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Published on: May 6, 2013
Aberrant gut microbiota composition at the onset of type 1 diabetes in young children
Marcus C de Goffau1, Susana Fuentes, Bartholomeus van den Bogert
1Department of Medical Microbiology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, HPC EB80, 9713 GZ, Groningen, The Netherlands.
Insights
Early-onset type 1 diabetes in children is linked to gut microbiota alterations. Non-diabetic children exhibit a more balanced gut microbiome with beneficial butyrate-producing species.
Area of Science:
- Microbiome research
- Pediatric endocrinology
- Immunology
Background:
- Aberrant gut microbiota is increasingly linked to type 1 diabetes development.
- Limited understanding exists regarding the gut microbiota composition in very young children with new-onset type 1 diabetes.
Purpose of the Study:
- To compare the gut microbiota of children aged 1-5 years with new-onset type 1 diabetes to that of age-matched healthy controls.
- To identify microbial differences associated with early-onset type 1 diabetes.
Main Methods:
- Phylogenetic microarray analysis using the Human Intestinal Tract Chip (HITChip) for deep global analysis of gut microbiota composition.
- Comparison of microbiota in new-onset type 1 diabetes patients and healthy controls, stratified by age.
Main Results:
- Age was a significant factor in microbiota composition.
- In children younger than 2.9 years, diabetic children showed higher abundance of Bacilli and Bacteroidetes, while controls had more Clostridium clusters IV and XIVa.
- Older diabetic children (>2.9 years) exhibited increased microbial diversity compared to controls.
Conclusions:
- Non-diabetic children possess a more balanced gut microbiota.
- Butyrate-producing species within Clostridium clusters IV and XIVa appear crucial for a healthy gut microbiome in children.
Aims/Hypothesis:
Recent studies indicate that an aberrant gut microbiota is associated with the development of type 1 diabetes, yet little is known about the microbiota in children who have diabetes at an early age. To this end, the microbiota of children aged 1-5 years with new-onset type 1 diabetes was compared with the microbiota of age-matched healthy controls.
Methods:
A deep global analysis of the gut microbiota composition was established by phylogenetic microarray analysis using a Human Intestinal Tract Chip (HITChip).
Results:
Principal component analyses highlighted the importance of age when comparing age-matched pairs. In pairs younger than 2.9 years, the combined abundance of the class Bacilli (notably streptococci) and the phylum Bacteroidetes was higher in diabetic children, whereas the combined abundance of members of Clostridium clusters IV and XIVa was higher in the healthy controls. Controls older than 2.9 years were characterised by a higher fraction of butyrate-producing species within Clostridium clusters IV and XIVa than was seen in the corresponding diabetic children or in children from the younger age groups, while the diabetic children older than 2.9 years could be differentiated by having an increased microbial diversity.
Conclusions/Interpretation:
The results from both age groups suggest that non-diabetic children have a more balanced microbiota in which butyrate-producing species appear to hold a pivotal position.
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