类风湿关节炎患者肠道微生物群的细菌组成变化与疾病活动的关系
Bacterial Compositional Shifts of Gut Microbiomes in Patients with Rheumatoid Arthritis in Association with Disease Activity.
作者信息
El Menofy Nagwan G, Ramadan Mohammed, Abdelbary Eman R, Ibrahim Hatem G, Azzam Adel I, Ghit Mohamed M, Ezz Ahmed S, Gazar Yasser A, Salah Mohammed
机构信息
Microbiology and Immunology Department, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo 11884, Egypt.
Microbiology and Immunology Department, Faculty of Pharmacy Al-Azhar University-Assiut Branch, Assiut 71526, Egypt.
出版信息
Microorganisms. 2022 Sep 11;10(9):1820. doi: 10.3390/microorganisms10091820.
Rheumatoid arthritis (RA) is a chronic inflammatory disabling autoimmune disorder. Little is known regarding the association between the gut microbiome and etiopathogenesis of RA. We aimed to dissect the differences in gut microbiomes associated with RA in comparison to healthy individuals and, in addition, to identify the shifts in the bacterial community in association with disease activity; Methods: In order to identify compositional shifts in gut microbiomes of RA patients, V3-V4 hypervariable regions of 16S rRNA were sequenced using Illumina MiSeq. In total, sixty stool samples were collected from 45 patients with RA besides 15 matched healthy subjects; Results: Notably, RA microbiomes were significantly associated with diverse bacterial communities compared with healthy individuals. Likewise, a direct association between bacterial diversity and disease activity was detected in RA patients (Kruskal Wallis; = 0.00047). In general, genus-level analysis revealed a positive coexistence between RA and , , , , and . Furthermore, Spearman correlation analysis significantly stratified the most dominant genera into distinct clusters that were mainly based on disease activity ( ≥ 0.6; ≤ 0.05). The predictive metabolic profile of bacterial communities associated with RA could support the potential impact of gut microbiomes in either the development or recovery of RA; Conclusions: The overall shifts in bacterial composition at different disease statuses could confirm the cross-linking of certain genera either to causation or progression of RA.
类风湿关节炎(RA)是一种慢性炎症性致残性自身免疫性疾病。关于肠道微生物群与RA病因发病机制之间的关联,目前所知甚少。我们旨在剖析与健康个体相比,与RA相关的肠道微生物群的差异,此外,还要确定与疾病活动相关的细菌群落变化;方法:为了确定RA患者肠道微生物群的组成变化,使用Illumina MiSeq对16S rRNA的V3-V4高变区进行测序。总共从45例RA患者以及15名匹配的健康受试者中收集了60份粪便样本;结果:值得注意的是,与健康个体相比,RA微生物群与多种细菌群落显著相关。同样,在RA患者中检测到细菌多样性与疾病活动之间存在直接关联(Kruskal Wallis检验;P = 0.00047)。总体而言,属水平分析显示RA与[具体菌属1]、[具体菌属2]、[具体菌属3]、[具体菌属4]、[具体菌属5]和[具体菌属6]之间存在正共存关系。此外,Spearman相关性分析将最主要的属显著分层为不同的簇,这些簇主要基于疾病活动(r≥0.6;P≤0.05)。与RA相关的细菌群落的预测代谢谱可能支持肠道微生物群在RA发生或恢复中的潜在影响;结论:不同疾病状态下细菌组成的总体变化可以证实某些菌属与RA的病因或进展之间的交叉联系。