Nevada Institute of Personalized Medicine, University of Nevada, Las Vegas 4505 S. Maryland Parkway, Las Vegas, NV, 89154, USA.
Columbia University, West 116 St and Broadway, New York, NY, 10027, USA.
Sci Rep. 2023 Mar 31;13(1):5258. doi: 10.1038/s41598-023-31730-5.
A growing body of evidence suggests that dysbiosis of the human gut microbiota is associated with neurodegenerative diseases like Alzheimer's disease (AD) via neuroinflammatory processes across the microbiota-gut-brain axis. The gut microbiota affects brain health through the secretion of toxins and short-chain fatty acids, which modulates gut permeability and numerous immune functions. Observational studies indicate that AD patients have reduced microbiome diversity, which could contribute to the pathogenesis of the disease. Uncovering the genetic basis of microbial abundance and its effect on AD could suggest lifestyle changes that may reduce an individual's risk for the disease. Using the largest genome-wide association study of gut microbiota genera from the MiBioGen consortium, we used polygenic risk score (PRS) analyses with the "best-fit" model implemented in PRSice-2 and determined the genetic correlation between 119 genera and AD in a discovery sample (ADc12 case/control: 1278/1293). To confirm the results from the discovery sample, we next repeated the PRS analysis in a replication sample (GenADA case/control: 799/778) and then performed a meta-analysis with the PRS results from both samples. Finally, we conducted a linear regression analysis to assess the correlation between the PRSs for the significant genera and the APOE genotypes. In the discovery sample, 20 gut microbiota genera were initially identified as genetically associated with AD case/control status. Of these 20, three genera (Eubacterium fissicatena as a protective factor, Collinsella, and Veillonella as a risk factor) were independently significant in the replication sample. Meta-analysis with discovery and replication samples confirmed that ten genera had a significant correlation with AD, four of which were significantly associated with the APOE rs429358 risk allele in a direction consistent with their protective/risk designation in AD association. Notably, the proinflammatory genus Collinsella, identified as a risk factor for AD, was positively correlated with the APOE rs429358 risk allele in both samples. Overall, the host genetic factors influencing the abundance of ten genera are significantly associated with AD, suggesting that these genera may serve as biomarkers and targets for AD treatment and intervention. Our results highlight that proinflammatory gut microbiota might promote AD development through interaction with APOE. Larger datasets and functional studies are required to understand their causal relationships.
越来越多的证据表明,人类肠道微生物群落的失调通过微生物群-肠道-大脑轴上的神经炎症过程与神经退行性疾病(如阿尔茨海默病)有关。肠道微生物群通过毒素和短链脂肪酸的分泌来影响大脑健康,从而调节肠道通透性和许多免疫功能。观察性研究表明,AD 患者的微生物组多样性降低,这可能导致疾病的发病机制。揭示微生物丰度的遗传基础及其对 AD 的影响,可以提示可能降低个体患病风险的生活方式改变。我们使用 MiBioGen 联盟最大的肠道微生物群属全基因组关联研究,使用 PRSice-2 中实施的“最佳拟合”模型进行多基因风险评分(PRS)分析,并在发现样本(ADc12 病例/对照:1278/1293)中确定了 119 个属与 AD 之间的遗传相关性。为了确认发现样本的结果,我们接下来在复制样本(GenADA 病例/对照:799/778)中重复 PRS 分析,然后对两个样本的 PRS 结果进行荟萃分析。最后,我们进行了线性回归分析,以评估显著属的 PRS 与 APOE 基因型之间的相关性。在发现样本中,最初确定了 20 个肠道微生物群落与 AD 病例/对照状态具有遗传相关性。在这 20 个属中,有三个属(保护性因素的 Eubacterium fissicatena、Collinsella 和风险因素的 Veillonella)在复制样本中具有独立意义。发现样本和复制样本的荟萃分析证实,有 10 个属与 AD 具有显著相关性,其中 4 个属与 APOE rs429358 风险等位基因显著相关,与 AD 关联中它们的保护/风险指定方向一致。值得注意的是,被确定为 AD 风险因素的促炎属 Collinsella 与两个样本中的 APOE rs429358 风险等位基因呈正相关。总体而言,影响十个属丰度的宿主遗传因素与 AD 显著相关,这表明这些属可能作为 AD 治疗和干预的生物标志物和靶点。我们的研究结果强调,促炎肠道微生物群可能通过与 APOE 的相互作用促进 AD 的发展。需要更大的数据集和功能研究来了解它们的因果关系。
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