极低出生体重婴儿的肠道细菌失生和死肠炎:一个前性病例对照研究
Barbara B Warner1, Elena Deych2, Yanjiao Zhou1
1Department of Pediatrics, Washington University in St Louis School of Medicine, St Louis, MO, USA.
Lancet (London, England)
|March 13, 2016
概括
在患有死肠炎 (NEC) 的婴儿中,肠道细菌的组成不同. 在患有NEC的婴儿中观察到玛蛋白菌的增加和严格无气体的减少.
科学领域:
- 微生物学
- 新生儿医学
- 胃肠病学
背景情况:
- 死亡性肠球炎 (NEC) 是早产婴儿的一种严重肠病.
- 肠道微生物组的改变可能在NEC的发展中起作用.
- 识别与NEC相关的特定细菌种群对于了解其病变至关重要.
研究的目的:
- 研究发病的婴儿与没有发病的婴儿之间肠道细菌分类的差异.
- 为了确定NEC发作之前的特定细菌特征.
主要方法:
- 在多个医院中对出生时体重非常低的婴儿进行前性观察研究.
- 从便样本中收集16S rRNA基因,并对其进行烧序测定.
- 使用迪里克莱多项模型进行分析,以确定细菌群体与NEC发展之间的关联.
主要成果:
- 在NEC病例和对照群体之间发现了肠道微生物群体结构的显著差异.
- 增加的甲基蛋白细菌和减少的严格无氧细菌 (Negativicutes) 与NEC相关.
- 这些微生物差异在怀孕27周以下的婴儿中最为明显,并在出生后的第一个月出现.
结论:
- 在非常低出生体重的婴儿中,Gammaproteobacteria的相对丰富性和严格无氧细菌的稀缺性先于NEC.
- 这些发现表明NEC预防策略的潜在微生物点,特别是在极早产婴儿中.
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