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Skin and gut microbiota composition and immune regulatory response differentiate IgE and non-IgE cow’s milk allergy patients with atopic dermatitis

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THON Tomas KOPELENTOVA Eliska SRUTKOVA Dagmar COUFAL Stepan KREISINGER Jakub ROB Filip REISS Zuzana KVERKA Miloslav CAPKOVA Stepanka CADOVA Jana BULANTOVÁ Lucie BYSTRÝ Vojtěch SEDIVA Anna TLASKALOVA-HOGENOVA Helena JIRASKOVA ZAKOSTELSKA Zuzana POLOUCKOVA Andrea

Rok publikování 2025
Druh Článek v odborném periodiku
Časopis / Zdroj ISCIENCE
Fakulta / Pracoviště MU

Středoevropský technologický institut

Citace
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Doi https://doi.org/10.1016/j.isci.2025.113943
Klíčová slova cow’s milk allergy; atopic dermatitis; skin microbiota; gut microbiota; immune regulatory response
Popis Precise identification of food allergy and atopic dermatitis (AD) endotypes in infants is needed to target treatments effectively. Therefore, we investigated markers associated with changes in the microbiota and immune responses within the gut-skin axis of immunoglobulin E (IgE) and non-IgE-mediated cow’s milk allergy (CMA) patients with AD. We report that the skin microbiota of patients with IgE CMA differs significantly from healthy controls (HCs) and from patients with non-IgE CMA, despite similar AD severity. Regarding the immune response to bacteria, we found a significant increase in soluble CD14 in patients with non-IgE CMA compared to patients with IgE CMA. Patients with a non-IgE CMA have more regulatory T cells in their blood that migrate into the intestine than patients with IgE CMA. These findings provide insights into the complex interplay between the damaged epithelial barrier, microbiome, and immune responses in CMA patients with AD.
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