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Am J Respir Cell Mol Biol ; 61(6): 702-712, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31144984

RESUMO

Obesity is a risk factor for asthma, especially nonatopic asthma, and attenuates the efficacy of standard asthma therapeutics. Obesity also augments pulmonary responses to ozone, a nonatopic asthma trigger. The purpose of this study was to determine whether obesity-related alterations in gut microbiota contribute to these augmented responses to ozone. Ozone-induced increases in airway responsiveness, a canonical feature of asthma, were greater in obese db/db mice than in lean wild-type control mice. Depletion of gut microbiota with a cocktail of antibiotics attenuated obesity-related increases in the response to ozone, indicating a role for microbiota. Moreover, ozone-induced airway hyperresponsiveness was greater in germ-free mice that had been reconstituted with colonic contents of db/db than in wild-type mice. In addition, compared with dietary supplementation with the nonfermentable fiber cellulose, dietary supplementation with the fermentable fiber pectin attenuated obesity-related increases in the pulmonary response to ozone, likely by reducing ozone-induced release of IL-17A. Our data indicate a role for microbiota in obesity-related increases in the response to an asthma trigger and suggest that microbiome-based therapies such as prebiotics may provide an alternative therapeutic strategy for obese patients with asthma.


Assuntos
Microbioma Gastrointestinal/fisiologia , Obesidade/complicações , Ozônio/toxicidade , Hipersensibilidade Respiratória/etiologia , Resistência das Vias Respiratórias , Animais , Antibacterianos/farmacologia , Antibacterianos/uso terapêutico , Asma/etiologia , Asma/terapia , Celulose/administração & dosagem , Fibras na Dieta/administração & dosagem , Transplante de Microbiota Fecal , Feminino , Fermentação , Microbioma Gastrointestinal/efeitos dos fármacos , Vida Livre de Germes , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Obesos , Obesidade/genética , Obesidade/microbiologia , Obesidade/fisiopatologia , Pectinas/administração & dosagem , Pectinas/uso terapêutico , Receptores para Leptina/deficiência , Hipersensibilidade Respiratória/induzido quimicamente , Hipersensibilidade Respiratória/dietoterapia , Hipersensibilidade Respiratória/microbiologia
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