现代消化及介入诊疗2024,Vol.29Issue(5) :528-533.DOI:10.3969/j.issn.1672-2159.2024.05.004

两种儿童常见腹泻病毒感染的肠道菌群特征研究

Microbial characteristics of two common viral infections in children with intestinal diarrhea

黎卓华 李文丹 范宏英
现代消化及介入诊疗2024,Vol.29Issue(5) :528-533.DOI:10.3969/j.issn.1672-2159.2024.05.004

两种儿童常见腹泻病毒感染的肠道菌群特征研究

Microbial characteristics of two common viral infections in children with intestinal diarrhea

黎卓华 1李文丹 2范宏英2
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作者信息

  • 1. 510515 南方医科大学公共卫生学院微生物系;529700 广东省鹤山市人民医院检验科
  • 2. 510515 南方医科大学公共卫生学院微生物系
  • 折叠

摘要

目的 研究轮状病毒和腺病毒感染幼龄儿童肠道菌群的分布特征,为治疗及改善预后提供新思路.方法 收集临床诊断为急性腹泻的幼龄儿童粪便标本22例,其中确诊为轮状病毒感染者12例,腺病毒感染者10例,并选择同期健康体检儿童粪便标本12例作为对照,采用16S rDNA靶向扩增检测三组幼龄儿童肠道微生物的多样性和组成结构,分析其菌群结构、丰度及差异.结果 三组人群肠道菌群的Alpha多样性和Beta多样性均存在显著差异.属水平上,健康对照组、轮状病毒组和腺病毒组丰度最高的分别为拟杆菌属、埃希氏菌属/志贺氏菌属和双歧杆菌属.LEfSe差异性分析显示,与健康对照组相比,轮状病毒组中双歧杆菌属、阿克曼氏菌属、瘤胃球菌属、优杆菌属等益生菌丰度显著降低,但革兰阴性菌如埃希氏菌属/志贺氏菌属丰度增高;腺病毒组中丹毒梭菌属、葡萄球菌属等条件致病菌丰度显著增高,而优杆菌属等较低,双歧杆菌相比对照组没有减少.结论 轮状病毒和腺病毒感染均导致了幼龄儿童肠道菌群失调,但其感染后体内菌群种类和分布存在显著差异,提示两种病毒引起的腹泻,治疗中益生菌的服用和选择存在差异.

Abstract

Objective To study the distribution characteristics of gut microbiota in young children infected with rotavirus and adenovirus,providing new ideas for treatment and improving prognosis.Methods Fecal samples of 22 young children clinically diagnosed with acute diarrhea were collected,including 12 confirmed cases of rotavirus infection and 10 adenovirus infections,and 12 fecal samples of healthy children during the same period were collected as controls.Using 16S rDNA targeted amplification to detect the diversity and composition structure of gut microbiota in three groups of young children,analyzing their microbial community structure,abundance,and differences.Results There were significant differences in the alpha and beta diversity analyses of the gut microbiota among the three groups of observing objects.At the family level,the healthy control group and adenovirus group were mainly dominated by the Trichospiridae family,while the rotavirus group is mainly dominated by the Enterobacteriaceae family;At the genus level,the healthy control group,rotavirus group,and adenovirus group have the highest abundance of Bacteroides,Escherichia/Shigella,and Bifidobacterium,respectively;LEfSe differential analysis showed that compared with the healthy control group,the abundance of probiotics such as Bifidobacterium,Ackermann's bacteria,Ruminococcus,and Eubacterium in the rotavirus group was significantly reduced,but the abundance of Gram negative bacteria such as Escherichia/Shigella was increased;The abundance of conditional pathogenic bacteria such as Clostridium and Staphylococcus in the adenovirus group was significantly increased,while the abundance of Bacillus was lowered,and Bifidobacterium did not decrease compared to the control group.Conclusion Both rotavirus and adenovirus infections cause dysbiosis of the gut microbiota in young children,and there are significant differences in the types and distribution of microbiota in their bodies after infection,indicating differences in the use and selection of probiotics in the treatment of diarrhea caused by the two viruses.

关键词

轮状病毒/腺病毒/肠道菌群/16S/rDNA测序

Key words

Rotavirus/Adenovirus/Intestinal microbiota/16s rDNA sequencing

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基金项目

广东省重点领域研发计划(2022B1111060006)

出版年

2024
现代消化及介入诊疗
广东省医学学术交流中心

现代消化及介入诊疗

CSTPCD
影响因子:1.019
ISSN:1672-2159
参考文献量20
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