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肠道微生物群能解释有症状的非复杂性憩室病患者急性憩室炎的发生吗?

Can gut microbiota explain acute diverticulitis occurrence in patients with symptomatic uncomplicated diverticular disease?

作者信息

Tursi Antonio, Procaccianti Giorgia, D'Amico Federica, DE Bastiani Rudi, Turroni Silvia

机构信息

Territorial Gastroenterology Service, Barletta-Andria-Trani Local Health Agency, 49 Via Torino, Andria 76123, Italy.

Department of Medical and Surgical Sciences, School of Medicine, Catholic University, Rome, Italy.

出版信息

Biosci Microbiota Food Health. 2025;44(1):1-3. doi: 10.12938/bmfh.2024-068. Epub 2024 Sep 5.

DOI:10.12938/bmfh.2024-068
PMID:39764487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11700556/
Abstract

Why patients with symptomatic uncomplicated diverticular disease (SUDD) may develop acute diverticulitis (AD) is still unknown. We analyzed the gut microbiota (GM) in two SUDD patients, one who did experience SUDD recurrence but not AD occurrence (case 1) and one who did experience AD occurrence during follow-up (case 2). The GM of these patients showed differences in terms of phyla (Firmicutes and Bacteroidota in case 1; Actinobacteriota and Proteobacteria in case 2) and subgenera ( and in case 1 and , , , , group, and in case 2). This novel insight may advance our ecological understanding of this complex disease.

摘要

有症状的非复杂性憩室病(SUDD)患者为何会发展为急性憩室炎(AD)仍不清楚。我们分析了两名SUDD患者的肠道微生物群(GM),一名经历了SUDD复发但未发生AD(病例1),另一名在随访期间发生了AD(病例2)。这些患者的肠道微生物群在门水平(病例1中的厚壁菌门和拟杆菌门;病例2中的放线菌门和变形菌门)和亚属水平(病例1中的 和 ;病例2中的 、 、 、 组和 )存在差异。这一新见解可能会推进我们对这种复杂疾病的生态学理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9746/11700556/bedc73baa97c/bmfh-44-001-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9746/11700556/bedc73baa97c/bmfh-44-001-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9746/11700556/bedc73baa97c/bmfh-44-001-g001.jpg

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本文引用的文献

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Gut microbiome composition and metabolic activity in women with diverticulitis.女性憩室炎患者的肠道微生物组组成和代谢活性。
Nat Commun. 2024 Apr 29;15(1):3612. doi: 10.1038/s41467-024-47859-4.
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, , and : emerging protectors against Graves' disease.,, and : emerging protectors against Graves' disease.
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Gut microbiota signatures in inflammatory bowel disease.肠道微生物群特征与炎症性肠病。
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The Prevalence and Characteristics of Symptomatic Uncomplicated Diverticular Disease Among Asian Patients With Unexplained Abdominal Symptoms.亚洲不明原因腹部症状患者中有症状的单纯性憩室病的患病率及特征
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The Microbiome of Complicated Diverticulitis: An Imbalance of Sulfur-Metabolizing Bacteria.复杂性憩室炎的微生物组:硫代谢细菌失衡。
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The prevalence of symptomatic uncomplicated diverticular disease could be lower than expected: a single-center colonoscopy-based cohort study.基于单中心结肠镜的队列研究:有症状但无并发症的憩室病的流行率可能低于预期。
Eur J Gastroenterol Hepatol. 2021 Dec 1;33(1S Suppl 1):e478-e483. doi: 10.1097/MEG.0000000000002142.
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