栄養不良のバングラデシュの子どもたちの腸内微生物群の不成熟が持続している
Sathish Subramanian1, Sayeeda Huq2, Tanya Yatsunenko1
1Center for Genome Sciences and Systems Biology, Washington University in St. Louis, St. Louis, Missouri 63108, USA.
Nature
|June 5, 2014
まとめ
重度の急性栄養失調 (SAM) は不成熟の腸内微生物群と関連しており,栄養介入はこれを部分的にしか修正しない. 微生物群の成熟度指数は,栄養不良を分類し,子供の治療効果を評価する新しい方法を提供します.
科学分野:
- 微生物学 微生物学とは
- 小児科は小児科です.
- 栄養科学とは,栄養科学である.
背景:
- 治療的な食品は重度の急性栄養失調 (SAM) の死亡率を低下させますが,健康的な成長を完全に回復させることはできません.
- 栄養介入,腸内微生物群,および小児栄養失調における治療結果の相互作用は,まだ十分に理解されていません.
研究 の 目的:
- 幼児期に健康な腸内微生物群を構成する細菌種を特定する.
- 栄養不良の小児における腸内微生物の発達を評価するために,微生物の成熟度指数 (相対微生物の成熟度指数と年齢に対する微生物のZスコア) を開発し,適用する.
- SAMと中等度の急性栄養失調の子どもにおける腸内微生物群の成熟に対する栄養介入の影響を評価する.
主な方法:
- 生まれた時から健康な子供の月々の便サンプルから16SrRNA遺伝子配列のデータを機械学習分析.
- 年齢差別的な細菌種に基づく"微生物群成熟度指数"と"微生物群年齢Zスコア"の開発.
- これらの指標の適用は,双子/三胞胎を含むコホート,ランダム化試験におけるSAMの子供,および中等度の急性栄養失調の子供に適用されます.
主要な成果:
- 重度の急性栄養失調 (SAM) は,重要な腸内微生物群の不成熟と関連しています.
- SAMに対する栄養介入は,微生物群の成熟を部分的に改善したのみである.
- 微生物群の不成熟は,中等度の急性栄養失調でも観察され,人類測定値と相関していました.
結論:
- 微生物群の成熟度指数は,産後発達の微生物学的尺度であり,栄養失調を分類するためのツールとして機能します.
- 現在の栄養介入は,小児の栄養失調における腸内微生物群の完全な修復には不十分である.
- 腸内微生物群と臨床結果の持続的な改善を達成するために,潜在的にプロバイオティクスを含む長期間の介入が必要になる可能性があります.
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