在炎症性肠病的发病时肠道微生物组:系统性审查和统一的生物信息合成
Peter Rimmer1, Fan Zhang2, Gregor Scott3
1Institute of Microbes, Infection and Microbiomes, University of Birmingham, Birmingham, United Kingdom; Department of Gastroenterology, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom.
Gastroenterology
|December 23, 2025
概括
新发炎性肠病 (IBD) 显示肠道微生物群的变化,包括更少的无气体和更多的口腔细菌. 这些发现可能有助于早期诊断,并为IBD患者提供新的微生物组向疗法.
科学领域:
- 微生物学 微生物学
- 胃肠病学 胃肠病学
- 生物信息学是一种生物信息学.
背景情况:
- 有限的数据存在于肠道微生物群签名在治疗前的新发炎性肠病 (IBD) 中.
- 这项研究使用最新的微生物分类学重新分析了现有的序列数据.
研究的目的:
- 为了识别未经治疗的新发性IBD的肠道微生物体特征.
- 探索这些签名的潜在诊断和治疗含义.
主要方法:
- 来自1743名患者的18个已发表的16S rRNA数据集的二次生物信息再分析.
- 统一的QIIME2管道和MaAsLin2用于多变量建模,根据方法差异进行调整.
- 24项研究的元分析,以补充生物信息学发现.
主要成果:
- 在儿科UC与症状对照,成人CD/UC与健康对照以及儿科活检样本中观察到减少的α多样性.
- 贝塔多样性显示出不同的便与粘膜社区和地理隔离.
- 多变体模型显示,在克罗恩病 (CD) 和性结肠炎 (UC) 两种疾病中,有氧/选择性无氧细菌 (包括口腔属) 的枯竭和丰富.
结论:
- 新发性CD和UC中的核心微生物干扰包括耗尽的厌氧生物和丰富的口腔,耐氧细菌.
- 这些发现可能支持用于早期IBD检测和风险预测的新型诊断方法.
- 针对微生物组的干预和光线氧的调节为IBD提供了潜在的治疗策略.
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