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中度创伤性脑损伤以时间依赖的方式改变胃肠道微生物组。

Moderate Traumatic Brain Injury Alters the Gastrointestinal Microbiome in a Time-Dependent Manner.

机构信息

Department of Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, Texas.

Department of Cellular and Structural Biology, The University of Texas Health Science Center at San Antonio, San Antonio, Texas.

出版信息

Shock. 2019 Aug;52(2):240-248. doi: 10.1097/SHK.0000000000001211.

Abstract

The microbiome is defined as the collective genomes of the microbes (composed of bacteria, bacteriophage, fungi, protozoa, and viruses) that colonize the human body, and alterations have been associated with a number of disease states. Changes in gut commensals can influence the neurologic system via the brain-gut axis, and systemic insults such as trauma or traumatic brain injury (TBI) may alter the gut microbiome. The objective of this study was to evaluate the gut microbiome in a preclinical TBI cortical impact model. Male rats underwent craniotomy and randomized to a sham group (n = 4), or a moderate TBI (n = 10) using a pneumatic impactor. MRI and behavioral assessments were performed pre-TBI and on days 2, 7, and 14 days thereafter. Microbiome composition was determined with 16s rRNA sequencing from fecal sample DNA pre-TBI and 2 hrs, 1, 3, and 7 days afterward. Alpha- and β-bacterial diversity, as well as organizational taxonomic units (OTUs), were determined. Significant changes in the gut microbiome were evident as early as 2 h after TBI as compared with pre-injured samples and sham rats. While there were varying trends among the phylogenetic families across time, some changes persisted through 7 days in the absence of therapeutic intervention. While large structural lesions and behavioral deficits were apparent post-TBI, there were modest but significant decreases in α-diversity. Moreover, both changes in representative phyla and α-diversity measures were significantly correlated with MRI-determined lesion volume. These results suggest that changes in the microbiome may represent a novel biomarker to stage TBI severity and predict functional outcome.

摘要

微生物组被定义为定植于人体的微生物(由细菌、噬菌体、真菌、原生动物和病毒组成)的集体基因组,其变化与许多疾病状态有关。肠道共生体的变化可以通过脑-肠轴影响神经系统,全身性损伤如创伤或创伤性脑损伤(TBI)可能改变肠道微生物组。本研究的目的是在 TBI 皮质撞击模型的临床前模型中评估肠道微生物组。雄性大鼠行开颅术,并随机分为假手术组(n = 4)或使用气动冲击器的中度 TBI 组(n = 10)。在 TBI 前和之后的第 2、7 和 14 天进行 MRI 和行为评估。使用粪便样本 DNA 在 TBI 前和之后的 2 小时、1 天、3 天和 7 天进行 16s rRNA 测序来确定微生物组组成。确定了α和β细菌多样性以及组织分类单元(OTUs)。与受伤前样本和假手术大鼠相比,TBI 后 2 小时就出现了明显的肠道微生物组变化。虽然在不同时间的系统发育家族之间存在不同的趋势,但在没有治疗干预的情况下,一些变化持续到 7 天。虽然 TBI 后出现了大的结构损伤和行为缺陷,但α多样性略有但显著降低。此外,代表门的变化和α多样性测量值与 MRI 确定的病变体积显著相关。这些结果表明,微生物组的变化可能代表一种新的生物标志物来分期 TBI 严重程度并预测功能结果。

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