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Published on: January 21, 2018
Nasal Microbiota Associated with the Lung Radiomic Features in Asthma
Lijuan Hua1, Wenxue Bai1, Xuezhao Wang1
1Department of Respiratory and Critical Care Medicine, Key Laboratory of Pulmonary Diseases of Health Ministry, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, People's Republic of China.
Asthma patients show altered nasal lavage fluid (NLF) microbiota linked to lung imaging features and inflammation. This nasal microbiota may influence lower airway characteristics in asthma, warranting further research.
Area of Science:
- Microbiology
- Pulmonary Medicine
- Medical Imaging
Background:
- Asthma is a chronic respiratory disease characterized by airway inflammation.
- The role of the upper airway microbiota in asthma pathogenesis is increasingly recognized.
- Understanding the interplay between the nasal microbiota and lung structure is crucial for asthma management.
Purpose of the Study:
- To characterize the nasal lavage fluid (NLF) microbiota in asthma patients.
- To explore the relationship between NLF microbiota and lung radiomic features.
- To investigate correlations between microbiota, lung function, and inflammation markers.
Main Methods:
- Collected NLF from 39 participants (12 controls, 27 asthma) for 16S rRNA gene sequencing.
- Analyzed lung radiomics using manual methods and NeuLungCARE software.
- Employed correlation, regression, and Jensen-Shannon Divergence (JSD) clustering to analyze data.
Main Results:
- Asthma patients had significantly elevated NLF bacterial load compared to controls.
- NLF bacterial load correlated positively with sputum eosinophil percentage and mucus plugs score.
- Microbiota diversity indices (Shannon, Chao) showed significant correlations with lung radiomic features and lung function (FEV1).
- Two distinct asthma microbiota clusters were identified, differing in diversity, MDI, bronchiectasis prevalence, and exacerbation risk.
Conclusions:
- NLF microbiota is significantly associated with lung radiomic, functional, and inflammatory markers in asthma.
- Distinct asthma microbiota profiles correlate with specific lung imaging findings and clinical characteristics.
- Further prospective studies are needed to elucidate the impact of NLF microbiota on lower airway characteristics in asthma.
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