Children's Hospital Affiliated to Shandong University, Jinan, 250022, China.
Jinan Children's Hospital, Jinan, 250022, China.
BMC Pediatr. 2023 Oct 16;23(1):516. doi: 10.1186/s12887-023-04349-8.
Sepsis is a life-threatening multiple-organ injury caused by disordered host immune response to microbial infection. However, the correlation between gut microbiota dysbiosis and immune indicators remains unexplored. To address this gap in knowledge, we carried out 16 S rDNA sequencing, analyzed clinical fecal samples from children with sepsis (n = 30) and control children (n = 25), and obtained immune indicators, including T cell subtypes (CD3, CD3CD4, CD3CD8, and CD4/CD8), NK cells, cytokines (IL-2, IL-4, IL-6, IL-10, TNF-α and IFN-γ), and immunoglobulin indices (IgA, IgE, IgM and IgG). In addition, we analyzed the correlation between gut microbiota dysbiosis and immune indicators, and evaluated the clinical discriminatory power of discovered bacterial biomarkers. We found that children with sepsis exhibited gut bacterial dysbiosis and low alpha diversity. The Spearman's rank correlation coefficient suggested that Rhodococcus erythropolis had a significantly positive correlation with IFN-γ and CD3 T cells. Klebsiella pneumoniae and Streptococcus mitis were significantly correlated with NK cells. Bacteroides uniformis was significantly positively correlated with IgM and erythrocyte sedimentation rate, and Eubacterium eligens was significantly positively correlated with IL-4 and CD3CD8 T cells. The biomarkers discovered in this study had strong discriminatory power. These changes in the gut microbiome may be closely related to immunologic dysfunction and to the development or exacerbation of sepsis. However, a large sample size is required for verification.
脓毒症是一种危及生命的多器官损伤,由宿主对微生物感染的免疫反应紊乱引起。然而,肠道微生物失调与免疫指标之间的相关性仍未得到探索。为了解决这一知识空白,我们进行了 16S rDNA 测序,分析了来自脓毒症患儿(n=30)和对照患儿(n=25)的临床粪便样本,并获得了免疫指标,包括 T 细胞亚群(CD3、CD3CD4、CD3CD8 和 CD4/CD8)、NK 细胞、细胞因子(IL-2、IL-4、IL-6、IL-10、TNF-α 和 IFN-γ)和免疫球蛋白指标(IgA、IgE、IgM 和 IgG)。此外,我们分析了肠道微生物失调与免疫指标之间的相关性,并评估了发现的细菌生物标志物的临床鉴别能力。我们发现,脓毒症患儿存在肠道细菌失调和低 alpha 多样性。Spearman 秩相关系数表明红球菌与 IFN-γ和 CD3 T 细胞呈显著正相关。肺炎克雷伯菌和缓症链球菌与 NK 细胞显著相关。拟杆菌均匀度与 IgM 和红细胞沉降率呈显著正相关,真杆菌与 IL-4 和 CD3CD8 T 细胞呈显著正相关。本研究发现的生物标志物具有很强的鉴别能力。肠道微生物组的这些变化可能与免疫功能障碍以及脓毒症的发生或恶化密切相关。然而,需要更大的样本量来验证。
BMC Pediatr. 2023-10-16
Front Cell Infect Microbiol. 2023
FASEB J. 2019-8-28
World J Gastroenterol. 2021-5-21
Front Cell Infect Microbiol. 2023
Biomed Pharmacother. 2023-9
Mol Neurobiol. 2025-4-15
Front Allergy. 2024-10-7
Zhongguo Dang Dai Er Ke Za Zhi. 2024-6-15
Nucleic Acids Res. 2023-1-6
Burns Trauma. 2021-10-26
Int J Mol Sci. 2021-5-6
Front Immunol. 2019-10-25
FASEB J. 2019-8-28
Protein Sci. 2019-9-9
FASEB J. 2019-7-15