Antibiotics Antibiotic-driven dysbiosis in early life disrupts indole-3-propionic acid production and exacerbates allergic airway inflammation in adulthood (Jul 2024, mice)

Michael Harrop

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https://www.cell.com/immunity/abstract/S1074-7613(24)00316-9

Highlights​

  • Early-life antibiotics increase the risk of allergy in adulthood
  • Antibiotics cause short-term disruption of the microbiome and systemic metabolome
  • Dysfunctional mitochondria in the airway epithelium lead to exaggerated inflammation
  • Indole-3-propionic acid counters the detrimental effects of early-life antibiotics

Summary​

Antibiotic use in early life disrupts microbial colonization and increases the risk of developing allergies and asthma. We report that mice given antibiotics in early life (EL-Abx), but not in adulthood, were more susceptible to house dust mite (HDM)-induced allergic airway inflammation. This susceptibility was maintained even after normalization of the gut microbiome.

EL-Abx decreased systemic levels of indole-3-propionic acid (IPA), which induced long-term changes to cellular stress, metabolism, and mitochondrial respiration in the lung epithelium. IPA reduced mitochondrial respiration and superoxide production and altered chemokine and cytokine production.

Consequently, early-life IPA supplementation protected EL-Abx mice against exacerbated HDM-induced allergic airway inflammation in adulthood.

These results reveal a mechanism through which EL-Abx can predispose the lung to allergic airway inflammation and highlight a possible preventative approach to mitigate the detrimental consequences of EL-Abx.

Graphical abstract​


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