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Guided Protocol for Fecal Microbial Characterization by 16S rRNA-Amplicon Sequencing
Published on: March 19, 2018
Molecular studies of fecal anaerobic commensal bacteria in acute diarrhea in children
Ramadass Balamurugan1, Harish P Janardhan, Sarah George
1Department of Gastrointestinal Sciences, Christian Medical College, Vellore 632004, India.
Insights
During acute diarrhea in children, specific beneficial bacteria like Bifidobacterium and Faecalibacterium are significantly reduced. These crucial gut microbes, important for digestive health, gradually recover after the illness subsides.
Area of Science:
- Microbiology
- Pediatric Gastroenterology
- Gut Microbiome Research
Background:
- The gut microbiome composition can be altered by diarrheal illnesses.
- Pathogen colonization and rapid intestinal transit disrupt the normal colonic flora.
Purpose of the Study:
- To investigate changes in specific commensal anaerobic bacteria during and after acute diarrhea in children.
- To quantify alterations in key bacterial groups using molecular methods.
Main Methods:
- Quantitative polymerase chain reaction (qPCR) targeting 16S rDNA was used.
- Fecal samples were analyzed from 46 children during acute diarrhea, post-recovery, and 3 months later.
- Bacterial groups quantified included Bifidobacterium spp., Bacteroides-Prevotella group, Lactobacillus acidophilus group, Faecalibacterium prauznitzii, and Eubacterium rectale.
Main Results:
- Levels of Bacteroides-Prevotella-Porphyromonas, Eubacterium rectale, Lactobacillus acidophilus, and Faecalibacterium prauznitzii were lower during acute diarrhea compared to post-recovery.
- These patterns were consistent across rotavirus and non-rotavirus diarrhea.
- Adjuvant therapy with amylase-resistant maize starch showed no significant impact on overall floral patterns, though it was associated with lower F. prauznitzii levels at recovery.
Conclusions:
- Acute diarrhea in children is associated with a significant decrease in specific beneficial fecal bacteria.
- These findings suggest a disruption of the gut's commensal flora during diarrheal episodes.
- Restoration of normal gut microbiota composition occurs after recovery from diarrhea.
Background And Objective:
The commensal bacterial flora of the colon may undergo changes during diarrhea, owing to colonization of the intestine by pathogens and to rapid intestinal transit. This study used molecular methods to determine changes in the composition of selected commensal anaerobic bacteria during and after acute diarrhea in children.
Materials And Methods:
Fecal samples were obtained from 46 children with acute diarrhea in a rural community during an episode of acute diarrhea, immediately after recovery from diarrhea, and 3 months after recovery. DNA was extracted and quantitative polymerase chain reaction using SYBR green and genus- and species-specific primers targeting 16S rDNA were undertaken to quantitate the following groups of bacteria: Bifidobacterium spp., Bifidobacterium longum group, Bacteroides-Prevotella group, Bacteroides fragilis, Lactobacillus acidophilus group, Faecalibacterium prauznitzii, and Eubacterium rectale, relative to amplification of universal bacterial domain 16S rDNA.
Results:
Bacteria belonging to the Bacteroides-Prevotella-Porphyromonas group, E rectale, L acidophilus, and F prauznitzii groups were low during acute diarrhea compared with their levels after recovery from diarrhea. The pattern was similar in rotavirus diarrhea and nonrotavirus diarrhea. Administration of amylase-resistant maize starch as adjuvant therapy was associated with lower levels of F prauznitzii at the time of recovery but did not lead to other changes in the floral pattern.
Conclusions:
Specific classes of fecal bacteria are lower during episodes of acute diarrhea in children than during periods of normal gastrointestinal health, suggesting specific alterations in the flora during diarrhea.
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