Quantification of Intestinal Lactobacillus Species in Children with Functional Constipation by Quantitative Real-Time

Nabi Jomehzadeh1,2,3, Hazhir Javaherizadeh4, Mansour Amin2,3

  • 1Cellular and Molecular Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Insights

Children with functional constipation show significantly lower levels of key Lactobacillus bacteria, particularly Lactobacillus reuteri and Lactobacillus fermentum, compared to healthy children. This suggests a potential role for these probiotics in childhood constipation.

Area of Science:

  • Microbiology
  • Pediatric Gastroenterology
  • Gut Microbiome Research

Background:

  • Functional constipation is a prevalent gastrointestinal disorder in children globally.
  • Intestinal microbiota composition is recognized as a critical factor in its development.
  • This study investigates specific Lactobacillus species in relation to childhood constipation.

Purpose of the Study:

  • To quantitatively compare the abundance of major Lactobacillus species in children with functional constipation versus healthy controls.
  • To identify potential alterations in Lactobacillus populations associated with pediatric functional constipation.

Main Methods:

  • Fecal samples were obtained from 40 children diagnosed with functional constipation (Rome IV criteria) and 40 healthy children.
  • Quantitative real-time polymerase chain reaction (qPCR) with species-specific primers was employed.
  • Seven key Lactobacillus species were analyzed in the fecal samples.

Main Results:

  • Significant differences in Lactobacillus strains were observed between constipated children and healthy controls.
  • A marked decrease in the quantity of Lactobacillus reuteri was noted in the patient group (mean 10^2.61 CFU/gram).
  • Lower abundance of Lactobacillus fermentum was also found in constipated children (p<0.0001).

Conclusions:

  • Quantitative alterations in Lactobacillus species may be associated with childhood functional constipation.
  • The study demonstrated a significantly decreased quantity of specific Lactobacillus populations in constipated children compared to healthy subjects.
  • These findings highlight the potential impact of Lactobacillus species on pediatric functional constipation.
Abstract