Yang Lin, Liu Guangyao, Li Shan, Yao Chaofan, Zhao Ziyang, Chen Nan, Zhang Pengfei, Shang Yingying, Wang Yin, Zhang Dekui, Tian Xiaozhu, Zhang Jing, Yao Zhijun, Hu Bin
Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China.
Department of Magnetic Resonance, Lanzhou University Second Hospital, Lanzhou, China.
Eur J Neurol. 2023 Nov;30(11):3529-3539. doi: 10.1111/ene.15776. Epub 2023 Mar 29.
BACKGROUND AND PURPOSE: Growing evidence suggests that abnormalities in brain-gut-microbiome (BGM) interactions are involved in the pathogenesis of irritable bowel syndrome (IBS). Our study aimed to explore alterations in dynamic functional connectivity (DFC), the gut microbiome and the bidirectional interaction in the BGM. METHODS: Resting-state functional magnetic resonance imaging (rs-fMRI), fecal samples and clinical chacteristics were collected from 33 IBS patients and 32 healthy controls. We performed a systematic DFC analysis on rs-fMRI. The gut microbiome was analyzed by 16S rRNA gene sequencing. Associations between DFC characteristics and microbial alterations were explored. RESULTS: In the DFC analysis, four dynamic functional states were identified. IBS patients exhibited increased mean dwell and fraction time in State 4, and reduced transitions from State 3 to State 1. Aberrant temporal properties in State 4 were only evident when choosing a short window (36 s or 44 s). Decreased functional connectivity (FC) variability was found in State 1 and State 3 in IBS patients, two of which (independent component [IC]51-IC91, IC46-IC11) showed significant correlations with clinical characteristics. Additionally, we identified nine significantly differential abundances in microbial composition. We also found that IBS-related microbiota were associated with aberrant FC variability, although these exploratory results were obtained at an uncorrected threshold of significance. CONCLUSIONS: Although future studies are needed to confirm our results, the findings not only provide a new insight into the dysconnectivity hypothesis in IBS from a dynamic perspective, but also establish a possible link between DFC and the gut microbiome, which lays the foundation for future research on disrupted BGM interactions.
背景与目的:越来越多的证据表明,脑-肠-微生物群(BGM)相互作用异常参与了肠易激综合征(IBS)的发病机制。我们的研究旨在探讨动态功能连接(DFC)、肠道微生物群以及BGM中的双向相互作用的改变。 方法:收集了33例IBS患者和32名健康对照者的静息态功能磁共振成像(rs-fMRI)、粪便样本及临床特征。我们对rs-fMRI进行了系统的DFC分析。通过16S rRNA基因测序分析肠道微生物群。探讨了DFC特征与微生物改变之间的关联。 结果:在DFC分析中,识别出四种动态功能状态。IBS患者在状态4中的平均停留时间和停留分数增加,从状态3到状态1的转换减少。仅在选择短窗口(36秒或44秒)时,状态4中的异常时间特性才明显。IBS患者在状态1和状态3中发现功能连接(FC)变异性降低,其中两个(独立成分[IC]51-IC91、IC46-IC11)与临床特征显著相关。此外,我们在微生物组成中鉴定出九个显著差异丰度。我们还发现,IBS相关微生物群与异常的FC变异性相关,尽管这些探索性结果是在未校正的显著性阈值下获得的。 结论:尽管需要未来的研究来证实我们的结果,但这些发现不仅从动态角度为IBS中的失连接假说提供了新的见解,还建立了DFC与肠道微生物群之间的可能联系,为未来关于BGM相互作用中断的研究奠定了基础。
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