Lopez-Siles Mireia, Enrich-Capó Núria, Aldeguer Xavier, Sabat-Mir Miriam, Duncan Sylvia H, Garcia-Gil L Jesús, Martinez-Medina Margarita
Laboratory of Molecular Microbiology, Biology Department, Universitat de Girona, Girona, Spain.
Department of Gastroenterology, Hospital Dr. Josep Trueta, Girona, Spain.
Front Cell Infect Microbiol. 2018 Sep 7;8:281. doi: 10.3389/fcimb.2018.00281. eCollection 2018.
and , cohabitants in the intestinal mucosa, are considered members of a healthy microbiota and reduction of both species occurs in several intestinal disorders, including inflammatory bowel disease. Little is known however about a possible link between the reduction in quantity of these species, and in which circumstances this may occur. This study aims to determine the abundances and co-occurrence of the two species in order to elucidate conditions that may compromise their presence in the gut. Loads of , total and its two phylogroup (16S rRNA gene copies) were determined by quantitative polymerase chain reaction in colonic biopsies from 17 healthy controls (H), 23 patients with ulcerative colitis (UC), 31 patients with Crohn's disease (CD), 3 with irritable bowel syndrome (IBS) and 3 with colorectal cancer (CRC). Data were normalized to total bacterial 16S rRNA gene copies in the same sample. Prevalence, relative abundances and correlation analyses were performed according to type of disease and considering relevant clinical characteristics of patients such as IBD location, age of disease onset, CD behavior, current medication and activity status. Co-occurrence of both species was found in 29% of H, 65% of UC and 29% of CD. Lower levels of total and phylogroups were found in subjects with CD, compared with H subjects ( ≤ 0.044). In contrast, no differences were found with the regard to abundance across different disease states, but CD patients with disease onset below 16 years of age featured a marked depletion of this species. In CD patients, correlation between and total (ρ = 0.362, = 0.045) was observed, and particularly in those with non-stricturing, non-penetrating disease behavior and under moderate immunosuppressants therapy. Altogether, this study revealed that co-occurrence of both species differs between disease status. In addition, IBD patients featured a reduction of but similar loads of when compared to H subjects, with the exception of those with early onset CD. Depletion of in this subgroup of subjects suggests that it could be a potential biomarker to assist in pediatric CD diagnosis.
并且,作为肠道黏膜中的共生菌,它们被认为是健康微生物群的成员,在包括炎症性肠病在内的多种肠道疾病中,这两种菌的数量都会减少。然而,对于这两种菌数量减少之间可能存在的联系以及这种情况可能发生的环境,人们知之甚少。本研究旨在确定这两种菌的丰度和共现情况,以阐明可能危及它们在肠道中存在的条件。通过定量聚合酶链反应,测定了17名健康对照者(H)、23名溃疡性结肠炎(UC)患者、31名克罗恩病(CD)患者、3名肠易激综合征(IBS)患者和3名结直肠癌(CRC)患者结肠活检组织中 的负荷量、总 及其两个系统发育群(16S rRNA基因拷贝数)。数据以同一样本中总细菌16S rRNA基因拷贝数进行标准化。根据疾病类型并考虑患者的相关临床特征,如炎症性肠病的发病部位、发病年龄、克罗恩病的行为、当前用药情况和活动状态,进行了患病率、相对丰度和相关性分析。在29%的健康对照者、65%的溃疡性结肠炎患者和29%的克罗恩病患者中发现了这两种菌的共现情况。与健康对照者相比,克罗恩病患者的总 及其系统发育群水平较低(≤0.044)。相比之下,不同疾病状态下 的丰度没有差异,但发病年龄在16岁以下的克罗恩病患者该菌明显减少。在克罗恩病患者中,观察到 与总 之间存在相关性(ρ = 0.362, = 0.045),特别是在那些具有非狭窄、非穿透性疾病行为且接受中度免疫抑制剂治疗的患者中。总之,本研究表明这两种菌的共现情况在不同疾病状态下存在差异。此外,与健康对照者相比,炎症性肠病患者的 减少,但 的负荷量相似,早发型克罗恩病患者除外。该亚组患者中 的减少表明它可能是有助于儿童克罗恩病诊断的潜在生物标志物。