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乙型肝炎病毒相关肝硬化患者的肠道微生物群失调

Gut microbiota dysbiosis in patients with hepatitis B virus-related cirrhosis.

作者信息

Shu Wu, Shanjian Chen, Jinpiao Lin, Qishui Ou

机构信息

The First Affiliated Hospital of Fujian Medical University, No. 20 Chazhong Road, Fuzhou, CN; Fujian Key Laboratory of Laboratory Medicine, Fuzhou, CN; Gene Diagnosis Research Center, Fujian Medical University, Fuzhou, CN.

The First Affiliated Hospital of Fujian Medical University, No. 20 Chazhong Road, Fuzhou, CN; Fujian Key Laboratory of Laboratory Medicine, Fuzhou, CN; Gene Diagnosis Research Center, Fujian Medical University, Fuzhou, CN.

出版信息

Ann Hepatol. 2022 Mar-Apr;27(2):100676. doi: 10.1016/j.aohep.2022.100676. Epub 2022 Jan 28.

Abstract

INTRODUCTION AND AIM

Chronic hepatitis B (CHB) is a global epidemic disease that results from hepatitis B virus (HBV) infection and may progress to liver cirrhosis. The relationship between hepatitis B virus-related cirrhosis (HBV-RC) and gut microbiota dysbiosis is still unclear. The aim of this study is to elucidate the compositional and functional characteristics of the gut microbiota in the patients with liver cirrhosis and healthy individuals.

MATERIALS AND METHODS

We analyzed the gut microbiome in patients with HBV-RC and healthy individuals by 16S rRNA sequencing and metagenomic sequencing of fecal samples. A total of 113 genera, 85 families, 57 orders, 44 classes and 21 phyla were performed.

RESULTS

Our results suggests that the composition of the gut microbiota had changed in the early stages of cirrhosis. We further identified more than 17 genera with different richness in compensated and decompensated cirrhosis groups. PICRUSt analysis showed that changes in bacterial composition can lead to significant changes in gene function, which may be one of the causes of liver cirrhosis.

CONCLUSION

Our study demonstrated that the composition of gut microbiota changed at different phases of HBV-RC. Gut microbiome transformation may be a biological factor in the progression of cirrhosis.

摘要

引言与目的

慢性乙型肝炎(CHB)是一种由乙型肝炎病毒(HBV)感染引起的全球性流行病,可能会发展为肝硬化。乙型肝炎病毒相关性肝硬化(HBV-RC)与肠道微生物群失调之间的关系仍不清楚。本研究的目的是阐明肝硬化患者和健康个体肠道微生物群的组成和功能特征。

材料与方法

我们通过对粪便样本进行16S rRNA测序和宏基因组测序,分析了HBV-RC患者和健康个体的肠道微生物组。共检测了113个属、85个科、57个目、44个纲和21个门。

结果

我们的结果表明,肝硬化早期肠道微生物群的组成发生了变化。我们进一步在代偿期和失代偿期肝硬化组中鉴定出17个以上丰度不同的属。PICRUSt分析表明,细菌组成的变化可导致基因功能的显著改变,这可能是肝硬化的原因之一。

结论

我们的研究表明,HBV-RC不同阶段肠道微生物群的组成发生了变化。肠道微生物组的转变可能是肝硬化进展的一个生物学因素。

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