Microbiota I-Center (MagIC), Hong Kong SAR, China.
Department of Medicine and Therapeutics, Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China.
Gut Microbes. 2023 Jan-Dec;15(1):2157697. doi: 10.1080/19490976.2022.2157697.
Irritable bowel syndrome (IBS) is a heterogeneous condition with multifactorial pathogenesis. We studied deeply phenotyped individuals with microbiota sequencing enrolled in the American Gut Project. The IBS subjects were matched by age, gender, body mass index, geography, and dietary patterns with non-IBS controls. A total of 942 subjects with IBS-Diarrhea (IBS-D), IBS-Constipation (IBS-C), unclassified IBS (IBS-U), and 942 non-IBS controls were included. We compared taxonomic and functional composition of gut microbiota based on 16S sequencing data and linked them with clinical characteristics and dietary factors. Subjects with IBS-D or IBS-U but not IBS-C showed significantly reduced bacterial diversity (Shannon; p < .01). Distinct bacterial signatures were associated with different IBS subtypes, and the related functional changes were related to IBS pathogenesis, such as the increased hydrogen sulfide production pathway in IBS-D and the increased palmitoleate biosynthesis pathway in IBS-C. IBS subjects with depression showed lower abundance of and higher abundance of than those without depression. The relative abundance of microbial short-chain fatty acid production pathways was significantly lower in IBS patients with depression than those without depression in all three subtypes. Female, younger age in IBS-D, and older age in IBS-C were associated with more severe microbiota dysbiosis, and distinct dietary factors had significant effects on the gut microbiota in different IBS subtypes. Our analysis identified the compositional uniqueness of gut microbiota in different IBS subtypes. Distinct associations of the gut microbiota with depression in IBS provide insights into shared pathways in disease pathogenesis. These findings highlight the importance of personalized gut microbiome modulation approaches in different subtypes for optimal therapeutic effects.
肠易激综合征(IBS)是一种具有多因素发病机制的异质性疾病。我们深入研究了美国肠道计划中招募的具有微生物组测序特征的个体。IBS 受试者与非 IBS 对照按年龄、性别、体重指数、地理位置和饮食模式相匹配。共纳入 942 例 IBS-Diarrhea(IBS-D)、IBS-Constipation(IBS-C)、未分类 IBS(IBS-U)和 942 例非 IBS 对照。我们比较了基于 16S 测序数据的肠道微生物群的分类和功能组成,并将其与临床特征和饮食因素联系起来。IBS-D 或 IBS-U 但不是 IBS-C 的受试者的细菌多样性显著降低(Shannon;p <.01)。不同的细菌特征与不同的 IBS 亚型相关,相关的功能变化与 IBS 的发病机制有关,例如 IBS-D 中增加的硫化氢产生途径和 IBS-C 中增加的棕榈油酸生物合成途径。患有抑郁症的 IBS 受试者的 丰度低于无抑郁症的受试者,而 丰度高于无抑郁症的受试者。与无抑郁症的受试者相比,所有三种亚型的抑郁症 IBS 患者的微生物短链脂肪酸产生途径的相对丰度明显降低。IBS-D 中的年轻女性和年轻年龄以及 IBS-C 中的较老年龄与更严重的微生物失调有关,不同的饮食因素对不同 IBS 亚型的肠道微生物群有显著影响。我们的分析确定了不同 IBS 亚型肠道微生物群的组成独特性。IBS 中肠道微生物群与抑郁症的不同关联为疾病发病机制中的共享途径提供了新的认识。这些发现强调了在不同亚型中采用个性化肠道微生物组调节方法以获得最佳治疗效果的重要性。
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