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[自闭症谱系障碍儿童肠道微生物群与行为症状之间的相关性]

[Correlation between gut microbiota and behavior symptoms in children with autism spectrum disorder].

作者信息

Zhao Rui-Hao, Zheng Peng-Yuan, Liu Si-Meng, Tang You-Cai, Li En-Yao, Sun Zhen-Yu, Jiang Miao-Miao

机构信息

Department of Gastroenterology, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2019 Jul;21(7):663-669. doi: 10.7499/j.issn.1008-8830.2019.07.009.

Abstract

OBJECTIVE

To investigate the composition of gut microbiota and its correlation with the severity of behavior symptoms in children with autism spectrum disorder (ASD).

METHODS

A total of 30 children with ASD were enrolled as the ASD group, and 20 healthy children matched for age and sex were enrolled as the healthy control group. Related clinical data were analyzed. The V3-V4 hypervariable regions of the bacterial 16S rRNA gene in fecal samples were sequenced. The severity of behavior symptoms in children with ASD was assessed using the autism behavior checklist. The Spearman's correlation analysis was used to investigate the correlation between gut microbiota and the severity of behavior symptoms in children with ASD.

RESULTS

There was a significant difference in the composition of gut microbiota between the two groups. Compared with the healthy control group, the ASD group had significant reductions in Shannon index and Shannoneven index (P<0.05), as well as a significant reduction in the percentage of Firmicutes and a significant increase in the percentage of Acidobacteria in feces (P<0.05). In the ASD group, the dominant bacteria were Megamonas, Megasphaera, and Barnesiella, while in the healthy control group, the dominant bacteria were Eubacterium_rectale_group, Ezakiella, and Streptococcus. In the children with ASD, the abundance of Megamonas was positively correlated with the scores of health/physical/behavior and language communication (P<0.05).

CONCLUSIONS

The development of ASD and the severity of behavior symptoms are closely associated with the composition of gut microbiota.

摘要

目的

探讨自闭症谱系障碍(ASD)患儿肠道微生物群的组成及其与行为症状严重程度的相关性。

方法

共纳入30例ASD患儿作为ASD组,20例年龄和性别匹配的健康儿童作为健康对照组。分析相关临床资料。对粪便样本中细菌16S rRNA基因的V3-V4高变区进行测序。采用自闭症行为量表评估ASD患儿行为症状的严重程度。采用Spearman相关性分析探讨ASD患儿肠道微生物群与行为症状严重程度之间的相关性。

结果

两组肠道微生物群组成存在显著差异。与健康对照组相比,ASD组的香农指数和香农均匀度指数显著降低(P<0.05),粪便中厚壁菌门百分比显著降低,酸杆菌门百分比显著升高(P<0.05)。在ASD组中,优势菌为巨单胞菌属、巨球形菌属和Barnesiella,而在健康对照组中,优势菌为直肠真杆菌属、Ezakiella和链球菌属。在ASD患儿中,巨单胞菌属的丰度与健康/身体/行为和语言交流得分呈正相关(P<0.05)。

结论

ASD的发生发展及行为症状的严重程度与肠道微生物群的组成密切相关。

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