USF Center for Microbiome Research, Institute for Microbiomes, University of South Florida Morsani College of Medicine, Tampa, FL, 33612, USA.
Center of Excellence for Aging and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Geroscience. 2023 Oct;45(5):2819-2834. doi: 10.1007/s11357-023-00799-1. Epub 2023 May 22.
The prevalence of age-related cognitive disorders/dementia is increasing, and effective prevention and treatment interventions are lacking due to an incomplete understanding of aging neuropathophysiology. Emerging evidence suggests that abnormalities in gut microbiome are linked with age-related cognitive decline and getting acceptance as one of the pillars of the Geroscience hypothesis. However, the potential clinical importance of gut microbiome abnormalities in predicting the risk of cognitive decline in older adults is unclear. Till now the majority of clinical studies were done using 16S rRNA sequencing which only accounts for analyzing bacterial abundance, while lacking an understanding of other crucial microbial kingdoms, such as viruses, fungi, archaea, and the functional profiling of the microbiome community. Utilizing data and samples of older adults with mild cognitive impairment (MCI; n = 23) and cognitively healthy controls (n = 25). Our whole-genome metagenomic sequencing revealed that the gut of older adults with MCI harbors a less diverse microbiome with a specific increase in total viruses and a decrease in bacterial abundance compared with controls. The virome, bacteriome, and microbial metabolic signatures were significantly distinct in subjects with MCI versus controls. Selected bacteriome signatures show high predictive potential of cognitive dysfunction than virome signatures while combining virome and metabolic signatures with bacteriome boosts the prediction power. Altogether, the results from our pilot study indicate that trans-kingdom microbiome signatures are significantly distinct in MCI gut compared with controls and may have utility for predicting the risk of developing cognitive decline and dementia- debilitating public health problems in older adults.
与年龄相关的认知障碍/痴呆的患病率正在增加,由于对衰老神经病理学的了解不完整,有效的预防和治疗干预措施缺乏。新出现的证据表明,肠道微生物组的异常与与年龄相关的认知能力下降有关,并被认为是衰老科学假说的支柱之一。然而,肠道微生物组异常预测老年人认知能力下降风险的潜在临床重要性尚不清楚。到目前为止,大多数临床研究都是使用 16S rRNA 测序进行的,该测序仅用于分析细菌丰度,而缺乏对其他关键微生物王国(如病毒、真菌、古菌)的理解,以及对微生物组群落的功能分析。本研究利用患有轻度认知障碍(MCI;n=23)和认知健康对照(n=25)的老年人的数据和样本。我们的全基因组宏基因组测序显示,与对照组相比,患有 MCI 的老年人的肠道微生物组多样性较低,总病毒数量增加,细菌丰度降低。与对照组相比,MCI 患者的病毒组、细菌组和微生物代谢特征明显不同。与病毒组特征相比,选定的细菌组特征对认知功能障碍具有较高的预测潜力,而将病毒组和代谢组特征与细菌组结合可以提高预测能力。总的来说,这项初步研究的结果表明,MCI 肠道中的跨王国微生物组特征与对照组有明显的不同,可能对预测老年人认知能力下降和痴呆等致残性公共卫生问题的风险具有实用价值。
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