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法国人群样本动脉瘤壁中口腔细菌基因表达检测——初步单中心研究

Oral bacterial genic expression detection in aneurysm wall of a French population sample - preliminary monocentric study.

作者信息

Devalckeneer Antoine, Lu Tuong, Bourgeois Philippe, Maurage Claude-Alain, Loiez Caroline, Grolez Guillaume Paul, Morales Olivier, Menovsky Thomas, Aboukaïs Rabih, Delhem Nadira

机构信息

Department of Neurosurgery, Lille University Hospital, Rue E. Laine, Hôpital Nord, Lille cedex, 59037, France.

Lille University, INSERM, CHU Lille, U1189-ONCO-THAI-Image Assisted Laser Therapy for Oncology, Lille, F-59000, France.

出版信息

Neurosurg Rev. 2024 Jul 13;47(1):325. doi: 10.1007/s10143-024-02548-0.

Abstract

INTRODUCTION

The etiology of brain aneurysms remains poorly understood. Finnish research suggests that oral bacteria might contribute to the development and rupture of brain aneurysms. Previous studies by our team have not confirmed these findings, likely due to methodological differences. We aimed to replicate the Finnish study with a French population, using the same primers and comparing the results to internal controls.

METHODS

We used RT-qPCR to retrospectively analyze the expression of oral bacterial genes in eight patients. During surgical procedures, four tissue types were consistently sampled from each patient: the aneurysmal wall, the superficial temporal artery (STA), the middle meningeal artery (MMA), and the dura mater (DM). Results were expressed as fold differences employing the 2-∆∆Ct method, and statistical analyses were performed accordingly.

RESULTS

Our cohort included eight patients, evenly split into ruptured and unruptured groups. The sex distribution was balanced (4 females, 4 males). We observed DNA expression from oral bacteria in all sampled tissues; however, there were no significant differences between the ruptured and unruptured groups.

CONCLUSION

We detected oral bacterial gene expression in the aneurysmal wall, STA, MMA, and DM in a sample of French patients. Although limited by the small sample size, our results suggest a potential role for bacterial involvement in vascular invasiveness related to bacteremia. These findings do not definitively link oral bacteria to the pathogenesis of aneurysm development and rupture.

摘要

引言

脑动脉瘤的病因仍未完全明确。芬兰的研究表明口腔细菌可能与脑动脉瘤的发生和破裂有关。我们团队之前的研究尚未证实这些发现,可能是由于方法学上的差异。我们旨在使用相同的引物,对法国人群重复芬兰的研究,并将结果与内部对照进行比较。

方法

我们使用逆转录定量聚合酶链反应(RT-qPCR)对8例患者口腔细菌基因的表达进行回顾性分析。在手术过程中,从每位患者身上持续采集四种组织类型:动脉瘤壁、颞浅动脉(STA)、脑膜中动脉(MMA)和硬脑膜(DM)。结果采用2-∆∆Ct法表示为倍数差异,并据此进行统计分析。

结果

我们的队列包括8例患者,平均分为破裂组和未破裂组。性别分布均衡(4名女性,4名男性)。我们在所有采样组织中均观察到口腔细菌的DNA表达;然而,破裂组和未破裂组之间没有显著差异。

结论

我们在一组法国患者的样本中检测到动脉瘤壁、STA、MMA和DM中有口腔细菌基因表达。尽管受样本量小的限制,但我们的结果表明细菌在与菌血症相关的血管侵袭中可能发挥作用。这些发现并未明确将口腔细菌与动脉瘤发生和破裂的发病机制联系起来。

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