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Published on: October 16, 2014
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.
Abstract:
Prosthetic joint infection (PJI) and aseptic loosening (AL) are common complications of total joint arthroplasty. An accumulation of evidence indicates the presence of microbial communities on prosthetic implants, but the overall microbial profile is unclear. In this study, we aimed to investigate the differences in the microbial composition of prosthetic implants obtained from PJI and AL patients using the 16S rRNA sequencing method. Patients who underwent revision hip, knee, or shoulder arthroplasty caused by PJI (n = 20) or AL (n = 10) were enrolled in the study. 16S rRNA sequencing targeting the V3-V4 region was performed on the microbial specimens collected from synovial fluid, periprosthetic deep-tissue, and biofilm during the revision surgery. The sequenced raw data were analysed for microbial composition and ecological and differential abundance analyses using bioinformatics tools. The AL group had relatively balanced and higher diversity, with Staphylococcus, Streptococcus, and Veillonella being prominent. In the PJI group, Staphylococcus and Pseudomonas were predominant, especially in deep-tissue samples and biofilm samples, respectively. The differential abundance analysis identified 15 and 2 distinctive taxa in the AL and PJI groups, respectively. Our findings provided preliminary insights supporting the existence of periprosthetic microbiota in orthopedic implants and explaining the differences in microbial composition between the AL and PJI groups.
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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