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阻塞性睡眠呼吸障碍患儿咽部微生物变化特征

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目的:通过研究阻塞性睡眠呼吸障碍(OSA)患儿咽部微生物特征改变,从微生物学的角度探索OSA可能的发病机制,为临床预防及诊治提供新的思路.方法:随机抽取符合OSA诊断的患儿20例作为OSA组,不符合OSA诊断的患儿20例作为对照组,收集2组患儿的咽拭子,采用16SrDNA高通量测序法分析2组咽部微生物组成差异.结果:a-多样性比较提示OSA组的Chao1和Observe-Otus指数明显低于对照组,且2组的β-多样性比较有明显差异及聚类现象.生物组成分析提示,与对照组比较,OSA组变形菌门(嗜血杆菌属)相对丰度显著升高,厚壁菌门(韦氏球菌属)以及拟杆菌门(普雷沃氏菌属-7及普雷沃氏菌属)相对丰度显著下降.结论:OSA患儿咽部微生物组成丰富度明显降低且菌种组成比例明显发生改变,这一改变为儿童OSA发病机制的探索提供了新的思路.
The characteristics of pharyngea microbiological in children with obstructive sleep apnea
Objective:This study aimed to explore the possible pathogenesis of OSA from the perspective of microbiology by evaluate the change in pharyngeal microbiome of OSA children,and provide new ideas for clinical prevention,diagnosis and treatment.Methods:Randomly enrolled 20 children with OSA as OSA group and 20 children without OSA as control group.The swallow swab of each children been collected.Using 16srDNA se-quencing to investigate the characteristics of pharyngeal microbiome.Results:The α-diversity showed that the Chao1and Observe-Otus index has significantly increased in the OSA group,and the β-diversity was significantly different between the two groups.The relative abundance of Haemophilus(Proteobacteria)increased but that of Veillonella(member of Firmicutes)and Prevotella-7 and Prevotella(member of Bacteroidota)decreased in the OSA group compared to control group.Conclusion:The pharyngeal microbial richness are decreased significantly and composition are disrupted in children with OSA.This microbiome analysis provides a new understanding about the pathogenesis of OSA in children.

microbiomeobstructive sleep apneapharyngealchildren

朱苏徽、滕支盼

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南京医科大学附属南京医院急诊医学科(南京,210028)

南京医科大学附属儿童医院耳鼻咽喉科

微生物 睡眠呼吸暂停 咽部 儿童

2024

临床耳鼻咽喉头颈外科杂志
华中科技大学同济医学院附属协和医院

临床耳鼻咽喉头颈外科杂志

CSTPCD北大核心
影响因子:0.831
ISSN:1001-1781
年,卷(期):2024.38(12)