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
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 language | English |
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Journal | Journal of Allergy and Clinical Immunology |
Volume | 152 |
Issue number | 3 |
Pages (from-to) | 667-675 |
ISSN | 0091-6749 |
DOIs | |
Publication status | Published - 2023 |
Keywords
- Food allergy
- Microbiota maturation
- Birth cohort
- Siblings