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肾脏病与透析肾移植杂志 ›› 2024, Vol. 33 ›› Issue (4): 315-320.DOI: 10.3969/j.issn.1006-298X.2024.04.003

• 论著 • 上一篇    下一篇

基于微生物多样性测序分析狼疮性肾炎患者肠道菌群特征

  

  • 出版日期:2024-08-28 发布日期:2024-08-30

Gut microbiota in lupus nephritis patients based on microbial diversity sequencing analysis

  • Online:2024-08-28 Published:2024-08-30

摘要: 目的:采用illumina高通量测序技术解析狼疮性肾炎(LN)患者肠道菌群结构。
方法:选取2022年1月至2023年12月就诊于河北医科大学第四医院的60例LN患者(LN组)及同期体检的健康人60例(对照组)作为研究对象,采集所有受检者粪便标本,采用16S核糖体RNA(16S rRNA)分析两组受检者肠道菌群结构及多样性特征。
结果:LN组和对照组的年龄、性别、体质量指数(BMI)、血脂及空腹血糖指标差异无统计学意义。β多样性分析结果提示两组的菌群结构组成存在显著差异。在门水平,LN组中桦菌门(WPS-2)的丰度显著高于对照组。在属水平,LN组和对照组间存在明显差异,主要包括木聚糖爱好性厌氧菌群[(Eubacterium)xylanophilum_group]、泰泽雷拉菌属4(Tyzzerella_4)、红斑梭菌属(Erysipelatoclostridium)、溶杆菌属(Lysobacter)、霍尔曼氏菌(Holdemanella)、普氏菌(Prevotella)、厌氧黏细菌属(Anaeromyxobacter)、酸杆菌属(Acidibacter)、伯杰菌属(Bergeyella)和黄色土源菌属(Flavisolibacter)等。
结论:LN患者肠道菌群特征及结构组成与健康对照存在显著差异,提示微生物群落在LN的发生和进展中扮演重要角色,通过差异菌群可能为LN的诊断和治疗提供新的线索,有望为临床研究和治疗策略提供参考。


关键词: 狼疮性肾炎, 肠道菌群, 高通量测序, 16S核糖体RNA

Abstract: Objective:To analyze the intestinal flora structure of patients with lupus nephritis (LN) by illumina high-throughput sequencing technology.
Methodology:A total of 60 patients with LN (LN Group, LG group) who were admitted to the Fourth Hospital of Hebei Medical University from January 2022 to December 2023 and 60 healthy people who underwent physical examination during the same period (control group) were selected as the study objects. Fecal samples of all subjects were collected. 16S ribosomal RNA (16S rRNA) was used to analyze the intestinal flora structure and diversity of the two groups of subjects.
Results:There were no significant differences in age, gender, BMI, blood lipid and fasting blood glucose between LG group and control group (P>0.05). The results of β-diversity analysis suggested that there were significant differences in the composition of microflora between the two groups. At the gate level, the abundance of Betularia (WPS-2) in LG group was significantly higher than that in control group. At the generic level, there were significant differences between LG group and control group. They mainly include Eubacterium xylanophilum_group, Tyzzerella_4, Erysipelatoclostridium, Lysobacter and Holman Holdemanella, Prevotella, Anaeromyxobacter, Acidibacter, Bergeyella and Flavisolibacter, etc.
Conclusion:There were significant differences in the intestinal flora characteristics and structural composition of healthy people in patients with lupus nephritis. The intestinal flora of patients with lupus nephritis had a higher abundance of Betulae (WPS-2), and the levels of several genera were also significantly different compared with healthy people. These results suggest that a variety of microbial communities, such as Tyzzerella_4 and Clostridium erythematosus, play an important role in the occurrence and progression of lupus nephritis. Different microbial communities may provide new clues for the diagnosis and treatment of LN, and provide important references for future clinical research and treatment strategies.


Key words: lupus nephritis, intestinal microbiota, high-throughput sequencing, 16S ribosomal RNA