Exploring the Gut-Lung Connection in Pediatric Asthma: From Early Microbial Influences to Tailored Microbiome-Based Therapies—A Comprehensive Review - Summary - MDSpire

Exploring the Gut-Lung Connection in Pediatric Asthma: From Early Microbial Influences to Tailored Microbiome-Based Therapies—A Comprehensive Review

  • By

  • Miaojun Mo

  • Linlin Chen

  • Yi Wang

  • Xinyu Lin

  • Haiting Li

  • Binbin Chen

  • Junhui Yuan

  • Enfu Tao

  • April 22, 2026

  • 0 min

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Objective:

To synthesize evidence on the gut-lung axis and its critical role in childhood asthma pathogenesis, emphasizing early microbial influences and potential microbiome-based therapies.

Key Findings:
  • Dysbiosis leads to delayed microbial maturation and depletion of beneficial taxa, compromising immune homeostasis and increasing asthma risk.
  • Microbial metabolites, especially short-chain fatty acids and tryptophan derivatives, regulate immune responses and airway inflammation, suggesting therapeutic targets.
  • Microbial signatures correlate with specific asthma endotypes, enabling patient stratification and tailored treatment approaches.
Interpretation:

The gut-lung axis is crucial for understanding asthma's development, underscoring the need for targeted interventions based on microbial health to improve patient outcomes.

Limitations:
  • Need for rigorous clinical trials to validate microbiome-targeted interventions, including specific designs for different asthma endotypes.
  • Complexity of asthma heterogeneity complicates treatment strategies, necessitating personalized approaches.
Conclusion:

Integrating microbiome insights with clinical practices can enhance prevention and treatment of asthma in children, promoting personalized medicine approaches and addressing urgent healthcare needs.

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