Antibiotics linked to huge rise in allergies
http://www.newscientist.com/news/news.jsp?id=ns99995047

NewScientist.com news service

The increasing use of antibiotics to treat disease may be responsible
for 
the rising rates of asthma and allergies. By upsetting the body's normal 
balance of gut microbes, antibiotics may prevent our immune system from 
distinguishing between harmless chemicals and real attacks.

"The microbial gut flora is an arm of the immune system," says Gary 
Huffnagle at the University of Michigan in Ann Arbour. His research
group 
has provided the first experimental evidence in mice that upsetting the
gut 
flora can provoke an allergic response.

Asthma has increased by around 160 per cent globally in the last 20
years. 
Currently about a quarter of schoolchildren in the US and a third of
those 
in the UK have the condition, but pinning down the causes of the rise
has 
proved difficult. Some researchers have blamed modern dust-free homes,
while 
others have pointed to diet.

Antibiotics have been implicated by some epidemiological studies. For 
example, the rise in allergies and asthma has tracked widespread
antibiotic 
use. Furthermore, research in Berlin, Germany, has found that both 
antibiotic treatment and asthma were low in the east compared to the
west 
when the wall came down.

As antibiotic use has increased in the east though, so has asthma. This 
study is particularly valuable because the politically divided
populations 
were genetically very similar and enjoyed much the same menu.

Now Huffnagle has presented experimental evidence to back up the case.
His 
team gave mice a course of antibiotics before feeding some of them with
a 
yeast which is commonly found on human skin.

With the natural gut bacteria suppressed by the drugs, the yeast became 
established in the mouse, with no side effects. Over the course of the 
following two weeks, the researchers treated all the mice with spores
from a 
common fungus. Again, this does not cause disease, but fungal spores can 
trigger allergies in people.

The mice whose gut flora had been manipulated, experienced a much higher 
immune response to the spores, suggesting that changes to the collection
of 
microbes in people's guts following antibiotic treatment might also make
us 
more susceptible to allergies. "Suddenly, your ability to ignore a mould 
spore has gone," Huffnagle told New Scientist.

The team has repeated the experiments with a second strain of mice to
show 
that the effect is not dependent on a particular set of mouse genes.
They 
have also used a different molecule to produce the allergic response -
an 
egg protein from chickens called ovalbumin that is commonly used in
allergy 
research.

In this case, when the team looked at the animals' lung linings under a 
microscope the effect of the over-active immune response was striking. 
"Their lungs are shredded, absolutely shredded. I'm sure they can't
breath," 
says Huffnagle.

He speculates that our gut bacteria are somehow involved in training the 
immune system to ignore harmless molecules that wind up in our stomach. 
Precisely how they do this is a mystery though.

"He's on to a very special track," says Juneann Murphy an expert in
stomach 
bacteria at the University of Oklahoma in Oklahoma City. "No one else
has 
been able to make the connections before."

She says the findings reinforce the message that antibiotics should be
used 
only when absolutely necessary. She also suggests that patients who have 
just finished antibiotic treatment should also receive "probiotic"
tablets 
containing "good" gut bacteria.

Eating foods such as raw fruit and vegetables also helps to restore the 
natural balance in our guts. "Once you are done with the antibiotics you
are 
not finished," adds Huffnagle. "You need to recover from the treatment 
itself."

The research was presented at the American Society for Microbiology
general 
meeting in New Orleans on Wednesday.


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