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肝移植受者围手术期的肠道微生物群

The Gut Microbiota in Liver Transplantation Recipients During the Perioperative Period.

作者信息

Lai Zhiyong, Chen Zongkun, Zhang Anhong, Niu Zhiqiang, Cheng Meng, Huo Chenda, Xu Jun

机构信息

Department of Hepatobiliary and Pancreatic Surgery and Liver Transplant Center, the First Hospital of Shanxi Medical University, Taiyuan, China.

Shanxi Medical University, Taiyuan, China.

出版信息

Front Physiol. 2022 Apr 1;13:854017. doi: 10.3389/fphys.2022.854017. eCollection 2022.

Abstract

Chronic liver disease is a global problem, and an increasing number of patients receive a liver transplant yearly. The characteristics of intestinal microbial communities may be affected by changes in the pathophysiology of patients during the perioperative. We studied gut fecal microbial community signatures in 37 Chinese adults using 16S rRNA sequencing targeting V3-V4 hypervariable regions, with a total of 69 fecal samples. We analyzed the Alpha and Beta diversities of various groups. Then we compared the abundance of bacteria in groups at the phylum, family, and genus levels. The healthy gut microbiota predominantly consisted of the phyla Firmicutes and Bacteroidestes, followed by Proteobacteria and Actinobacteria. Compared with healthy people, due to the dominant bacteria in patients with chronic liver disease losing their advantages in the gut, the antagonistic effect on the inferior bacteria was reduced. The inferior bacteria multiplied in large numbers during this process. Some of these significant changes were observed in bacterial species belonging to , , and , which increased in patients' intestines. There were low abundances of signature genes such as , , and . and (considered probiotics) almost disappeared after liver transplantation. There is an altered microbial composition in liver transplantation patients and a distinct signature of microbiota associated with the perioperative period.

摘要

慢性肝病是一个全球性问题,每年有越来越多的患者接受肝移植。围手术期患者病理生理学的变化可能会影响肠道微生物群落的特征。我们使用针对V3-V4高变区的16S rRNA测序技术,对37名中国成年人的肠道粪便微生物群落特征进行了研究,共采集了69份粪便样本。我们分析了各个组的α和β多样性。然后我们比较了不同组在门、科和属水平上细菌的丰度。健康的肠道微生物群主要由厚壁菌门和拟杆菌门组成,其次是变形菌门和放线菌门。与健康人相比,由于慢性肝病患者体内的优势菌在肠道中失去了优势,对劣势菌的拮抗作用减弱。在此过程中,劣势菌大量繁殖。在属于 、 和 的细菌种类中观察到了一些显著变化,这些细菌在患者肠道中增加。 、 和 等标志性基因的丰度较低。 和 (被认为是益生菌)在肝移植后几乎消失。肝移植患者的微生物组成发生了改变,并且存在与围手术期相关的独特微生物特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a118/9075733/9459544d36cd/fphys-13-854017-g001.jpg

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