Table 1.
Disease | Description | Diet of Allergic Infants | Microbial Communities (Genomics) |
Metabolites (Metabolomics) |
Reference |
---|---|---|---|---|---|
Non-IgE-mediated CMA | Allergic vs. healthy children | No dietary restriction (collection at diagnosis) | ↑ Phylum Bacteroidetes ↑ Genera Bacteroides, Alistipes, and Sarcina |
↓ Fecal butyrate | Berni Canani et al. [63] |
Non-IgE-mediated CMA | Allergic vs. healthy infants (unrestricted conventional diet) | Milk exclusion diet for six months:
|
EHF, SPBF & HRF: ↑ Families Lachnospiraceae and Coriobacteriaceae ↓ Genus Bacteroides HRF: ↓ Genus Bifidobacteria |
↑ Isobutyric and isovaleric acids = Acetic, propionic, and butyric acids | Díaz et al. [72] |
Non-IgE-mediated CMA | Allergic with test formula vs. allergic with control formula vs. HBI at week 8 | Amino acid-based formula for 8 weeks:
|
Bifidobacteria: HBI > test formula > control formula Eubacterium rectale/Clostridium coccoides: HBI < test formula < control formula |
- | Candy et al. [73] |
Non-IgE-mediated CMA | Allergic with test formula vs. allergic with control formula at week 26 | Formula for 26 weeks:
|
Bifidobacteria: test formula > control formula Eubacterium rectale/Clostridium coccoides: test formula < control formula |
- | Fox et al. [74] |
Non-IgE-mediated CMA | Allergic with test formula vs. allergic with control formula vs. HBI | Amino acid-based formula:
|
Test vs. control: ↑ Species of Bifidobacterium and Veillonella families ↓ Species of Lachnospiraceae family and Ruminococcus and Alistipes genera HBI vs. test formula: ≈ Bifidobacterium spp. and Lachnospiraceae spp. |
Test vs. control: ↑ L-lactate ↓ Valeric and isobutyric acids = Acetate, propionate, butyrate, iso-valerate, and D-lactate |
Wopereis et al. [75] |
Non-IgE-mediated CMA | Allergic children before and after milk challenges | Hypoallergenic hydrolyzed formulas | ↑ Lactic acid bacteria (genus Lactobacillus) ↓ Bacterial groups of Lachnospiraceae and Ruminococcaceae families |
↑ Skatole ↓ p-cresol and BCFAs = Acetic, propionic, and butyric acids |
Guadamuro et al. [76] |
Gastrointestinal disorders | Colic vs. non-IgE-mediated CMA vs. proctocolitis vs. healthy controls | Exclusive breastfeeding |
Fecal microbiota in non-IgE-mediated CMA: ↑ Families Eggerthellaceae, Lachnospiraceae, and Peptostreptococcaceae ↑ Genera Intestinibacter (more increased in proctocolitis) and Rothia↓ Genera Erysipelatoclostridium (higher in controls) and Bifidobacterium Breast milk: ↑ Family Eggerthellaceae in non-IgE-mediated CMA ↑ Family Prolixibacteraceae in proctocolitis |
- | Aparicio et al. [77] |
Footnote. CMA: cow’s milk allergy; EHF: extensively hydrolyzed formula; SPBF: soy protein-based formula; HRF: hydrolyzed rice formula; HBI: healthy breastfed infants; AAF: amino acid-based formula; CMF: cow’s milk formula; BCFAs: branched-chain fatty acids. Arrow ↑ stands for increased levels of microbial communities and/or metabolites. Arrow ↓ stands for decreased levels of microbial communities and/or metabolites.