母乳喂养和分娩方式改变的早期婴儿肠道微生物群对过敏性疾病的影响

Abbas Ali Imani Fooladi, Soghra Khani, Hamideh Mahmoodzadeh Hosseini, Seyed Fazlollah Mousavi, Elnaz Mehdizadeh Aghdam, Mohammad Reza Nourani
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引用次数: 13

摘要

婴儿中过敏性疾病的发病率正在上升,特别是在发达国家。虽然确切的原因尚不清楚,但最可能的解释之一是在生命早期减少微生物暴露,从而改变肠道微生物群。分娩方式、婴儿饮食、环境和母亲使用抗生素等因素都与婴儿肠道微生物定植有关。由于婴儿肠道菌群的含量在免疫系统的成熟和发育中起着至关重要的作用,它决定了免疫疾病的风险。不同的研究证实了阴道分娩的重要作用,因为它将有用的细菌转移到新生儿的肠道,而母乳喂养的重要作用是由于牛奶中存在外泌体和不同类型的介质,这些介质可以改变肠道微生物群的模式。因此,这两种因素对减少过敏性疾病都有显著的作用。此外,母亲在怀孕期间和怀孕后食用益生菌产品可能对减轻过敏性疾病产生有益影响。
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Impact of altered early infant gut microbiota following breastfeeding and delivery mode on allergic diseases.

The prevalence of allergic diseases among infants is increasing particularly in developed countries. Although, the exact reason is not clear yet, one of the most probable explanations is reducing microbial exposure during early life and consequent alteration of gut microbiota. Various factors including delivery mode, infant`s diet, environment and antibiotics administration by mothers are involved in microbial colonization of infant`s intestine. Since the content of infant`gut microbiota plays a critical role in the maturation and development of the immune system, it determines the risk of immune diseases. Different studies confirmed the important role of vaginal delivery, due to transferring of useful bacteria to the neonatal's intestine, and breastfeeding, owing to the presence of exosomes and different kind of mediators in the milk which modify the pattern of intestinal microflora. As a result, it was proposed that both factors have remarkable effects on reducing allergic diseases. Furthermore, the consumption of probiotic productions by the mother during and after pregnancy possibly induces beneficial impacts on attenuating the allergic diseases.

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