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Gut Microbiome Composition in Young Nicaraguan Children During Diarrhea Episodes and Recovery
Sylvia Becker-Dreps1, Imane Allali2, Andrea Monteagudo2
1Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Microbiome Core Facility, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Laboratory of Biochemistry and Immunology, Faculty of Sciences, Mohammed V University, Rabat, Morocco; Department of Microbiology and Parasitology, National Autonomous University of Nicaragua, León, Nicaragua; Department of Biostatistics, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina; Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina; Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Center for Demographic and Health Research, National Autonomous University of Nicaragua, León, Nicaragua; Department of Cell Biology and Physiology, University of North Carolina School of Medicine, Chapel Hill, North Carolina sbd@unc.edu.
Insights
Diarrhea episodes in children can disrupt the gut microbiota. Recovery may be delayed and pathogen-specific, suggesting longer healing times than previously assumed.
Area of Science:
- Microbiology
- Pediatrics
- Gastroenterology
Background:
- Diarrhea significantly impacts intestinal function, particularly in children from low-income regions.
- The gut microbiota plays a crucial role in maintaining intestinal health and function.
Purpose of the Study:
- To investigate the impact of diarrhea episodes on the gut microbiome composition in Nicaraguan children.
- To compare gut microbial diversity and richness during active diarrhea and after recovery.
Main Methods:
- 16S amplicon sequencing was used to analyze the gut microbiome composition of stool samples.
- Paired samples from children during diarrhea and at least 2 months post-diarrhea were compared.
- Bacterial enteropathogens were identified in diarrhea samples.
Main Results:
- No significant overall difference in phylogenetic diversity or species richness was observed between diarrhea and recovery stools.
- Children with detected bacterial enteropathogens showed no increase in diversity post-diarrhea.
- Children without detected enteropathogens were more likely to show increased diversity after recovery (P = 0.008).
Conclusions:
- Gut microbiota recovery after diarrhea may be prolonged and dependent on the specific pathogen involved.
- These findings suggest a need for revised expectations regarding the timeline of gut health restoration post-diarrhea.
Abstract:
Understanding how the gut microbiota is affected by diarrhea episodes may help explain alterations in intestinal function among children in low-income settings. This study examined the composition of the gut microbiome of Nicaraguan children both during diarrhea episodes and while free of diarrhea for at least 2 months. Relative abundances of bacterial taxa, phylogenetic diversity, and species richness were determined by 16S amplicon sequencing and compared between paired diarrhea and recovery samples. A total of 66 stools were provided by 25 children enrolled in a 1-year cohort study of diarrhea etiologies. Children in our cohort had a mean age of 21.9 months; 64% were breast-fed, and 10% had received an antibiotic during the diarrhea episode. Overall, phylogenetic diversity and species richness did not differ significantly between diarrhea and recovery stools. However, of children who had a bacterial enteropathogen detected in any diarrhea stool, none experienced an increase in phylogenetic diversity in recovery, whereas of those in whom no bacterial enteropathogens were detected in their diarrhea stool(s), 59% experienced an increase in phylogenetic diversity in recovery (P = 0.008). This preliminary study suggests that recovery of the gut microbiota after a diarrhea episode may take longer time than previously thought and may be pathogen specific.
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