Department of Biochemistry and Molecular Biology, Dalian Medical University, Dalian, China.
Curr Microbiol. 2012 Jul;65(1):7-13. doi: 10.1007/s00284-012-0105-8. Epub 2012 Apr 7.
Human liver was closely associated with gut through various biological mechanisms, such as bacterium-gut interactions. Alterations of gut microbiota seemed to play an important role in induction and promotion of liver damage progression. The aim of this study was to characterize the gut microbiota in liver cirrhosis patients and assess whether there are alterations in the diversity and similarity of intestinal flora in cirrhotic patients when compared with healthy individuals. PCR-denaturing gradient gel electrophoresis (DGGE) with universal primers targeting V3 region of the 16S rRNA gene was employed to characterize the overall intestinal microbiota composition, and some excised gel bands were cloned for sequencing. Real-time PCR was further utilized to quantitatively analyze the subpopulation of microbiota using group-specific primers targeting the Enterobacteriaceae, Enterococcus and Bifidobacterium genus. The DGGE profiles of two groups demonstrated significant differences between cirrhotic and healthy groups (P < 0.05). While real-time PCR revealed significant increase of Enterobacteriaceae and Enterococcus (P < 0.05) in the cirrhotic group compared with the healthy group. The ratio of Bifidobacterium genus and Enterobacteriaceae decreased in the cirrhotic patients group, but no statistical significance. This study revealed strong relationship between alterations of gut microbiota and liver cirrhosis.
人类肝脏通过各种生物学机制与肠道密切相关,例如细菌-肠道相互作用。肠道微生物群的改变似乎在诱导和促进肝损伤进展中起着重要作用。本研究旨在描述肝硬化患者的肠道微生物群,并评估与健康个体相比,肝硬化患者肠道菌群的多样性和相似性是否存在改变。采用针对 16S rRNA 基因 V3 区的通用引物的聚合酶链反应-变性梯度凝胶电泳(DGGE)来描述肠道微生物群落的总体组成,并对一些凝胶条带进行克隆测序。使用针对肠杆菌科、肠球菌属和双歧杆菌属的群体特异性引物进行实时 PCR 进一步定量分析微生物群的亚群。两组的 DGGE 图谱显示肝硬化组和健康组之间存在显著差异(P<0.05)。而实时 PCR 显示肝硬化组中肠杆菌科和肠球菌属显著增加(P<0.05)。肝硬化患者组双歧杆菌属和肠杆菌科的比例下降,但无统计学意义。本研究揭示了肠道微生物群的改变与肝硬化之间的紧密关系。