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Amniotic fluid and vaginal microbiota in pregnant women with gestational diabetes mellitus by metagenomics 宏基因组学研究妊娠期糖尿病孕妇羊水和阴道微生物群
Q2 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.medmic.2022.100074
Wanting Zheng , Yuxin Huang , Dianjie Li , Dongmei Hu , Chunzhu Jin , Alena Sadykova , Wei Cai , Can Liao , Shilei Pan

Aims

To compared the amniotic fluid and vaginal microbiota of pregnant women, who developed gestational diabetes mellitus to those who did not, and explored if any differences exist in the composition and functional genes of their amniotic fluid and vaginal microbiota.

Methods

We compared the amniotic fluid and vaginal microbiota of five GDM patients and five non-GDM pregnant women in the third trimester of pregnancy by using metagenomics, and analyzed the characteristics, functions, and differences between two groups.

Results

The analysis of the amniotic fluid showed significant differences in genus and species. In contrast, there was no significant difference in vaginal microbial community structure between two groups. The alpha diversity in the GDM group was higher than the control, but the difference was not statistically significant. There was a statistically significant difference in the species-level beta-diversity measured by Bray–Curtis distance of the amniotic fluid communities between two groups, while no significant differences were observed in the vaginal microbiota. Regarding the functions, we observed that the microbial communities of the amniotic fluid and vaginal secretions were involved in the regulation of a variety of host metabolic pathways, including carbohydrate metabolism, membrane transport, energy, amino acid metabolism, nucleotide metabolism, etc. No significant differences were observed between two groups, but different sites exist.

Conclusion

The amniotic fluid of this study was discovered to have a heterogeneous, albeit small in number, community of microorganisms.Our research suggests that gestational diabetes has a very limited impact on the amniotic fluid and vaginal microbiome. The composition and the functions of the microbiota at different sites are different.

目的比较患有妊娠期糖尿病和未患妊娠期糖尿病的孕妇的羊水和阴道微生物群,并探讨羊水和阴道菌群的组成和功能基因是否存在差异。方法应用宏基因组学方法比较5例妊娠晚期GDM患者和5例非GDM孕妇的羊水和阴道微生物群,分析两组的特征、功能和差异。结果羊水分析显示,羊水在属和种之间存在显著差异。相反,两组之间阴道微生物群落结构没有显著差异。GDM组的α多样性高于对照组,但差异无统计学意义。通过羊水群落的Bray-Curtis距离测量,两组之间的物种水平β多样性存在统计学上的显著差异,而阴道微生物群没有观察到显著差异。关于功能,我们观察到羊水和阴道分泌物的微生物群落参与了多种宿主代谢途径的调节,包括碳水化合物代谢、膜转运、能量、氨基酸代谢、核苷酸代谢等。两组之间没有观察到显著差异,但存在不同的位点。结论本研究的羊水中发现了一个异质的微生物群落,尽管数量很少。我们的研究表明,妊娠期糖尿病对羊水和阴道微生物组的影响非常有限。不同部位的微生物群的组成和功能不同。
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引用次数: 1
First clinical case of VIM-1-producing Leclercia adecarboxylata: A case report and literature review VIM-1产生阿氏勒克莱尔的第一例临床病例报告及文献复习
Q2 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.medmic.2022.100075
Mohammed Abdullah Al Shuhoumi , Abdulrahman Al Mhrooqi , Azza Al Rashdi , Rajesh Kumar , Ahood Al Jabri , Amal Al Kalbani , Amina Al Jardani

Leclercia adecarboxylata is a recently acknowledged emerging pathogen. It is a member of the Enterobacterals family, formerly thought to be a member of the genus Escherichia. Isolation was reported from various animal and environmental specimens. However, it rarely causes infection in humans, and the true frequency is unknown or underestimated. Leclercia adecarboxylata showed an ascending resistance grade from pan-sensitive to Carbapenem-resistant due to its ability to produce and harbour hydrolysing enzymes that challenge daily clinical practices. In our report, the isolate was misidentified as Citrobacter koseri by Analytical Profile Index for Enterobacterals (API E), and as Pantoea species by Vitek 2 but confirmed by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and 16S ribosomal RNA analysis as Leclercia adecarboxylata. Conventional PCR revealed the presence of two populations of resistance genes, VIM-1 and OXA-48. Herein, a report of the first clinical emergence of Leclercia adecarboxylata producing VIM-1 in a rectal swab of a 63-year-old non-immunocompromised female with acute intracerebral haemorrhage.

阿氏勒克莱尔菌是一种新出现的病原体。它是肠杆菌科的一员,以前被认为是埃希氏菌属的一员。据报道,从各种动物和环境标本中进行了分离。然而,它很少在人类中引起感染,真实的频率是未知的或被低估的。阿氏勒克莱尔表现出从泛敏感到碳青霉烯抗性的抗性等级不断上升,因为它能够产生和携带水解酶,这对日常临床实践提出了挑战。在我们的报告中,该分离物被肠道杆菌分析图谱指数(API E)误认为柯塞里柠檬酸杆菌,被Vitek 2误认为泛菌属,但通过基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF MS)和16S核糖体RNA分析证实为阿德羧酸勒克莱尔菌。常规PCR显示存在两个抗性基因群体,VIM-1和OXA-48。本文报道了在一名63岁患有急性脑出血的非免疫功能低下女性的直肠拭子中首次出现能产生VIM-1的阿氏勒克莱尔。
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引用次数: 1
Inactivation of multiple human pathogens by Fathhome's dry sanitizer device: Rapid and eco-friendly ozone-based disinfection 通过Fathhome的干式消毒装置灭活多种人类病原体:快速、环保的臭氧消毒
Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.medmic.2022.100059
Ryan Kenneally , Quentin Lawrence , Ella Brydon , Kenneth H. Wan , Jian-Hua Mao , Subhash C. Verma , Amir Khazaieli , Susan E. Celniker , Antoine M. Snijders

SARS-CoV-2 spread rapidly, causing millions of deaths across the globe. As a result, demand for medical supplies and personal protective equipment (PPE) surged and supplies dwindled. Separate entirely, hospital-acquired infections have become commonplace and challenging to treat. To explore the potential of novel sterilization techniques, this study evaluated the disinfection efficacy of Fathhome's ozone-based, dry-sanitizing device by dose and time response. Inactivation of human pathogens was tested on non-porous (plastic) surfaces. 95.42–100% inactivation was observed across all types of vegetative microorganisms and 27.36% inactivation of bacterial endospores tested, with no residual ozone detectable after completion. These results strongly support the hypothesis that Fathhome's commercial implementation of gas-based disinfection is suitable for rapid decontamination of a wide variety of pathogens on PPE and other industrially relevant materials.

SARS-CoV-2迅速传播,在全球造成数百万人死亡。因此,对医疗用品和个人防护装备的需求激增,供应减少。完全独立的医院获得性感染已经变得司空见惯,而且很难治疗。为了探索新型灭菌技术的潜力,本研究通过剂量和时间响应来评估Fathhome的臭氧干式消毒装置的消毒效果。在无孔(塑料)表面上测试了人类病原体的失活。所有类型的营养微生物失活率为95.42-100%,细菌内生孢子失活率为27.36%,完成后未检测到残留臭氧。这些结果有力地支持了一种假设,即Fathhome的商业化气体消毒适用于PPE和其他工业相关材料上各种病原体的快速去污。
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引用次数: 2
Meta-analysis of metagenomics reveals the signatures of vaginal microbiome in preterm birth 元基因组学的荟萃分析揭示了早产阴道微生物组的特征
Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.medmic.2022.100065
Yingfang Huo, Qingru Jiang, Wenjing Zhao

Preterm birth (PTB) is the main cause of perinatal incidence rate and mortality worldwide and seriously threatens lives of newborns. In order to improve the understanding of PTB etiology, this study aimed to investigate associations between vaginal microbiome and PTB. We conducted an in-depth meta-analysis on publicly available shotgun metagenomics datasets of vaginal microbiome, including comparisons of microbial composition, metabolic pathways, biosynthetic gene clusters (BGCs), and virulence factors (VFs) between PTB and Healthy groups. Our results showed that 113 species existed in PTB group and 161 species in Healthy group, and their species compositions were significantly different. PTB group was associated with six species, namely Lactobacillus crispatus, Atopobium vaginae, Prevotella bivia, Neisseria subflava, Corynebacterium sp. HMSC078H07 and Capnocytophaga leadbetteri. Between the two groups exhibited 314 significantly different KEGG orthologys. The distribution of BGCs in PTB group were significantly different from that in Healthy group. The total amount of BGCs in PTB group was 95 and they were divided into 12 types, in Healthy group 300 BGCs into 16 types. We also obtained 7080 types of VF genes in PTB group, and 10,748 in Healthy group. The virulence gene with the highest proportion in both groups was ssrA. To conclude, this meta-analysis indicated that significant differences of microbial relative abundance were observed between PTB and Healthy groups. PTB group carried less total amount and types of BGCs, and less types of VFs than those in Healthy group, and PTB group showed significantly different metabolic pathways from Healthy group. We also provided new hypotheses related to vaginal microbiome and PTB.

早产是全世界围产期发病率和死亡率的主要原因,严重威胁着新生儿的生命。为了提高对PTB病因学的认识,本研究旨在探讨阴道微生物组与PTB的关系。我们对公开可用的阴道微生物组霰弹枪宏基因组学数据集进行了深入的荟萃分析,包括比较PTB组和健康组之间的微生物组成、代谢途径、生物合成基因簇(BGCs)和毒力因子(VFs)。结果表明,PTB组有113种,健康组有161种,物种组成差异显著。PTB组与crispatbacillus、Atopobium vaginae、provotella bivia、Neisseria subflava、Corynebacterium sp. HMSC078H07、Capnocytophaga leadbetteri 6种细菌相关。两组间存在314个显著不同的KEGG同源性。PTB组BGCs分布与健康组有显著性差异。PTB组BGCs总数为95个,分为12种类型,健康组BGCs总数为300个,分为16种类型。我们还在PTB组获得了7080个VF基因,在健康组获得了10748个VF基因。两组中占比最高的毒力基因均为ssrA。综上所述,本荟萃分析表明,PTB组和健康组之间的微生物相对丰度存在显著差异。PTB组BGCs总量、类型、VFs类型均少于健康组,代谢途径与健康组有显著差异。我们还提出了与阴道微生物组和PTB有关的新假设。
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引用次数: 3
Westlake Gut Project: A consortium of microbiome epidemiology for the gut microbiome and health research in China 西湖肠道项目:中国肠道微生物组与健康研究的微生物组流行病学联盟
Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.medmic.2022.100064
Wanglong Gou , Yu-ming Chen , An Pan , Huijun Wang , Ke Zhang , Xiong-Fei Pan , Yan He , Yuanqing Fu , Zengliang Jiang , Zelei Miao , Chang Su , Jiguo Zhang , Wensheng Hu , Fang-fang Zeng , Wenjun Ma , Guo Cheng , Yimin Zhu , Hongwei Zhou , Bing Zhang , Ju-Sheng Zheng

Microbiome epidemiology is an emerging field for the discovery of novel disease biomarkers or intervention targets in human epidemiological studies. The determinants and consequences of human microbiome variations, especially for the gut microbiome, are both important and unsolved research questions, while the majority of findings of prior research are based on small-scale human studies with limited statistical power and a lack of replication/generalizability across different populations. Here, we initiated the Westlake Gut (WeGut) project, a consortium of gut microbiome-based human cohort studies in China. The WeGut project aims to provide a platform for the integration of gut microbiome data across different cohort studies, including two major components: 1) cohorts for healthy ageing and 2) cohorts for healthy pregnancy. The WeGut consortium includes seven core/foundation cohorts involving over 32,000 participants with gut microbiome and rich phenotype data across 17 provinces/megacities in China. Within the WeGut framework, we hope to disentangle the interplay among diet, lifestyle factors, host genetics and the gut microbiome in human health and explore the role of the gut microbiome for the precision prevention of chronic diseases in Chinese populations.

微生物组流行病学是人类流行病学研究中发现新的疾病生物标志物或干预靶点的新兴领域。人类微生物组变异的决定因素和后果,特别是肠道微生物组,是重要的和未解决的研究问题,而大多数先前的研究结果是基于小规模的人类研究,统计能力有限,缺乏在不同人群中的复制/推广能力。在这里,我们启动了西湖肠道(WeGut)项目,这是一个基于中国肠道微生物组的人类队列研究联盟。WeGut项目旨在提供一个整合不同队列研究中肠道微生物组数据的平台,包括两个主要组成部分:1)健康老龄化队列和2)健康妊娠队列。WeGut联盟包括7个核心/基金会队列,涉及来自中国17个省/特大城市的32,000多名参与者,他们拥有肠道微生物组和丰富的表型数据。在WeGut的框架下,我们希望解开饮食、生活方式因素、宿主遗传和肠道微生物群在人类健康中的相互作用,探索肠道微生物群在中国人群慢性疾病精准预防中的作用。
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引用次数: 4
Acute liver injury progression is associated with dynamic enteric eubiosis alteration in mice 小鼠急性肝损伤进展与动态肠道益生改变有关
Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.medmic.2022.100063
Fengyi Mei , Tao Chen , Xianglong Zhang , Peng Chen

Liver health has long been linked to the homeostasis of gut microbiota. Although some studies have shown that alterations in the species and function of gut microbiota contribute to the initiation and development of acute liver injury (ALI), studies investigating the effects of ALI on gut microbial dynamic composition changes are still limited. To observe whether liver damage can alter the composition of gut microbiota dynamically, we established three chemical models (e.g., acetaminophen, carbon tetrachloride, lipopolysaccharide) of ALI. Using these models, multiple time points of liver injury and intestinal microbiome were analyzed through plasma biochemical analysis and 16S rRNA gene sequencing. We assessed α-diversity, Unifrac principal coordinates analysis (PCoA), and linear discriminant analysis effect size (LEfSe) in the injury and control groups. The composition of the gut microbiota underwent dramatic shifts with liver injury and recovery in each model. Additionally, specific microbial abundance was significantly correlated with the level of plasma alanine transaminase and aspartate transaminase. These data provide new evidence that liver dysfunction and restoration is dynamically linked with the changes in the intestinal microbiome.

长期以来,肝脏健康一直与肠道微生物群的稳态有关。虽然一些研究表明肠道菌群的种类和功能的改变有助于急性肝损伤(ALI)的发生和发展,但调查ALI对肠道微生物动态组成变化的影响的研究仍然有限。为了观察肝损伤是否会动态改变肠道菌群的组成,我们建立了ALI的三种化学模型(如对乙酰氨基酚、四氯化碳、脂多糖)。利用这些模型,通过血浆生化分析和16S rRNA基因测序,分析肝损伤的多个时间点和肠道微生物组。我们评估了损伤组和对照组的α-多样性、Unifrac主坐标分析(PCoA)和线性判别分析效应大小(LEfSe)。在每个模型中,肠道微生物群的组成随着肝损伤和恢复发生了巨大的变化。此外,特定微生物丰度与血浆丙氨酸转氨酶和天冬氨酸转氨酶水平显著相关。这些数据提供了新的证据,肝脏功能障碍和恢复与肠道微生物组的变化动态相关。
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引用次数: 0
An urgent call to identify the probable cause of severe acute hepatitis outbreak in children 紧急呼吁查明儿童严重急性肝炎暴发的可能原因
Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.medmic.2022.100056
Zulvikar Syambani Ulhaq , Gita Vita Soraya
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引用次数: 0
The gut microbiome: linking dietary fiber to inflammatory diseases 肠道微生物群:将膳食纤维与炎症性疾病联系起来
Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.medmic.2022.100070
Feng Zhang , Dejun Fan , Jian-lin Huang , Tao Zuo

Dietary fiber intake in humans is nowadays substantially decreased as compared to the communities of ancestral populations. Accompanying that, the incidences of inflammatory bowel disease (IBD), allergy, and other autoimmune diseases are steadily increasing over the past 60 years, especially in high-income countries, which is partly attributed to the changing dietary habit in modern societies. Chronic inflammation triggered by immune disorders is the central part of the pathophysiology of various non-communicable diseases. Dietary fiber intake is inexorably linked to the gut microbiome leading to the reduction of inflammation. This review explores how dietary fibers modulate the gut microbiota composition and function leading to the alteration of host physiology. High-fiber dietary regime has been consistently shown to increase the microbiome alpha diversity and short-chain fatty acids (SCFAs)-producing bacteria in the human gut. SCFAs are the main players in the interplay between diet, microbiota, and host health. In clinical settings, therapies with high fiber or SCFA supplementations are proposed for inflammatory diseases. However, due to greater variations in the dosage, type, and duration of dietary fiber intervention in different clinical trials, the effects remain controversial. Unraveling the mechanisms exerted by dietary fiber in synergy with the gut microbiome in human pathophysiology holds a promising prospect in guiding next-generation precision therapies.

与祖先群体相比,现在人类的膳食纤维摄入量大大减少。与此同时,炎症性肠病(IBD)、过敏和其他自身免疫性疾病的发病率在过去60年中稳步上升,特别是在高收入国家,这在一定程度上归因于现代社会饮食习惯的改变。免疫失调引发的慢性炎症是各种非传染性疾病病理生理学的核心部分。膳食纤维的摄入与肠道微生物群有着不可避免的联系,从而减少炎症。本文综述了膳食纤维如何调节肠道菌群组成和功能,从而导致宿主生理的改变。高纤维饮食方案一直被证明可以增加人类肠道中微生物组α多样性和产生短链脂肪酸(SCFAs)的细菌。scfa是饮食、微生物群和宿主健康之间相互作用的主要参与者。在临床环境中,建议使用高纤维或SCFA补充剂治疗炎症性疾病。然而,由于不同临床试验中膳食纤维干预的剂量、类型和持续时间存在较大差异,其效果仍存在争议。揭示膳食纤维与肠道微生物群协同作用在人类病理生理中的作用机制,在指导下一代精准治疗方面具有广阔的前景。
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引用次数: 10
Lactobacillus acidophilus CGMCC 878 impacts colorectal cancer in Sprague-Dawley rats through changing the gut microbiota 嗜酸乳杆菌CGMCC 878通过改变肠道菌群影响Sprague-Dawley大鼠结肠直肠癌
Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.medmic.2022.100062
Ata Ur Rehman , Asif Iqbal khan , Yi Xin , Waleed Yousuf , Ahmad , Wang Liang

A main cause of cancer-related mortality, colorectal cancer (CRC) is one of the most prevalent cancers in the world. A number of variables, including a poor dietary and lifestyle, genetics, metabolic problems, and inheritance, are linked to the risk of CRC. However, it has been studied extensively about the involvement of various environmental factors which facilitates the development of this particular type of cancer in both genders. These elements includes excessive consumption of meat, refined grain and their products, starch, sugars in distinct forms, and alcohol are at top of the list. Hence, to execute the significance of Lactobacillus acidophilus CGMCC 878 (L.A 878) which may possibly hinder the development as well as progression of chemically induce colorectal tumor in in-vivo model via transformation of gut microbiota. We had established CRC in male Sprague-Dawley rats through subcutaneously inject the carcinogen named 1,2 dimethylhydrazine hydrochloride (DMH). We had detected the microbial diversity among different groups which included in the study by evaluation of stool samples by the virtue of molecular genetic computation. Although, we had targeted the bacterial V3 region by using classic molecular technique of PCR-DGGE (Polymerase chain reaction- Denaturing Gradient Gel Electrophoresis) followed by excision of amplified bands and were cloned for sequencing. The DGGE profiles of distinct groups demonstrated significant alterations between DMH group, short-term L. acidophilus group (p ​< ​0.05), and the long-term L. acidophilus group (P 0.001). The fecal-glucuronidase was significantly overexpressed in DMH group associated with long-term L. acidophilus group (p ​< ​0.05). Hence, prolong administration of L.A 878 could reduce the development of colorectal tumors in rats by altering the intestinal pathogenic bacteria (Ruminococcus obeum, Clostridium thermocellum, Bacteroides vulgates, Mycoplasma leachii, Porphyromonas asaccharolytica) and beneficial bacteria (Lactobacillus reuteri, Lactobacillus). These observations suggested that Lactobacillus acidophilus CGMCC 878 may have therapeutic potential in attenuating carcinogenesis of gastrointestinal (GI) tract.

结直肠癌(CRC)是世界上最常见的癌症之一,是癌症相关死亡的主要原因。许多变量,包括不良的饮食和生活方式、遗传、代谢问题和遗传,都与结直肠癌的风险有关。然而,人们对各种环境因素的参与进行了广泛的研究,这些因素促进了这种特殊类型癌症在两性中的发展。这些因素包括过量食用肉类、精制谷物及其制品、淀粉、不同形式的糖和酒精。因此,验证嗜酸乳杆菌CGMCC 878 (L.A 878)可能通过改变肠道菌群,在体内模型中阻碍化学诱导的结直肠癌的发生和进展的意义。我们通过皮下注射致癌物盐酸1,2二甲基肼(DMH)建立了雄性Sprague-Dawley大鼠的结直肠癌。我们利用分子遗传计算方法对粪便样本进行评估,检测了纳入研究的不同群体之间的微生物多样性。虽然我们使用经典的PCR-DGGE (Polymerase chain reaction- Denaturing Gradient Gel Electrophoresis,聚合酶链反应-变性梯度凝胶电泳)分子技术定位了细菌V3区域,随后切除扩增条带并克隆测序。不同组的DGGE谱在DMH组、短期嗜酸乳杆菌组(p <0.05),长期嗜酸乳杆菌组(P < 0.001)。粪糖醛酸苷酶在DMH组和长期嗜酸乳杆菌组显著过表达(p <0.05)。因此,长期给药L.A 878可以通过改变肠道致病菌(肥瘤球菌、热胞梭菌、普通拟杆菌、leachi支原体、无糖卟啉单胞菌)和有益菌(罗伊氏乳杆菌、乳杆菌)的数量来减少大鼠结肠肿瘤的发生。这些观察结果提示嗜酸乳杆菌CGMCC 878可能具有减轻胃肠道癌变的治疗潜力。
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引用次数: 3
Demographic and clinical factors affecting serum IL-6, and its correlation with the severity, and mortality of COVID-19 影响血清IL-6的人口学和临床因素及其与COVID-19严重程度和死亡率的相关性
Q2 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.medmic.2022.100068
Wael Hafez
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引用次数: 0
期刊
Medicine in Microecology
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