在异性造血干细胞移植期间,ESBL殖民状态对肠道微生物群组成的影响
Silvia Corcione1,2, Ilario Ferrocino3, Tommaso Lupia4
1Department of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy. silvia.corcione@unito.it.
Scientific reports
|January 8, 2025
概括
与扩展光谱β-乳糖酶 (ESBL) 细菌结合的全源造血干细胞移植 (allo-HSCT) 患者表现出明显的肠道微生物组特征. 这项试点研究揭示了细菌丰富性的差异,影响了移植后的肠道健康.
科学领域:
- 微生物学 微生物学
- 血液学 血液学 血液学
- 胃肠病学 胃肠病学
背景情况:
- 全基性造血干细胞移植 (allo-HSCT) 与肠道微生物群多样性的显著减少有关.
- 化疗,抗生素和炎症是后合-HSCT失生症的主要驱动因素.
- 扩展光谱β-乳糖酶 (ESBL) 细菌殖民在接受allo-HSCT.患者中很常见.
研究的目的:
- 在接受allo-HSCT的患者中调查肠道微生物群组成的变化.
- 为了确定ESBL殖民是否影响肠道微生物群多样性,在 allo-HSCT.
- 为了比较ESBL殖民和非殖民患者之间的微生物群概况.
主要方法:
- 在一个单一中心进行潜在的试点研究.
- 从入院到HSCT1年后,每周收集便样本.
- 微生物群组成分析并比较了殖民和非殖民患者.
主要成果:
- 患有ESBL细菌的患者表现出比菲多细菌,蓝病,菌,菌,L-Ruminococcus,Mogibacteriaceae,Peptostreptococceae和Oscillospira的丰度较高.
- 不被殖民的患者表现出更多的Actinomycetales,Staphylococcus和Sutterella.
- 在HSCT后保留ESBL殖民的患者中,阿克尔曼西亚,利斯特,Erysipelotrichaceae和Methanobrevibacter的增加.
结论:
- 在Allo-HSCT患者中,ESBL殖民与特定的肠道微生物群组成有关.
- 微生物群的形状因ESBL的殖民状态和持续性而有所不同.
- 进一步的研究将探索肠道屏障功能和SCFA生产,以预测临床结果.
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