肠道微生物组在人类乳腺增生症:从诊断到发现的组成和抗体动力学
Soumi Chowdhury1,2, Robert F J Kullberg3, Bastiaan W Haak3,4
1Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.
Open forum infectious diseases
|November 18, 2024
概括
梅里欧症显著改变了患者的肠道微生物群和抗菌素耐药性 (AMR) 基因. 这些变化在治疗后仍然存在,这凸显了恢复肠道健康的干预措施的必要性.
科学领域:
- 微生物学 微生物学
- 人类微生物组研究研究
- 传染性疾病 传染性疾病
背景情况:
- 由*Burkholderia pseudomallei*引起的性疹是一种全球性的健康问题,需要长时间的抗生素治疗.
- 之前在小鼠身上进行的研究表明肠道微生物群会影响乳腺炎的传播,但人类肠道微生物群在感染期间仍然没有表征.
- 这项研究旨在表征肠道微生物群和抗微生物药物耐药性 (AMR) 基因在人类有机粉症患者.
研究的目的:
- 纵向表征肠道微生物组合和AMR基因的特征. 在有机症患者中.
- 为了比较肠道微生物群和AMR档案的有机症患者与社区对照.
- 为了调查肠道微生物群变化与美利欧症期间的二次感染之间的关联.
主要方法:
- 一项前性观察队列研究,涉及印度一家三级护理医院住院的乳腺炎患者.
- 在诊断时,治疗期间和感染后6个月收集便样本;社区成员作为对照.
- 枪支元基因组测序用于描述肠道微生物群组成和抗体 (AMR基因).
主要成果:
- 与对照人群相比,梅里欧症患者在诊断时表现出明显的肠道微生物群,病原性细菌增加,酸盐生产者减少,AMR基因升高.
- 在感染后6个月内,肠道微生物群和抗体仍然存在变化,受累积抗生素暴露的影响.
- 与住院相关的肠道微生物群概况与二次 *Klebsiella肺炎* 感染相关.
结论:
- 这是第一个研究表明显著的肠道微生物群和抵抗性干扰在人体菌症.
- 在住院期间,微生物群的变化很大,感染后6个月恢复有限.
- 缓解微生物群破坏或促进恢复的干预措施,如产生酸盐的益生菌,可能会改善结果.
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