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Related Experiment Video

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Next-generation Sequencing of 16S Ribosomal RNA Gene Amplicons
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Searching for bacteria within acute cholecystitis using next-generation sequencers.

Tomohiro Otsuka1, Yoichi Ishizaki2, Jiro Yoshimoto2

  • 1Juntendo University Institute for Environment and Gender-Specific Medicine, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, Japan.

Surgery Open Science
|June 12, 2025
PubMed
Summary
This summary is machine-generated.

The gallbladder is not sterile; acute cholecystitis involves distinct bacterial flora. Specific bacteria, not found in healthy gallbladders, may contribute to the disease development.

Keywords:
16S rRNA16S ribosomal RNAAcute cholecystitisBacteria floraBiliary microbiomeMicrobiomeNext-generation sequencer

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Area of Science:

  • Gastroenterology
  • Microbiology
  • Surgical Pathology

Background:

  • The gallbladder was traditionally considered sterile.
  • Recent studies reveal a biliary microbiome in healthy gallbladders using 16S ribosomal RNA (16S rRNA) gene analysis.
  • This study investigates the biliary microbiome in acute cholecystitis.

Purpose of the Study:

  • To identify bacterial flora in bile samples from patients with acute cholecystitis.
  • To compare the bacterial composition with that of normal gallbladders.
  • To explore the potential role of specific bacteria in the pathogenesis of acute cholecystitis.

Main Methods:

  • Bile samples were collected from patients with Grade I or II acute cholecystitis undergoing laparoscopic cholecystectomy.
  • Bacterial presence was confirmed using standard bacteriology (culture tests) and 16S rRNA gene sequencing.
  • Samples were analyzed within 24 hours of diagnosis.

Main Results:

  • Bacterial biliary flora was detected in all samples via 16S rRNA gene sequencing, including those negative by culture.
  • Of 29 samples, 15 were culture-positive.
  • Bacteria other than those found in normal gallbladders (e.g., *Propionibacterium*, *Coprococcus*, *Prevotella*) were found in 86% of cases.

Conclusions:

  • The gallbladder harbors bacterial flora, even in acute cholecystitis.
  • Specific bacteria, such as *Propionibacterium*, *Coprococcus*, *Prevotella*, *Sediminibacterium*, and *Collinesella*, are associated with acute cholecystitis.
  • These bacteria may play a role in the development of acute cholecystitis.