Bacterial microbiota of the upper respiratory tract and childhood asthma

Martin Depner, Markus J. Ege, Michael J. Cox, Sarah Dwyer, Alan W. Walker, Lena T. Birzele, Jon Genuneit, Elisabeth Horak, Charlotte Braun-Fahrländer, Hanna Danielewicz, Raina M. Maier, Miriam F. Moffatt, William O. Cookson, Dick Heederik, Erika von Mutius, Antje Legatzki

Research output: Contribution to journalArticlepeer-review

87 Scopus citations

Abstract

Background Patients with asthma and healthy controls differ in bacterial colonization of the respiratory tract. The upper airways have been shown to reflect colonization of the lower airways, the actual site of inflammation in asthma, which is hardly accessible in population studies. Objective We sought to characterize the bacterial communities at 2 sites of the upper respiratory tract obtained from children from a rural area and to relate these to asthma. Methods The microbiota of 327 throat and 68 nasal samples from school-age farm and nonfarm children were analyzed by 454-pyrosequencing of the bacterial 16S ribosomal RNA gene. Results Alterations in nasal microbiota but not of throat microbiota were associated with asthma. Children with asthma had lower α- and β-diversity of the nasal microbiota as compared with healthy control children. Furthermore, asthma presence was positively associated with a specific operational taxonomic unit from the genus Moraxella in children not exposed to farming, whereas in farm children Moraxella colonization was unrelated to asthma. In nonfarm children, Moraxella colonization explained the association between bacterial diversity and asthma to a large extent. Conclusions Asthma was mainly associated with an altered nasal microbiota characterized by lower diversity and Moraxella abundance. Children living on farms might not be susceptible to the disadvantageous effect of Moraxella. Prospective studies may clarify whether Moraxella outgrowth is a cause or a consequence of loss in diversity.

Original languageEnglish (US)
Pages (from-to)826-834.e13
JournalJournal of Allergy and Clinical Immunology
Volume139
Issue number3
DOIs
StatePublished - Mar 2017

Keywords

  • 16S rRNA gene
  • Asthma
  • childhood
  • microbiota
  • nose
  • throat
  • upper respiratory tract

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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