Zhu Suhui, Teng Zhipan
Department of Emergency,Nanjing First Hospital,Nanjing Medical University,Nanjing,210028,China.
Department of Otorhinolaryngology,Children's Hospital of Nanjing Medical University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Dec;38(12):1178-1182. doi: 10.13201/j.issn.2096-7993.2024.12.017.
This study aimed to explore the possible pathogenesis of OSA from the perspective of microbiology by evaluate the change in pharyngeal microbiome of OSA children, and provide new ideas for clinical prevention, diagnosis and treatment. Randomly enrolled 20 children with OSA as OSA group and 20 children without OSA as control group. The swallow swab of each children been collected. Using 16srDNA sequencing to investigate the characteristics of pharyngeal microbiome. The α-diversity showed that the Chao1and Observe-Otus index has significantly increased in the OSA group, and the β-diversity was significantly different between the two groups. The relative abundance of Haemophilus(Proteobacteria) increased but that of Veillonella(member of Firmicutes) and Prevotella-7 and Prevotella(member of Bacteroidota) decreased in the OSA group compared to control group. The pharyngeal microbial richness are decreased significantly and composition are disrupted in children with OSA. This microbiome analysis provides a new understanding about the pathogenesis of OSA in children.
本研究旨在从微生物学角度探讨阻塞性睡眠呼吸暂停(OSA)可能的发病机制,通过评估OSA儿童咽微生物群的变化,为临床预防、诊断和治疗提供新思路。随机选取20例OSA儿童作为OSA组,20例无OSA儿童作为对照组。采集每个儿童的咽拭子。采用16srDNA测序研究咽微生物群的特征。α多样性显示,OSA组的Chao1和观察到的OTU指数显著增加,两组间β多样性有显著差异。与对照组相比,OSA组中嗜血杆菌(变形菌门)的相对丰度增加,而韦荣球菌(厚壁菌门成员)、普雷沃菌-7和普雷沃菌(拟杆菌门成员)的相对丰度降低。OSA儿童的咽微生物丰富度显著降低,组成被破坏。这种微生物群分析为儿童OSA的发病机制提供了新的认识。