中国足月和晚期早产儿肠道微生物的宏基因组和代谢组学特征与丁酸梭菌治疗的关系。

The metagenomic and metabolomic profile of the gut microbes in Chinese full-term and late preterm infants treated with Clostridium butyricum.

机构信息

Soochow Key Laboratory of Prevention and Treatment of Child Brain Injury, Children's Hospital of Soochow University, #303 Jingde Road, Gusu District, Suzhou, 215003, Jiangsu, China.

Neonatology Department, Suzhou Science and Technology Town Hospital, Suzhou, Jiangsu, China.

出版信息

Sci Rep. 2023 Oct 31;13(1):18775. doi: 10.1038/s41598-023-45586-2.

Abstract

The present study investigated the composition, abundance, and diversity of gut microbes in full-term and late-preterm infants from a medical center in eastern China. A total of 144 genomes of stool samples were captured for 16S rRNA metagenomic analyses. A high abundance of commensal intestinal bacteria was detected in these samples such as Phocaeicola vulgatus, Escherichia coli, and Faecalibacterium prausnitzii, indicating a relatively consistent diversity of gut microbes in the present full-term infants aged 38-40 weeks. However, late preterm infants (n = 50) with mandatory antimicrobials feeding exhibited lower diversity but a higher composition of opportunistic pathogens such as Enterococcus species. Centralized on the situation, we explored the regulatory effect of Clostridium butyricum as probiotics on these late preterm infants. The consumption of C. butyricum did not restore the composition of gut microbes altered by antimicrobials to normal levels, although several opportunistic pathogens decreased significantly after probiotic therapy including Staphylococcus aureus, Sphingomonas echinoides, and Pseudomonas putida. We also compared the effects of day-fed versus night-fed probiotics. Intriguingly, the nighttime feeding showed a higher proportion of C. butyricum compared with probiotic day-feeding. Finally, fecal metabolome and metabolites were analyzed in late preterm infants with (n = 20) or without probiotic therapy (n = 20). The KEGG enrichment analysis demonstrated that vitamin digestion and absorption, synaptic vesicle cycle, and biotin metabolism were significantly increased in the probiotic-treated group, while MSEA indicated that a series of metabolism were significantly enriched in probiotic-treated infants including glycerolipid, biotin, and lysine, indicating the complex effects of probiotic therapy on glutathione metabolism and nutrients digestion and absorption in late preterm infants. Overall, this study provided metagenomic and metabolomic profile of the gut microbes in full-term newborns and late preterm infants in eastern China. Further studies are needed to support and elucidate the role of probiotic feeding in late preterm infants with mandatory antimicrobial treatment.

摘要

本研究调查了来自中国东部一家医学中心的足月和晚期早产儿的肠道微生物组成、丰度和多样性。共捕获了 144 个粪便样本的 16S rRNA 宏基因组分析。这些样本中检测到大量共生肠道细菌,如 Phocaeicola vulgatus、Escherichia coli 和 Faecalibacterium prausnitzii,表明本研究中足月婴儿(年龄 38-40 周)的肠道微生物多样性相对一致。然而,接受强制性抗生素喂养的晚期早产儿(n=50)的多样性较低,但机会性病原体(如肠球菌属)的组成较高。鉴于这种情况,我们探索了丁酸梭菌作为益生菌对这些晚期早产儿的调节作用。尽管益生菌治疗后包括金黄色葡萄球菌、沙雷氏菌属和铜绿假单胞菌在内的几种机会性病原体显著减少,但丁酸梭菌的消耗并没有使抗生素改变的肠道微生物组成恢复正常水平。我们还比较了日间和夜间喂养益生菌的效果。有趣的是,夜间喂养丁酸梭菌的比例高于益生菌日间喂养。最后,分析了接受(n=20)或未接受(n=20)益生菌治疗的晚期早产儿的粪便代谢组和代谢物。KEGG 富集分析表明,益生菌治疗组的维生素消化和吸收、突触小泡循环和生物素代谢显著增加,而 MSEA 表明,益生菌治疗婴儿的一系列代谢物显著富集,包括甘油磷脂、生物素和赖氨酸,表明益生菌治疗对晚期早产儿谷胱甘肽代谢和营养消化吸收的复杂影响。总的来说,本研究提供了中国东部足月新生儿和晚期早产儿肠道微生物的宏基因组和代谢组学特征。需要进一步的研究来支持和阐明益生菌喂养在接受强制性抗生素治疗的晚期早产儿中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1515/10618524/6b177d07ce9c/41598_2023_45586_Fig1_HTML.jpg

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