Impact of antibiotic-induced dysbiosis in childhood: Effects on immunological development and the risk of chronic diseases such as asthma, allergies, and obesity

Autores/as

DOI:

https://doi.org/10.26820/recimundo/9.(1).enero.2025.1064-1077

Palabras clave:

Dysbiosis, Antibiotics, Childhood, Immunological development, Asthma, Allergies, Obesity, Chronic diseases

Resumen

Antibiotic-induced dysbiosis in childhood has significant consequences for immunological development and is associated with an increased risk of chronic diseases such as asthma, allergies, and obesity. Antibiotics alter the composition and diversity of the gut microbiome, which is crucial for the maturation of the immune system. This early alteration can affect local and systemic immunity, including the gut-lung axis. An exhaustive review of the scientific literature published in databases such as PubMed, Scopus, and Web of Science over the last 5 years was conducted. Search terms included combinations of keywords such as "dysbiosis," "antibiotics," "childhood," "immunological development," "asthma," "allergies," "obesity," and "chronic diseases." Observational studies, clinical trials, and systematic reviews that evaluated the association between antibiotic exposure in childhood, the resulting dysbiosis, and the risk of developing chronic diseases were included. Antibiotic-induced dysbiosis in childhood alters immunological development and increases the risk of asthma, allergies, and obesity. A healthy infant microbiome, crucial for immunity, is affected by antibiotics, reducing its diversity. This early dysbiosis is linked to chronic diseases. To mitigate this, rational antibiotic use, dietary modulation with prebiotics, the use of probiotics/symbiotics, and the investigation of antibiotic alternatives are recommended. An integrated approach is key for healthy immunological development and the prevention of chronic diseases.

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Biografía del autor/a

Juan José Sarasti Espejo, Clínica Sagrado Corazón Don Torcuato

Magíster en Docencia Mención Gestión del Aprendizaje Mediado por TIC; Médico Cirujano; Médico General en Clínica Sagrado Corazón Don Torcuato; Don Torcuato, Argentina

Nathalye Stepfanye Guayasamín Calispa, Ministerio de Salud Pública - Centro de Salud Tipo B Nuevo Quinindé

Médica Cirujana; Médica General; Ministerio de Salud Pública - Centro de Salud Tipo B Nuevo Quinindé; Quinindé

Emily Sofía Bedoya Hidalgo, Clínicas Atlas Centros Ambulatorios y Materno Infantil Ambumat S.A.

Médica Cirujana; Clínicas Atlas Centros Ambulatorios y Materno Infantil Ambumat S.A.; Quito, Ecuador 

Ana Paula Herrera Jaramillo, Hospital Básico Zumba

Médica Cirujana; Médica General en el Hospital Básico Zumba; Zumba, Ecuador

Citas

Guarner F, Bustos Fernandez L, Cruchet S, Damião A, Maruy Saito A, Riveros Lopez JP, et al. Gut dysbiosis mediates the association between antibiotic exposure and chronic disease. Front Med [Internet]. 2024 Nov 6;11. Available from: https://www.frontiersin.org/articles/10.3389/fmed.2024.1477882/full

Sandoval MDLPR, Pérez GTL, Ramírez MA V. Antibióticos y disbiosis. Enfermedades Infecc y Microbiol. 2021;41(3):118–22.

Calderón XM, Bioanalista A. Disbiosis en la microbiota intestinal. Rev GEN. 2022;76(1):17–23.

Neuman H, Forsythe P, Uzan A, Avni O, Koren O. Antibiotics in early life: dysbiosis and the damage done. FEMS Microbiol Rev [Internet]. 2018 Jun 25; Available from: https://academic.oup.com/femsre/advance-article/doi/10.1093/femsre/fuy018/5045017

Alhasan MM, Hölsken O, Duerr C, Helfrich S, Branzk N, Philipp A, et al. Antibiotic use during pregnancy is linked to offspring gut microbial dysbiosis, barrier disruption, and altered immunity along the gut–lung axis. Eur J Immunol [Internet]. 2023 Oct 10;53(10). Available from: https://onlinelibrary.wiley.com/doi/10.1002/eji.202350394

Jielong, Guo, Han X, Huang W, You Y, Zhan J. Gut dysbiosis during early life: causes, health outcomes, and amelioration via dietary intervention. Crit Rev Food Sci Nutr [Internet]. 2022 Sep 12;62(26):7199–221. Available from: https://www.tandfonline.com/doi/full/10.1080/10408398.2021.1912706

Turner D, Bishai J, Reshef L, Abitbol G, Focht G, Marcus D, et al. Antibiotic Cocktail for Pediatric Acute Severe Colitis and the Microbiome: The PRASCO Randomized Controlled Trial. Inflamm Bowel Dis [Internet]. 2020 Oct 23;26(11):1733–42. Available from: https://academic.oup.com/ibdjournal/article/26/11/1733/5675351

McDonnell L, Gilkes A, Ashworth M, Rowland V, Harries TH, Armstrong D, et al. Association between antibiotics and gut microbiome dysbiosis in children: systematic review and meta-analysis. Gut Microbes [Internet]. 2021 Jan 1;13(1). Available from: https://www.tandfonline.com/doi/full/10.1080/19490976.2020.1870402

Ramirez J, Guarner F, Bustos Fernandez L, Maruy A, Sdepanian VL, Cohen H. Antibiotics as Major Disruptors of Gut Microbiota. Front Cell Infect Microbiol [Internet]. 2020 Nov 24;10. Available from: https://www.frontiersin.org/articles/10.3389/fcimb.2020.572912/full

Tramper?Stranders G, Ambro?ej D, Arcolaci A, Atanaskovic?Markovic M, Boccabella C, Bonini M, et al. Dangerous liaisons: Bacteria, antimicrobial therapies, and allergic diseases. Allergy [Internet]. 2021 Nov 27;76(11):3276–91. Available from: https://onlinelibrary.wiley.com/doi/10.1111/all.15046

Azad MB, Moossavi S, Owora A, Sepehri S. Early-Life Antibiotic Exposure, Gut Microbiota Development, and Predisposition to Obesity. In 2017. p. 67–80. Available from: https://karger.com/books/book/232/chapter/5159487

Principi N, Esposito S. Antibiotic administration and the development of obesity in children. Int J Antimicrob Agents [Internet]. 2016 Mar;47(3):171–7. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0924857916000133

Vangoitsenhoven R, Cresci GAM. Role of Microbiome and Antibiotics in Autoimmune Diseases. Nutr Clin Pract [Internet]. 2020 Jun 22;35(3):406–16. Available from: https://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/ncp.10489

Alfayate Miguélez S, Garcia-Marcos L. Rational use of antimicrobials in the treatment of upper airway infections. J Pediatr (Rio J) [Internet]. 2020 Mar;96:111–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0021755719306497

Gibson GR, Hutkins R, Sanders ME, Prescott SL, Reimer RA, Salminen SJ, et al. Expert consensus document: The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of prebiotics. Nat Rev Gastroenterol Hepatol [Internet]. 2017 Aug 14;14(8):491–502. Available from: https://www.nature.com/articles/nrgastro.2017.75

Rallis D, Giapros V, Serbis A, Kosmeri C, Baltogianni M. Fighting Antimicrobial Resistance in Neonatal Intensive Care Units: Rational Use of Antibiotics in Neonatal Sepsis. Antibiotics [Internet]. 2023 Mar 3;12(3):508. Available from: https://www.mdpi.com/2079-6382/12/3/508

Queen J, Zhang J, Sears CL. Oral antibiotic use and chronic disease: long-term health impact beyond antimicrobial resistance and Clostridioides difficile. Gut Microbes [Internet]. 2020 Jul 3;11(4):1092–103. Available from: https://www.tandfonline.com/doi/full/10.1080/19490976.2019.1706425

Ortiz-Mejía PF, Peña-Cordero SJ, Salazar-Torres ZK. Disbiosis intestinal, obesidad y diabetes tipo 2. Una revisión de alcance. MQRInvestigar [Internet]. 2024 Jun 7;8(2):3649–76. Available from: https://www.investigarmqr.com/ojs/index.php/mqr/article/view/1425

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Publicado

2025-04-07

Cómo citar

Sarasti Espejo, J. J., Guayasamín Calispa, N. S., Bedoya Hidalgo, E. S. ., & Herrera Jaramillo, A. P. . (2025). Impact of antibiotic-induced dysbiosis in childhood: Effects on immunological development and the risk of chronic diseases such as asthma, allergies, and obesity. RECIMUNDO, 9(1), 1064–1077. https://doi.org/10.26820/recimundo/9.(1).enero.2025.1064-1077

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