在性结肠炎患者肠道菌群的动力学
Sushrut Jangi1, Katie Hsia1, Naisi Zhao2
1Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
概括
活跃的性结肠炎 (UC) 与较高水平的Candida真菌有关. 这种真菌转移随着时间的推移而发生,可能有助于对疾病活动进行分类,这表明Candida是潜在的治疗标.
科学领域:
- 胃肠病学 胃肠病学
- 微生物组研究的研究.
- 免疫学 免疫学 免疫学
背景情况:
- 肠道真菌与性结肠炎 (UC) 的病原发生有关.
- 活跃与静止UC中的真菌组成变化仍然不清楚.
研究的目的:
- 调查活跃和静止性性结肠炎期间真菌组成的变化.
- 评估UC中真菌-细菌关系的动态变化.
- 评估真菌丰富的潜力,以对UC疾病活动进行分类.
主要方法:
- 分析了SPARCIBD队列中的421名UC患者的临床和元基因组数据.
- 在临床活动和缓解期间评估便真菌成分.
- 在一个子队列 (n=52) 中对真菌分类学变化的纵向评估.
- 机器学习模型 (随机森林) 在丰度数据上进行训练,用于活动分类.
主要成果:
- 与缓解相比,活跃UC期间的Candida相对丰度增加了3.5倍 (P-adj < 1x10^-4).
- 坎迪达菌的长度减少与UC患者的临床改善并行 (P < .05).
- 丰度数据准确地分类了活跃与静止UC (AUC ~0.80),其中Candida是关键因素.
结论:
- 活跃的UC与增加的Candida丰度有关,无论是横截面还是动态.
- 便中的Candida可以作为性结肠炎的潜在治疗标.
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