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社区居住老年人认知障碍的宏基因组关联分析。

Metagenomic association analysis of cognitive impairment in community-dwelling older adults.

机构信息

State Key Laboratory of Genetic Engineering, Human Phenome Institute, Zhangjiang Fudan International Innovation Center, National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China; Fudan University Taizhou Institute of Health Sciences, Taizhou, Jiangsu, China.

Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China.

出版信息

Neurobiol Dis. 2023 May;180:106081. doi: 10.1016/j.nbd.2023.106081. Epub 2023 Mar 15.

Abstract

The gut microbiota is reportedly involved in neurodegenerative disorders, and exploration of differences in the gut microbiota in different cognitive status could provide clues for early detection and intervention in cognitive impairment. Here, we used data from the Taizhou Imaging Study (N = 516), a community-based cohort, to compare the overall structure of the gut microbiota at the species level through metagenomic sequencing, and to explore associations with cognition. Interestingly, bacteria capable of producing short-chain fatty acids (SCFAs), such as Bacteroides massiliensis, Bifidobacterium pseudocatenulatum, Fusicatenibacter saccharivorans and Eggerthella lenta, that can biotransform polyphenols, were positively associated with better cognitive performance (p < 0.05). Although Diallister invisus and Streptococcus gordonii were not obviously related to cognition, the former was dominant in individuals with mild cognitive impairment (MCI), while the later was more abundant in cognitively normal (CN) than MCI groups, and positively associated with cognitive performance (p < 0.05). Functional analysis further supported a potential role of SCFAs and lactic acid in the association between the gut microbiota and cognition. The significant associations persisted after accounting for dietary patterns. Collectively, our results demonstrate an association between the gut microbiota and cognition in the general population, indicating a potential role in cognitive impairment. The findings provide clues for microbiome biomarkers of dementia, and insight for the prevention and treatment of dementia.

摘要

肠道微生物群据称与神经退行性疾病有关,探索不同认知状态下肠道微生物群的差异可能为认知障碍的早期检测和干预提供线索。在这里,我们使用来自基于社区的台州影像学研究(N=516)的数据,通过宏基因组测序比较了物种水平的肠道微生物群的整体结构,并探索了与认知的关联。有趣的是,能够产生短链脂肪酸(SCFAs)的细菌,如Bacteroides massiliensis、Bifidobacterium pseudocatenulatum、Fusicatenibacter saccharivorans 和 Eggerthella lenta,它们可以生物转化多酚,与更好的认知表现呈正相关(p<0.05)。虽然 Diallister invisus 和 Streptococcus gordonii 与认知没有明显的关系,但前者在轻度认知障碍(MCI)个体中占优势,而后者在认知正常(CN)组中比 MCI 组更为丰富,与认知表现呈正相关(p<0.05)。功能分析进一步支持 SCFAs 和乳酸在肠道微生物群与认知之间关联中的潜在作用。在考虑饮食模式后,这些显著关联仍然存在。总的来说,我们的结果表明肠道微生物群与一般人群认知之间存在关联,表明其在认知障碍中的潜在作用。这些发现为痴呆症的微生物组生物标志物提供了线索,并为痴呆症的预防和治疗提供了新的思路。

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