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非酒精性脂肪性肝病患者的粪便微生物特征。

Characteristics of fecal microbiota in non-alcoholic fatty liver disease patients.

机构信息

Department of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, 100853, China.

Department of Liver Disease, PLA Army General Hospital, Beijing, 100700, China.

出版信息

Sci China Life Sci. 2018 Jul;61(7):770-778. doi: 10.1007/s11427-017-9303-9. Epub 2018 Jun 8.

Abstract

This study was designed to investigate the gut microbiota of patients with non-alcoholic fatty liver disease. The inclusive and exclusive criteria for NAFLD patients and healthy subjects were formulated, and detailed clinical data were collected. The genomic DNA of stool samples were extracted for 16S rDNA sequencing, and the amplified V4-region was sequenced on the Illumina Miseq platform. Metastats analysis was performed to identify the differential taxa between the groups. Redundancy analysis was used to evaluate the association between gut microbial structure and clinical variables. Thirty NAFLD patients and 37 healthy controls were involved. The 16S rDNA sequencing showed that there was a dramatic variability of the fecal microbiota among all the individuals. Metastats analysis identified eight families and 12 genera with significant differences between the two groups. When some clinical parameters, such as waist-to-hip ratio (WHR) and homeostasis model assessment of insulin resistance (HOMA-IR), were enrolled in Redundancy analysis, the distribution of the two group of samples was obviously changed. The compositional shifts in fecal bacterial communities of NAFLD patients from the healthy controls were mainly at family or genus levels. According to our Redundancy analysis, insulin resistance and obesity might be closely related to both NAFLD phenotype and intestinal microecology.

摘要

本研究旨在探究非酒精性脂肪性肝病(NAFLD)患者的肠道微生物群。制定了纳入和排除 NAFLD 患者和健康受试者的标准,并收集了详细的临床数据。提取粪便样本的基因组 DNA 进行 16S rDNA 测序,在 Illumina Miseq 平台上对扩增的 V4 区进行测序。采用 Metastats 分析鉴定组间差异分类群。采用冗余分析评估肠道微生物结构与临床变量之间的相关性。共纳入 30 例 NAFLD 患者和 37 例健康对照者。16S rDNA 测序结果显示,所有个体的粪便微生物群存在明显的可变性。Metastats 分析鉴定出两组间有 8 个科和 12 个属存在显著差异。当将一些临床参数,如腰围臀围比(WHR)和稳态模型评估的胰岛素抵抗(HOMA-IR)纳入冗余分析时,两组样本的分布明显发生变化。与健康对照组相比,NAFLD 患者粪便细菌群落的组成变化主要在科或属水平。根据我们的冗余分析,胰岛素抵抗和肥胖可能与 NAFLD 表型和肠道微生物群密切相关。

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