在末期肺病和肺移植中肠道微生物组
Shuyan Zhang1,2, J Casper Swarte1,3, Ranko Gacesa1,2
1Department of Gastroenterology and Hepatology, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
mSystems
|May 7, 2024
概括
肠道功能障碍在肺移植患者中很常见,在手术后恶化. 这项研究揭示了特定的微生物变化,并将它们与治疗和移植结果联系起来.
科学领域:
- 微生物组研究的研究.
- 移植免疫学 移植免疫学
- 胃肠病学 胃肠病学
背景情况:
- 肠道功能失调与肝脏和脏移植接受者的不良结果有关.
- 肺移植患者的肠道微生物组仍然没有得到充分的研究.
研究的目的:
- 在末期肺病患者和肺移植接受者的肠道微生物组的特征.
- 识别与移植,免疫抑制和慢性肺异位移植功能障碍 (CLAD) 相关的微生物特征.
主要方法:
- 来自患者和健康对照的便样本的元基因组测序.
- 无监督聚类以根据治疗方法将肺移植接受者分组.
- 在不同CLAD阶段和纵向分析肠道微生物组组成.
主要成果:
- 与对照组相比,在肺移植接受者中观察到肠道微生物物种丰度的显著差异.
- 特定的免疫抑制剂和抗生素组合与独特的肠道微生物特征相关.
- 肠道微生物群的多样性在长期移植后仍然有所减少,而手术后的功能失调会恶化.
结论:
- 肺移植接受者在移植前和移植后表现出显著的肠道功能障碍,该过程加剧了这种情况.
- 肠道微生物组的组成受到免疫抑制和抗生素的影响.
- 需要进一步的研究来探索针对微生物的干预措施,以改善肺移植结果.
相关概念视频
Introduction to the Human Microbiota
Microorganisms colonize various regions of the human body, including the mouth, nasal passages, throat, stomach, intestines, urogenital tract, and skin. The total number of microbial cells is estimated to range from 10¹³ to 10¹⁴—comparable to, or exceeding, the number of human somatic cells. This host–microbiome relationship has led to the conceptualization of humans as supraorganisms, wherein microbial communities perform vital roles in development, immunity, and disease...
Microbiota of the Respiratory Tract
The human respiratory tract, comprising the upper and lower segments, serves as a critical interface with the external environment. The upper respiratory tract (URT)—including the nostrils, sinuses, pharynx, and oropharynx—is heavily colonized by microbes, while the lower respiratory tract (LRT), composed of the larynx, trachea, bronchi, and lungs, was long thought to be sterile. However, recent molecular studies have revealed that the lungs are not devoid of microbes but act more like...
Microbiota of the Large Intestine
The large intestine hosts the most densely populated microbial ecosystem in the human body. This complex community primarily consists of anaerobic bacteria, with Bacillota (formerly Firmicutes) and Bacteroidota (formerly Bacteroidetes) as the predominant groups. The distribution of these microbes varies along different sections of the large intestine, influenced by local environmental factors such as oxygen availability and nutrient composition.The cecum, located at the beginning of the large...
Functions of the Gut Microbiota
The gut microbiota includes trillions of microorganisms that colonize the human gastrointestinal tract, including bacteria, archaea, viruses, and fungi. This complex ecosystem plays a critical role in maintaining intestinal and systemic health. Most of these microbes inhabit the large intestine, establishing a relatively stable and diverse community that contributes to gut homeostasis through various metabolic, immunological, and protective mechanisms.Dominant bacterial phyla, such as...
Dysbiosis of the Gut Microbiota
The human gut microbiome includes a diverse array of microbial species, including beneficial commensals and opportunistic pathogens, which interact to support host health. These microbes contribute to essential functions such as nutrient metabolism, immune system modulation, and maintenance of intestinal barrier integrity. However, disruptions to this equilibrium—referred to as dysbiosis—can have widespread physiological consequences.Dysbiosis is often characterized by reduced microbial...
Microbiota Modulation by Antibiotics
Antibiotics have revolutionized modern medicine by saving countless lives from bacterial infections. However, their widespread use has inadvertently harmed the delicate balance of the human gut microbiota. The gut microbiota, a complex community of bacteria, archaea, viruses, and fungi, plays a vital role in regulating metabolism, immune responses, and maintaining intestinal health. Antibiotics, especially broad-spectrum types, disrupt this ecosystem by eradicating both harmful and beneficial...


