肠道菌群在儿童过敏性鼻炎中的研究进展
Research Progress on Gut Microbiota in Pediatric Allergic Rhinitis
DOI: 10.12677/jcpm.2026.52119, PDF,   
作者: 王 敏, 周 晗*:西安医学院研究生工作部,陕西 西安
关键词: 肠道菌群儿童过敏性鼻炎免疫Gut Microbiota Pediatric Allergic Rhinitis Immunity
摘要: 过敏性鼻炎(Allergic Rhinitis, AR)是过敏原作用于人体后,由特定细胞介导的超敏反应。AR作为儿童慢性过敏性疾病中高发频率的疾病之一,近年来AR发病率在全球呈上升趋势,对患儿的生活质量及家庭经济产生了极大负担。我们使用PubMed进行检索,使用以下关键词:肠道菌群与免疫,儿童肠道菌群影响因素,肠道菌群与儿童AR。所有年份的研究都包括在内。近年来微生态与AR之间的联系已成为广泛关注的热点问题,菌群失调在AR中多方面影响儿童健康。为了全面揭示微生态与儿童AR之间的联系,我们从菌群对人体免疫的作用讨论了其在AR中的重要影响,并对菌群影响因素进行了多方面阐述,以期为儿童AR与肠道菌群联系提供全面理解。
Abstract: Allergic rhinitis (AR) is a hypersensitivity reaction mediated by specific cells in response to allergens. As one of the most prevalent chronic allergic diseases in children, the global incidence of AR has been increasing in recent years, imposing a substantial burden on the quality of life of affected children and the economic status of their families. We conducted a search using PubMed with the following keywords: gut microbiota and immunity, factors influencing gut microbiota in children, and gut microbiota and pediatric AR. Studies from all years were included. In recent years, the association between the microbiota and AR has garnered widespread attention, with dysbiosis affecting the health of children with AR in multiple ways. To comprehensively elucidate the relationship between the microbiota and pediatric AR, we discussed the significant role of the microbiota in AR through its effects on the immune system and provided a multifaceted exploration of factors influencing the microbiota, aiming to offer a comprehensive understanding of the connection between the gut microbiota and AR in children.
文章引用:王敏, 周晗. 肠道菌群在儿童过敏性鼻炎中的研究进展[J]. 临床个性化医学, 2026, 5(2): 203-211. https://doi.org/10.12677/jcpm.2026.52119

参考文献

[1] Licari, A., Magri, P., De Silvestri, A., Giannetti, A., Indolfi, C., Mori, F., et al. (2023) Epidemiology of Allergic Rhinitis in Children: A Systematic Review and Meta-Analysis. The Journal of Allergy and Clinical Immunology: In Practice, 11, 2547-2556. [Google Scholar] [CrossRef] [PubMed]
[2] Zhang, Y. and Zhang, L. (2019) Increasing Prevalence of Allergic Rhinitis in China. Allergy, Asthma & Immunology Research, 11, 156-169. [Google Scholar] [CrossRef] [PubMed]
[3] Wang, N., Yao, Y., Liu, Y., Zeng, M. and Liu, Z. (2025) Allergic Rhinitis in China: Trends, Challenges and Implications over the Past Two Decades. Clinical & Experimental Allergy, 55, 648-658. [Google Scholar] [CrossRef] [PubMed]
[4] Patel, K.B., Mims, J.W. and Clinger, J.D. (2024) The Burden of Asthma and Allergic Rhinitis: Epidemiology and Health Care Costs. Otolaryngologic Clinics of North America, 57, 179-189. [Google Scholar] [CrossRef] [PubMed]
[5] Hellings, P.W. and Steelant, B. (2020) Epithelial Barriers in Allergy and Asthma. Journal of Allergy and Clinical Immunology, 145, 1499-1509. [Google Scholar] [CrossRef] [PubMed]
[6] He, Y., Chen, Y., Xu, S., et al. (2025) Pathogenesis and Key Cells in Allergic Rhinitis. International Archives of Allergy and Immunology, 186, 418-429.
[7] Niu, M., Wu, H., Wang, Y., Li, R., Zhang, Y., Xu, Z., et al. (2025) Macrophage Polarization and Allergic Rhinitis: A Review. International Immunopharmacology, 164, Article ID: 115334. [Google Scholar] [CrossRef] [PubMed]
[8] Hao, Y., Yang, Y., Zhao, H., Chen, Y., Zuo, T., Zhang, Y., et al. (2025) Multi-Omics in Allergic Rhinitis: Mechanism Dissection and Precision Medicine. Clinical Reviews in Allergy & Immunology, 68, Article No. 19. [Google Scholar] [CrossRef] [PubMed]
[9] Zhang, J., Xie, X., Ma, R. and Liu, P. (2025) The Role of Mast Cells in Allergic Rhinitis. PeerJ, 13, e19734. [Google Scholar] [CrossRef] [PubMed]
[10] Ding, G., Yang, X., Li, Y., Wang, Y., Du, Y., Wang, M., et al. (2024) Gut Microbiota Regulates Gut Homeostasis, Mucosal Immunity and Influences Immune-Related Diseases. Molecular and Cellular Biochemistry, 480, 1969-1981. [Google Scholar] [CrossRef] [PubMed]
[11] Tang, M.H., Ligthart, I., Varga, S., Lebeer, S., van Overveld, F.J. and Rijkers, G.T. (2025) Mutual Interactions between Microbiota and the Human Immune System during the First 1000 Days of Life. Biology, 14, Article 299. [Google Scholar] [CrossRef] [PubMed]
[12] Schütz, B., Krause, F.F., Taudte, R.V., Zaiss, M.M., Luu, M. and Visekruna, A. (2025) Modulation of Host Immunity by Microbiome‐Derived Indole‐3‐Propionic Acid and Other Bacterial Metabolites. European Journal of Immunology, 55, e202451594. [Google Scholar] [CrossRef] [PubMed]
[13] Inamoto, T., Furuta, K., Han, C., Uneme, M., Kano, T., Ishikawa, K., et al. (2023) Short‐Chain Fatty Acids Stimulate Dendrite Elongation in Dendritic Cells by Inhibiting Histone Deacetylase. The FEBS Journal, 290, 5794-5810. [Google Scholar] [CrossRef] [PubMed]
[14] Kim, S., Ndwandwe, C., Devotta, H., Kareem, L., Yao, L. and O’Mahony, L. (2025) Role of the Microbiome in Regulation of the Immune System. Allergology International, 74, 187-196. [Google Scholar] [CrossRef] [PubMed]
[15] Sharma, A., Sharma, G. and Im, S. (2025) Gut Microbiota in Regulatory T Cell Generation and Function: Mechanisms and Health Implications. Gut Microbes, 17, Article ID: 2516702. [Google Scholar] [CrossRef] [PubMed]
[16] Hang, S., Paik, D., Yao, L., Kim, E., Trinath, J., Lu, J., et al. (2019) Bile acid metabolites control TH17 and Treg cell differentiation. Nature, 576, 143-148. [Google Scholar] [CrossRef] [PubMed]
[17] Kumbhare, S.V., Patangia, D.V., Patil, R.H., Shouche, Y.S. and Patil, N.P. (2019) Factors Influencing the Gut Microbiome in Children: From Infancy to Childhood. Journal of Biosciences, 44, Article No. 49. [Google Scholar] [CrossRef] [PubMed]
[18] Almansour, N., Al-Rashed, F., Choudhry, K., Alqaderi, H., Sindhu, S., Al-Mulla, F., et al. (2025) Gut Microbiota: A Promising New Target in Immune Tolerance. Frontiers in Immunology, 16, Article 1607388. [Google Scholar] [CrossRef
[19] Browne, H.P., Shao, Y. and Lawley, T.D. (2022) Mother-Infant Transmission of Human Microbiota. Current Opinion in Microbiology, 69, Article ID: 102173. [Google Scholar] [CrossRef] [PubMed]
[20] Xiao, L. and Zhao, F. (2023) Microbial Transmission, Colonisation and Succession: From Pregnancy to Infancy. Gut, 72, 772-786. [Google Scholar] [CrossRef] [PubMed]
[21] Liu, T., Kress, A.M., Debelius, J., Zhao, N., Smirnova, E., Bandyopadhyay, S., et al. (2025) Maternal Vaginal and Fecal Microbiota in Later Pregnancy Contribute to Child Fecal Microbiota Development in the ECHO Cohort. iScience, 28, Article ID: 112211. [Google Scholar] [CrossRef] [PubMed]
[22] Rutayisire, E., Huang, K., Liu, Y. and Tao, F. (2016) The Mode of Delivery Affects the Diversity and Colonization Pattern of the Gut Microbiota during the First Year of Infants’ Life: A Systematic Review. BMC Gastroenterology, 16, Article No. 86. [Google Scholar] [CrossRef] [PubMed]
[23] Shaterian, N., Abdi, F., Ghavidel, N. and Alidost, F. (2021) Role of Cesarean Section in the Development of Neonatal Gut Microbiota: A Systematic Review. Open Medicine, 16, 624-639. [Google Scholar] [CrossRef] [PubMed]
[24] Rodriguez, N., Tun, H.M., Field, C.J., Mandhane, P.J., Scott, J.A. and Kozyrskyj, A.L. (2021) Prenatal Depression, Breastfeeding, and Infant Gut Microbiota. Frontiers in Microbiology, 12, Article 664257. [Google Scholar] [CrossRef] [PubMed]
[25] Dinleyici, E.C. (2025) Breastfeeding and Health Benefits for the Mother-Infant Dyad: A Perspective on Human Milk Microbiota. Annals of Nutrition and Metabolism, 81, 7-19. [Google Scholar] [CrossRef] [PubMed]
[26] Szyller, H., Antosz, K., Batko, J., Mytych, A., Dziedziak, M., Wrześniewska, M., et al. (2024) Bioactive Components of Human Milk and Their Impact on Child’s Health and Development, Literature Review. Nutrients, 16, Article 1487. [Google Scholar] [CrossRef] [PubMed]
[27] Guo, D., Li, F., Zhao, J., Zhang, H., Liu, B., Pan, J., et al. (2022) Effect of an Infant Formula Containing Sn-2 Palmitate on Fecal Microbiota and Metabolome Profiles of Healthy Term Infants: A Randomized, Double-Blind, Parallel, Controlled Study. Food & Function, 13, 2003-2018. [Google Scholar] [CrossRef] [PubMed]
[28] Zhao, X., Bridgman, S.L., Drall, K.M., Tun, H.M., Mandhane, P.J., Moraes, T.J., et al. (2023) Infant Vitamin D Supplements, Fecal Microbiota and Their Metabolites at 3 Months of Age in the CHILD Study Cohort. Biomolecules, 13, Article 200. [Google Scholar] [CrossRef] [PubMed]
[29] Wieërs, G., Belkhir, L., Enaud, R., Leclercq, S., Philippart de Foy, J., Dequenne, I., et al. (2020) How Probiotics Affect the Microbiota. Frontiers in Cellular and Infection Microbiology, 9, Article 454. [Google Scholar] [CrossRef] [PubMed]
[30] Lemoine, A., Tounian, P., Adel-Patient, K. and Thomas, M. (2023) Pre-, Pro-, Syn-, and Postbiotics in Infant Formulas: What Are the Immune Benefits for Infants? Nutrients, 15, Article 1231. [Google Scholar] [CrossRef] [PubMed]
[31] Zhang, W., Sun, Z., Zhang, Q., Sun, Z., Su, Y., Song, J., et al. (2021) Preliminary Evidence for an Influence of Exposure to Polycyclic Aromatic Hydrocarbons on the Composition of the Gut Microbiota and Neurodevelopment in Three-Year-Old Healthy Children. BMC Pediatrics, 21, Article No. 86. [Google Scholar] [CrossRef] [PubMed]
[32] Ke, D., Zheng, J., Liu, X., Xu, X., Zhao, L., Gu, Y., et al. (2023) Occurrence of Microplastics and Disturbance of Gut Microbiota: A Pilot Study of Preschool Children in Xiamen, China. eBioMedicine, 97, Article ID: 104828. [Google Scholar] [CrossRef] [PubMed]
[33] Sameeha, F.N.U., Riaz, S., Aslam, M.N. and Perveen, A. (2025) Association between Early-Life Antibiotic Exposure and Gut Microbiome Alterations Linked to Allergic Diseases in Children: A Systematic Review. European Journal of Medical Research, 31, Article No. 98. [Google Scholar] [CrossRef
[34] Benitez, A.J., Tanes, C., Friedman, E.S., Zackular, J.P., Ford, E., Gerber, J.S., et al. (2025) Antibiotic Exposure Is Associated with Minimal Gut Microbiome Perturbations in Healthy Term Infants. Microbiome, 13, Article No. 21. [Google Scholar] [CrossRef] [PubMed]
[35] Johnson, C.C. and Ownby, D.R. (2017) The Infant Gut Bacterial Microbiota and Risk of Pediatric Asthma and Allergic Diseases. Translational Research, 179, 60-70. [Google Scholar] [CrossRef] [PubMed]
[36] Boutin, R.C.T., Sbihi, H., McLaughlin, R.J., Hahn, A.S., Konwar, K.M., Loo, R.S., et al. (2021) Composition and Associations of the Infant Gut Fungal Microbiota with Environmental Factors and Childhood Allergic Outcomes. mBio, 12, e0339620. [Google Scholar] [CrossRef] [PubMed]
[37] Kallio, S., Jian, C., Korpela, K., Kukkonen, A.K., Salonen, A., Savilahti, E., et al. (2024) Early-Life Gut Microbiota Associates with Allergic Rhinitis during 13-Year Follow-Up in a Finnish Probiotic Intervention Cohort. Microbiology Spectrum, 12, e0413523. [Google Scholar] [CrossRef] [PubMed]
[38] Jeong, K., Jang, S.W., Jeon, S., Seo, H.J., Kang, S., Han, S., et al. (2024) Efficacy of Bifidobacterium longum and Lactobacillus plantarum (NVP-1703) in Children with Allergic Rhinitis: A Randomized Controlled Trial. Journal of Korean Medical Science, 39, e266. [Google Scholar] [CrossRef] [PubMed]
[39] Wan, J., Song, J., Lv, Q., Zhang, H., Xiang, Q., Dai, H., et al. (2023) Alterations in the Gut Microbiome of Young Children with Airway Allergic Disease Revealed by Next-Generation Sequencing. Journal of Asthma and Allergy, 16, 961-972. [Google Scholar] [CrossRef] [PubMed]
[40] Hong, J., Tang, Z., Zhang, D., Mo, C., Su, W. and Shao, J. (2025) Profiling of the Gut, Skin and Nasal Microbiotas Revealed Clinically Relevant Microbial Taxa from Children with Allergies: A Pilot Study. Frontiers in Allergy, 6, Article 1497914. [Google Scholar] [CrossRef] [PubMed]
[41] Li, J., Shen, N., He, W., Pan, Y., Wu, J., Zhao, R., et al. (2024) Gut Microbiome Impact on Childhood Allergic Rhinitis and House Dust Mite Ige Responses. Pediatric Research, 97, 2405-2414. [Google Scholar] [CrossRef] [PubMed]
[42] Panpan, Z., Jinli, H., Qiuhong, L., Bo, D., Juan, Z., Hui, S., et al. (2024) Changes in Respiratory Tract and Gut Microbiota in AR Mice and Their Relationship with Th1/Th2/Treg. Microbial Pathogenesis, 195, Article ID: 106881. [Google Scholar] [CrossRef] [PubMed]
[43] Lin, X., Hu, T., Wu, Z., Li, L., Wang, Y., Wen, D., et al. (2024) Isolation of Potentially Novel Species Expands the Genomic and Functional Diversity of Lachnospiraceae. iMeta, 3, e174. [Google Scholar] [CrossRef] [PubMed]
[44] Liu, Y., Liu, J., Du, M., Yang, H., Shi, R., Shi, Y., et al. (2023) Short-Chain Fatty Acid—A Critical Interfering Factor for Allergic Diseases. Chemico-Biological Interactions, 385, Article ID: 110739. [Google Scholar] [CrossRef] [PubMed]
[45] Xiao, Z., Luo, H., Liu, H., Chen, H., Bai, J., Liao, W., et al. (2025) Probiotic Supplementation during Pregnancy or Infancy for the Prevention of Allergic Rhinitis in Infants: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. World Allergy Organization Journal, 18, Article ID: 101124. [Google Scholar] [CrossRef
[46] Dong, L., Tang, Y., Wen, S., He, Y., Li, F., Deng, Y., et al. (2024) Fecal Microbiota Transplantation Alleviates Allergic Rhinitis via CD4+ T Cell Modulation through Gut Microbiota Restoration. Inflammation, 47, 1278-1297. [Google Scholar] [CrossRef] [PubMed]
[47] Li, L., Fang, Z., Lee, Y., Zhao, J., Zhang, H., Peng, H., et al. (2022) Efficacy and Safety of Lactobacillus reuteri CCFM1040 in Allergic Rhinitis and Asthma: A Randomized, Placebo-Controlled Trial. Frontiers in Nutrition, 9, Article 862934. [Google Scholar] [CrossRef] [PubMed]
[48] Hou, Y., Wang, D., Zhou, S., Huo, C., Chen, H., Li, F., et al. (2024) Probiotics Combined with Prebiotics Alleviated Seasonal Allergic Rhinitis by Altering the Composition and Metabolic Function of Intestinal Microbiota: A Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Trial. Frontiers in Immunology, 15, Article 1439830. [Google Scholar] [CrossRef] [PubMed]
[49] Li, P., Hon, S.S., Tsang, M.S., Kan, L.L., Lai, A.Y., Chan, B.C., et al. (2024) Integrating 16S rRNA Sequencing, Microflora Metabolism, and Network Pharmacology to Investigate the Mechanism of SBL in Alleviating HDM-Induced Allergic Rhinitis. International Journal of Molecular Sciences, 25, Article 8655. [Google Scholar] [CrossRef] [PubMed]
[50] Duan, F., Li, Y., Hu, T., Pan, X., Ma, F., Feng, Y., et al. (2022) Dendrobium Nobile Protects against Ovalbumin-Induced Allergic Rhinitis by Regulating Intestinal Flora and Suppressing Lung Inflammation. Chinese Journal of Natural Medicines, 20, 443-457. [Google Scholar] [CrossRef] [PubMed]
[51] Wang, C., Zhai, C., Hu, S. and Lü, Y. (2025) Microbiome-Immune Crosstalk in Allergic Rhinitis: Lung and Intestinal Microbiota Mechanisms. Frontiers in Microbiology, 16, Article 1697226. [Google Scholar] [CrossRef
[52] Han, Z., Zhu, H., Yang, Y., Wang, Y., Li, X., Zhu, J., et al. (2026) Weizmannia coagulans BC99 Alleviates Pediatric Allergic Rhinitis via the Gut Microbiota-SCFAs-Immunomodulatory Axis: A Randomized, Double-Blind, Placebo-Controlled Trial. International Immunopharmacology, 168, Article ID: 115787. [Google Scholar] [CrossRef