基于口腔和肠道微生物群的急性缺血性中风的功能结果预测
Jingru Liang1,2, Yueran Ren1, Yifeng Zheng1
1Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Molecular neurobiology
|November 15, 2024
概括
口腔和肠道微生物群的变化预测了急性缺血性中风 (AIS) 患者的结果. 肠道中的口腔细菌表明预后不佳,建议对个性化中风治疗的微生物群进行监测.
科学领域:
- 微生物学 微生物学
- 神经学 神经学
- 临床医学 临床医学
背景情况:
- 在急性缺血性中风 (AIS) 患者中观察到明显的肠道微生物群概况.
- 有限的研究存在于AIS的同时口腔和肠道微生物群变化及其预后相关性.
研究的目的:
- 为了研究AIS患者口腔和肠道微生物群的变化.
- 为了将这些变化与临床预后相关联.
- 探索微生物群组成对AIS结果的预测价值.
主要方法:
- 160名AIS患者的前性,观察性单中心队列研究.
- 在中风发生后24小时内采集口腔和直肠拭子样本.
- 用于微生物群分析的16SrRNA高通量测序.
- 机器学习分析用于预测结果.
主要成果:
- 在AIS患者的不良结果与早期口腔和肠道微生物群的破坏有关.
- 肠直肠微生物群显示有增加的随机无气体;口腔微生物群在预后不佳的群体中增加了无气体和机会性病原体.
- 微生物群的组成可以预测早期和长期的结果.
- 预后不佳与直肠微生物群中的口腔细菌增加和口腔肠道相互作用的改变有关.
结论:
- 截然不同的直肠和口腔细菌可以预测AIS患者的不良结果.
- 在入院后监测各种身体部位的微生物群可能具有预后价值.
- 在急性中风阶段殖民肠道的口腔细菌可能表明预后不佳,告知个性化治疗策略.
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