胃癌高发地区阴性和阳性胃炎中的胃微生物群

Gastric Microbiota in -Negative and -Positive Gastritis Among High Incidence of Gastric Cancer Area.

作者信息

Gantuya Boldbaatar, El-Serag Hashem B, Matsumoto Takashi, Ajami Nadim J, Oyuntsetseg Khasag, Azzaya Dashdorj, Uchida Tomohisa, Yamaoka Yoshio

机构信息

Department of Environmental and Preventive Medicine, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu-City, Oita 879-5593, Japan.

Department of Internal Medicine, Gastroenterology Unit, Mongolian National University of Medical Sciences, Zorig Street, Ulaanbaatar-14210, Mongolia.

出版信息

Cancers (Basel). 2019 Apr 10;11(4):504. doi: 10.3390/cancers11040504.

Abstract

() related chronic gastritis is a well-known major etiological factor for gastric cancer development. However, -negative gastritis (HpN) is not well described. We aimed to examine gastric mucosal microbiota in HpN compared to -positive gastritis (HpP) and -negative non-gastritis group (control). Here, we studied 11 subjects with HpN, 40 with HpP and 24 controls. We performed endoscopy with six gastric biopsies. Comparison groups were defined based on strict histological criteria for the disease and diagnosis. We used 16S rRNA gene amplicon sequencing to profile the gastric microbiota according to comparison groups. These results demonstrate that the HpP group had significantly lower bacterial richness by the operational taxonomic unit (OTU) counts, and Shannon and Simpson indices as compared to HpN or controls. The linear discriminant analysis effect size analysis showed the enrichment of Firmicutes, Fusobacteria, Bacteroidetes and Actinobacteria at phylum level in the HpN group. In the age-adjusted multivariate analysis, sp. and were at a significantly increased risk for HpN (odds ratio 18.9 and 12.3, respectively) based on abundance. sp. was uniquely found in HpN based on occurrence. In this paper, we conclude that sp., and sp. are candidate pathogenic bacterial species for HpN. These results if confirmed may have important clinical implications.

摘要

()相关性慢性胃炎是胃癌发生的一个众所周知的主要病因。然而,幽门螺杆菌阴性胃炎(HpN)的描述并不充分。我们旨在比较HpN与幽门螺杆菌阳性胃炎(HpP)及幽门螺杆菌阴性非胃炎组(对照组)的胃黏膜微生物群。在此,我们研究了11例HpN患者、40例HpP患者和24例对照。我们进行了内镜检查并取了6块胃活检组织。根据疾病和诊断的严格组织学标准定义比较组。我们使用16S rRNA基因扩增子测序根据比较组对胃微生物群进行分析。这些结果表明,与HpN组或对照组相比,HpP组通过操作分类单元(OTU)计数、香农指数和辛普森指数得出的细菌丰富度显著更低。线性判别分析效应大小分析显示,HpN组在门水平上厚壁菌门、梭杆菌门、拟杆菌门和放线菌门富集。在年龄调整的多变量分析中,基于丰度,某菌属和某菌在HpN组中的风险显著增加(优势比分别为18.9和12.3)。基于出现情况,某菌属仅在HpN组中发现。在本文中,我们得出结论,某菌属、某菌和某菌属是HpN的候选致病细菌种类。这些结果若得到证实可能具有重要的临床意义。

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