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人类饮食习惯对耐药性现象的影响:杂食者、蛋奶素食者和严格素食者肠道微生物群临床耐药组学方面

Influence of Human Eating Habits on Antimicrobial Resistance Phenomenon: Aspects of Clinical Resistome of Gut Microbiota in Omnivores, Ovolactovegetarians, and Strict Vegetarians.

作者信息

da Silva Suzane Fernandes, Reis Isabela Brito, Monteiro Melina Gabriela, Dias Vanessa Cordeiro, Machado Alessandra Barbosa Ferreira, da Silva Vânia Lúcia, Diniz Cláudio Galuppo

机构信息

Laboratory of Bacterial Physiology and Molecular Genetics, Center for Studies in Microbiology, Department of Parasitology, Microbiology and Immunology, Federal University of Juiz de Fora, 36036-330 Juiz de Fora, Brazil.

出版信息

Antibiotics (Basel). 2021 Mar 9;10(3):276. doi: 10.3390/antibiotics10030276.

Abstract

The use of xenobiotics in food production and how food intake is carried out in different cultures, along with different eating habits (omnivorism (ON), ovolactovegetarianism (VT), and strict vegetarianism (VG)) seem to have implications for antimicrobial resistance, especially in the human gut microbiota. Thus, the aim of this study was to evaluate aspects of the clinical resistome of the human gut microbiota among healthy individuals with different eating habits. Volunteers were divided into 3 groups: = 19 omnivores (ON), = 20 ovolactovegetarians (VT), and = 19 strict vegetarians (VG), and nutritional and anthropometric parameters were measured. Metagenomic DNA from fecal samples was used as a template for PCR screening of 37 antimicrobial resistance genes (ARG) representative of commonly used agents in human medicine. The correlation between eating habits and ARG was evaluated. There were no significant differences in mean caloric intake. Mean protein intake was significantly higher in ON, and fiber and carbohydrate consumption was higher in VG. From the screened ARG, 22 were detected. No clear relationship between diets and the occurrence of ARG was observed. Resistance genes against tetracyclines, β-lactams, and the MLS group (macrolides, lincosamides, and streptogramins) were the most frequent, followed by resistance genes against sulfonamides and aminoglycosides. Vegetables and minimally processed foods seem to be the main source of ARG for the human gut microbiota. Although eating habits vary among individuals, the open environment and the widespread ARG from different human activities draw attention to the complexity of the antimicrobial resistance phenomenon which should be addressed by a One Health approach.

摘要

食品生产中异生素的使用以及不同文化背景下的食物摄入方式,连同不同的饮食习惯(杂食主义(ON)、蛋奶素食主义(VT)和严格素食主义(VG))似乎都对抗菌药物耐药性有影响,尤其是对人类肠道微生物群。因此,本研究的目的是评估不同饮食习惯的健康个体肠道微生物群临床耐药组的相关方面。志愿者被分为3组:19名杂食者(ON)、20名蛋奶素食者(VT)和19名严格素食者(VG),并测量了营养和人体测量参数。粪便样本中的宏基因组DNA被用作模板,用于PCR筛选37种代表人类医学常用药物的抗菌耐药基因(ARG)。评估了饮食习惯与ARG之间的相关性。平均热量摄入没有显著差异。ON组的平均蛋白质摄入量显著更高,而VG组的纤维和碳水化合物消耗量更高。在筛选出的ARG中,检测到了22种。未观察到饮食与ARG出现之间的明确关系。对四环素、β-内酰胺类和MLS组(大环内酯类、林可酰胺类和链阳菌素类)的耐药基因最为常见,其次是对磺胺类和氨基糖苷类的耐药基因。蔬菜和最少加工的食品似乎是人类肠道微生物群ARG的主要来源。尽管个体之间的饮食习惯各不相同,但开放环境以及来自不同人类活动的广泛ARG凸显了抗菌药物耐药性现象的复杂性,这需要通过“同一健康”方法来解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4cd/8001852/d0c59d0f464f/antibiotics-10-00276-g001.jpg

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