Gut microbiota maturity mediates the protective effect of siblings on food allergy

BIS Investigator Group, Yuan Gao, Jakob Stokholm, Martin O’Hely, Anne-Louise Ponsonby, Mimi LK. Tang, Sarath Ranganathan, Richard Saffery, Leonard C. Harrison, Fiona Collier, Lawrence Gray, David Burgner, John Molloy, Peter D. Sly, Susanne Brix, Hanne Frøkiær, Peter Vuillermin*

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Background: The mechanisms underlying the protective effect of older siblings on allergic disease remain unclear but may relate to the infant gut microbiota.
Objective: We investigated whether having older siblings decreases the risk of Immunoglobulin E (IgE)-mediated food allergy by accelerating the maturation of the infant gut microbiota.
Methods: In a birth cohort assembled using an unselected antenatal sampling frame (n=1074), fecal samples were collected at 1 month, 6 months and 1 year, and food allergy status at 1 year was determined by skin prick test and in-hospital food challenge. We used 16S rRNA gene amplicon sequencing to derive amplicon sequence variants (ASVs). Among a random subcohort (n=323), microbiota-by-age z-scores (MAZ) at each time point were calculated using fecal ASVs to represent the gut microbiota maturation over the first year of life.
Results: A greater number of siblings was associated with a higher MAZ at 1 year of age (β =0.15 per an additional sibling; 95%CI (0.05, 0.24); p=0.003), which was in turn associated with decreased odds of food allergy (OR=0.45; 95%CI (0.33, 0.61); p
Original languageEnglish
JournalJournal of Allergy and Clinical Immunology
Volume152
Issue number3
Pages (from-to)667-675
ISSN0091-6749
DOIs
Publication statusPublished - 2023

Keywords

  • Food allergy
  • Microbiota maturation
  • Birth cohort
  • Siblings

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