儿童迁延性细菌性支气管炎的呼吸道微生物群特征研究进展
Research Progress of the Respiratory Microbiome Characteristics in Children with Protracted Bacterial Bronchitis
DOI: 10.12677/acm.2025.153733, PDF,   
作者: 覃欣蕊, 代继宏*:重庆医科大学附属儿童医院呼吸科/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室,重庆
关键词: 迁延性细菌性支气管炎微生物组生物膜Protracted Bacterial Bronchitis Microbiome Biofilm
摘要: 迁延性细菌性支气管炎(protracted bacterial bronchitis, PBB)是引起儿童慢性咳嗽的常见病因,目前对其呼吸道微生物群特征研究关注度较高,探索影响PBB进展及复发的相关PBB类型。本文就儿童迁延性细菌性支气管炎的下呼吸道微生物群特征、生物膜及微生物间的相互作用的研究进展进行总结,以期为PBB患儿提供个体化的医疗策略。
Abstract: Protracted bacterial bronchitis (PBB) is a common cause of chronic cough in children. Currently, studies have focused on the characteristics of respiratory microbiota and explored the related PBB endotypes that affect the progress and recurrence of PBB. This article reviews the research progress of lower respiratory tract microbiota characteristics, biofilm, and microbial interactions in children with protracted bacterial bronchitis, in order to provide personalized medical strategies for children with PBB.
文章引用:覃欣蕊, 代继宏. 儿童迁延性细菌性支气管炎的呼吸道微生物群特征研究进展[J]. 临床医学进展, 2025, 15(3): 1236-1242. https://doi.org/10.12677/acm.2025.153733

参考文献

[1] Chang, A.B., Redding, G.J. and Everard, M.L. (2008) Chronic Wet Cough: Protracted Bronchitis, Chronic Suppurative Lung Disease and Bronchiectasis. Pediatric Pulmonology, 43, 519-531. [Google Scholar] [CrossRef] [PubMed]
[2] Marchant, J., Masters, I.B., Champion, A., Petsky, H. and Chang, A.B. (2012) Randomised Controlled Trial of Amoxycillin Clavulanate in Children with Chronic Wet Cough. Thorax, 67, 689-693. [Google Scholar] [CrossRef] [PubMed]
[3] Donnelly, D., Critchlow, A. and Everard, M.L. (2007) Outcomes in Children Treated for Persistent Bacterial Bronchitis. Thorax, 62, 80-84. [Google Scholar] [CrossRef] [PubMed]
[4] Das, S. and Sockrider, M. (2018) Protracted Bacterial Bronchitis (PBB) in Children. American Journal of Respiratory and Critical Care Medicine, 198, P11-P12. [Google Scholar] [CrossRef] [PubMed]
[5] Ruffles, T.J.C., Marchant, J.M., Masters, I.B., Yerkovich, S.T., Wurzel, D.F., Gibson, P.G., et al. (2020) Outcomes of Protracted Bacterial Bronchitis in Children: A 5-Year Prospective Cohort Study. Respirology, 26, 241-248. [Google Scholar] [CrossRef] [PubMed]
[6] Chang, A.B., Bell, S.C., Byrnes, C.A., Dawkins, P., Holland, A.E., Kennedy, E., et al. (2023) Thoracic Society of Australia and New Zealand (TSANZ) Position Statement on chronic Suppurative Lung Disease and Bronchiectasis in Children, Adolescents and Adults in Australia and New Zealand. Respirology, 28, 339-349. [Google Scholar] [CrossRef] [PubMed]
[7] Marchant, J.M., Masters, I.B., Taylor, S.M., Cox, N.C., Seymour, G.J. and Chang, A.B. (2006) Evaluation and Outcome of Young Children with Chronic Cough. Chest, 129, 1132-1141. [Google Scholar] [CrossRef] [PubMed]
[8] Pritchard, M.G., Lenney, W. and Gilchrist, F.J. (2014) Outcomes in Children with Protracted Bacterial Bronchitis Confirmed by Bronchoscopy. Archives of Disease in Childhood, 100, 112-112. [Google Scholar] [CrossRef] [PubMed]
[9] 张军, 尚云晓. 儿童迁延性细菌性支气管炎临床特点、病原学特点及病因探讨[J]. 国际儿科学杂志, 2018, 45(9): 737-739.
[10] Wurzel, D.F., Marchant, J.M., Yerkovich, S.T., Upham, J.W., Petsky, H.L., Smith-Vaughan, H., et al. (2016) Protracted Bacterial Bronchitis in Children. Chest, 150, 1101-1108. [Google Scholar] [CrossRef] [PubMed]
[11] Priftis, K.N., Litt, D., Manglani, S., Anthracopoulos, M.B., Thickett, K., Tzanakaki, G., et al. (2013) Bacterial Bronchitis Caused by Streptococcus Pneumoniae and Nontypable Haemophilus influenzae in Children. Chest, 143, 152-157. [Google Scholar] [CrossRef] [PubMed]
[12] Hare, K.M., Smith-Vaughan, H.C., Chang, A.B., Pizzutto, S., Petsky, H.L., McCallum, G.B., et al. (2017) Propensity of Pneumococcal Carriage Serotypes to Infect the Lower Airways of Children with Chronic Endobronchial Infections. Vaccine, 35, 747-756. [Google Scholar] [CrossRef] [PubMed]
[13] O’Grady, K.F., Mahon, J., Arnold, D., Grimwood, K., Hall, K.K., Goyal, V., et al. (2021) Predictors of the Development of Protracted Bacterial Bronchitis Following Presentation to Healthcare for an Acute Respiratory Illness with Cough: Analysis of Three Cohort Studies. Journal of Clinical Medicine, 10, Article 5735. [Google Scholar] [CrossRef] [PubMed]
[14] Wurzel, D.F., Marchant, J.M., Yerkovich, S.T., Upham, J.W., Mackay, I.M., Masters, I.B., et al. (2014) Prospective Characterization of Protracted Bacterial Bronchitis in Children. Chest, 145, 1271-1278. [Google Scholar] [CrossRef] [PubMed]
[15] Tomasec, P., Wang, E.C.Y., Groh, V., Spies, T., McSharry, B.P., Aicheler, R.J., et al. (2007) Adenovirus Vector Delivery Stimulates Natural Killer Cell Recognition. Journal of General Virology, 88, 1103-1108. [Google Scholar] [CrossRef] [PubMed]
[16] Wurzel, D.F., Mackay, I.M., Marchant, J.M., Wang, C.Y.T., Yerkovich, S.T., Upham, J.W., et al. (2014) Adenovirus Species C Is Associated with Chronic Suppurative Lung Diseases in Children. Clinical Infectious Diseases, 59, 34-40. [Google Scholar] [CrossRef] [PubMed]
[17] Wang, Y., Hao, C., Ji, W., Lu, Y., Wu, M., Chen, S., et al. (2019) Detecting Respiratory Viruses in Children with Protracted Bacterial Bronchitis. Respiratory Medicine, 151, 55-58. [Google Scholar] [CrossRef] [PubMed]
[18] Kapur, N., Grimwood, K., Masters, I.B., Morris, P.S. and Chang, A.B. (2011) Lower Airway Microbiology and Cellularity in Children with Newly Diagnosed Non-CF Bronchiectasis. Pediatric Pulmonology, 47, 300-307. [Google Scholar] [CrossRef] [PubMed]
[19] Narang, R., Bakewell, K., Peach, J., Clayton, S., Samuels, M., Alexander, J., et al. (2014) Bacterial Distribution in the Lungs of Children with Protracted Bacterial Bronchitis. PLOS ONE, 9, e108523. [Google Scholar] [CrossRef] [PubMed]
[20] 张倩, 李渠北. 迁延性细菌性支气管炎发病机制研究进展[J]. 国际儿科学杂志, 2021, 48(1): 35-38.
[21] Cuthbertson, L., Craven, V., Bingle, L., Cookson, W.O.C.M., Everard, M.L. and Moffatt, M.F. (2017) The Impact of Persistent Bacterial Bronchitis on the Pulmonary Microbiome of Children. PLOS ONE, 12, e0190075. [Google Scholar] [CrossRef] [PubMed]
[22] 鲍燕敏, 戴文魁, 陈杰华, 等. 儿童迁延性细菌性支气管炎的呼吸道菌群特征及临床意义[J]. 中华实用儿科临床杂志, 2018, 33(10): 744-747.
[23] Marsh, R.L., Smith-Vaughan, H.C., Chen, A.C.H., Marchant, J.M., Yerkovich, S.T., Gibson, P.G., et al. (2019) Multiple Respiratory Microbiota Profiles Are Associated with Lower Airway Inflammation in Children with Protracted Bacterial Bronchitis. Chest, 155, 778-786. [Google Scholar] [CrossRef] [PubMed]
[24] 王士佳. 阿奇霉素辅助治疗迁延性细菌性支气管炎的疗效分析[D]: [硕士学位论文]. 重庆: 重庆医科大学, 2024.
[25] Hardman, S.J., Shackley, F.M., Ugonna, K., Darton, T.C., Rigby, A.S., Bogaert, D., et al. (2023) Seasonal Azithromycin Use in Paediatric Protracted Bacterial Bronchitis Does Not Promote Antimicrobial Resistance but Does Modulate the Nasopharyngeal Microbiome. International Journal of Molecular Sciences, 24, Article 16053. [Google Scholar] [CrossRef] [PubMed]
[26] Dickson, R.P., Martinez, F.J. and Huffnagle, G.B. (2014) The Role of the Microbiome in Exacerbations of Chronic Lung Diseases. The Lancet, 384, 691-702. [Google Scholar] [CrossRef] [PubMed]
[27] Marsh, R.L., Kaestli, M., Chang, A.B., Binks, M.J., Pope, C.E., Hoffman, L.R., et al. (2016) The Microbiota in Bronchoalveolar Lavage from Young Children with Chronic Lung Disease Includes Taxa Present in Both the Oropharynx and Nasopharynx. Microbiome, 4, Article No. 37. [Google Scholar] [CrossRef] [PubMed]
[28] van der Gast, C.J., Cuthbertson, L., Rogers, G.B., Pope, C., Marsh, R.L., Redding, G.J., et al. (2014) Three Clinically Distinct Chronic Pediatric Airway Infections Share a Common Core Microbiota. Annals of the American Thoracic Society, 11, 1039-1048. [Google Scholar] [CrossRef] [PubMed]
[29] Cogan, N.G. (2004) The Role of the Biofilm Matrix in Structural Development. Mathematical Medicine and Biology, 21, 147-166. [Google Scholar] [CrossRef] [PubMed]
[30] Weiser, J.N., Ferreira, D.M. and Paton, J.C. (2018) Streptococcus Pneumoniae: Transmission, Colonization and Invasion. Nature Reviews Microbiology, 16, 355-367. [Google Scholar] [CrossRef] [PubMed]
[31] Starner, T.D., Zhang, N., Kim, G., Apicella, M.A. and McCray, P.B. (2006) Haemophilus influenzae Forms Biofilms on Airway Epithelia. American Journal of Respiratory and Critical Care Medicine, 174, 213-220. [Google Scholar] [CrossRef] [PubMed]
[32] Matejka, K.M., Bremer, P.J., Tompkins, G.R. and Brooks, H.J.L. (2012) Antibiotic Susceptibility of Moraxella Catarrhalis Biofilms in a Continuous Flow Model. Diagnostic Microbiology and Infectious Disease, 74, 394-398. [Google Scholar] [CrossRef] [PubMed]
[33] Chang, A.B., Upham, J.W., Masters, I.B., Redding, G.R., Gibson, P.G., Marchant, J.M., et al. (2015) Protracted Bacterial Bronchitis: The Last Decade and the Road Ahead. Pediatric Pulmonology, 51, 225-242. [Google Scholar] [CrossRef] [PubMed]
[34] Marsh, R.L., Binks, M.J., Smith-Vaughan, H.C., Janka, M., Clark, S., Richmond, P., et al. (2022) Prevalence and Subtyping of Biofilms Present in Bronchoalveolar Lavage from Children with Protracted Bacterial Bronchitis or Non-Cystic Fibrosis Bronchiectasis: A Cross-Sectional Study. The Lancet Microbe, 3, e215-e223. [Google Scholar] [CrossRef] [PubMed]
[35] Everard, M.L. (2022) We Should Not Underestimate the Role of Biofilms in Persistent (Chronic) Bronchitis. The Lancet Microbe, 3, e647. [Google Scholar] [CrossRef] [PubMed]
[36] Altenburg, J., de Graaff, C.S., van der Werf, T.S. and Boersma, W.G. (2010) Immunomodulatory Effects of Macrolide Antibiotics—Part 1: Biological Mechanisms. Respiration, 81, 67-74. [Google Scholar] [CrossRef] [PubMed]
[37] Blasi, F., Page, C., Rossolini, G.M., Pallecchi, L., Matera, M.G., Rogliani, P., et al. (2016) The Effect of N-Acetylcysteine on Biofilms: Implications for the Treatment of Respiratory Tract Infections. Respiratory Medicine, 117, 190-197. [Google Scholar] [CrossRef] [PubMed]
[38] Wurzel, D.F., Marchant, J.M., Clark, J.E., Masters, I.B., Yerkovich, S.T., Upham, J.W., et al. (2013) Wet Cough in Children: Infective and Inflammatory Characteristics in Broncho-Alveolar Lavage Fluid. Pediatric Pulmonology, 49, 561-568. [Google Scholar] [CrossRef] [PubMed]
[39] Ikryannikova, L.N., Malakhova, M.V., Lominadze, G.G., Karpova, I.Y., Kostryukova, E.S., Mayansky, N.A., et al. (2017) Inhibitory Effect of Streptococci on the Growth of M. catarrhalis Strains and the Diversity of Putative Bacteriocin-Like Gene Loci in the Genomes of S. pneumoniae and Its Relatives. AMB Express, 7, Article No. 218. [Google Scholar] [CrossRef] [PubMed]
[40] Perez, A.C., Pang, B., King, L.B., Tan, L., Murrah, K.A., Reimche, J.L., et al. (2014) Residence of Streptococcus pneumoniae and Moraxella catarrhalis within Polymicrobial Biofilm Promotes Antibiotic Resistance and Bacterial Persistence in Vivo. Pathogens and Disease, 70, 280-288. [Google Scholar] [CrossRef] [PubMed]
[41] Weimer, K.E.D., Juneau, R.A., Murrah, K.A., Pang, B., Armbruster, C.E., Richardson, S.H., et al. (2011) Divergent Mechanisms for Passive Pneumococcal Resistance to β-Lactam Antibiotics in the Presence of Haemophilus influenzae. The Journal of Infectious Diseases, 203, 549-555. [Google Scholar] [CrossRef] [PubMed]