Journal
CELL
Volume 184, Issue 15, Pages 3884-+Publisher
CELL PRESS
DOI: 10.1016/j.cell.2021.05.030
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Funding
- NIH [S10 OD018174]
- European Research Council [StG 2015-677559]
- Swedish Research Council [2015-03028, 2019-01495]
- Marianne & Marcus Wallenberg Foundation [2017.0127]
- Torsten Soderberg Foundation [M41/18]
- Karolinska Institutet
- Swedish Research Council [2019-01495, 2015-03028] Funding Source: Swedish Research Council
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Early immune-microbe interactions play a role in the development of allergies, asthma, and inflammatory diseases. Breastfeeding promotes healthier immune-microbe relationships by providing necessary nutrients to beneficial microbes. The lack of bifidobacteria and genes required for HMO utilization can lead to systemic inflammation and immune dysregulation in early life.
Immune-microbe interactions early in life influence the risk of allergies, asthma, and other inflammatory diseases. Breastfeeding guides healthier immune-microbe relationships by providing nutrients to specialized microbes that in turn benefit the host's immune system. Such bacteria have co-evolved with humans but are now increasingly rare in modern societies. Here we show that a lack of bifidobacteria, and in particular depletion of genes required for human milk oligosaccharide (HMO) utilization from the metagenome, is associated with systemic inflammation and immune dysregulation early in life. In breastfed infants given Bifido-bacterium infantis EVC001, which expresses all HMO-utilization genes, intestinal T helper 2 (Th2) and Th17 cytokines were silenced and interferon beta (IFN beta) was induced. Fecal water from EVC001-supplemented infants contains abundant indolelactate and B. infantis-derived indole-3-lactic acid (ILA) upregulated immunoregulatory galectin-1 in Th2 and Th17 cells during polarization, providing a functional link between beneficial microbes and immunoregulation during the first months of life.
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