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Fecal microbiota imbalance in Mexican children with type 1 diabetes
María Esther Mejía-León1, Joseph F Petrosino2, Nadim Jose Ajami2
1Department of Nutrition and Metabolism, Centro de Investigación en Alimentación y Desarrollo, A.C., Hermosillo, Sonora, México.
Insights
Gut microbiota alterations, specifically increased Bacteroides, are observed in children newly diagnosed with Type 1 Diabetes (T1D). This dysbiosis may play a role in T1D development, but further research is needed.
Area of Science:
- Microbiology
- Immunology
- Pediatrics
Background:
- Type 1 Diabetes (T1D) is a common autoimmune disease in children.
- Gut barrier integrity and intestinal microbiota dysbiosis are implicated in T1D pathogenesis.
- Understanding the gut microbiome's role in T1D is crucial for early detection and intervention.
Purpose of the Study:
- To compare the fecal microbiota structure in mestizo children with and without Type 1 Diabetes.
- To investigate potential correlations between gut microbial composition and T1D onset and progression.
Main Methods:
- Fecal DNA was extracted from 29 children (8 T1D at onset, 13 T1D after 2 years treatment, 8 controls).
- The V4 region of the 16S rRNA gene was amplified and sequenced using 454-pyrosequencing.
- Clinical data and predisposing haplotypes were collected.
Main Results:
- Newly diagnosed T1D cases exhibited significantly higher levels of the genus Bacteroides compared to controls (p < 0.004).
- The control group's gut microbiota was predominantly composed of Prevotella.
- Children with T1D treated for over 2 years showed microbial levels intermediate between newly diagnosed cases and controls.
Conclusions:
- The gut microbiota composition is altered in children with newly diagnosed Type 1 Diabetes.
- While Bacteroides abundance is a distinguishing feature, the causal role of gut dysbiosis in T1D remains to be elucidated.
- Further studies are required to determine if observed microbial changes are a cause or consequence of T1D.
Abstract:
Dysbiosis of the intestinal microbiota affecting the gut barrier could be triggering Type 1 Diabetes (T1D), the second most frequent autoimmune disease in childhood. This study compared the structure of the fecal microbiota in 29 mestizo children aged 7-18 years, including 8 T1D at onset, 13 T1D after 2 years treatment, and 8 healthy controls. Clinical information was collected, predisposing haplotypes were determined; the fecal DNA was extracted, the V4 region of the 16S rRNA gene amplified and 454-pyrosequenced. The newly diagnosed T1D cases had high levels of the genus Bacteroides (p < 0.004), whereas the control group had a gut microbiota dominated by Prevotella. Children with T1D treated for ≥2 years had levels of Bacteroides and Prevotella compared to those of the control group. The gut microbiota of newly diagnosed T1D cases is altered, but whether it is involved in disease causation or is a consequence of host selection remains unclear.
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