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Creatine supplementation enhances immunological function of neutrophils by increasing cellular adenosine triphosphate. 补充肌酸通过增加细胞三磷酸腺苷来增强中性粒细胞的免疫功能。
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2022-01-01 Epub Date: 2022-06-17 DOI: 10.12938/bmfh.2022-018
Suguru Saito, Duo-Yao Cao, Alato Okuno, Xiaomo Li, Zhenzi Peng, Musin Kelel, Noriko M Tsuji

Creatine is an organic compound which is utilized in biological activities, especially for adenosine triphosphate (ATP) production in the phosphocreatine system. This is a well-known biochemical reaction that is generally recognized as being mainly driven in specific parts of the body, such as the skeletal muscle and brain. However, our report shows a novel aspect of creatine utilization and ATP synthesis in innate immune cells. Creatine supplementation enhanced immune responses in neutrophils, such as cytokine production, reactive oxygen species (ROS) production, phagocytosis, and NETosis, which were characterized as antibacterial activities. This creatine-induced functional upregulation of neutrophils provided a protective effect in a murine bacterial sepsis model. The mortality rate in mice challenged with Escherichia coli K-12 was decreased by creatine supplementation compared with the control treatment. Corresponding to this decrease in mortality, we found that creatine supplementation decreased blood pro-inflammatory cytokine levels and bacterial colonization in organs. Creatine supplementation significantly increased the cellular ATP level in neutrophils compared with the control treatment. This ATP increase was due to the phosphocreatine system in the creatine-treated neutrophils. In addition, extracellular creatine was used in this ATP synthesis, as inhibition of creatine uptake abolished the increase in ATP in the creatine-treated neutrophils. Thus, creatine is an effective nutrient for modifying the immunological function of neutrophils, which contributes to enhancement of antibacterial immunity.

肌酸是一种用于生物活动的有机化合物,特别是用于磷酸肌酸系统中三磷酸腺苷(ATP)的产生。这是一种众所周知的生化反应,通常被认为主要由身体的特定部位驱动,比如骨骼肌和大脑。然而,我们的报告显示了先天免疫细胞中肌酸利用和ATP合成的一个新方面。补充肌酸增强了中性粒细胞的免疫反应,如细胞因子的产生、活性氧(ROS)的产生、吞噬和NETosis,其特征是抗菌活性。肌酸诱导的中性粒细胞功能上调在小鼠细菌性脓毒症模型中提供了保护作用。与对照组相比,补充肌酸可降低大肠杆菌K-12致毒小鼠的死亡率。与死亡率的降低相对应,我们发现补充肌酸降低了血液中促炎细胞因子水平和器官中的细菌定植。与对照组相比,补充肌酸显著提高了中性粒细胞的细胞ATP水平。ATP的增加是由于肌酸处理的中性粒细胞中的磷酸肌酸系统。此外,细胞外肌酸被用于ATP合成,因为肌酸摄取的抑制消除了肌酸处理的中性粒细胞中ATP的增加。因此,肌酸是调节中性粒细胞免疫功能的有效营养素,有助于增强抗菌免疫。
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引用次数: 4
Average gut flora in healthy Japanese subjects stratified by age and body mass index 日本健康受试者的平均肠道菌群按年龄和体重指数分层
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-12-07 DOI: 10.12938/bmfh.2021-056
N. Yoshida, S. Watanabe, Hiroyuki Yamasaki, Hajime Sakuma, Aya K Takeda, T. Yamashita, K. Hirata
Imbalance of the gut microbiota plays an important role in the pathogenesis of various diseases. Although many clinical studies have analyzed the gut microbiota, the definition of normal gut microbiota remains unclear. In this study, we aim to establish the average gut microbiota in the healthy Japanese population. Using 16S ribosomal RNA gene sequencing, we analyzed gut microbial data from fecal samples obtained from 6,101 healthy Japanese individuals. Based on their ages, the individuals were divided into three groups: young, middle-age, and old. Individuals were further categorized according to body mass index (BMI) into lean, normal, and obese groups. The α and β diversities in the old group were significantly higher than those in the young and middle-age groups. The Firmicutes/Bacteroidetes ratio of subjects in the obese category was significantly lower compared with those of subjects in the lean and normal categories in the young and middle-age groups. Genus Bacteroides was the dominant gut microbiota across all the BMI categories in all the age groups. Among the top ten genera, the abundances of Bacteroides, Bifidobacterium, Anaerostipes, Blautia, Dorea, Fusicatenibacter, Lachnoclostridium, and Parabacteroides were significantly lower in the old group than in the young and middle-age groups. The correlation network at the genus level revealed different microbe-microbe interactions associated with age and BMI. We determined the average Japanese gut microbiota, and this information could be used as a reference. The gut microbiota greatly differs based on the life stage and metabolic status of the host, and this gives rise to a variety of host–gut microbe interactions that can lead to an increased susceptibility to disease.
肠道菌群失衡在多种疾病的发病机制中起着重要作用。尽管许多临床研究已经分析了肠道菌群,但正常肠道菌群的定义仍然不清楚。在这项研究中,我们的目标是建立健康的日本人群的平均肠道微生物群。利用16S核糖体RNA基因测序,我们分析了来自6101名健康日本人的粪便样本的肠道微生物数据。根据他们的年龄,这些人被分为三组:年轻人、中年人和老年人。根据身体质量指数(BMI)将个体进一步分为瘦组、正常组和肥胖组。老年组α和β多样性显著高于中青年组。肥胖组的厚壁菌门/拟杆菌门比值明显低于中青年组的瘦弱和正常组。在所有年龄组的所有BMI类别中,拟杆菌属是主要的肠道微生物群。在前10个属中,老年组Bacteroides、Bifidobacterium、Anaerostipes、Blautia、Dorea、Fusicatenibacter、Lachnoclostridium和Parabacteroides的丰度显著低于中青年组。在属水平上的相关网络揭示了不同的微生物-微生物相互作用与年龄和BMI相关。我们测定了日本人的平均肠道菌群,这些信息可以作为参考。根据宿主的生命阶段和代谢状态,肠道微生物群有很大的不同,这就导致了宿主-肠道微生物的各种相互作用,从而导致对疾病的易感性增加。
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引用次数: 10
Clostridium butyricum therapy for mild-moderate Clostridioides difficile infection and the impact of diabetes mellitus 丁酸梭菌治疗轻、中度艰难梭菌感染及对糖尿病的影响
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-11-03 DOI: 10.12938/bmfh.2021-049
Jen-Chieh Lee, Chun-Wei Chiu, P. Tsai, Ching-Chi Lee, I. Huang, W. Ko, Y. Hung
The therapeutic effect of Clostridium butyricum for adults with Clostridioides difficile infection (CDI) was investigated. A retrospective study was conducted in medical wards of Tainan Hospital, Ministry of Health and Welfare, between January 2013 and April 2020. The disease severity of CDI was scored based on the Clinical Practice Guidelines of the IDSA/SHEA. Treatment success was defined as the resolution of diarrhea within six days of a therapeutic intervention without the need to modify the therapeutic regimen. In total, 241 patients developed CDI during hospitalization in the study period. The treatment success rates for the 99 patients with mild-moderate CDI among them were as follows: metronidazole, 69.4%; C. butyricum, 68.2%; metronidazole plus C. butyricum, 66.7%; and oral vancomycin, 66.7% (p=1.00). Patients with treatment success were less likely to have diabetes mellitus than those with treatment failure (38.2% vs. 61.3%, p=0.05). Patients treated with C. butyricum alone or in combination with metronidazole had shorter durations of diarrhea than those treated with metronidazole alone (3.1 ± 2.0 days or 3.5 ± 2.4 days vs. 4.2 ± 3.5 days; p=0.43 or 0.71), although the differences were not statistically significant. In conclusion, the treatment success rate of C. butyricum alone or in combination with metronidazole for patients with CDI was non inferior to that of metronidazole alone. The presence of diabetes mellitus in affected individuals is a risk factor for treatment failure.
观察丁酸梭菌治疗成人艰难梭菌感染(CDI)的疗效。本研究于2013年1月至2020年4月在卫生福利部台南医院病房进行回顾性研究。根据IDSA/SHEA临床实践指南对CDI的疾病严重程度进行评分。治疗成功的定义是在治疗干预的6天内腹泻的解决,而不需要修改治疗方案。研究期间共有241例患者在住院期间发生CDI。99例轻中度CDI患者治疗成功率如下:甲硝唑69.4%;C.丁酸,68.2%;甲硝唑加丁酸梭菌占66.7%;口服万古霉素,66.7% (p=1.00)。治疗成功患者发生糖尿病的可能性低于治疗失败患者(38.2% vs. 61.3%, p=0.05)。单用丁酸梭菌或联用甲硝唑的患者腹泻持续时间短于单用甲硝唑的患者(3.1±2.0天或3.5±2.4天vs 4.2±3.5天);P =0.43或0.71),但差异无统计学意义。综上所述,单用丁酸梭菌或联用甲硝唑治疗CDI患者的成功率均不低于单用甲硝唑。糖尿病患者的存在是治疗失败的危险因素。
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引用次数: 1
Corrigendum: Alleviation of low-fiber diet-induced constipation by probiotic Bifidobacterium bifidum G9-1 is based on correction of gut microbiota dysbiosis. 更正:益生菌两歧双歧杆菌G9-1缓解低纤维饮食引起的便秘是基于纠正肠道菌群失调。
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2021-10-01 DOI: 10.12938/bmfh.18-020c

[This corrects the article on p. 49 in vol. 38, PMID: 31106107.].

[这是对第38卷第49页的文章的更正,PMID: 31106107]。
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引用次数: 3
Fecal microbiota transplantation as a new treatment for canine inflammatory bowel disease. 粪便菌群移植作为治疗犬炎症性肠病的新方法。
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2020-12-10 DOI: 10.12938/bmfh.2020-049
Ayaka Niina, Ryoko Kibe, Ryohei Suzuki, Yunosuke Yuchi, Takahiro Teshima, Hirotaka Matsumoto, Yasushi Kataoka, Hidekazu Koyama

In human medicine, fecal microbiota transplantation (FMT) is an effective treatment for recurrent Clostridioides difficile infection. It has also been tested as a treatment for multiple gastrointestinal diseases, including inflammatory bowel disease (IBD). However, only a few studies have focused on the changes in the microbiome following FMT for canine IBD. Here, we performed FMT in nine dogs with IBD using the fecal matter of healthy dogs and investigated the subsequent changes in the fecal microbiome and clinical signs. In three dogs, the fecal microbiome was examined by 16S rRNA sequencing. Fusobacteria were observed at a low proportion in dogs with IBD. However, the post-FMT microbiome became diverse and showed a significant increase in Fusobacteria proportion. Fusobacterium was detected in the nine dogs by quantitative polymerase chain reaction. The proportion of Fusobacterium in the post-FMT fecal microbiome was significantly increased (p<0.05). The changes in clinical signs (e.g., vomiting, diarrhea, and weight loss) were evaluated according to the canine inflammatory bowel disease activity index. The score of this index significantly decreased in all dogs (p<0.05) with improvements in clinical signs. These improvements were related to the changes in the proportion of microbes, particularly the increase in Fusobacterium. The dogs with IBD showed a lower proportion of Fusobacterium than healthy dogs. This suggests that a low proportion of Fusobacterium is a characteristic feature of canine IBD and that Fusobacterium is involved in this disease. The results of this study may help elucidate the pathogenesis of this disease and its association with Fusobacterium.

在人类医学中,粪便微生物群移植(FMT)是治疗复发性难辨梭菌感染的有效方法。它还被测试用于治疗多种胃肠道疾病,包括炎症性肠病(IBD)。然而,只有少数研究集中在FMT治疗犬IBD后微生物组的变化。在这里,我们使用健康狗的粪便对9只IBD狗进行了FMT,并研究了粪便微生物组和临床症状的后续变化。通过16S rRNA测序检测了3只狗的粪便微生物组。在IBD犬中观察到低比例的梭杆菌。然而,fmt后的微生物组变得多样化,梭杆菌的比例显著增加。采用定量聚合酶链反应法在9只犬中检测到梭杆菌。fmt后粪便微生物组中梭杆菌的比例显著增加(pFusobacterium)。IBD犬的梭杆菌比例低于健康犬。这表明,低比例的梭杆菌是犬IBD的一个特征,梭杆菌参与了这种疾病。本研究结果可能有助于阐明该疾病的发病机制及其与梭杆菌的关系。
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引用次数: 13
The importance of genetic research on the dominant species of human intestinal indigenous microbiota. 人类肠道原生微生物群优势种遗传学研究的重要性。
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2020-09-10 DOI: 10.12938/bmfh.2020-011
Shin Kurihara

Comparisons of the changes in the gut microbiota and transcriptomes as a result of changes in diet have demonstrated that the regulation of the gene functions of intestinal bacteria is fundamental for the regulation of the intestinal environment. However, the functions of only about half of the genes can be predicted using nucleotide sequences obtained from the metagenomic data of the human gut microbiota. Therefore, the regulation of gut bacterial gene functions is hindered. To resolve this issue, the functions of the genes of intestinal bacteria must be identified. In our previous study, a high-throughput cultivation system was established for the dominant species of indigenous human intestinal microbiota. Using this system, we analyzed the synthesis and transport of polyamines by intestinal bacteria. Comparison of the results with those obtained by in silico analysis indicated the existence of novel polyamine synthetic enzymes and transport proteins. Next, strains with gene deletions and complementation for the polyamine synthetic system of the genus Bacteroides were analyzed. Furthermore, we co-cultured genetically engineered Escherichia coli and Enterococcus faecalis strains to demonstrate the presence of a polyamine synthetic pathway spanning multiple bacterial species. Here, we outline the trends of research using genetically engineered intestinal bacteria and the ripple effects of studies in which intestinal bacteria have been analyzed genetically. Moreover, because studies on intestinal bacteria at the gene level are indispensable for improving our understanding of their regulation, the importance of this research will continue to increase in the future.

通过比较饮食变化对肠道菌群和转录组的影响,我们发现肠道细菌基因功能的调控是肠道环境调控的基础。然而,只有大约一半的基因的功能可以通过从人类肠道微生物群的宏基因组数据中获得的核苷酸序列来预测。因此,肠道细菌基因功能的调控受到阻碍。为了解决这个问题,必须确定肠道细菌基因的功能。在我们之前的研究中,我们建立了一个高通量的培养系统,用于培养本地人类肠道微生物群的优势种。利用该系统分析了肠道细菌对多胺的合成和转运。与硅分析结果的比较表明,存在新的多胺合成酶和转运蛋白。然后,对拟杆菌属多胺合成系统中存在基因缺失和基因互补的菌株进行了分析。此外,我们共同培养了基因工程大肠杆菌和粪肠球菌菌株,以证明存在跨越多种细菌物种的多胺合成途径。在这里,我们概述了使用基因工程肠道细菌的研究趋势以及肠道细菌基因分析研究的连锁反应。此外,由于在基因水平上对肠道细菌的研究对于提高我们对其调控的理解是必不可少的,因此未来这项研究的重要性将继续增加。
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引用次数: 1
Heat-killed Lactobacillus plantarum L-137 attenuates obesity and associated metabolic abnormalities in C57BL/6 J mice on a high-fat diet. 热灭活植物乳杆菌L-137减轻高脂饮食C57BL/6 J小鼠的肥胖和相关代谢异常。
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2020-11-14 DOI: 10.12938/bmfh.2020-040
Rieko Yoshitake, Yoshitaka Hirose, Shinji Murosaki, Goro Matsuzaki

Heat-killed Lactobacillus plantarum L-137 (HK L-137) has anti-allergic, antitumor, and antiviral effects in mice, as well as an anti-inflammatory effect in rats with metabolic syndrome through regulation of immunity. To evaluate the influence of HK L-137 on chronic inflammation in mice with diet-induced obesity, C57BL/6 J mice were fed a normal diet (16% of energy as fat) or a high-fat diet (62% of energy as fat) with or without 0.002% HK L-137 for 4 to 20 weeks. It was found that HK L-137 supplementation alleviated weight gain and elevation of plasma glucose, cholesterol, alanine aminotransferase, and aspartate transaminase levels in mice with diet-induced obesity. Expression of several inflammation-related genes, including F4/80, CD11c, and IL-1β, in the epididymal adipose tissue of these mice was significantly downregulated by HK L-137. In addition, plasma levels of lipopolysaccharide-binding protein, a marker of endotoxemia, tended to be decreased by administration of HK L-137. These findings suggest that HK L-137 supplementation ameliorates obesity-induced metabolic abnormalities and adipose tissue inflammation, possibly through improvement of intestinal permeability.

热杀植物乳杆菌L-137 (HK L-137)对小鼠具有抗过敏、抗肿瘤和抗病毒作用,并通过调节免疫对代谢综合征大鼠具有抗炎作用。为了评估HK L-137对饮食性肥胖小鼠慢性炎症的影响,C57BL/6 J小鼠被喂食含有或不含有0.002% HK L-137的正常饮食(16%的能量为脂肪)或高脂肪饮食(62%的能量为脂肪)4至20周。研究发现,补充HK L-137可减轻饮食性肥胖小鼠的体重增加和血浆葡萄糖、胆固醇、丙氨酸转氨酶和天冬氨酸转氨酶水平升高。HK L-137显著下调附睾脂肪组织中F4/80、CD11c和IL-1β等炎症相关基因的表达。此外,血浆脂多糖结合蛋白水平(内毒素血症的标志)倾向于通过给药HK L-137降低。这些发现表明,补充HK L-137可能通过改善肠道通透性来改善肥胖引起的代谢异常和脂肪组织炎症。
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引用次数: 8
Characterisation of gut microbiota of obesity and type 2 diabetes in a rodent model. 在啮齿动物模型中肥胖症和2型糖尿病的肠道微生物群特征。
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2020-10-10 DOI: 10.12938/bmfh.2019-031
Khalid S Ibrahim, Nowara Bourwis, Sharron Dolan, Sue Lang, Janice Spencer, John A Craft

Various studies have suggested that the gut microbiome interacts with the host and may have a significant role in the aetiology of obesity and Type 2 Diabetes (T2D). It was hypothesised that bacterial communities in obesity and T2D differ from control and compromise normal interactions between host and microbiota. Obesity and T2D were developed in rats by feeding a high-fat diet or a high-fat diet plus a single low-dose streptozotocin administration, respectively. The microbiome profiles and their metabolic potentials were established by metagenomic 16S rRNA sequencing and bioinformatics. Taxonomy and predicted metabolism-related genes in obesity and T2D were markedly different from controls and indeed from each other. Diversity was reduced in T2D but not in Obese rats. Factors likely to compromise host intestinal, barrier integrity were found in Obese and T2D rats including predicted, decreased bacterial butyrate production. Capacity to increase energy extraction via ABC-transporters and carbohydrate metabolism were enhanced in Obese and T2D rats. T2D was characterized by increased proinflammatory molecules. While obesity and T2D show distinct differences, results suggest that in both conditions Bacteroides and Blautia species were increased indicating a possible mechanistic link.

各种研究表明,肠道微生物组与宿主相互作用,可能在肥胖和2型糖尿病(T2D)的病因学中发挥重要作用。据推测,肥胖和T2D中的细菌群落与对照组不同,并损害宿主和微生物群之间的正常相互作用。通过分别饲喂高脂肪饮食或高脂肪饮食加单次低剂量链脲佐菌素,大鼠发生肥胖和T2D。通过宏基因组16S rRNA测序和生物信息学技术,建立了微生物组谱及其代谢潜力。肥胖和T2D的分类和预测代谢相关基因与对照组明显不同,甚至彼此之间也存在差异。T2D大鼠的多样性减少,但肥胖大鼠没有。在肥胖和T2D大鼠中发现了可能损害宿主肠道屏障完整性的因素,包括预测的细菌丁酸盐产量减少。肥胖和T2D大鼠通过abc转运体和碳水化合物代谢增加能量提取的能力增强。T2D以促炎分子增多为特征。虽然肥胖和T2D表现出明显的差异,但结果表明,在这两种情况下,拟杆菌和蓝芽胞杆菌种类都增加了,这表明可能存在机制联系。
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引用次数: 12
Analysis of appendectomy samples identified dysbiosis in acute appendicitis. 急性阑尾炎阑尾切除标本的分析鉴定出生态失调。
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2020-11-14 DOI: 10.12938/bmfh.2020-051
Shinya Munakata, Mari Tohya, Hirokazu Matsuzawa, Yuki Tsuchiya, Kota Amemiya, Toshiaki Hagiwara, Daisuke Motooka, Shota Nakamura, Kazuhiro Sakamoto, Shin Watanabe

Appendicitis is the most common cause of sudden-onset abdominal pain requiring surgery. Culture-independent techniques have revealed that the complex intestinal bacterial ecology is associated with various diseases. To evaluate differences in patient characteristics and gut microbiota distribution in patients with appendicitis, we enrolled 12 patients who underwent appendectomy for appendicitis (appendicitis group) and 13 patients who underwent ileocecal resection or right hemicolectomy for colon cancer (control group). Microbiota were analyzed using next-generation sequencing of surgical specimens from appendix swab samples collected postoperatively. Overall differences in the structure of the gut microbiota were evaluated using the α- and β-diversity indices, which were calculated using the weighted or unweighted UniFrac distance. Changes in the gut microbial distribution were taxonomically evaluated at the phylum and genus levels. The α-diversity of observed species was significantly different between patients with and without inflammation of the appendix. The appendiceal microbiome of patients with appendicitis exhibited the highest unweighted UniFrac distances. There were no significant differences at the phylum level. Ruminococcus (p=0.02) and f_erysipelotrichaceae_g_clostridium (p=0.005) were increased in the control group compared with the appendicitis group. This pilot study provides the first report of the correlation of the gut microbiota with the pathogenesis of appendicitis evaluated using mucus-origin sampling.

阑尾炎是突发腹痛最常见的原因,需要手术治疗。非培养技术揭示了复杂的肠道细菌生态与多种疾病有关。为了评估阑尾炎患者的患者特征和肠道微生物群分布的差异,我们招募了12例因阑尾炎而行阑尾切除术的患者(阑尾炎组)和13例因结肠癌而行回盲切除或右半结肠切除术的患者(对照组)。对术后收集的阑尾拭子样本进行手术标本的新一代测序,分析微生物群。肠道菌群结构的总体差异采用α-和β-多样性指数进行评估,这些指数采用加权或未加权UniFrac距离计算。在门和属水平上对肠道微生物分布的变化进行了分类评估。阑尾炎症患者与非阑尾炎症患者α-多样性差异有统计学意义。阑尾炎患者的阑尾微生物群表现出最高的未加权UniFrac距离。在门水平上差异不显著。对照组瘤胃球菌(Ruminococcus, p=0.02)和f_丹毒三甲杆菌(f_erysipelotrichaceae_g_clostridium, p=0.005)较阑尾炎组增加。这项初步研究提供了肠道微生物群与阑尾炎发病机制的相关性的第一份报告,使用粘液源取样进行评估。
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引用次数: 5
Analysis of ileostomy stool samples reveals dysbiosis in patients with high-output stomas. 对回肠造口粪便样本的分析显示,高输出量造口患者存在生态失调。
IF 3.1 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2021-02-17 DOI: 10.12938/bmfh.2020-062
Hirokazu Matsuzawa, Shinya Munakata, Masaya Kawai, Kiichi Sugimoto, Hirohiko Kamiyama, Makoto Takahashi, Yutaka Kojima, Kazuhiro Sakamoto

Construction of a diverting stoma can significantly reduce the onset of severe anastomotic leakage in patients with rectal cancer. High-output stoma is one of the most important potential surgical complications after anal function-preserving surgery with ileostomy. Culture-independent techniques have revealed the interaction of the complex intestinal bacterial ecology with various diseases. Our objective was to evaluate the differences in patient characteristics and gut microbiota distribution features in patients with high-output stomas. The cases of 24 consecutive patients who underwent curative resection for rectal cancer at our hospital between November 2016 and June 2018 were reviewed, and the patients were categorized into high-output and low-output groups. Their microbiota were analyzed using next-generation sequencing of ileostomy stool samples collected on postoperative day 7. There was a significant difference in the percentage of Bacteroidetes between the high-output and low-output groups (14.8% vs 0.5%; p=0.01). The percentage of Clostridium butyricum was increased in the low-output group (p=0.01). After the exclusion of those treated with the probiotic Miya-BM, whose principal component is C. butyricum, analyses revealed no significant differences between the high-output and low-output groups. This pilot study provides the first evidence correlating gut microbiota with the pathogenesis of high- output stoma compared with low-output stoma.

构筑转移造口可显著减少直肠癌患者严重吻合口漏的发生。高输出量造口是保留肛门功能的回肠造口术后最重要的潜在并发症之一。非培养技术揭示了复杂的肠道细菌生态与各种疾病的相互作用。我们的目的是评估患者特征和肠道微生物群分布特征在高输出口患者中的差异。回顾我院2016年11月至2018年6月连续24例直肠癌根治性切除患者的病例,将患者分为高输出组和低输出组。对术后第7天收集的回肠造口粪便样本进行新一代测序,分析其微生物群。高产量组和低产量组的拟杆菌门菌百分比差异显著(14.8% vs 0.5%;p = 0.01)。低产量组丁酸梭菌的比例显著提高(p=0.01)。在排除了主要成分为C. butyricum的益生菌Miya-BM后,分析显示高产组和低高产组之间没有显著差异。这项初步研究提供了第一个证据,证明肠道微生物群与高输出口的发病机制相比,低输出口的发病机制。
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引用次数: 4
期刊
Bioscience of Microbiota, Food and Health
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