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感染性腹泻患者肠道菌群失衡特征分析

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目的 研究不同病原体感染造成的感染性腹泻患者肠道菌群失衡特征,以及拟杆菌属在维持肠道内环境稳态中的作用,为后续感染性腹泻的治疗提供新思路。方法 采用三代全长16S rRNA扩增子方法,测定由病毒和细菌等病原感染引起的腹泻患者肠道菌群,同时与健康人群肠道进行对比分析。按照单一细菌感染、单一病毒感染、混合感染以及艰难梭菌感染等对腹泻患者进行分组和分析。结果 拟杆菌在健康人群肠道环境中占据绝对的数量和丰度水平,而感染性腹泻患者的拟杆菌门/纲/目/科/属等各分类水平的相对丰度均有下降。α多样性分析结果显示不同组别之间无统计学差异;β多样性中,NMDS和PCoA分析显示健康对照组与感染性腹泻各组中形成了明显的不同聚类群。健康人群肠道菌群的多样性水平高于各感染性腹泻组。物种差异分析表明,由不同病原体感染造成的感染性腹泻患者具有各自不同的优势肠道菌群。单一病毒感染之后以双歧杆菌属作为其优势菌群;单一细菌感染之后以链球菌属为优势菌群;混合感染组中以拉氏梭菌属为优势菌群。艰难梭菌感染组中的埃希菌属和克雷伯菌属是该组中的优势菌群。同时,健康人群肠道中的优势菌群是拟杆菌属。COG功能预测结果显示,健康对照组与各感染组形成了明显不同的聚类群。感染性腹泻各组中的防御机制功能、细胞壁合成、蛋白修饰、细胞分化以及复制和重组等功能均明显降低。结论 由不同病原感染造成的感染性腹泻患者出现不同程度的菌群失调特征,肠道菌群的多样性降低,并出现各自的优势菌群。同时,拟杆菌属在维持人体肠道内环境稳态中具有关键作用,为后续感染性腹泻的治疗和研究等领域提供了新的思路。
Characteristics of gut microbiota dysbiosis in patients with infectious diarrhea
This study investigated the characteristics of gut microbiota imbalance in patients with infectious diarrhea caused by various pathogenic infections,and the role of Bacteroides in maintaining homeostasis in the intestinal environment.The gut microbiota in patients with diarrhea caused by pathogenic infections,such as viral and bacterial infections,was determined through full-length 16S rRNA amplicon sequencing.Patients with diarrhea were grouped and analyzed according to the presence of single bacterial infection,single viral infection,mixed infection,or Clostridioides difficile infection.Bacteroides had the highest absolute number and relative abundance in the gut microbiota in healthy people,whereas patients with infectious diar-rhea showed lower relative abundance of Bacteroides at each phylum/order/family/genus taxonomic level.Alpha diversity anal-ysis indicated no significant differences among groups.NMDS and PCoA indicated formation of distinct clusters in the control group compared with the different infectious diarrhea groups.The diversity of the gut microbiota was higher in the control group than the infectious diarrhea groups.Patients with infec-tious diarrhea caused by different pathogens showed differing predominant gut microbiota.Bifidobacterium predominated in the single viral infection group,Streptococcus predominated in the single bacterial infection group,and Lachnoclostridium predominated in the mixed infection group.Escherichia and Klebsiella were the major gut microbiota in the C.difficile infection group.Meanwhile,the dominant gut microbiota in the healthy population was Bacteroides.COG function prediction revealed that the healthy control group formed a distinct cluster from the different infection groups.The functions of defense mechanisms,cell wall synthesis,protein modification,cellular differentiation,and replication and recombination were signifi-cantly diminished in all infectious diarrhea groups.In general,patients with infectious diarrhea caused by different pathogens showed dysbiosis,with diminished gut microbiota diversity and the emergence of related biomarkers.Our findings indicated that Bacteroides has a key role in maintaining the homeostasis of the human intestinal environment,thus providing new ideas for the subsequent treatment of infectious diarrhea and research in other fields.

infectious diarrheagut microbiotaBacteroides

古文鹏、吕迪、周晓芳、贾森泉、赵晓南、张勇、周永明、尹建雯、黄莉、伏晓庆

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云南省疾病预防控制中心急性传染病防制所,昆明 650022

昆明医科大学公共卫生学院,昆明 650500

感染性腹泻 肠道菌群 拟杆菌属

国家自然科学基金云南省基础研究计划项目

82360398202301AT070160

2024

中国人兽共患病学报
中国微生物学会

中国人兽共患病学报

CSTPCD北大核心
影响因子:0.814
ISSN:1002-2694
年,卷(期):2024.40(5)