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乳糖不持久的不同临床表现:有症状,无症状和气性无症状
Michal Azimov1, Ida Cohen-Michnik1, Moshe Rottenstreich2
1Department of Biochemistry, Food Science and Nutrition, Hebrew University of Jerusalem, Rehovot, Israel.
大多数遗传性乳糖不耐受的成年人耐受乳糖没有症状,显示出不同的子组. 分析呼吸中的和肠道微生物群可以改善诊断,减少不必要的饮食限制.
科学领域:
- 胃肠病学
- 人类遗传学
- 微生物组研究
背景情况:
- 乳糖缺乏导致结肠中的乳糖发酵,导致胃肠道问题.
- 遗传性乳糖不持久性 (LNP) 不总是导致症状,这表明其他因素也参与其中.
- 了解这些因素可以完善诊断和管理.
研究的目的:
- 在乳糖不持久 (LNP) 种群中确定不同的子组.
- 研究肠道微生物群在LNP个体症状发展中的作用.
- 为了提高乳糖不耐症测试的诊断准确性.
主要方法:
- 在146名健康成年人中进行乳糖持久性 (LP) 相关SNP的基因定型.
- 使用25克的乳糖,测量呼吸中的,甲,血糖和症状.
- 在60名参与者中使用16S-rRNA测序对肠道微生物组组成进行分析.
主要成果:
- 确定了三种LNP表型:有症状的,有气质的无症状的和无症状的.
- 峰值生成率与症状严重程度的相关性比峰值水平更强.
- 无症状的LNP亚组表现出更高的Lactobacillus和Megasphaera等属的丰度.
结论:
- 大多数 (70%) 遗传性LNP成年人没有症状.
- 将LNP个体分为子组并使用生产率可以提高诊断精度.
- 微生物组关联需要在更大的研究中进行进一步的功能验证.
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