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心肌梗死后心力衰竭不会影响大鼠的肠道微生物组成。

Heart failure developed after myocardial infarction does not affect gut microbiota composition in the rat.

机构信息

Department of Physiological Sciences, Center of Biological Sciences, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.

School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

出版信息

Am J Physiol Gastrointest Liver Physiol. 2019 Sep 1;317(3):G342-G348. doi: 10.1152/ajpgi.00018.2019. Epub 2019 Jul 17.

Abstract

There is a body of evidence that supports the notion that gut dysbiosis plays a role in the pathogenesis of cardiovascular diseases. Decreased cardiac function can reduce intestinal perfusion, resulting in morphological alterations, which may contribute to changes in the gut microbiota composition in patients with heart failure (HF). In this regard, a germane question is whether changes in gut microbiota composition are a cause or consequence of the cardiovascular disturbance. We tested the hypothesis that the development of HF, after myocardial infarction, would cause gut dysbiosis. Fecal samples were collected before and 6 wk after myocardial infarction or sham surgery. Gut microbiota were characterized by sequencing the bacterial 16S ribosomal DNA. The composition of bacterial communities in the fecal samples was evaluated by calculating three major ecological parameters: ) the Chao 1 richness, ) the Pielou evenness, and ) the Shannon index. None of these indices was changed in either sham or HF rats. The ratio was not altered in HF rats. The number of species in each phylum was also not different between sham and HF rats. β-Diversity analysis showed that the composition of gut microbiota was not changed with the development of HF. Bacterial genera were grouped according to their major metabolic end-products (acetate, butyrate, and lactate), but no differences were observed in HF rats. Therefore, we conclude that HF induced by myocardial infarction does not affect gut microbiota composition, at least in rats, indicating that the dysbiosis observed in patients with HF may precede cardiovascular disturbance. Our study demonstrated that, following myocardial infarction in rats, heart failure (HF) development did not affect the intestinal microbiota despite distinct differences reported in the gut microbiota of humans with HF. Our finding is consistent with the notion that dysbiosis observed in patients with HF may precede cardiovascular dysfunction and therefore offers potential for early diagnosis and treatment.

摘要

有大量证据支持这样一种观点,即肠道菌群失调在心血管疾病的发病机制中起作用。心脏功能下降会减少肠道灌注,导致形态改变,这可能导致心力衰竭(HF)患者肠道微生物群落组成发生变化。在这方面,一个相关的问题是肠道微生物群落组成的变化是心血管紊乱的原因还是结果。我们检验了这样一个假设,即心肌梗死后心力衰竭的发展会导致肠道菌群失调。在心肌梗死或假手术后,分别在术前和 6 周采集粪便样本。通过测序细菌 16S 核糖体 DNA 来描述肠道微生物群。通过计算三个主要生态参数来评估粪便样本中细菌群落的组成:)Chao1 丰富度,)Pielou 均匀度,和)Shannon 指数。无论是在假手术组还是 HF 组,这些指数都没有改变。HF 大鼠的 比值也没有改变。每个门的物种数量在假手术组和 HF 组之间也没有差异。β多样性分析表明,HF 的发展并没有改变肠道微生物群的组成。根据其主要代谢终产物(乙酸盐、丁酸盐和乳酸盐)将细菌属分组,但在 HF 大鼠中没有观察到差异。因此,我们得出结论,心肌梗死后诱导的 HF 至少在大鼠中不会影响肠道微生物群的组成,这表明 HF 患者中观察到的失调可能先于心血管紊乱。我们的研究表明,在大鼠心肌梗死后,心力衰竭(HF)的发展并没有影响肠道微生物群,尽管在 HF 患者的肠道微生物群中报道了明显的差异。我们的发现与这样一种观点一致,即 HF 患者中观察到的失调可能先于心血管功能障碍,因此为早期诊断和治疗提供了潜力。

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