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Updated: Jun 3, 2025

Microbiota Analysis Using Two-step PCR and Next-generation 16S rRNA Gene Sequencing
Published on: October 15, 2019
Exploring the Interplay of Gut Microbiota and Systemic Inflammation in Pediatric Obstructive Sleep Apnea Syndrome and
Chung-Guei Huang1,2, Wan-Ni Lin3,4, Li-Jen Hsin3,4
1Department of Laboratory Medicine, Linkou Main Branch, Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan.
Insights
Pediatric obstructive sleep apnea syndrome (OSAS) is linked to gut bacteria and inflammation, affecting blood pressure (BP). Specific microbial and inflammatory profiles correlate with BP variations in children with OSAS.
Area of Science:
- Pediatric cardiovascular health
- Microbiome research
- Sleep medicine
Background:
- Obstructive sleep apnea syndrome (OSAS) is common in children and linked to high blood pressure (BP), increasing risks for hypertension and cardiovascular issues.
- The influence of gut microbiota and systemic inflammation on pediatric BP in OSAS is not well understood, unlike in adults and animal models.
Purpose of the Study:
- To investigate the associations between polysomnographic parameters, gut microbiota, systemic inflammation, and BP in children diagnosed with OSAS.
- To identify specific microbial and inflammatory markers related to BP variations in pediatric OSAS.
Main Methods:
- Cross-sectional study involving 60 children with OSAS.
- Analysis of polysomnographic data, gut microbial profiles (including beta diversity and marker microbes), and systemic inflammation markers (e.g., interleukin-17, tumor necrosis factor-α).
- Correlation analysis between microbial/inflammatory markers and BP levels.
Main Results:
- Significant associations were found between specific gut microbial profiles and BP variations in children with OSAS.
- Observed correlations between microbial profiles and altered systemic inflammation markers, including interleukin-17 and tumor necrosis factor-α.
- The abundance of *Acinetobacter* was specifically linked to changes in inflammatory markers and BP.
Conclusions:
- Gut microbiota and systemic inflammation play a significant role in pediatric cardiovascular health among children with OSAS.
- Unique microbial and cytokine profiles are associated with different BP levels in these children.
- Integrating gut microbiota management into cardiovascular risk strategies for pediatric OSAS is recommended, warranting further mechanistic research.
Abstract:
Obstructive sleep apnea syndrome (OSAS) is prevalent among children and is associated with elevated blood pressure (BP), posing a risk for future hypertension and cardiovascular diseases. While the roles of gut microbiota and systemic inflammation in OSAS pathogenesis are recognized in adults and animal models, their impact on pediatric BP remains less understood. This cross-sectional study explored the relationships between polysomnographic parameters, gut microbiota, systemic inflammation, and BP in 60 children with OSAS. Significant associations between specific microbial profiles-including beta diversity and 31 marker microbes-and BP variations were observed. These microbial profiles correlated with significant alterations in systemic inflammation markers like interleukin-17 and tumor necrosis factor-α. Notably, the relative abundance of Acinetobacter was related to fluctuations in these inflammatory markers and BP levels. The research further highlighted the unique microbial and cytokine profiles exhibited by children with different BP levels, indicating a substantial role of gut microbiota and systemic inflammation in influencing pediatric cardiovascular health. The findings suggest integrating gut microbiota management into comprehensive cardiovascular risk strategies for children with OSAS. This initiative underscores the need for further investigations to decode the mechanisms behind these associations, which could lead to innovative treatments for pediatric OSAS.
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