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肠易激综合征中的肠道细菌失调:病例对照研究和使用公开可用数据集的跨队列分析。

Gut Bacterial Dysbiosis in Irritable Bowel Syndrome: a Case-Control Study and a Cross-Cohort Analysis Using Publicly Available Data Sets.

机构信息

Division of Pediatric Neurology, Department of Pediatrics, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Sciences, Seoul, South Korea.

Chunlab, Inc., Seoul, South Korea.

出版信息

Microbiol Spectr. 2023 Feb 14;11(1):e0212522. doi: 10.1128/spectrum.02125-22. Epub 2023 Jan 18.


DOI:10.1128/spectrum.02125-22
PMID:36652592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9927514/
Abstract

Research on the gut microbiota in irritable bowel syndrome (IBS) shows discordant results due to inconsistent study designs or small sample sizes. This study aimed to characterize how gut microbiota in IBS patients differs from that in healthy controls by performing a case-control study and cross- and mega-cohort analysis. Multiple publicly shared data sets were examined by using a unified analytical approach. We performed 16S rRNA gene (V3-4) sequencing and taxonomic profiling of the gut bacterial communities. Fecal samples from children with IBS ( = 19) and age-matched healthy controls ( = 24) were used. Next, we analyzed 10 separate data sets using a unified data-processing and analytical approach. In total, 567 IBS patients and 487 healthy controls were examined. In our data sets, no significant differences existed in stool α-diversity between IBS patients and healthy controls. After combining all the data sets using a unified data-processing method, we found significantly lower α-diversity in IBS patients than in healthy controls. In addition, the relative abundance of 21 bacterial species differed between the IBS patients and healthy participants. Although the causal relationship is uncertain, gut bacterial dysbiosis is associated with IBS. Further functional studies are needed to assess whether the change in gut microorganisms contributes to the development of IBS. Research on the gut bacteria in irritable bowel syndrome (IBS) shows discordant results due to inconsistent study designs or small sample sizes. To overcome these issues, we analyzed microbiota of 567 IBS patients and 487 healthy people from 10 shared data sets using a unified method. We demonstrated that gut bacteria are less diverse in IBS patients than in healthy people. In addition, the abundance of 21 bacterial species is different between the two groups. Altered bacterial balance, called dysbiosis, has been reported in several disease states. Although the causal relationship is uncertain, gut bacterial dysbiosis also seems to be associated with IBS.

摘要

研究肠易激综合征(IBS)中的肠道微生物群由于研究设计不一致或样本量小,结果不一致。本研究旨在通过病例对照研究和交叉及大型队列分析,描述 IBS 患者的肠道微生物群与健康对照者的不同。使用统一的分析方法检查了多个公开共享的数据集。我们对肠道细菌群落进行了 16S rRNA 基因(V3-4)测序和分类分析。使用儿童 IBS(n=19)和年龄匹配的健康对照(n=24)的粪便样本。接下来,我们使用统一的数据处理和分析方法分析了 10 个独立的数据集。总共检查了 567 名 IBS 患者和 487 名健康对照者。在我们的数据集,IBS 患者和健康对照组的粪便α多样性无显著差异。使用统一的数据处理方法组合所有数据集后,我们发现 IBS 患者的α多样性明显低于健康对照组。此外,IBS 患者和健康参与者之间的 21 种细菌的相对丰度不同。虽然因果关系不确定,但肠道细菌失调与 IBS 有关。需要进一步的功能研究来评估肠道微生物的变化是否有助于 IBS 的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/18c3a690646a/spectrum.02125-22-f010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/41d82a177ffd/spectrum.02125-22-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/4c84f9c2488d/spectrum.02125-22-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/50676855e416/spectrum.02125-22-f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/c3a2046f1f27/spectrum.02125-22-f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/c560bfde33be/spectrum.02125-22-f005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/314dc1f61e48/spectrum.02125-22-f006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/6ffa2d69c80a/spectrum.02125-22-f007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/f801ff8b5b98/spectrum.02125-22-f008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/c3c1286c1a50/spectrum.02125-22-f009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/18c3a690646a/spectrum.02125-22-f010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/41d82a177ffd/spectrum.02125-22-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/4c84f9c2488d/spectrum.02125-22-f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/50676855e416/spectrum.02125-22-f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/c3a2046f1f27/spectrum.02125-22-f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/c560bfde33be/spectrum.02125-22-f005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/314dc1f61e48/spectrum.02125-22-f006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/6ffa2d69c80a/spectrum.02125-22-f007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/f801ff8b5b98/spectrum.02125-22-f008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/c3c1286c1a50/spectrum.02125-22-f009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/291a/9927514/18c3a690646a/spectrum.02125-22-f010.jpg

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本文引用的文献

[1]
Two microbiota subtypes identified in irritable bowel syndrome with distinct responses to the low FODMAP diet.

Gut. 2022-9

[2]
Association between Dietary Habits and Fecal Microbiota Composition in Irritable Bowel Syndrome Patients: A Pilot Study.

Nutrients. 2021-4-27

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Gut Microbial Dysbiosis in the Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis of Case-Control Studies.

J Acad Nutr Diet. 2019-8-28

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Gut Microbiota in Patients With Irritable Bowel Syndrome-A Systematic Review.

Gastroenterology. 2019-3-30

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