在REM睡眠行为障碍-莱维体疾病连续体中的血液微生物群签名
Ryul Kim1, Sujin Oh2, Kyung Ah Woo2
1Department of Neurology, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
血液微生物组在勒维体疾病 (LBD) 中不同,特定的细菌转移被确定. 这些血液微生物群签名可以作为生物标志物来诊断REM睡眠行为障碍 (RBD) -LBD连续.
科学领域:
- 微生物学 微生物学
- 神经学 神经学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 微生物群变化的系统性炎症是莱维体疾病 (LBD) 提出的一种机制.
- 血液微生物组与LBD之间的关联,包括REM睡眠行为障碍 (RBD),尚不清楚.
研究的目的:
- 为了研究整个RBD-LBD连续性的血液微生物组概况.
- 探索血液微生物群签名作为疾病表型和临床严重性的生物标志物的潜力.
主要方法:
- 来自106名患者的血液样本的16S rRNA元基因组测序 (孤立的RBD,患有RBD的帕金森病,患有RBD的勒维体痴呆症) 和94名对照.
- 使用运动障碍学会统一的帕金森病评级表 (MDS-UPDRS) 和神经心理测试来评估临床严重程度.
主要成果:
- 与对照组相比,在RBD-LBD连续组中观察到显著的微生物转移,减少的α多样性和明显的β多样性模式.
- 在RBD-LBD连续体中,观察到斯坦诺托福蒙的丰富和阿西托巴克特,恩希德罗巴克特和乳酸菌的枯竭.
- 使用这些属的预测模型实现了RBD-LBD连续的高精度 (AUC 0.970),并区分了孤立的RBD (AUC 0.956).
- 微生物多样性与MDS-UPDRS部分I和II分数有显著的相关性.
结论:
- 在RBD-LBD连续体内的患者表现出鲜明的血液微生物体特征.
- 血液微生物组资料显示,它们有可能成为RBD-LBD连续和疾病严重程度的非侵入性生物标志物.
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