[粪便微生物群研究揭示了脊柱关节炎根据亚型、疾病活动性和治疗而导致的特定菌群失调】。]

Consuelo Romero-Sánchez, Carlos Ferrer-Santos, Deisy Abril, Eduin Acosta-Hernández, Juliette De Ávila, Alejandro Ramos-Casallas, Javier Escobar, Wilson Bautista-Molano, Diego Jaimes, Adriana Beltrán-Ostos, Juan Manuel Bello-Gualtero, Cristian Flórez-Sarmiento, Viviana Parra-Izquierdo, Omar Javier Calixto
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Institutional Ethics Committee endorsement.</p><p><strong>Results: </strong>69 individuals included, 49 with SpA (ankylosing spondylitis-AS 72,9%, psoriatic arthritis-PsA 18,8%, reactive arthritis-ReA 8,3%) 5 positive controls-dysbiosis and 15 controls-eubiosis. Conventional treatment in 42,9%, anti-IL-17 16,3% and anti-TNF 40,8%. By subtype, statistically significant differences in favour of AS were found for the diversity indices. AS vs PsA there was a difference in favour of AS for <i>Clostridium clostridioforme</i> (p=0,002), <i>Gemmiger formicilis</i> (p=0,009), <i>Roseburia inulivorans</i> (p=0,008) and <i>Lachnospira pectinoschiza</i>. AS vs ReA there was a difference in favour of AS for <i>L. pectinoschiza</i> (p=0,009), <i>Ruminococcus callidus</i> (p=0.006), <i>Clostridium ruminantium</i> (p=0.031); <i>G. formicilis</i> (p=0,034). Diversity and richness showed differences in patients with high activity for Simpson's and Pielou's indices. 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引用次数: 0

摘要

目的:比较 SpA 患者胃肠道微生物组的多样性和组成:比较 SpA 患者胃肠道微生物组的多样性和组成:对从粪便中分离的 DNA 进行 16S 核糖体 RNA 基因 V3-V4 区域的 MiSeq 测序。排除了同时患有 SpA 和 IBD 的患者。用 QIIME 2™ 评估了丰富度和多样性指数的差异。平均值之间的差异大于 0.2%,P 值为结果:共纳入 69 人,其中 49 人患有 SpA(强直性脊柱炎-AS 72.9%,银屑病关节炎-PsA 18.8%,反应性关节炎-ReA 8.3%),5 人阳性对照组-菌群失调,15 人对照组-菌群失调。常规治疗占 42.9%,抗 IL-17 治疗占 16.3%,抗肿瘤坏死因子治疗占 40.8%。按亚型划分,在多样性指数方面发现了有利于强直性脊柱炎的显著统计学差异。AS 与 PsA 相比,梭状芽孢杆菌(P=0,002)、甲状腺酵母菌(P=0,009)、Roseburia inulivorans(P=0,008)和 Lachnospira pectinoschiza 的差异有利于 AS。AS 与 ReA 相比,L. pectinoschiza (p=0,009)、Ruminococcus callidus (p=0.006)、Clostridium ruminantium (p=0.031) 和 G. formicilis (p=0,034)更倾向于 AS。辛普森指数和皮鲁指数显示,高活性患者的多样性和丰富度存在差异。在高活性患者中,发现鸡蛋乳杆菌(P= 0.0003)、C. ruminantium(P= 0.026)和 Alistipes putredinis(P=0.035)的富集度较低。抗IL-17组与常规组相比,ASV的数量更高(p=0.025),抗IL-17组与抗TNF组之间也存在趋势(p=0.09)。在抗肿瘤坏死因子组中,梭状芽孢杆菌(C. clostridioforme)(p=0.023)、甲形球菌(G. formicilis)(p=0.030)和胼胝球菌(R. callidus)(p= 0.003)的比例较低。在抗 IL-17 的微生物中,钝疣藻减少(p= 0.012):结论:SpA 亚型的微生物多样性存在差异。结论:SpA 亚型的微生物多样性存在差异,疾病活动程度可能会影响粪便微生物群的组成。抗肿瘤坏死因子α治疗可能会影响微生物群环境,有利于肠道微生物群的恢复,而抗IL-17治疗可能会维持炎症环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Faecal microbiota study reveals specific dysbiosis in spondyloarthritis according to subtype, disease activity and treatment].

Objective: To compare the diversity and composition of the gastrointestinal microbiome of patients with SpA.

Methods: MiSeq sequencing of the V3-V4 region of the 16S ribosomal RNA gene was performed on DNA isolated from stool. Patients with concurrent SpA and IBD were excluded. Differences were assessed for richness and diversity indices by QIIME 2™. Differences between means >0,2% with a p-value<0,05 were assumed significant. Institutional Ethics Committee endorsement.

Results: 69 individuals included, 49 with SpA (ankylosing spondylitis-AS 72,9%, psoriatic arthritis-PsA 18,8%, reactive arthritis-ReA 8,3%) 5 positive controls-dysbiosis and 15 controls-eubiosis. Conventional treatment in 42,9%, anti-IL-17 16,3% and anti-TNF 40,8%. By subtype, statistically significant differences in favour of AS were found for the diversity indices. AS vs PsA there was a difference in favour of AS for Clostridium clostridioforme (p=0,002), Gemmiger formicilis (p=0,009), Roseburia inulivorans (p=0,008) and Lachnospira pectinoschiza. AS vs ReA there was a difference in favour of AS for L. pectinoschiza (p=0,009), Ruminococcus callidus (p=0.006), Clostridium ruminantium (p=0.031); G. formicilis (p=0,034). Diversity and richness showed differences in patients with high activity for Simpson's and Pielou's indices. In high activity, lower enrichment of Bacteroides eggerthii (p= 0,0003), C. ruminantium (p= 0,026) and Alistipes putredinis (p=0,035) was found. The number of ASV was higher in the anti-IL-17 vs conventional group (p=0.025) and a trend between anti-IL-17 vs anti-TNF (p=0.09). In anti-TNF there was a lower proportion for C. clostridioforme (p=0.023), G. formicilis (p=0.030) and R. callidus (p= 0.003). In anti IL-17, Alistipes indistinctus (p= 0.012) was decreased.

Conclusions: There are differences in microbial diversity for SpA subtypes. The level of disease activity is plausible to influence the composition of the faecal microbiota. Anti-TNFα treatment may influence the microbiome environment favouring restoration of the gut microbiota, while anti-IL-17 may maintain an inflammatory environment.

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