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Microbiology

FOCUS

significant changes just from interacting

with soil. While children from the natureoriented

daycares had much higher

microbial diversity initially, the microbial

diversity of children in the intervention

group increased to nearly comparable levels

by the end of the twenty-eight-day period.

Notably, the relative abundance of bacteria

associated with IBD decreased, while the

diversity of bacteria known to help maintain

the lining of our intestines increased.

These shifts in bacterial communities then

initiated significant downstream effects on

the children’s immune systems. While we

are far from understanding the complete

web of interactions that comprise an

immune system, there are a few key markers

that point towards the overall state of one’s

immunological health. For instance, they

tracked the frequency of autoimmune disease

preventing regulatory T cells in children.

Additionally, the researchers investigated

the proportion of the anti-inflammatory

interleukin-10 (IL-10) to the inflammatory

interleukin-17 (IL-17) as well as the amount

of anti-inflammatory cytokine Transforming

growth factor-Beta1 (TGF-β1). In general,

all three of these signaling molecules bind to

different receptors on immune cells which,

in turn, provokes the cells to produce either

pro- or anti- inflammatory proteins.

By the end of the study, children in

the intervention group presented higher

IL-10 to IL-17A ratios, increased levels

www.yalescientific.org

of TGF-β1, and higher frequencies of

regulatory T cells—all signs of a less proinflammatory

immune system. Thus, it

seems that just as the children in daycare

centers were learning how to interact

with others and navigate the world,

their immune systems were receiving an

education of their own. This intervention

study sheds light on the crucial link

between our health and our environment,

providing a glimpse of a future where

deliberate steps could be taken to create

and curate healthy immune systems.

Additionally, in a parallel study focusing

on the qualitative effects of the natural

intervention at daycares, researchers at the

University of Helsinki found that children’s

motivation to learn, activity levels, and

overall well-being also increased.

While millions of dollars have been

justly awarded to fund research seeking to

treat inflammatory diseases that arise from

microbial dysbiosis, recent results have

started to point to possibly inexpensive

and easy ways to prevent such diseases

from occurring at all. For instance, in

another recent study, researchers at the

University of Helsinki designed a widespectrum

microbial inoculation mixture

that could reproduce the slow-growing

and elaborate agglomeration of ancient

microbes in forest soil. Engineered to leave

out any naturally occurring pathogens,

this inoculate could safely be integrated

into our urban soils and landscapes in

order to increase microbial diversity and

potentially mitigate the risk of immunemediated

diseases in urban populations.

Unfortunately, there are ideological

barriers to implementing such programs.

“People are afraid of microbes because

there are some bad microbes,” Posland

said. Intuitively, the thought of bacteria

conjures up ominous images of fuzzy

cylindroids infested with infectious

diseases. “Current legislation requires

that many products do not contain

microbes. Creating policy change

requires collaboration between many

organizations and that the decision

makers understand the science and value

of maintaining a healthy microbiome.

It’s a slow process to change the way

that things are currently done in urban

planning, green infrastructure and so

on, ” Sinkkonen said.

While we have made leaps and bounds

in our scientific understandings of

germs since the days of Louis Pasteur,

trying to conquer disease by completely

eradicating bacteria from our food,

living environments, and bodies may

no longer be the best course of action.

Recent research, coupled with the rise

of immunological disorders in Western

populations, has proven that health is

not always synonymous with sterility. It

seems that we have reached a point of

inflection where science and modern

technology should be used to understand

and reconnect us to—not separate us

from—nature. Perhaps the next era of

medicine and healthcare will engage a

more nuanced conversation with the

lifeforms that have evolved alongside us

for time immemorial, allowing us to step

towards a healthier world. ■

Roslund, M.I., Puhakka, R., Grönroos, M., Nurminen, N., Oikarinen, S., Gazali, A.M.,

Cinek, O., Kramná, L., Siter, N., Vari, H.K., Soininen, L., Parajuli, A., Rajaniemi, J.,

Kinnunen, T., Laitinen, O.H., Hyöty, H., Sinkkonen, A., 2020. Biodiversity intervention

enhances immune regulation and health-associated commensal microbiota among

daycare children. Science Advances.. https://doi.org/10.1126/sciadv.aba2578

December 2020 Yale Scientific Magazine 31

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