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Disordered Gut Microbiota in Children Who Have Chronic Pancreatitis and Different Functional Gene Mutations
Wei Wang1, Yuan Xiao2, Xinqiong Wang2
1Department of General Surgery and Research Institute of Pancreatic Diseases, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Children with chronic pancreatitis (CCP) show significantly reduced gut microbial diversity. Key probiotic genera are depleted, with specific changes linked to genetic mutations, impacting disease mechanisms.
Area of Science:
- Microbiome research
- Gastroenterology
- Pediatric medicine
Background:
- Chronic pancreatitis (CP) pathogenesis is poorly understood, particularly in children (CCP).
- Gut microbiota and host genetics are implicated, but their interplay in CCP remains unclear.
- External factors are less significant in pediatric cases, highlighting intrinsic mechanisms.
Purpose of the Study:
- To identify key gut microbiota genera in children with chronic pancreatitis (CCP).
- To characterize functional gene mutations associated with CCP.
- To explore the relationship between gut microbiota composition and genetic factors in CCP.
Main Methods:
- 16S rRNA sequencing was employed to analyze gut microbiota composition.
- Comparison between healthy controls and CCP patients, including those with various functional gene mutations.
- Receiver operating characteristic (ROC) curve analysis was used to identify diagnostic microbial signatures.
Main Results:
- CCP exhibited significantly reduced alpha diversity in gut microbiota.
- Abundances of Faecalibacterium, Subdoligranulum, Phascolarctobacterium, Bifidobacterium, Eubacterium, and Collinsella were significantly decreased in CCP (AUC=0.92).
- Functional analysis revealed reduced ribosomal activity and metabolism pathways, with enrichment of phosphotransferase systems; specific genera abundances varied with CFTR, CASR, CTSB, SPINK1, and/or PRSS1 mutations.
Conclusions:
- Children with chronic pancreatitis (CCP) experience a depletion of beneficial gut microbiota.
- Distinct gut microbiota profiles are associated with specific functional gene mutations in CCP patients.
- Understanding these microbial and genetic interactions is crucial for elucidating CCP pathogenesis.
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