RT Journal Article T1 Microbiota and Derived Parameters in Fecal Samples of Infants with Non-IgE Cow’s Milk Protein Allergy under a Restricted Diet A1 Díaz, María A1 Guadamuro, Lucía A1 Espinosa Martos, Irene A1 Mancabelli, Leonardo A1 Jiménez, Santiago A1 Molinos-Norniella, Cristina A1 Pérez-Solis, David A1 Milani, Christian A1 Rodríguez Gómez, Juan Miguel A1 Ventura, Marco A1 Bousoño, Carlos A1 Gueimonde, Miguel A1 Margolles, Abelardo A1 Díaz, Juan A1 Delgado, Susana AB Cow’s milk protein allergy (CMPA) is the most common food allergy in infancy. Non-IgE mediated (NIM) forms are little studied and the responsible mechanisms of tolerance acquisition remain obscure. Our aim was to study the intestinal microbiota and related parameters in the fecal samples of infants with NIM-CMPA, to establish potential links between type of formula substitutes, microbiota, and desensitization. Seventeen infants between one and two years old, diagnosed with NIM-CMPA, were recruited. They were all on an exclusion diet for six months, consuming different therapeutic protein hydrolysates. After this period, stool samples were obtained and tolerance development was evaluated by oral challenges. A control group of 10 age-matched healthy infants on an unrestricted diet were included in the study. Microbiota composition, short-chain fatty acids, calprotectin, and transforming growth factor (TGF)-β1 levels were determined in fecal samples from both groups. Infants with NIM-CMPA that consumed vegetable protein-based formulas presented microbiota colonization patterns different from those fed with an extensively hydrolyzed formula. Differences in microbiota composition and fecal parameters between NIM-CMPA and healthy infants were observed. Non-allergic infants showed a significantly higher proportion of Bacteroides compared to infants with NIM-CMPA. The type of protein hydrolysate was found to determine gut microbiota colonization and influence food allergy resolution in NIM-CMPA cases. PB MDPI SN 2072-6643 YR 2018 FD 2018-10-11 LK https://hdl.handle.net/20.500.14352/12529 UL https://hdl.handle.net/20.500.14352/12529 LA eng NO Instituto Danone DS Docta Complutense RD 11 abr 2025