Upper airway microbiome and asthma

The composition and function of upper airway microbiome influence asthma pathogenesis and the microbiome could play various roles depending on the age.

The composition of microbiota differs between young-adult and elderly, and it is different between asthmatics and non-asthmatics. Different bacteria are related to FEV 1%. Genes related to lysine degradation, N-glycan biosynthesis, caprolactam degradation, and PPAR signaling pathway, which could be related to the reduction of inflammation and degradation of air pollutants, are higher in non-asthmatics. Genes related to the pentose phosphate pathway, lipopolysaccharide biosynthesis, flagella assembly, and bacterial chemotaxis – which may all be related to increased inflammation and colonization of pathogenic bacteria – are higher in young-adult asthmatic patients. The functional genes of airway microbiome in elderly patients are not significantly different according to asthma morbidity.

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