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

Research output: Contribution to journalJournal articleResearchpeer-review

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

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 sought to investigate whether having older siblings decreases the risk of 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. Among a random subcohort (n = 323), microbiota-by-age z scores at each time point were calculated using fecal amplicon sequence variants to represent the gut microbiota maturation over the first year of life. Results: A greater number of siblings was associated with a higher microbiota-by-age z score at age 1 year (β = 0.15 per an additional sibling; 95% CI, 0.05-0.24; P = .003), which was in turn associated with decreased odds of food allergy (odds ratio, 0.45; 95% CI, 0.33-0.61; P < .001). Microbiota-by-age z scores mediated 63% of the protective effect of siblings. Analogous associations were not observed at younger ages. Conclusions: The protective effect of older siblings on the risk of developing IgE-mediated food allergy during infancy is substantially mediated by advanced maturation of the gut microbiota at age 1 year.

Original languageEnglish
JournalJournal of Allergy and Clinical Immunology
Volume152
Issue number3
Pages (from-to)667-675
Number of pages9
ISSN0091-6749
DOIs
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
© 2023 American Academy of Allergy, Asthma & Immunology

    Research areas

  • birth cohort, Food allergy, microbiota maturation, siblings

ID: 367486222