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早期食管癌患者口腔菌群的研究

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目的 分析早期食管癌患者与健康人群口腔唾液菌群的构成及差异,探讨早期食管癌的发生与口腔唾液菌群的关系,以期为早期食管癌的筛查提供潜在标志物。方法 收集2018年1月至2019年1月39例早期食管癌患者(早期食管癌组)和51名健康人群(健康对照组)的唾液标本,提取总DNA,采取Illumina测序实验流程,将测序数据进行可操作分类单元(OTU)聚类、物种组成分析、多样性分析及物种差异分析。结果 两组唾液标本共获得 3 012 385 条序列,平均有效序列数为 33 471,其中早期食管癌组聚类OTU为(378±48),健康对照组聚类OTU为(345±53)。物种分析表明,两组唾液菌群的菌落构成基本相同,多样性差异小,但相对丰度不同。与健康对照组相比,早期食管癌组门水平上的厚壁菌门、拟杆菌门及梭杆菌门丰度比例升高,而变形菌门比例明显降低;属水平上的普雷沃菌属、链球菌属、韦荣氏球菌属丰度比例升高,而奈瑟菌属比例明显降低。早期食管癌组和健康对照组的Shannon和Simpson指数无显著差异(P>0。05)。结论 相较于健康对照组,早期食管癌组唾液中的厚壁菌门、拟杆菌门及梭杆菌门的菌群丰度相对升高,而变形菌门、奈瑟菌属的菌群丰度相对减少,推测口腔唾液菌群失衡与早期食管癌发病可能存在一定关系。
Study on oral flora in patients with early esophageal cancer
Objective To analyze the composition and difference of oral salivary flora between patients with early esophageal cancer and healthy people,and to explore the relationship between the occurrence of early esophageal cancer and oral salivary flora,so as to provide potential markers for the screening of early esophageal cancer.Methods The saliva samples of 39 patients with early esophageal cancer(early esophageal cancer group)and 51 healthy people(healthy control group)were collected from January 2018 to January 2019.The total DNA was extracted and the Illumina sequencing experiment process was adopted.The sequencing data were subjected to operational taxonomic units(OTU)clustering,species composition analysis,diversity analysis and species difference analysis.Results A total of 3 012 385 sequences were obtained from the two groups of saliva samples,and the average effective sequence number was 33 471.The cluster OTU of the early esophageal cancer group was(378±48),and the cluster OTU of the healthy control group was(345±53).Species analysis showed that,the colony composition of the two groups of saliva flora was basically the same,and the diversity difference was small,but the relative abundance was different.Compared with the healthy control group,the abundance ratios of Firmicutes,Bacteroidetes and Fusobacteria at the phylum level in the early esophageal cancer group increased,while the proportion of Proteobacteria decreased significantly.The abundance ratios of Pre votella,Streptococcus and V eillonella at the genus level increased,while the proportion of Neisseria decreased significantly.There was no significant difference in Shannon and Simpson index between the early esophageal cancer group and the healthy control group(P>0.05).Conclusion Compared with the healthy control group,the abundance of Firmicutes,Bacteroidetes and Fusobacteria in the saliva of the early esophageal cancer group was relatively increased,while the abundance of Proteobacteria and Neisseria was relatively reduced.It is speculated that there may be a certain relationship between the imbalance of oral saliva flora and the incidence of early esophageal cancer.

oral floraearly esophageal cancerhigh throughput sequencing

杨甜、赵巧飞、张瑜

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洛阳市中心医院消化内科,河南 洛阳,471000

口腔菌群 早期食管癌 高通量测序

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(13)
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