Lakshmanan Arun Prasath, Kohil Amira, El Assadi Farah, Al Zaidan Sara, Al Abduljabbar Shaikha, Bangarusamy Dhinoth Kumar, Al Khalaf Fawziya, Petrovski Goran, Terranegra Annalisa
Research Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Department of Biomedical Sciences, College of Health Sciences, QU Health, Qatar University, Doha P.O. Box 2713, Qatar.
Nutrients. 2021 Mar 4;13(3):836. doi: 10.3390/nu13030836.
In Qatar, Type 1 Diabetes mellitus (T1DM) is one of the most prevalent disorders. This study aimed to explore the gut microbiome's relation to the continuous subcutaneous insulin infusion (CSII) therapy, dietary habits, and the HbA1c level in the pediatric T1DM subjects in Qatar. We recruited 28 T1DM subjects with an average age of 10.5 ± 3.53 years. The stool sample was used to measure microbial composition by 16s rDNA sequencing method. The results have revealed that the subjects who had undergone CSII therapy had increased microbial diversity and genus was significantly enriched in the subjects without CSII therapy. Moreover, genus was higher in the subjects with poor glycemic control (HbA1c > 7.5%). When we classified the subjects based on dietary patterns and nationality, was significantly enriched in Qataris subjects without the CSII therapy consuming Arabic diet than expatriates living in Qatar and eating a Western/mixed diet. Thus, this pilot study showed that abundance of is dependent on the Arabic diet only in poorly controlled Qataris T1DM patients, opening new routes to personalized treatment for T1DM in Qataris pediatric subjects. Further comprehensive studies on the relation between the Arabic diet, ethnicity, and are warranted to confirm this preliminary finding.
在卡塔尔,1型糖尿病(T1DM)是最普遍的疾病之一。本研究旨在探讨卡塔尔儿科T1DM患者肠道微生物群与持续皮下胰岛素输注(CSII)治疗、饮食习惯及糖化血红蛋白(HbA1c)水平之间的关系。我们招募了28名平均年龄为10.5±3.53岁的T1DM患者。采用16s rDNA测序方法,通过粪便样本测量微生物组成。结果显示,接受CSII治疗的患者微生物多样性增加,且在未接受CSII治疗的患者中某属显著富集。此外,血糖控制不佳(HbA1c>7.5%)的患者中该属水平更高。当我们根据饮食模式和国籍对患者进行分类时,与居住在卡塔尔且食用西方/混合饮食的外籍人士相比,未接受CSII治疗且食用阿拉伯饮食的卡塔尔患者中某属显著富集。因此,这项初步研究表明,仅在血糖控制不佳的卡塔尔T1DM患者中,某属的丰度依赖于阿拉伯饮食,这为卡塔尔儿科患者T1DM的个性化治疗开辟了新途径。有必要对阿拉伯饮食、种族与某属之间的关系进行进一步的综合研究,以证实这一初步发现。