Department of Population Health, New York University School of Medicine, New York, NY, USA.
J Alzheimers Dis. 2022;88(1):251-262. doi: 10.3233/JAD-220011.
Epidemiological studies that investigate alterations in gut microbial composition associated with cognitive dysfunction are limited.
To examine the association between the gut microbiota and subjective memory complaints (SMCs), a self-reported, validated indicator of cognitive dysfunction.
In this cross-sectional study of 95 older women selected from the New York University Women's Health Study (NYUWHS), we characterized the gut microbial composition using 16S rRNA gene sequencing. We estimated odds ratio (OR) from beta regression which approximates the ratio of mean relative abundances of individual bacterial taxon from phylum to genus levels by binary (2+ versus < 2) and continuous SMCs.
Women reporting 2 or more SMCs had higher relative abundances of genus Holdemania and family Desulfovibrionaceae compared with those reporting one or no complaint. Compared with women with < 2 SMCs, the relative abundances of Holdemania and family Desulfovibrionaceae were 2.09 times (OR: 2.09, 95% confidence interval [CI]: 1.38-3.17) and 2.10 times (OR: 2.10, 95% CI: 1.43-3.09) higher in women with 2+ SMCs, respectively (false discovery rate (FDR)-adjusted p = 0.038 and 0.010, respectively). A dose-response association was observed for genus Sutterella and family Desulfovibrionaceae. Every one-unit increase in SMCs was associated with 25% and 27% higher relative abundances of Sutterella (OR: 1.25; 95% CI: 1.11-1.40) and Desulfovibrionaceae (OR: 1.27; 95% CI: 1.13-1.42), respectively (FDR-adjusted p = 0.018 and 0.006, respectively).
Our findings support an association between alterations in the gut bacterial composition and cognitive dysfunction.
研究与认知功能障碍相关的肠道微生物组成变化的流行病学研究有限。
检查肠道微生物群与主观记忆抱怨(SMCs)之间的关联,SMCs 是一种自我报告的认知功能障碍的验证指标。
在这项对从纽约大学妇女健康研究(NYUWHS)中选择的 95 名老年女性的横断面研究中,我们使用 16S rRNA 基因测序来描述肠道微生物组成。我们通过二分法(2+与<2)和连续 SMCs 来估计β回归近似的个体细菌分类群的平均相对丰度比的比值。
报告有 2 个或更多 SMC 的女性与报告有 1 个或没有抱怨的女性相比,属霍尔德曼尼亚和脱硫弧菌科的相对丰度更高。与<2 个 SMC 的女性相比,2+个 SMC 的女性霍尔德曼尼亚和脱硫弧菌科的相对丰度分别高 2.09 倍(OR:2.09,95%置信区间[CI]:1.38-3.17)和 2.10 倍(OR:2.10,95% CI:1.43-3.09)(错误发现率[FDR]调整后的 p=0.038 和 0.010)。观察到属萨特利亚和脱硫弧菌科之间存在剂量反应关系。SMCs 每增加一个单位,萨特利亚的相对丰度增加 25%(OR:1.25;95% CI:1.11-1.40),脱硫弧菌科的相对丰度增加 27%(OR:1.27;95% CI:1.13-1.42)(FDR 调整后的 p=0.018 和 0.006)。
我们的研究结果支持肠道细菌组成的变化与认知功能障碍之间存在关联。