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双相障碍成人肠道微生物组特征:一项初步研究。

Characterizing the gut microbiota in adults with bipolar disorder: a pilot study.

机构信息

Department of Psychiatry and Pharmacology, University of Toronto, Toronto, Canada.

Mood Disorders Psychopharmacology Unit, University Health Network, Toronto, Canada.

出版信息

Nutr Neurosci. 2021 Mar;24(3):173-180. doi: 10.1080/1028415X.2019.1612555. Epub 2019 May 28.

Abstract

Convergent evidence implicates gut microbiota in human health and disease. Hitherto, relatively few studies have evaluated the gut microbiota profile in individuals with bipolar disorder (BD) relative to healthy controls (HC). Fecal samples were collected from subjects (aged 18-65) meeting DSM-5-defined criteria for BD and age- and sex-matched HC without current or past history of mental or major medical disorders. Samples were sequenced using Illumina sequencing and association of specific taxa and co-occurrence of taxa with sample groups including the effect of diet was assessed using cluster analysis and analysis of communities of microorganisms (ANCOM). Nutritional composition was evaluated using the Dietary Questionnaire for Epidemiological Studies (DQES v2) Food Frequency Questionnaire. Forty-six subjects were enrolled (=23 BD, =23 HC). Cluster analyses did not identify any significant differences between BD and HC (=0.38). Lower microbiota diversity was observed among BD subjects relative to HC (=0.04). A greater abundance of a OTU was observed among BD subjects when compared to HC and of among BD-II subjects relative to BD-I. Cluster analysis revealed that neither diagnosis (=0.38) nor diet (=0.43) had a significant effect on overall gut microbiota composition. This study has a small sample size and insufficient control for some potential moderating factors (e.g. psychotropic medication and smoking). This study suggests that individuals with BD may have a distinct gut microbiota profile compared to healthy controls, with a greater abundance of and . These findings need to be replicated in future studies with larger sample sizes.

摘要

目前,已有大量证据表明肠道微生物群与人类健康和疾病有关。然而,相对于健康对照(HC)人群,仅有少数研究评估了双相障碍(BD)患者的肠道微生物群特征。本研究纳入了符合 DSM-5 定义的 BD 患者(年龄 18-65 岁)和年龄、性别匹配的 HC 个体(无当前或既往精神或重大躯体疾病史),采集粪便样本后,采用 Illumina 测序技术进行测序,通过聚类分析和微生物群落分析(ANCOM)评估特定分类群与样本组的关联,以及饮食的影响。采用饮食问卷(DQES v2)进行营养成分评估。共纳入 46 名受试者(BD 患者 23 名,HC 患者 23 名)。聚类分析未发现 BD 患者与 HC 患者之间存在任何显著差异(=0.38)。BD 患者的肠道微生物多样性显著低于 HC 患者(=0.04)。与 HC 患者相比,BD 患者的 OTU 丰度更高,BD-II 患者的 OTU 丰度相对更高。聚类分析表明,诊断(=0.38)和饮食(=0.43)对肠道微生物群组成均无显著影响。本研究样本量较小,且部分潜在调节因素(如精神药物和吸烟)的控制不足。该研究提示与 HC 患者相比,BD 患者的肠道微生物群特征可能存在差异,其 和 的丰度更高。这些发现需要在未来更大样本量的研究中进一步验证。

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