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伊朗西北部炎症性肠病患者肠道微生物群与短链脂肪酸的研究

A study on gut microbiota and short-chain fatty acids in patients with inflammatory bowel disease from northwest Iran.

作者信息

Saedi Samira, Derakhshan Safoura, Sadeghi Javid, Hasani Alka, Khoshbaten Manouchehr, Poortahmasebi Vahdat, Ahmadi Somayeh

机构信息

Department of Bacteriology and Virology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Environmental Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj 66177113446, Iran.

出版信息

Lett Appl Microbiol. 2025 Aug 4;78(8). doi: 10.1093/lambio/ovaf111.


DOI:10.1093/lambio/ovaf111
PMID:40802486
Abstract

The gut microbiota, which plays a vital role in synthesizing short-chain fatty acids (SCFAs), is involved in the pathogenesis of inflammatory bowel disease (IBD). This study aimed to evaluate four phyla of gut microbiota and main SCFAs in IBD patients compared to the control group. Stool samples from 40 IBD patients [including ulcerative colitis (UC) and Crohn's disease (CD)] and 20 healthy controls were analyzed. Quantitative polymerase chain reaction was used to assess the abundance of four major gut microbiota phyla, and SCFA concentrations were measured using high-performance liquid chromatography. Results showed that Firmicutes levels were significantly lower in both UC and CD patients compared to controls. Bacteroidetes were significantly reduced in CD patients, while proteobacteria were significantly elevated in UC patients. No significant differences were observed in Actinobacteria levels. Regarding SCFAs, butyric acid was significantly lower in both UC and CD patients. Additionally, acetic acid and propionic acid were significantly decreased only in UC patients. These findings highlight the presence of gut dysbiosis and altered SCFA profiles in IBD patients. Given the protective roles of gut microbiota and their metabolites, strategies to restore microbial balance and SCFA production may support the management and treatment of IBD.

摘要

肠道微生物群在合成短链脂肪酸(SCFAs)中起着至关重要的作用,它参与了炎症性肠病(IBD)的发病机制。本研究旨在评估与对照组相比,IBD患者肠道微生物群的四个门以及主要SCFAs的情况。分析了40例IBD患者(包括溃疡性结肠炎(UC)和克罗恩病(CD))以及20例健康对照者的粪便样本。采用定量聚合酶链反应评估肠道微生物群四个主要门的丰度,并使用高效液相色谱法测量SCFA浓度。结果显示,与对照组相比,UC和CD患者的厚壁菌门水平均显著降低。拟杆菌门在CD患者中显著减少,而变形菌门在UC患者中显著升高。放线菌门水平未观察到显著差异。关于SCFAs,丁酸在UC和CD患者中均显著降低。此外,乙酸和丙酸仅在UC患者中显著减少。这些发现突出了IBD患者存在肠道生态失调和SCFA谱改变的情况。鉴于肠道微生物群及其代谢产物的保护作用,恢复微生物平衡和SCFA产生的策略可能有助于IBD的管理和治疗。

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