Department of Molecular and Clinical Cancer Medicine, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.
School of Engineering, University of Glasgow, Glasgow, UK.
Gut Microbes. 2021 Jan-Dec;13(1):1930871. doi: 10.1080/19490976.2021.1930871.
The etiology of Crohn's disease (CD) is multifactorial. Bacterial and fungal microbiota are involved in the onset and/or progression of the disease. A bacterial dysbiosis in CD patients is accepted; however, less is known about the mycobiome and the relationships between the two communities. We investigated the interkingdom relationships, their metabolic consequences, and the changes in the fungal community during relapse and remission in CD.Two cohorts were evaluated: a British cohort (n = 63) comprising CD and ulcerative colitis patients, and controls. The fungal and bacterial communities of biopsy and fecal samples were analyzed, with the fecal volatiles; datasets were also integrated; and a Dutch cohort (n = 41) comprising CD patients and healthy controls was analyzed for stability of the gut mycobiome.A dysbiosis of the bacterial community was observed in biopsies and stool. Results suggest is likely key in CD and may modulate colonization. A dysbiosis of the fungal community was observed only in the Dutch cohort; and were increased in patients taking immunosuppressants. Longitudinal analysis showed an increase in in relapse. was dominant in all fecal samples, but not in biopsies, some of which did not yield fungal reads; amino acid degradation was the main metabolic change associated with CD and both bacteria and fungi might be implicated.We have shown that and yeasts may play a role in CD; understanding their role and relationship in the disease would shed new light on the development and treatment of CD.
克罗恩病(CD)的病因是多因素的。细菌和真菌微生物群参与疾病的发生和/或进展。CD 患者存在细菌失调已被接受;然而,对真菌组和两者之间的关系知之甚少。我们研究了种间关系、它们的代谢后果以及 CD 缓解和复发期间真菌群落的变化。评估了两个队列:一个英国队列(n=63)包括 CD 和溃疡性结肠炎患者和对照。分析了活检和粪便样本中的真菌和细菌群落,以及粪便挥发物;还整合了数据集;并对一个包括 CD 患者和健康对照的荷兰队列(n=41)进行了分析,以研究肠道真菌组的稳定性。在活检和粪便中观察到细菌群落的失调。结果表明,在 CD 中,可能是关键的,并且可能调节的定植。仅在荷兰队列中观察到真菌群落的失调;在服用免疫抑制剂的患者中,和增加。纵向分析显示,在复发时增加。在所有粪便样本中均占主导地位,但在活检中则不然,其中一些样本未产生真菌读数;与 CD 相关的主要代谢变化是氨基酸降解,细菌和真菌都可能参与其中。我们已经表明,和酵母菌可能在 CD 中发挥作用;了解它们在疾病中的作用和关系将为 CD 的发展和治疗提供新的思路。
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