肝硬化时肠道透性的区域变化与粘膜细菌有关
Patricia P Bloom1, Krishna Rao2, Christine Bassis2
1Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA.
肝硬化增加了十二指肠的肠道透性,减少了有益细菌的多样性. 像Bifidobacterium这样的特定的十二指肠细菌可能会保护肝脏不补偿和住院治疗.
科学领域:
- 胃肠病学 胃肠病学
- 微生物学 微生物学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 肝硬化并发症可能源于肠道屏障中的细菌转移.
- 在肝硬化患者中,评估肠上皮质透性和粘膜细菌至关重要.
研究的目的:
- 为了评估胰腺硬化患者的十二指肠,大肠和结肠的上皮透性.
- 为了研究粘膜细菌组成和上皮透性之间的关联.
- 为了识别与肝脏不补偿相关的细菌标志物.
主要方法:
- 从58名肝硬化患者和33名对照人群中收集了十二指肠,阴道肠和结肠活检.
- 进行了16S rRNA基因测序,用于粘膜细菌分析.
- 测量过体电阻 (TEER),以评估上皮的透性.
主要成果:
- 十二指甲上皮透率 (TEER) 在肝硬化患者中降低了26% (p=0.006).
- 十二指肠细菌α多样性在肝硬化患者中降低了27% (p=0.01).
- 十二指甲膜粘膜中的双杆菌显示出与上皮膜透性和住院治疗的保护性关联.
结论:
- 十二指甲上皮屏障功能在肝硬化中受损.
- 十二指肠细菌多样性的减少与肝硬化有关.
- 特定的粘膜细菌与表皮完整性和肝硬化中的临床结果相关.
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