Clinical Translational Gastroenterology: 胶原性结肠炎中的肠道菌群与炎症性肠病相关性生物病具有共同特征

2019-12-11 不详 MedSci原创

在炎症性肠病(IBD)中,对肠道菌群的异常免疫反应是疾病的重要发病机制,但该菌群在胶原性结肠炎(CC)中的作用尚不清楚。本项研究旨在探究与健康对照组和IBD患者相比,CC患者的微生物群的变化。

背景及目的:
炎症性肠病(IBD)中,对肠道菌群的异常免疫反应是疾病的重要发病机制,但该菌群在胶原性结肠炎(CC)中的作用尚不清楚。本项研究旨在探究与健康对照组和IBD患者相比,CC患者的微生物群的变化。

方法:
研究人员根据CC患者(n = 29)的年龄和性别,匹配了健康对照者(n = 29),克罗恩氏病(n = 32)和溃疡性结肠炎(n = 32)患者,并收集他们的粪便样本。通过对16S rRNA基因扩增子进行测序获得序列数据,然后对获得的序列进行分类学比较。

结果:
统计分析表明,随着分类学分辨率的提高,CC患者和健康对照者之间的隔离越来越明显(P = 0.006)。CC的细菌的丰度较低,有10种不同的分类单元。特定分类群的分析显示,在错误发现率校正后,仅在患有活动性疾病和/或接受皮质类固醇治疗的CC患者中看到这些分类单元的丧失,且与IBD患者的发现相似。

讨论:
CC的发病与特定的粪便微生物组有关,并且只在活动性疾病或正在进行糖皮质激素治疗的患者中见到,而缓解期CC患者的微生物组与健康对照者相似。

原始出处:

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    2020-06-02 bsmagic9140
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  5. 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  6. 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  7. 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  8. 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    2020-01-07 许安
  9. 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AJG: 原发性硬化性胆管炎患者行粪便微生物移植的治疗效果分析

原发性硬化性胆管炎(PSC)是一种胆汁淤积性肝病,目前没有有效的药物。先前有文献描述了与PSC相关的肠道微生物群的变化。因此,本项研究的目的是评估FMT后PSC患者的肝酶,微生物群和代谢组学特征变化。

Gastroenterology:短双歧杆菌 Bif195可保护健康人群免受乙酰水杨酸引起的小肠损伤

小肠溃疡是非甾体类抗炎药如乙酰水杨酸(ASA)的常见药物副作用。临床上需要细胞保护策略来降低这种风险的发生。有研究报道,特定的双歧杆菌可能具有细胞保护活性。本项研究旨在通过连续视频胶囊内窥镜检查(VCE)来评估特定双歧杆菌菌株在暴露于ASA的健康志愿者中的功效。

JCC:肠内营养和类固醇诱导治疗的克罗恩病患儿粘膜愈合的效果分析

单一肠内营养[EEN]与皮质类固醇[CS]一样有效,可诱导克罗恩病[CD]缓解,但不会产生副作用。EEN似乎比类固醇更有效诱导粘膜愈合,但潜在的机制还不清楚。本项研究的目的是研究比较EEN与CS在CD患儿中的抗炎作用,并评估其与类固醇相比对肠道微生物群的调节作用。

AJG: 肠道微生物特异性变化促进克罗恩病复发

克罗恩病(CD)是一种慢性复发性肠道炎症性疾病,一般不可预测其复发过程。微生物环境失调经常在CD患者中发生; 然而,缓解期CD患者中的微生物动力学是否有助于增加复发的风险仍然未知,因此,本项研究旨在探究这二者之间的关系。

JCC: IL-13 mRNA组织含量可鉴定成年溃疡性结肠炎患者的两个亚组

个性化的治疗方法有望改善炎症性肠病的预后。为此,根据普遍的致病过程识别不同的患者亚组可能会指导治疗策略的选择。在本项研究中研究人员假设,UC患者可能会根据独特的细胞因子谱和/或特定的与黏膜相关的微生物群进行不同疾病分层。

JCC: 克罗恩病的粪便微生物群动力学及其与病程的关系

有研究表明,微生物变化与克罗恩病[CD]的疾病活动有关,因此,本项研究旨在探究了随着时间变化或稳定病程的成年CD患者的粪便微生物群的差异。