Song Yuping, Hou Jinpao, Kwok Jamie Sui Lam, Weng Haoyi, Tang Man Fung, Wang Maggie Haitian, Leung Agnes Sze Yin, Tao Kin Pong, Wong Gary Wing Kin, Chan Renee Wan Yi, Tsui Stephen Kwok Wing, Leung Ting Fan
Department of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Sha Tin, Hong Kong SAR, China.
School of Biomedical Sciences, The Chinese University of Hong Kong, Sha Tin, Hong Kong SAR, China.
Front Microbiol. 2022 Feb 16;12:792556. doi: 10.3389/fmicb.2021.792556. eCollection 2021.
Microbiome mediates early life immune deviation in asthma development. Recurrent wheeze (RW) in pre-school years is a risk factor for asthma diagnosis in school-age children. Dysbiosis exists in asthmatic airways, while its origin in pre-school years and relationship to RW is not clearly defined. This study investigated metagenomics of nasopharyngeal microbiome in pre-school children with RW. We applied whole-genome shotgun sequencing and human rhinovirus (HRV) detection on nasopharyngeal samples collected from three groups of pre-school children: (i) RW group: 16 children at-risk for asthma who were hospitalized for RW, (ii) inpatient control (IC): 18 subjects admitted for upper respiratory infection, and (iii) community control (CC): 36 children without respiratory syndromes. Sequence reads were analyzed by MetaPhlAn2 and HUMAnN2 algorithm for taxonomic and functional identification. Linear discriminant analysis effect size (LEfSe) analysis was used to identify discriminative features. We identified that and were predominant species in nasopharynx. RW had lower alpha diversity (Shannon diversity index) than CC (0.48 vs. 1.07; = 0.039), characterized by predominant Proteobacteria. LEfSe analysis revealed was the only discriminative species across groups (LDA = 5.57, = 0.002), with its relative abundance in RW, IC, and CC being 9.6, 14.2, and 37.3%, respectively ( < 0.05). LEfSe identified five (ribo)nucleotides biosynthesis pathways to be group discriminating. Adjusting for HRV status, pre-school children with RW have lower nasopharyngeal biodiversity, which is associated with Proteobacteria predominance and lower abundance of . Along with discriminative pathways found in RW and CC, these microbial biomarkers help to understand RW pathogenesis.
微生物群在哮喘发展过程中介导早期生命免疫偏离。学龄前反复喘息(RW)是学龄儿童哮喘诊断的一个危险因素。哮喘气道中存在微生物群落失调,但其在学龄前的起源以及与RW的关系尚不清楚。本研究调查了患有RW的学龄前儿童鼻咽微生物群的宏基因组学。我们对从三组学龄前儿童收集的鼻咽样本进行了全基因组鸟枪法测序和人鼻病毒(HRV)检测:(i)RW组:16名因RW住院的哮喘高危儿童,(ii)住院对照(IC)组:18名因上呼吸道感染入院的受试者,(iii)社区对照(CC)组:36名无呼吸道综合征的儿童。通过MetaPhlAn2和HUMAnN2算法分析序列读数,以进行分类和功能鉴定。使用线性判别分析效应大小(LEfSe)分析来识别判别特征。我们确定了 和 是鼻咽中的优势菌种。RW的α多样性(香农多样性指数)低于CC(0.48对1.07; = 0.039),其特征是变形菌门占优势。LEfSe分析显示 是各组间唯一的判别菌种(线性判别分析效应值 = 5.57, = 0.002),其在RW、IC和CC中的相对丰度分别为9.6%、14.2%和37.3%( < 0.05)。LEfSe确定了五条(核糖)核苷酸生物合成途径具有组间判别性。校正HRV状态后,患有RW的学龄前儿童鼻咽生物多样性较低,这与变形菌门占优势以及 的丰度较低有关。连同在RW和CC中发现的判别途径,这些微生物生物标志物有助于理解RW的发病机制。