Sci Rep:妊娠期糖尿病患者妊娠期肠道微生物群组成的变化

2018-08-23 MedSci MedSci原创

妊娠期糖尿病(GDM)是一种常见的妊娠并发症,可增加孕产妇/围产期不良结局的发生风险。本研究中,我们对41名GDM患者进行了一项前瞻性观察性探索性研究,以评估其在怀孕期间的微生物群变化以及肠道微生物群与营养素摄入量,人体测量值和实验室变量之间的关系。 GDM患者根据指南常规接受营养建议。在登记(24-28周)和孕龄38周时评估粪便微生物群(通过基于16S扩增子的测序)。在研究结束时,微生物

妊娠期糖尿病(GDM)是一种常见的妊娠并发症,可增加孕产妇/围产期不良结局的发生风险。本研究中,我们对41名GDM患者进行了一项前瞻性观察性探索性研究,以评估其在怀孕期间的微生物群变化以及肠道微生物群与营养素摄入量,人体测量值和实验室变量之间的关系。

GDM患者根据指南常规接受营养建议。在登记(24-28周)和孕龄38周时评估粪便微生物群(通过基于16S扩增子的测序)。在研究结束时,微生物群α-多样性显著增加(P <0.001),随着厚壁菌门的增加和拟杆菌和放线菌的减少。符合饮食建议的患者在研究结束时表现出更好的代谢和炎症模式,并且拟杆菌显著减少。

多元回归模型中,Faecalibacterium与空腹血糖明显相关;Collinsella(正向)和Blautia(反向)与胰岛素显著相关;且与动态平衡模型评估中胰岛素抵抗显著相关,而Sutterella与C反应蛋白的水平相关。与后一种关联一致的是,预测的宏基因组与这些分类群与推断的与脂多糖生物合成相关的KEGG基因之间具有相关性。在妊娠期间的GDM患者中检测到更高的细菌丰富度和促炎性类群与代谢/炎症变量之间的强相关性。

总的来说,这些研究结果表明,调节肠道微生物群可能是影响母体代谢健康的潜在有用工具。

原始出处:

Ilario Ferrocino, Valentina Ponzo, et al., Changes in the gut microbiota composition during pregnancy in patients with gestational diabetes mellitus (GDM). Sci Rep. 2018; 8: 12216.

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    2018-08-27 1e145228m78(暂无匿称)

    学习了,谢谢作者分享!

    0

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  8. 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    2018-08-23 flysky120

    妊娠与糖尿病的关系

    0

  9. 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    2018-08-23 神功盖世

    0

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    2018-08-23 1209e435m98(暂无昵称)

    学习了,谢谢分享

    0