肝硬化患者的肠道微生物群和细胞因子谱。

IF 3.1 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Journal of Clinical and Translational Hepatology Pub Date : 2024-08-28 Epub Date: 2024-06-28 DOI:10.14218/JCTH.2024.00090
Irina Efremova, Roman Maslennikov, Anna Kudryavtseva, Anastasia Avdeeva, George Krasnov, Mikhail Diatroptov, Vyacheslav Bakhitov, Salekh Aliev, Natalia Sedova, Maria Fedorova, Elena Poluektova, Oxana Zolnikova, Nariman Aliev, Anna Levshina, Vladimir Ivashkin
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引用次数: 0

摘要

背景和目的:肠道菌群失调和细胞因子谱异常在肝硬化中很常见。本研究旨在评估它们之间的相关性:方法:使用多重检测法检测肝硬化患者和对照组血浆中的 27 种细胞因子。还检测了血浆中亚硝酸盐(内皮功能障碍生物标志物一氧化氮的稳定代谢物)和脂多糖(LPS)的水平。通过 16S rRNA 基因测序评估了粪便微生物群:结果:肝硬化患者的 IL-1b、IL-2、IL-6、IL-13、IP-10、IFN-g、TNF-a、LPS 和亚硝酸盐水平高于对照组,而 IL-4、IL-7 和 PDGF-BB 水平较低。LPS水平与IL-1b、IL1-Ra、IL-9、IL-17、PDGF-BB、IL-6、TNF-a和亚硝酸盐水平直接相关。亚硝酸盐水平与 TNF-a、GM-CSF、IL-17 和 IL-12 的水平直接相关,与 IL-7 的水平成反比。TNF-a水平与腹水严重程度和阴性杆菌科、肠杆菌科、维氏菌科和克雷伯氏菌的数量直接相关,而与真菌科、梭菌科和亚多利菌科的数量成反比。IFN-g 水平与类杆菌科、乳杆菌科、乳杆菌属和 Megasphaera 的丰富度直接相关,与 Verrucomicrobiota、Akkermansiaceae、Coriobacteriaceae、Akkermansia、Collinsella 和 Gemella 的丰富度成反比。IL-1b 水平与 Comamonadaceae 和 Enterobacteriaceae 的丰度直接相关,与 Marinifilaceae 和 Dialister 的丰度成反比。IL-6水平与肠杆菌科、肝性脑病和腹水严重程度直接相关,与普氏链球菌科、链球菌科和链球菌的丰富程度成反比:结论:有害肠道微生物群分类群的丰度和内毒素血症与促炎细胞因子的水平直接相关。
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Gut Microbiota and Cytokine Profile in Cirrhosis.

Background and aims: Gut dysbiosis and abnormal cytokine profiles are common in cirrhosis. This study aimed to evaluate the correlations between them.

Methods: In the blood plasma of cirrhosis patients and controls, 27 cytokines were examined using a multiplex assay. The plasma levels of nitrites (stable metabolites of the endothelial dysfunction biomarker nitric oxide) and lipopolysaccharide (LPS) were examined. The fecal microbiota was assessed by 16S rRNA gene sequencing.

Results: Levels of IL-1b, IL-2, IL-6, IL-13, IP-10, IFN-g, TNF-a, LPS, and nitrites were higher in cirrhosis patients than in controls, while levels of IL-4, IL-7, and PDGF-BB were lower. The LPS level was directly correlated with the levels of IL-1b, IL1-Ra, IL-9, IL-17, PDGF-BB, IL-6, TNF-a, and nitrites. The nitrite level was significantly directly correlated with the levels of TNF-a, GM-CSF, IL-17, and IL-12, and inversely correlated with the IL-7 level. TNF-a levels were directly correlated with ascites severity and the abundance of Negativicutes, Enterobacteriaceae, Veillonellaceae, and Klebsiella, while inversely correlated with the abundance of Firmicutes, Clostridia, and Subdoligranulum. IFN-g levels were directly correlated with the abundance of Bacteroidaceae, Lactobacillaceae, Bacteroides, and Megasphaera, and inversely correlated with the abundance of Verrucomicrobiota, Akkermansiaceae, Coriobacteriaceae, Akkermansia, Collinsella, and Gemella. IL-1b levels were directly correlated with the abundance of Comamonadaceae and Enterobacteriaceae and inversely correlated with the abundance of Marinifilaceae and Dialister. IL-6 levels were directly correlated with the abundance of Enterobacteriaceae, hepatic encephalopathy, and ascites severity, and inversely correlated with the abundance of Peptostreptococcaceae, Streptococcaceae, and Streptococcus.

Conclusions: The abundance of harmful gut microbiota taxa and endotoxinemia directly correlates with the levels of proinflammatory cytokines.

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来源期刊
Journal of Clinical and Translational Hepatology
Journal of Clinical and Translational Hepatology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
6.40
自引率
2.80%
发文量
496
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