Department of Gastroenterology, The First Affiliated Hospital, Harbin Medical University, Harbin Heilong Jiang Province, People's Republic of China.
Department of Endocrinology, The First Affiliated Hospital, Harbin Medical University, Harbin Heilong Jiang Province, People's Republic of China.
Bioengineered. 2021 Dec;12(1):5195-5209. doi: 10.1080/21655979.2021.1958600.
The global incidence of ulcerative colitis (UC) continues to increase while it's clinical cure rate remains low. Intestinal mucosal ulcers have segmental distribution and variable severity. Intestinal bacteria are closely related to intestinal immunity and metabolism; however, the relationship between intestinal microbiome profile and the occurrence of UC, as well as the contribution of glucose metabolism, are not well understood. This was investigated in the present study using mucosal biopsies from patients with UC and healthy control subjects. We performed high throughput 16S rRNA gene sequencing to estimate microbiota composition and abundance as well as their association with clinical indices such as lesion severity. The results showed that the diversity and abundance of intestinal microbiota were significantly lower in patients with UC than in healthy subjects; however, these were unrelated to ulcer severity. Serum glucagon-like peptide 2 (GLP-2) level was associated with reduced microbiota diversity and abundance in UC. These results indicate that colonization by specific microbiota is not the main determinant of pathologic status in UC. Additionally, therapeutic strategies that increase GLP-2 levels in intestinal mucosa may be effective in the treatment of UC.
溃疡性结肠炎(UC)的全球发病率持续上升,而其临床治愈率仍然较低。肠黏膜溃疡呈节段性分布,严重程度不一。肠道细菌与肠道免疫和代谢密切相关;然而,肠道微生物组谱与 UC 的发生以及葡萄糖代谢的贡献尚不清楚。本研究使用来自 UC 患者和健康对照者的黏膜活检组织进行了研究。我们进行了高通量 16S rRNA 基因测序,以评估微生物群落的组成和丰度,以及它们与病变严重程度等临床指标的关联。结果表明,UC 患者的肠道微生物多样性和丰度明显低于健康受试者;然而,这与溃疡严重程度无关。血清胰高血糖素样肽 2(GLP-2)水平与 UC 中微生物多样性和丰度的降低有关。这些结果表明,特定微生物的定植不是 UC 病理状态的主要决定因素。此外,增加肠黏膜中 GLP-2 水平的治疗策略可能对 UC 的治疗有效。
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