首页|基于16S rRNA测序分析高尿酸血症及尿酸性肾病肠道菌群特征分析

基于16S rRNA测序分析高尿酸血症及尿酸性肾病肠道菌群特征分析

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目的 观察高尿酸血症(HUA)患者肠道微生物菌群的变化,分析HUA与肾脏损害的相关性。方法 选择2022年6月至2023年6月HUA患者20例(HUA组)及尿酸性肾病患者20例(HN组)。另选择同年龄段的健康者20例为健康对照组(NC组),采集粪便及血液样本,采用16S rRNA测序技术对粪便样本进行分析,血液样本测定肾功能等临床指标。结果 三组肠道菌群差异有统计学意义(P<0。05),HUA组与HN病组Alpha多样性分析及Beta多样性分析差异有统计学意义(P<0。05),菌群组成上,差异主要体现在酸杆菌门、疣菌门、硝化螺旋菌门、绿弯菌门、丹毒丝菌纲、芽孢杆菌纲、δ-变形菌纲、丹毒丝菌目、乳杆菌目、丹毒丝菌科。HUA及HN患者与尿酸值、血肌酐、尿素氮、肾小球滤过率(eGFR)存在相关性(P<0。05)。结论 HUA、尿酸性肾病患者与健康人群相比存在菌群紊乱,而其各自又存在特有的肠道菌群特征。HUA及尿酸性肾病患者的肠道菌群与临床指标存在相关性。
Objective To observe the changes of intestinal microbiota in patients with hyperuricemia and analyze the correlation between hyperuricemia and renal damage.Methods This study collected 20 patients with hyperuricemia(HUA group)and 20 patients with uric acid nephropathy(HN group)who visited Tongde Hospital in Zhejiang Province from June 2022 to December 2022,as well as 20 healthy individuals of the same age group as the healthy control group(NC group).At the same time,their feces and blood samples were collected for analysis using 16S rRNA sequencing technology,and blood samples were used to measure clinical indicators such as kidney function.Results There were overall differences in intestinal flora among the three groups,among which there were significant differences in Alpha diversity analysis and Beta diversity analysis between the HUA group and the HN group.And in terms of microbial composition,the differences were mainly reflected in the phyla Acidobacteria,Verrucota,Nitrospira,Chlorobacterium,Erysiomycota,and Bacillus δ-Proteobacteria,Erythromida,Lactobacillus,Erythromida family.There was a correlation between patients with simple hyperuricemia and uric acid nephropathy and uric acid value,blood creatinine,urea nitrogen,and glomerular filtration rate(eGFR).Conclusion Compared with healthy individuals,individuals with hyperuricemia and uric acid nephropathy have dysbiosis in their gut microbiota,among which individuals with simple hyperuricemia and uric acid nephropathy each have unique gut microbiota characteristics.There is a correlation between gut microbiota and clinical indicators in patients with simple hyperuricemia and uric acid nephropathy.

Gut microbiotaHyperuricemiaUric acid nephropathy16S rRNAClinical indicators

黄小燕、戚晨云、冯晓霞、陈钦

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310053 浙江中医药大学第二临床医学院

310012 浙江省立同德医院

肠道菌群 高尿酸血症 尿酸性肾病 16S rRNA 临床指标

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(7)