比较 2 型糖尿病成年患者和健康个体的肠道微生物群。

Comparison of gut microbiota in adult patients with type 2 diabetes and healthy individuals.

机构信息

Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran; Microbial Biotechnology Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Microb Pathog. 2017 Oct;111:362-369. doi: 10.1016/j.micpath.2017.08.038. Epub 2017 Sep 11.

Abstract

Recent studies indicate that inflammatory reactions leading to the development of type 2 diabetes mellitus (T2DM) may also contribute to variations in the composition of the intestinal microbiota, suggesting a relation between T2DM and bacterial residents in the intestinal tract. This case-control study was designed to evaluate the composition of the gut microbiota dominant bacterial groups in patients with T2DM compared to the healthy people. A total of 36 adult subjects (18 patients diagnosed with T2DM and 18 healthy persons) were included in the study. The intestinal microbiota composition was investigated by quantitative real-time polymerase chain reaction (qPCR) method using bacterial 16S rRNA gene. The quantities of two groups of bacteria were meaningfully different among T2DM patients and healthy individuals. While, the level of Lactobacillus was significantly higher in the patients with T2DM (P value < 0.001), Bifidobacterium was significantly more frequent in the healthy people (P value < 0.001). The quantities of Prevotella (P value = 0.0.08) and Fusobacterium (P value = 0.99) genera in faecal samples were not significantly different between the two groups. The significant alterations in dominant faecal bacterial genera found in T2DM patients participating in the current study highlight the link between T2DM disease and compositional variation in intestinal flora. These findings may be valuable for developing approaches to control T2DM by modifying the gut microbiota. More investigations with focus on various taxonomic levels (family, genus and species) of bacteria are necessary to clarify the exact relevance of changes in the gut microbial communities with the progression of T2DM disorder.

摘要

最近的研究表明,导致 2 型糖尿病(T2DM)发展的炎症反应也可能导致肠道微生物群落组成的变化,这表明 T2DM 与肠道内的细菌居民之间存在关系。这项病例对照研究旨在评估 T2DM 患者与健康人相比肠道微生物群落中主要细菌群的组成。共有 36 名成年受试者(18 名 T2DM 患者和 18 名健康人)纳入研究。采用细菌 16S rRNA 基因定量实时聚合酶链反应(qPCR)方法研究肠道微生物群落组成。两组细菌的数量在 T2DM 患者和健康个体之间有显著差异。而 T2DM 患者的乳酸杆菌水平明显更高(P 值<0.001),健康人的双歧杆菌水平明显更高(P 值<0.001)。粪便样本中普雷沃特菌(P 值=0.08)和梭杆菌属(P 值=0.99)的数量在两组之间无显著差异。本研究中 T2DM 患者主要粪便细菌属的显著变化强调了 T2DM 疾病与肠道菌群组成变化之间的联系。这些发现可能有助于通过改变肠道微生物群来控制 T2DM。需要更多关注细菌各个分类水平(科、属和种)的研究来阐明肠道微生物群落变化与 T2DM 疾病进展的确切相关性。

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