16S rRNA sequencing reveals microbiota differences in orthopedic implants between aseptic loosening and prosthetic

Omer Faruk Cetiner1, Mehmet Hora2, Ibrahim Halil Kafadar3

  • 11Istanbul Faculty of Medicine, Istanbul University, Istanbul, Türkiye.

Insights

Microbial communities differ between prosthetic joint infections (PJI) and aseptic loosening (AL) in total joint arthroplasty. This study used 16S rRNA sequencing to reveal distinct microbial profiles in PJI and AL patient implants.

Area of Science:

  • Orthopedics
  • Microbiology
  • Genomics

Background:

  • Prosthetic joint infection (PJI) and aseptic loosening (AL) are significant complications following total joint arthroplasty (TJA).
  • The microbial landscape of prosthetic implants in these conditions remains incompletely understood.
  • Understanding periprosthetic microbiota is crucial for diagnosing and treating implant failure.

Purpose of the Study:

  • To investigate and compare the microbial composition of prosthetic implants from patients with PJI versus AL.
  • To identify specific microbial signatures associated with each complication.

Main Methods:

  • 16S rRNA gene sequencing targeting the V3-V4 region was employed.
  • Microbial specimens were collected from synovial fluid, periprosthetic deep-tissue, and biofilm during revision surgery.
  • Bioinformatics tools were used for microbial composition, ecological, and differential abundance analyses.

Main Results:

  • The aseptic loosening (AL) group exhibited higher microbial diversity with prominent genera including Staphylococcus, Streptococcus, and Veillonella.
  • The prosthetic joint infection (PJI) group was dominated by Staphylococcus and Pseudomonas, particularly in deep-tissue and biofilm samples, respectively.
  • Differential abundance analysis revealed 15 distinct taxa in the AL group and 2 in the PJI group.

Conclusions:

  • Distinct periprosthetic microbial communities exist in orthopedic implants.
  • Microbial composition differs significantly between PJI and AL patient groups.
  • These findings offer insights into the role of microbiota in TJA complications.

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