邹卫, 肖晓芬, 王晓慧, 李静, 周焕, 张新, 何泳. 89例2~5期非透析慢性肾脏病患者肠道菌群特点分析[J]. 临床肾脏病杂志, 2022, 22(9): 742-747. DOI: 10.3969/j.issn.1671-2390.2022.09.007
    引用本文: 邹卫, 肖晓芬, 王晓慧, 李静, 周焕, 张新, 何泳. 89例2~5期非透析慢性肾脏病患者肠道菌群特点分析[J]. 临床肾脏病杂志, 2022, 22(9): 742-747. DOI: 10.3969/j.issn.1671-2390.2022.09.007
    Zou Wei, Xiao Xiao-fen, Wang Xiao-hui, Li Jing, Zhou Huan, Zhang Xin, He Yong. Characteristics of intestinal flora in 89 non-dialysis patients with chronic kidney disease stages 2-5[J]. Journal of Clinical Nephrology, 2022, 22(9): 742-747. DOI: 10.3969/j.issn.1671-2390.2022.09.007
    Citation: Zou Wei, Xiao Xiao-fen, Wang Xiao-hui, Li Jing, Zhou Huan, Zhang Xin, He Yong. Characteristics of intestinal flora in 89 non-dialysis patients with chronic kidney disease stages 2-5[J]. Journal of Clinical Nephrology, 2022, 22(9): 742-747. DOI: 10.3969/j.issn.1671-2390.2022.09.007

    89例2~5期非透析慢性肾脏病患者肠道菌群特点分析

    Characteristics of intestinal flora in 89 non-dialysis patients with chronic kidney disease stages 2-5

    • 摘要: 目的 探讨慢性肾脏病(chronic kidney disease,CKD)患者肠道菌群特点,为"肠-肾轴"理论防治CKD提供依据。方法 选择2018年11月至2019年10月在武汉市第五医院就诊的CKD2~5期非透析患者89例,采用16S rRNA高通量测序技术检测患者肠道菌群,并应用Qiime软件分析肠道菌群alpha多样性。定义为某肠道菌群中细菌门丰度水平最高的门为优势门,比较不同CKD分期中优势门的差异。结果 (1)细菌门特征:前4个细菌门为厚壁菌门、放线菌门、拟杆菌门和变形菌门,占整个肠道菌群水平的98.89%。CKD3期、4期、5期中以厚壁菌门为优势门的比例均高于CKD2期,以放线菌门和变形菌门为优势门的比例均低于CKD2期。其中厚壁菌门为优势门的CKD5期与CKD2期比较及放线菌门为优势门的CKD3期与CKD2期比较,差异有统计学意义(P<0.05);(2)前10个细菌属分别为双歧杆菌属、拟杆菌属、粪杆菌属、链球菌属、埃希菌-志贺菌属、巨单胞菌属、罕见小球菌属、瘤胃球菌属、罗斯菌属、阴沟杆菌属。CKD2期双歧杆菌属丰度较CKD3期、4期、5期高,CKD2期、3期和4期粪杆菌属、埃希菌-志贺菌属、罕见小球菌属、瘤胃球菌属、阴沟杆菌属丰度较CKD5期低,但差异均无统计学意义(P>0.05)。结论 CKD非透析患者肠道菌群仍以厚壁菌门、放线菌门、拟杆菌门和变形菌门为肠道优势菌群。但随着肾功能下降,CKD患者肠道菌群多样性降低,部分有益菌减少及有害菌增多,值得临床关注。

       

      Abstract: Objective To explore the characteristics of intestinal flora in patients with chronic kidney disease(CKD) and provide rationales for preventing and treating CKD from the theory of "gutkidney axis". Methods From November 2018 to October 2019, 89 non-dialysis patients with CKD stage 2-5 were recruited. Intestinal flora was tested by 16S rRNA high-throughput sequencing. And intestinal flora alpha diversity was examined by Qiime software. The dominant bacterial phylum was defined as the highest abundance of gut bacteria and its difference was compared among different CKD stages. Results Characteristics of bacteria phylum:Top 4 bacterial phylum were Firmicutes, Actinobacteria, Bacteroidetes and Proteobacteria accounting for 98.89% of total intestinal flora. The proportion of Firmicutes as the dominant phyla in CKD3/4/5 stage was higher than that in CKD2 stage. The proportion of Actinomycetes and Proteobacteria as the dominant phyla was lower than that in CKD2 stage. And the differences were statistically significant in Firmicutes as the dominant phyla compared between CKD5 and CKD2 stages and Actinomycetes as the dominant phyla compared between CKD3 and CKD2 stages(P< 0.05). Characteristics of bacteria genus:Top 10 bacteria genus were Bifidobacterium, Bacteroides, Faecalibacterium, Streptococcus, Escherichia-Shigella, Ega-monas, Subdoligranulum, Ruminococcus, Roseburia and Agathobacter. Abundance of Bifidobacterium in CKD2 was higher than that in CKD3/4/5 stage and abundance of Faecalibacterium, Escherichia-Shigella, Subdoligranulum, Ruminococcus and Agathobacter in CKD2/3/4 stage was lower than that in CKD5 stage. And the differences were not statistically significant(P>0.05). Conclusion Firmicutes, Actinobacteria, Bacteroidetes and Proteobacteria are the dominant intestinal flora in non-dialysis CKD patients. With worsening renal function, the diversity of intestinal flora decreases in CKD patients. Some beneficial bacteria decrease and harmful bacteria increase. Clinical implications are worth exploring.

       

    /

    返回文章
    返回