Rongchang Chen
- Key Laboratory of Shenzhen Respiratory Diseases, Institute of Shenzhen Respiratory Diseases, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, 518020, People’s Republic of China
| | - Chengwen Bai
- Emergency Department, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, 518020, People’s Republic of China
| | - Fei Shi
- Department of Infectious Diseases, Institute of Shenzhen Respiratory Diseases, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, 518020, People’s Republic of China
| |
Collapse
|
2
|
Pac S, McMahon K, Ripple M, Reidy K, Ziegler P, Myers E. Development of the start healthy feeding guidelines for infants and toddlers 11The Start Healthy Feeding Guidelines for Infants and Toddlers is a collaborative project between the American Dietetic Association and Gerber Products Company. Funding provided by Gerber Products Company. The authors wish to thank the Start Healthy Expert Panel—Nancy F. Butte, PhD, MPH, RD; Kathleen Cobb, MS, RD, DC/N; Johanna Dwyer, DSc, RD; Laura Graney, MS, RD, CD, CBE; William C. Heird, MD; and Karyl Rickard, PhD, RD, FADA—for their guidance and input in the development of the guidelines and review of this paper, the pediatric experts—Jane Clark, PhD; Anna M. Dusick, MD, FAAP; Rhoda Erhardt, MS; Jennifer O. Fisher, PhD; and Suzanne Morris, PhD—for sharing their expertise, Sherrie Harris and Cheryl Castelo for their expert library services, and Leah Beltran for her technical assistance. ACTA ACUST UNITED AC 2004; 104:455-67. [PMID: 14993871 DOI: 10.1016/j.jada.2004.01.028] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Susan Pac
- Regulatory Affairs, Gerber Products Company, 200 Kimball Drive, Parsippany, NJ 07504, USA.
| | | | | | | | | | | |
Collapse
|