乳児期の腸内細菌曝露がアレルギー発症リスクを低減する可能性 (Early-life gut bacteria exposures may protect children against allergies)

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2026-02-16 カロリンスカ研究所(KI)

スウェーデンのカロリンスカ研究所の研究チームは、乳幼児期に腸内細菌へ多様に曝露されることが、後のアレルギー発症リスクを低減する可能性を示した。大規模コホートデータを解析した結果、腸内細菌叢の多様性が高い子どもほど、食物アレルギーや湿疹などの発症率が低い傾向が確認された。特に生後早期の微生物環境が免疫系の成熟に重要で、過度に衛生的な環境が免疫寛容の形成を妨げる可能性も示唆された。研究は、予防戦略としての腸内環境介入の意義を強調している。

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芳香性乳酸産生ビフィズス菌による幼少期の定着はアレルギー感作のリスクを低下させる Early-life colonization by aromatic-lactate-producing bifidobacteria lowers the risk of allergic sensitization

Pernille Neve Myers,Rasmus Kaae Dehli,Axel Mie,Janne Marie Moll,Henrik Munch Roager,Carsten Eriksen,Martin Frederik Laursen,Ellen Magdalena Staudinger,Ioanna Chatzigiannidou,Pi Lærke Johansen,Niels van Best,Martin O’Hely,Daniel Andersen,Nadja Lund Nørregaard,Mikael Pedersen,Eckard Hamelmann,Susanne Lau,Martin Iain Bahl,Maher Abou Hachem,Tine Rask Licht,Henrik Bjørn Nielsen,Anna Hammerich Thysen,Peter Vuillermin,John Penders,… Susanne Brix
Nature Microbiology  Published:12 January 2026
DOI:https://doi.org/10.1038/s41564-025-02244-9

乳児期の腸内細菌曝露がアレルギー発症リスクを低減する可能性 (Early-life gut bacteria exposures may protect children against allergies)

Abstract

Early-life microbial exposures shape immune development and allergy risk. Food allergen sensitization, reflected by the presence of food allergen-specific immunoglobulin E (IgE), is an early indication of impaired immune tolerance. Here we show that early-life transmission of aromatic lactate-producing bifidobacteria strains in 147 children followed from birth to 5 years of age, facilitated by vaginal delivery, exposure to older siblings and exclusive breastfeeding for the first 2 months, led to increased levels of aromatic lactates in the infant gut. This microbiota–metabolite signature was inversely associated with the development of food allergen-specific IgE until 5 years and atopic dermatitis at 2 years. The observed effect was mediated by 4-hydroxy-phenyllactate, which inhibited IgE, but not IgG, production in ex vivo human immune cell cultures. Together, these findings define an early-life microbiota–metabolite–immune axis linking microbial transmission and feeding practices with reduced allergic sensitization.

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