益生菌、益生元、合生元和后生元预防与治疗牛奶蛋白过敏的研究进展

程爽, 王菊

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (9) : 989-993.

PDF(619 KB)
PDF(619 KB)
中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (9) : 989-993. DOI: 10.11852/zgetbjzz2023-1023
综述

益生菌、益生元、合生元和后生元预防与治疗牛奶蛋白过敏的研究进展

  • 程爽, 王菊
作者信息 +

Research progress on the prevention and treatment of cow's milk protein allergy with probiotics, prebiotics, synbiotics and postbiotics

  • CHENG Shuang, WANG Ju
Author information +
文章历史 +

摘要

牛奶蛋白过敏(CMPA)是儿童期最常见的食物过敏之一,其症状无特异性,常可累及多器官系统,危害儿童的健康。CMPA的发生机制之一是肠道黏膜无法对牛奶蛋白抗原建立正常的免疫耐受,这可能与肠道微生态失衡密切相关。益生菌、益生元、合生元和后生元在影响肠道菌群和免疫系统方面的作用,使其成为预防及治疗CMPA的潜在新策略。本文简要介绍了CMPA儿童的肠道微生物群特点,综述了益生菌、益生元、合生元和后生元用于预防和治疗CMPA的研究进展,以期为临床和科研工作人员提供参考,为制订CMPA的预防和治疗策略提供依据。

Abstract

Cow's milk protein allergy(CMPA) is one of the most common food allergies in childhood, with non-specific symptoms that can affect multiple organ systems, posing a threat to children's health. One of the mechanisms of CMPA is the inability of the intestinal mucosa to establish normal immune tolerance to milk protein antigens, which may be closely related to intestinal dysbiosis. Probiotics, prebiotics, synbiotics and postbiotics play a role in influencing the intestinal microbiota and immune system, making them potential new strategies for prevention and treatment of CMPA. This article briefly introduces the characteristics of the intestinal microbiota of children with CMPA, reviews the research progress of probiotics, prebiotics, synbiotics, and postbiotics in prevention and treatment of CMPA, and aims to provide evidence for making strategies in preventing and treating CMPA.

关键词

牛奶蛋白过敏 / 益生菌 / 益生元 / 合生元 / 后生元

Key words

cow's milk protein allergy / probiotics / prebiotics / synbiotics / postbiotics

引用本文

导出引用
程爽, 王菊. 益生菌、益生元、合生元和后生元预防与治疗牛奶蛋白过敏的研究进展[J]. 中国儿童保健杂志. 2024, 32(9): 989-993 https://doi.org/10.11852/zgetbjzz2023-1023
CHENG Shuang, WANG Ju. Research progress on the prevention and treatment of cow's milk protein allergy with probiotics, prebiotics, synbiotics and postbiotics[J]. Chinese Journal of Child Health Care. 2024, 32(9): 989-993 https://doi.org/10.11852/zgetbjzz2023-1023
中图分类号: R725.9   

参考文献

[1] Sicherer SH. Epidemiology of food allergy[J].J Allergy Clin Immun, 2011,127(3):594-602.
[2] Schoemaker AA,Sprikkelman AB, Grimshaw KE,et al.Incidence and natural history of challenge-proven cow's milk allergy in European children--EuroPrevall birth cohort[J].Allergy,2015,70(8):963-972.
[3] Yang M, Tan M, Wu J, et al.Prevalence, characteristics, and outcome of cow's milk protein allergy in Chinese infants: A population-based survey[J].JPEN J Parenter Enter Nutr,2019,43(6):803-808.
[4] 陈同辛,洪莉,王华,等.中国婴儿轻中度非IgE介导的牛奶蛋白过敏诊断和营养干预指南[J].中华实用儿科临床杂志,2022,37(4):241-250.
Chen TX,Hong L,Wang H,et al.Guidelines for diagnosis and nutritional intervention of mild to moderate non-IgE mediated cow's milk protein allergy in Chinese infants[J].Chin J Appl Clin Pediatr,2022,37(4):241-250.(in Chinese)
[5] 中华医学会儿科学分会免疫学组,中华医学会儿科学分会儿童保健学组,中华医学会儿科学分会消化学组,等.中国婴幼儿牛奶蛋白过敏诊治循证建议[J].中华儿科杂志,2013,51(3):183-186.
The Subspecialty Group of Immunology, The Society of Pediatrics, Chinese Medical Association,The Subspecialty Group of Child Health Care, The Society of Pediatrics, Chinese Medical Association,The Subspecialty Group of Digestion, The Society of Pediatrics, Chinese Medical Association,et al. Evidence-based recommendations for the diagnosis and treatment of milk protein allergy in infants and young children in China[J].Chin J Pediatr,2013,51(3):183-186.(in Chinese)
[6] Ho HE,Bunyavanich S.Role of the microbiome in food allergy[J]. Curr Allergy Asthm R,2018,18(4):27.
[7] Shu SA,Yuen A,Woo E,et al.Microbiota and food allergy[J].Clin Rev Allerg Immu,2019,57(1):83-97.
[8] Mauras A,Wopereis H,Yeop I,et al.Gut microbiota from infant with cow's milk allergy promotes clinical and immune features of atopy in a murine model[J].Allergy, 2019,74(9):1790-1793.
[9] 李心悦,王硕,张华,等.牛奶蛋白过敏婴儿肠道菌群动态变化特点[J].临床儿科杂志,2022,40(11):831-838.
Li XY,Wang S,Zhang H,et al.Dynamic changes of gut microbiota in infants with milk protein allergy[J].J Clin Pediatr,2022,40(11): 831-838.(in Chinese)
[10] Hill C,Guarner F,Reid G, et al.Expert consensus document.The International Scientific Association for Probiotics and Prebiotics consensus statement on the scope and appropriate use of the term probiotic[J].Nat Rev Gastro Hepat,2014,11(8):506-514.
[11] Plaza-Diaz J,Ruiz-Ojeda FJ,Gil-Campos M,et al.Mechanisms of action of probiotics[J].Adv Nutr,2019,10(Suppl 1):49-66.
[12] Stavropoulou E,Bezirtzoglou E.Probiotics in medicine: A long debate[J].Front Immunol,2020,11: 2192.
[13] Koplin JJ, Peters RL, Allen KJ.Prevention of food allergies[J].Immunol Allergy Clin,2018,38(1):1-11.
[14] Sanchez-Valverde F,Etayo V,Gil F,et al.Factors associated with the development of immune tolerance in children with cow's milk allergy[J]. Int Arch Allergy Imm,2019,179(4):290-296.
[15] Nocerino R,Di Costanzo M,Bedogni G,et al.Dietary treatment with extensively hydrolyzed casein formula containing the probiotic lactobacillus rhamnosus gg prevents the occurrence of functional gastrointestinal disorders in children with cow's milk allergy[J].J Pediatr-Us,2019,213: 137-142.
[16] Jing W, Liu Q, Wang W.Bifidobacterium bifidum TMC3115 ameliorates milk protein allergy in by affecting gut microbiota: A randomized double-blind control trial[J].J Food Biochem,2021,45(11):e13591.
[17] Guest JF, Fuller GW.Effectiveness of using an extensively hydrolyzed casein formula supplemented with Lactobacillus rhamnosus GG compared with an extensively hydrolysed whey formula in managing cow's milk protein allergic infants[J].J Comp Effect Res,2019,8(15):1317-1326.
[18] Cukrowska B,Ceregra A,Maciorkowska E,et al.The effectiveness of probiotic lactobacillus rhamnosus and lactobacillus casei strains in children with atopic dermatitis and cow's milk protein allergy: A multicenter, randomized, double blind, placebo controlled study[J].Nutrients,2021,13(4):1169.
[19] Viljanen M,Savilahti E,Haahtela T,et al.Probiotics in the treatment of atopic eczema/dermatitis syndrome in infants:A double-blind placebo-controlled trial[J].Allergy,2005,60(4):494-500.
[20] Cohen PA.Probiotic safety-no guarantees[J].Jama Intern Med,2018,178(12):1577-1578.
[21] Doron S,Snydman DR.Risk and safety of probiotics[J].Clin Infect Dis,2015,60(Suppl 2):129-134.
[22] Gibson GR, Hutkins R, Sanders ME, et al.Expert consensus document: The International Scientific Association for Probiotics and Prebiotics(ISAPP) consensus statement on the definition and scope of prebiotics[J].Nat Rev Gastro Hepat,2017,14(8):491-502.
[23] Paparo L, Nocerino R, Ciaglia E, et al.Butyrate as a bioactive human milk protective component against food allergy[J].Allergy,2021,76(5):1398-1415.
[24] Yan X, Yan J, Xiang Q, et al.Fructooligosaccharides protect against OVA-induced food allergy in mice by regulating the Th17/Treg cell balance using tryptophan metabolites[J].Food Funct,2021,12(7):3191-3205.
[25] De Kivit S, Kraneveld AD, Garssen J, et al.Glycan recognition at the interface of the intestinal immune system:Target for immune modulation via dietary components[J].Eur J Pharmacol,2011,668(Suppl 1):124-132.
[26] Wu RY, Abdullah M, Maattanen P, et al.Protein kinase C delta signaling is required for dietary prebiotic-induced strengthening of intestinal epithelial barrier function[J].Sci Rep-Uk,2017,7:40820.
[27] Requile M, Gonzalez AD, Delanaud S, et al.Use of a combination of in vitro models to investigate the impact of chlorpyrifos and inulin on the intestinal microbiota and the permeability of the intestinal mucosa[J].Environ Sci Pollut R,2018,25(23):22529-22540.
[28] Vandenplas Y, Zolnowska M, Berni CR, et al.Effects of an extensively hydrolyzed formula supplemented with two human milk oligosaccharides on growth, tolerability, safety and infection risk in infants with cow's milk protein allergy: A randomized, multi-center trial[J].Nutrients,2022,14(3): 530.
[29] Sekerel BE, Bingol G, Cullu CF, et al.An expert panel statement on the beneficial effects of Human Milk Oligosaccharides(HMOs) in early life and potential utility of HMO-supplemented infant formula in cow's milk protein allergy[J].J Asthma Allergy,2021,14:1147-1164.
[30] Knipping K, Orsi A, Boehm G, et al.Microbial and immune biomarkers in infants at risk for allergies fed an intact cows milk formula containing specific non-digestible carbohydrates[J].J Nutr Disorders Ther,2012,2(3).doi:10.4172/2161-0509.1000119.
[31] Mugambi MN, Musekiwa A, Lombard M, et al.Synbiotics, probiotics or prebiotics in infant formula for full term infants: A systematic review[J].Nutr J,2012,11: 81.
[32] Swanson KS,Gibson GR,Hutkins R,et al.The International Scientific Association for Probiotics and Prebiotics(ISAPP) consensus statement on the definition and scope of synbiotics[J].Nat Rev Gastro Hepat,2020,17(11): 687-701.
[33] Chatchatee P, Nowak-Wegrzyn A, Lange L, et al.Tolerance development in cow's milk-allergic infants receiving amino acid-based formula:A randomized controlled trial[J].J Allergy Clin Immun,2022,149(2):650-658.
[34] Sorensen K, Cawood AL, Cooke LH, et al.The use of an amino acid formula containing synbiotics in infants with cow's milk protein allergy-effect on clinical outcomes[J].Nutrients,2021,13(7):2205.
[35] Candy D, van Ampting M,Oude NM, et al. A synbiotic-containing amino-acid-based formula improves gut microbiota in non-IgE-mediated allergic infants[J]. Pediatr Res, 2018,83(3): 677-686.
[36] Salminen S, Collado MC,Endo A, et al. The International Scientific Association of Probiotics and Prebiotics(ISAPP) consensus statement on the definition and scope of postbiotics[J].Nat Rev Gastro Hepat,2021,18(9):649-667.
[37] De Boer GM,Zolkiewicz J,Strzelec KP, et al.Bacterial lysate therapy for the prevention of wheezing episodes and asthma exacerbations: A systematic review and meta-analysis[J].Eur Respir Rev, 2020,29(158):190175.
[38] Bodemer C,Guillet G,Cambazard F,et al.Adjuvant treatment with the bacterial lysate(OM-85) improves management of atopic dermatitis:A randomized study[J].Plos One,2017,12(3):e161555.
[39] 黄福青, 云芳菲, 滕坤玲, 等. 益生菌、益生元和后生元对食物过敏的影响和作用机制[J]. 微生物学报, 2022,62(3): 848-857.
Huang FQ,Yun FF,Teng KL,et al.The effects and functioning mechanisms of probiotics,prebiotics and postbiotics on food allergy[J].Acta Microbiologica Sinica,2022,62(3):848-857.(in Chinese)
[40] Morisset M,Aubert-Jacquin C,Soulaines P,et al.A non-hydrolyzed, fermented milk formula reduces digestive and respiratory events in infants at high risk of allergy[J].Eur J Clin Nutr,2011,65(2):175-183.

基金

国家自然科学基金(82003416);山东大学基本科研业务费(2019GN090);山东大学青年学者未来计划(202184)

PDF(619 KB)

Accesses

Citation

Detail

段落导航
相关文章

/