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Re: Asthmatic lung flora

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Welcome back ASY, always appreciate the absrtacts you forward. Here another

extract of some research findings:

http://www2.le.ac.uk/news/blog/2010-archive/december/a-respiratory-story-mould-t\

hat-causes-asthma-grows-inside-asthma-patients-lungs

Regards

>

> Asthma Tied to Bacterial Communities in the Airway

> ScienceDaily (Feb. 19, 2011) — Asthma may have a surprising

> relationship with the composition of the species of bacteria that

> inhabit bronchial airways, a finding that could suggest new treatment or

> even potential cures for the common inflammatory disease, according to a

> new UCSF-led study.

>

> Using new detection methods, researchers learned that the diversity of

> microbes inside the respiratory tract is far vaster than previously

> suspected -- creating a complex and inter-connected microbial

> neighborhood that appears to be associated with asthma, and akin to what

> has also been found in inflammatory bowel disease, vaginitis,

> periodontitis, and possibly even obesity.

>

> Contrary to popular belief, the scientists also learned that the airways

> are not necessarily entirely sterile environments, even in healthy

> people, while the airways of asthmatics are infected by a richer, more

> complex collection of bacteria. These findings could improve

> understanding of the biology of asthma, and potentially lead to new and

> much-needed therapies.

>

> " People thought that asthma was caused by inhalation of allergens but

> this study shows that it may be more complicated than that -- asthma may

> involve colonization of the airways by multiple bacteria,'' said study

> co-author Homer Boushey, MD, a UCSF professor of medicine in the

> division of Pulmonary and Critical Care Medicine.

>

> The study is published online in the Journal of Allergy and Clinical

> Immunology.

>

> Asthma is one of the most common diseases in the world, with

> approximately 300 million asthmatics globally, including 24 million in

> the United States, according to the Centers for Disease Control. The

> disease has been on the rise for the last 60 years.

>

> " It has gone from 3 percent of the population to slightly more than 8

> percent of the population in the U.S.,'' said Boushey. " It is most

> prevalent in western, developed nations -- and we don't know why.''

>

> In recent years, scientists began studying communities of mixed-species

> microorganisms (microbiome) found in both diseased and healthy people to

> better understand their role in a variety of diseases. But research on

> the microbiome in respiratory disease is relatively uncharted terrain.

>

> " We know fairly little about the diversity, complexity and collective

> function of bacteria living in the respiratory tract, and how they might

> contribute to diseases like asthma,'' said J. Huang, MD, the

> paper's first author. She is a research fellow and clinical instructor

> in the UCSF Pulmonary Division.

>

> " Traditionally, the airways have been thought to be sterile. However,

> this study suggests this is not the case. Certain asthma patients who

> require inhaled corticosteroid therapy possess a great abundance of

> bacteria compared to healthy individuals, and have an increased relative

> abundance of specific organisms that is correlated with greater

> sensitivity of their airways.''

>

> In their three-year pilot project, the scientists collected samples from

> the airway linings of 65 adults with mild to moderate asthma and 10

> healthy subjects. Then, using a tool that can identify approximately

> 8,500 distinct groups of bacteria in a single assay, the scientists

> profiled the organisms present in each sample to look for relationships

> between bacterial community composition and clinical characteristics of

> the patients' asthma.

>

> The researchers found that bronchial airway samples from asthmatic

> patients contained far more bacteria than samples from healthy patients.

> The scientists also found greater bacterial diversity in the asthmatic

> patients who had the most hyper-responsive or sensitive airways (a

> feature of asthma).

>

> " People have viewed asthma as a misdirected immune reaction to

> environmental exposures, but few have thought of it in the context of

> airway microbiota composition,'' said senior author Lynch, PhD, an

> assistant professor of medicine and director of the UCSF Colitis and

> Crohn's Disease Microbiome Research Core in the division of

> gastroenterology.

>

> " We took an ecological approach, considering the bacteria in the context

> of their microbial neighborhoods to identify relationships between

> characteristics of these communities and features of the

> disease…This new approach will help us to better understand the

> microbiota-host relationships that define human health.''

>

> The authors say that further studies are needed to determine how these

> specific bacteria identified in the study may influence the cause and

> development of asthma.

>

> ###

>

> The study was supported by the National Heart, Lung and Blood Institute

> and by the Strategic Asthma Basic Research Center at UCSF, supported by

> the Sandler Family Foundation. Huang was funded by a National Institutes

> of Health grant and by a UC Tobacco-related Disease Research Program

> award; Lynch receives research support from the NIH; Boushey is an

> ad-hoc consultant for KaloBios Pharmaceuticals, Inc., is on the advisory

> committee for Pharmaxis, is on ad-hoc advisory committees for

> GlaxoKline and Merck, and receives research support from

> GlaxoKline.

>

> UCSF is a leading university dedicated to promoting health worldwide

> through advanced biomedical research, graduate-level education in the

> life sciences and health professions, and excellence in patient care.

>

> Follow UCSF on Twitter at http://twitter.com/ucsf

> <http://twitter.com/ucsf>

> Email or share this story:

> <http://www.addthis.com/bookmark.php?v=250 & winname=addthis & pub=scienceda\

> ily & source=tbx-250 & lng=fr-fr & s=facebook & url=http%3A%2F%2Fwww.sciencedail\

> y.com%2Freleases%2F2011%2F02%2F110217151457.htm & title=Asthma%20tied%20to\

> %20bacterial%20communities%20in%20the%20airway & ate=AT-sciencedaily/-/fs-\

> 0/4d616ef3337cbc8b/1 & CXNID=2000001.5215456080540439074NXC & tt=0> | More

> <http://www.addthis.com/bookmark.php?v=250 & pub=sciencedaily>

> Story Source:

> The above story is reprinted (with editorial adaptations by ScienceDaily

> staff) from materials provided by University of California - San

> Francisco <http://www.ucsf.edu> , via EurekAlert!

> <http://www.eurekalert.org> , a service of AAAS.

> Journal Reference:

>

> 1. J. Huang, Craig E. , Eoin L. Brodie, Todd Z.

> DeSantis, Marshall S. Baek, Jane Liu, Tanja Woyke, Allgaier, Jim

> Bristow, Jeanine P. Wiener-Kronish. Airway microbiota and bronchial

> hyperresponsiveness in patients with suboptimally controlled asthma.

> Journal of Allergy and Clinical Immunology, 2011; 127 (2): 372 DOI:

> 10.1016/j.jaci.2010.10.048

> <http://dx.doi.org/10.1016/j.jaci.2010.10.048>

>

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