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Published on: June 21, 2018
药物与微生物组的组合性,添加性和剂量依赖性关联
Sofia K Forslund1,2,3,4,5,6, Rima Chakaroun7, Maria Zimmermann-Kogadeeva1
1Structural and Computational Biology Unit, European Molecular Biology Laboratory, Heidelberg, Germany.
药物显著改变肠道微生物和宿主特征, 而不是心脏代谢疾病本身. 组合药物疗法可以改善代谢和微生物组的健康,为药物与宿主微生物组的相互作用提供新的见解.
科学领域:
- 微生物组研究
- 药物基因组学
- 代谢学
背景情况:
- 心脏代谢疾病的进展与肠道微生物组和代谢组的改变有关.
- 患者使用大量药物使生物标志物的发现复杂化.
- 了解药物对宿主微生物群相互作用的影响至关重要.
研究的目的:
- 解开药物与疾病对宿主和肠道微生物组特征的影响.
- 量化单个药物,组合和添加效应的影响.
- 在心脏代谢疾病中识别药物-宿主-微生物体特征.
主要方法:
- 对2,173名欧洲居民 (MetaCardis队列) 的综合多学科分析.
- 推断药物对宿主和微生物群变异性的计算框架.
- 药物效应的量化,包括组合和添加影响.
主要成果:
- 药物对宿主和微生物群变异性的影响超过疾病的影响.
- 添加剂药物效应将新陈代谢和微生物组转变为更健康的状态.
- 抗生素使用与与心脏代谢疾病严重程度相关的微生物组变化相关.
- 药物剂量与临床标志物改善和微生物组合有相关性.
结论:
- 提供了一个计算框架,以分辨多种药物和疾病对患者的影响.
- 已识别的特征为心脏代谢疾病中的药物-宿主-微生物组相互作用提供了新的假设.
- 药物在疾病进展过程中对宿主微生物组轴形成起重要作用.
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