Differences between rural and city inhabitants

  • May. 2022
  • Supported by
  • La Roche-Posay

33% of patients struggle with allergic reactions and 69% of them are affected by skin reactions1

Epidemiological research highlighted microbiome immunomodulatory function and diversity between rural and urban dwellers.

This population-based, cohort study was conducted in adjacent Karelia populations in Finland and Russia. The Karelia are a genetically similar people who were separated following WWII. Those living in Finland developed a Westernized lifestyle, whereas those on the Russian side retained their rural way of life.

The investigators analyzed self-reported allergy symptoms and sensitization to common allergies by serum IgE values.

The key findings highlighted different microbiota diversity between the two populations.


Urban population

Rural population

Poor microbiome diversity less abundant acinetobacter Higher microbiome diversity abundant acinetobacter
Low IL-10 expression and high IL-4 expression High IL-10 expression and low IL-4 expression

This translated into more positive skin tests and increased sensitization to birch pollen in the Finnish population.

 

 

1 Salah S et al. Prevalence of Skin Reactions and Self-Reported Allergies in 5 Countries with Their Social Impact Measured through Quality of Life Impairment. Int J Environ Res Public Health. 2021; 18(9):4501.
2 Haahtela T, Laatikainen T, Alenius H, Auvinen P, Fyhrquist N, Hanski I, von Hertzen L, Jousilahti P, Kosunen TU, Markelova O, Mäkelä MJ, Pantelejev V, Uhanov M, Zilber E, Vartiainen E. Hunt for the origin of allergy - comparing the Finnish and Russian Karelia. Clin Exp Allergy. 2015 May;45(5):891-901. doi: 10.1111/cea.12527. PMID: 25772429.