According to a new study led by NYU Langone Medical Center
researchers and involving more than 7,000 subjects, a bacteria that is known to
live in the human stomach may protect children from developing asthma.
Although bacterium helicobacter pylori, which has co-existed
with humans for at least 50,000 years, may also lead to peptic ulcers and
stomach cancer, kids between 3 and 13 years carrying it are nearly 59 percent
less likely to develop asthma.
The study appeared in the July 15 online issue of The
Journal of Infectious Diseases and suggests that absence of H. pylori “may be
one explanation for the increased risk of childhood asthma,” said Yu Chen,
Ph.D., assistant professor of epidemiology at New York University School of
Medicine and a co-author of the study.
“Among teens and children ages 3 to 19 years,” Chen added,
“carriers of H. pylori were 25 percent less likely to have asthma.”
Dr. Chen collaborated on the survey with Martin J. Blaser,
M.D., the Frederick H. King Professor of Internal Medicine, chair of the
department of medicine, and professor of microbiology at NYU Langone Medical
Center. Dr. Blaser has studied H. pylori for more than twenty years.
The results of the study are based on data gathered from
7,412 participants in the fourth National Health and Nutrition Survey (NHANES
IV) conducted from 1999 to 2000 by the National Center for Health Statistics.
The study revealed that only 5.4 percent of children born in
the 1990s carried the H. pylori bacterium.
"If you look at the people born in 1919, 60 percent are
positive. That's a huge change," Blaser said in a telephone interview, as Reuters
reports on its website. "I have referred to this as global warming of the
stomach."
The rates of asthma have increased as the bacterium was less
and less encountered in children. Twenty-three percent of the children aged 3
to 19 in the study had asthma.
H. pylori used to be almost universal in humans, the study
says, but it has been disappearing from developed countries over the past
century, probably due to increased antibiotic use, which destroys the bacteria,
and also cleaner water and homes. There is a hypothesis which considers humans
much more likely to develop allergic diseases because of a “too clean”
lifestyle. As the immune system doesn’t have enough work to do early in life,
it becomes hyper-responsive to inappropriate factors such as dust, instead.
The disappearance of the bacterium, Blaser says, is the
cause for the decline of ulcer disease and stomach cancer, but, unfortunately,
it is also the cause for the rise of asthma and diseases of the esophagus.
It has now remained to be studied whether Helicobacter
infections directly affect a tendency to asthma.
“It is possible to H. pylori is a marker for something, just
as blond hair is a marker for having been born in Scandinavia,” he said.
Researchers also believe that the bacteria might somehow
protect against asthma directly, perhaps by changing the body’s immune
response. If children do not encounter Helicobacter early on, it is possible
that their immune system does not learn to regulate a response to allergens.