Bacterial compositions and methods of use thereof for treatment of immune system disorders
Provided are compositions containing combinations of bacteria useful for the maintenance or restoration of a healthy microbiota in the gastrointestinal tract, or other niche of a mammalian subject, and methods for use thereof, in particular for the treatment, inhibition, or prevention of immune disorders such as allergies and asthma.
1. A method of identifying a bacterial composition useful for treating, preventing, or reducing the severity of an allergic effect, the method comprising:
a) subjecting a test subject or group of test subjects to an antibiotic treatment;
b) administering a bacterial test composition to the test subject or group of test subjects;
c) administering an allergen to the test subject or group of test subjects;
d) measuring an allergic effect in the test subject or group of test subjects;
e) comparing the allergic effect measured in the test subject or group of test subjects to an allergic effect measured in a corresponding control subject or group of control subjects; and
f) identifying the bacterial test composition as useful for treating, preventing or reducing the severity of an allergic effect if the allergic effect measured in the test subject or group of test subjects is less than the allergic effect measured in the corresponding control subject or group of control subjects.
2. The method of claim 1 , wherein the allergen is a food antigen.
3. The method of claim 1 , wherein the allergic effect is selected from the group consisting of plasma histamine level, serum antigen-specific IgE level, serum antigen-specific IgA level, serum antigen-specific IgG2a level, serum IL-1 beta (IL-1β) level, serum IL-1ra level, serum IL-2 level, serum IL-4 level, serum IL-5 level, serum IL-6 level, serum IL-7 level, serum IL-9 level, serum IL-10 level, serum IL-12 (p70) level, serum IL-13 level, serum IL-15 level, serum IL-17 level, interferon-gamma (IFN-γ) level, tumor necrosis factor-alpha (TNFα) level, tumor growth factor (TGF-β) level, Th17 cell activity, gut permeability and specific regulatory T cell infiltration into the small intestine and/or colon, or allergen-specific IgE production or airway hyperresponsiveness.
4. The method of claim 1 , wherein the test and control subjects are gnotobiotic subjects.
5. The method of claim 1 , wherein the bacteria test composition is administered at a concentration of 10 3 to 10 10 cfu/ml.
6. The method of claim 1 , wherein the antibiotic treatment comprises a 7 day treatment with 5 to 7 antibiotics selected from the group consisting of kanamycin, colistin, gentamycin, metronidazole, vancomycin, ampicillin, and ciprofloxacin.
7. The method of claim 1 , wherein the allergic effect is cytokine production.
8. The method of claim 7 , wherein the cytokine is selected from the group consisting of: interleukin-1 beta (IL-1β), IL-1ra, IL-2, IL-4, IL-5, IL-6, IL-7, IL-9, IL-10, IL-12 (p70), IL-13, IL-15, IL-17, interferon-gamma (IFN-γ), tumor necrosis factor-alpha (TNFα), and tumor growth factor (TGF-β).
9. The method of claim 1 , wherein the allergic effect is over production of IgE.
10. The method of claim 1 , wherein the allergic effect is associated with asthma.
11. The method of claim 1 , further comprising sensitizing the test and control subjects to peanut, soy, cow milk, or egg albumin.