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Alterations in Gut Microbiota and their Association with Intestinal Mucosal Injury in Children with Febrile Seizures
Lin Yang1, Shuan Yin2, Wenchao Zou1
1The Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong 271000, China.
Insights
Pediatric febrile seizures are linked to gut dysbiosis, characterized by altered microbial diversity. This gut imbalance correlates with increased inflammation and intestinal damage markers in children.
Area of Science:
- Microbiology
- Pediatrics
- Immunology
Background:
- Gut microbiota plays a crucial role in host health.
- Dysbiosis, an imbalance in gut microbial composition, is implicated in various diseases.
- Febrile seizures (FS) are common in children, and their underlying mechanisms are not fully understood.
Purpose of the Study:
- To investigate the relationship between gut microbiota diversity and markers of inflammation and intestinal mucosal injury in children with FS.
- To compare the gut microbiota profiles of children with FS to those of healthy controls.
Main Methods:
- 16S rDNA sequencing was used to analyze gut microbiota composition in 15 children with FS and 15 healthy controls.
- Enzyme-linked immunosorbent assay (ELISA) measured serum levels of pro-inflammatory cytokines (TNF-α, IL-6) and intestinal mucosal injury markers (endotoxin, D-lactate, diamine oxidase).
- Correlation analyses (Spearman) were performed to assess associations between microbiota profiles and measured biomarkers.
Main Results:
- Children with FS exhibited distinct gut microbiota profiles compared to controls, with decreased Patescibacteria and increased Bacteroides.
- Elevated serum levels of IL-6, TNF-α, endotoxin, D-lactate, and diamine oxidase were observed in the FS group.
- A significant correlation was found between altered gut microbiota and increased inflammation and intestinal mucosal damage markers in children with FS.
Conclusions:
- Children experiencing febrile seizures demonstrate gut microbiota dysbiosis.
- This gut dysbiosis is significantly associated with heightened systemic inflammation and intestinal mucosal injury.
Objective:
To explore the correlation between diversity of the gut microbiota and key markers of inflammation and intestinal mucosal injury in pediatric febrile seizures (FS).
Methods:
This study compared 15 FS children (FS group) and 15 healthy individuals (normal control group). The participants underwent 16S rDNA sequencing to analyze gut microbiota profiles. ELISA was employed to measure peripheral blood concentrations of the pro-inflammatory cytokines TNF-α and IL-6, as well as intestinal mucosal injury indicators such as endotoxin (BT), D-lactate (D-Lac), and diamine oxidase (DAO). Analysis assessed the correlation between gut microbiota composition, inflammatory factors, and indicators of intestinal mucosal damage in FS.
Results:
Analysis of the FS group revealed a distinct gut microbiota profile compared to the control group, with notable variations in abundance at the phylum level. A marked decrease in the abundance of Patescibacteria was observed in the FS group. LEfSe clustering tree analysis revealed enrichment of Bacteroides in the FS group, suggesting an association with FS. Serum levels of IL-6, TNF-α, BT, D-Lac, and DAO in children with FS were higher than those in controls, (P<0.05). A Spearman analysis found that the altered microbiota of the FS group was correlated with increased expression of IL-6, BT, D-Lac, and DAO (P<0.05).
Conclusion:
Children with FS have disrupted gut microbiota, and this dysbiosis is correlated with inflammation and intestinal mucosal damage.
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