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HIV/AIDS患者口腔菌群多样性和菌群分布特点分析

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目的 探讨HIV/AIDS患者和非HIV感染者口腔菌群多样性和菌群分布特征的差异.方法 纳入2023年1-12月佛山市顺德区第五人民医院和广州医科大学附属市八医院门诊或住院的HIV/AIDS患者和非HIV感染者,收集其非刺激性唾液样本,使用Illumina Hiseq2500平台(PE250模式)对唾液样本菌群的16S rDNA V3~4基因片段进行测序,并使用生物信息学进行口腔菌群多样性和口腔菌群的差异分析.结果 本研究共纳入30例HIV/AIDS患者(HIV感染组)和28非HIV感染者(非HIV感染组),两组的一般资料(年龄、性别、吸烟和饮酒的构成比)差异无统计学意义(P均>0.05).在门水平,HIV感染组Alpha多样性(Ace,Shannon和Simpson指数)显著高于非HIV感染组[16.0(9.0,19.3)vs.7.0(0.0,14.0),1.44(1.34,1.52)vs.1.36(1.28,1.40),0.28(0.25,0.33)vs.0.31(0.30,0.36),P均<0.05];在属水平,HIV感染组 Alpha多样性也显著高于非 HIV感染组[108.0(61.0,167.0)vs.61.0(55.0,93.0),2.52(2.34,2.65)vs.2.35(2.24,2.46),0.14(0.11,0.17)vs.0.16(0.15,0.21),P均<0.05].在门水平相对丰度前 10的菌群中,拟杆菌门(Bacteroidota)、弯曲杆菌门(Campilobacterota)、蓝细菌门(Cyanobacteria)、酸杆菌门(Acidobacteriota)和绿弯菌门(Chloroflexi)在HIV感染组的丰度显著高于非HIV感染组(P均<0.05),但厚壁菌门(Firmicutes)在HIV感染组的丰度显著低于非H1V感染组(P=0.015).在属水平相对丰度前15的菌群中,链球菌属(Streptococcus)、罗斯菌(Rothia)和孪生球菌属(Gemella)在HIV感染组显著低于非H1V感染组(P均<0.05),但普雷沃菌属(Prevotella)、卟啉菌属(Porphy-romonas)、韦荣球菌属(Veillonella)和拟普雷沃菌属(Alloprevotella)在 HIV感染组显著高于非HIV感染组(P均<0.05).结论 HIV/AIDS患者口腔菌群多样性高于非HIV感染组,HIV感染可能导致口腔菌群失调.
Diversity and distribution characteristics of oral microbiota in HIV/AIDS patients
Objectives To investigate and compare the diversity and distribution characteristics of oral microbiota between HIV/AIDS patients and non-HIV-infected controls.Methods HIV/AIDS inpatients/outpatients and non-HIV-infected controls from The Fifth People's Hospital of Shunde District,Foshan City and Guangzhou Eighth People's Hospital,Guangzhou Medical University,were enrolled between January and December 2023.Unstimulated saliva samples were collected.The 16S V3-4 rDNA region of the saliva microbiome was sequenced using the Illumina Hiseq2500 Platform(PE250 model).Bioinformatic analysis was conducted to assess species diversity and discrepancy.Results Thirty HIV/AIDS patients(HIV-infected group)and 28 non-HIV infected controls(non-HIV-infected group)were included.Age,sex,the ratio of smoking and drinking,and average sequencing data were not significantly between the two groups(P>0.05).At phylum level,the HIV-infected group had significantly higher Alpha diversity(Ace,Shannon,and Simpson indices)than the non-HIV-infected group[16.0(9.0,19.3)vs.7.0(0.0,14.0),1.44(1.34,1.52)vs.1.36(1.28,1.40),0.28(0.25,0.33)vs.0.31(0.30,0.36);P all<0.05].At genus level,the HIV-infected group also had significantly higher Alpha diversity than the non-HIV-infected group[108.0(61.0,167.0)vs.61.0(55.0,93.0),2.52(2.34,2.65)vs.2.35(2.24,2.46),0.14(0.11,0.17)vs.0.16(0.15,0.21);P all<0.05].Among the top 10 phylum-level microbiome population,compare to the non-HIV-infected group,relative abundances of Bacteroidota,Campilobacterota,Cyanobacteria,Acidobacteriota,and Chloroflexi were significantly higher in the HIV-infected group(P<0.05),whereas Firmicutes were significantly lower(P=0.015).Among the top 15 genus-level microbiome microorganisms,compare to the non-HIV-infected group,relative abundances of Prevotella,Porphyromonas,Veillonella,and Alloprevotella were significantly higher in the HIV-infected group(P<0.05),whereas Streptococcus,Rothia,and Gemella numbers were significantly lower(P<0.05).Conclusions Diversity of the saliva microbiome was significantly higher in HIV/AIDS patients,suggesting that HIV infection may lead to an imbalance in the oral microbiome.

HIVoral bacteriabacterial diversity

梁淑珍、梁晓婷、邱玖香、邓浩辉

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佛山市顺德区第五人民医院(佛山市顺德区龙江医院)口腔科,广东佛山 528300

佛山市顺德区第五人民医院(佛山市顺德区龙江医院)感染科,广东佛山 528300

广州医科大学附属市八医院检验科,广州 510060

艾滋病病毒 口腔菌群 菌群多样性

佛山市卫生健康局医学科研项目佛山市卫生健康局医学科研项目广州市科技局市校(院)联合资助项目

20230213202400642024A03J0885

2024

中国艾滋病性病
中国性病艾滋病防治协会

中国艾滋病性病

CSTPCD北大核心
影响因子:1.292
ISSN:1672-5662
年,卷(期):2024.30(3)
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