Nursing Department, Nursing Research and Translational Science, 2511National Institutes of Health, Clinical Center, Bethesda, MD, USA.
Biol Res Nurs. 2021 Jan;23(1):7-20. doi: 10.1177/1099800420941606. Epub 2020 Jul 21.
: The oral cavity is associated with local and systemic diseases, although oral samples are not as commonly studied as fecal samples in microbiome research. There is a gap in understanding between the similarities and differences in oral and gut microbiomes and how they may influence each other. : A scoping literature review was conducted comparing oral and gut microbiome communities in healthy humans. : Ten manuscripts met inclusion criteria and were examined. The oral microbiome sites demonstrated great variance in differential bacterial abundance and the oral microbiome had higher alpha diversity as compared to the gut microbiome. Studies using 16S rRNA sequencing analysis resulted in overall community differences between the oral and gut microbiomes when beta diversity was analyzed. Shotgun metagenomics sequencing increased taxonomic resolution to strain level (intraspecies) and demonstrated a greater percentage of shared taxonomy and oral bacterial translocation to the gut microbiome community. : The oral and gut microbiome bacterial communities may be more similar than earlier research has suggested, when species strain is analyzed through shotgun metagenomics sequencing. The association between oral health and systemic diseases has been widely reported but many mechanisms underlying this relationship are unknown. Although future research is needed, the oral microbiome may be a novel interventional target through its downstream effects on the gut microbiome. As nurse scientists are experts in symptom characterization and phenotyping of patients, they are also well posed to lead research on the connection of the oral microbiome to the gut microbiome in health and disease.
口腔与局部和全身疾病有关,尽管口腔样本在微生物组研究中不如粪便样本那样常见。人们对口腔和肠道微生物组的相似之处和不同之处以及它们如何相互影响的理解存在差距。
进行了一项范围性文献综述,比较了健康人类的口腔和肠道微生物组群落。
符合纳入标准并进行了检查的有十篇文献。口腔微生物组部位的差异细菌丰度差异很大,与肠道微生物组相比,口腔微生物组的 alpha 多样性更高。当对 beta 多样性进行分析时,使用 16S rRNA 测序分析的研究导致了口腔和肠道微生物组之间的总体群落差异。 shotgun 宏基因组测序将分类分辨率提高到菌株水平(种内),并显示出更多的共享分类和口腔细菌向肠道微生物组群落的转移。
当通过 shotgun 宏基因组测序分析物种菌株时,口腔和肠道微生物组的细菌群落可能比早期研究认为的更为相似。口腔健康与全身疾病的关联已被广泛报道,但这种关系的许多机制尚不清楚。尽管需要进一步研究,但口腔微生物组可能是通过其对肠道微生物组的下游影响成为一种新的干预靶点。由于护士科学家是患者症状特征和表型的专家,因此他们也非常适合领导口腔微生物组与健康和疾病中的肠道微生物组之间联系的研究。