Gut bacteria

肠道细菌
  • 文章类型: Journal Article
    这项研究调查了白肉的影响,比如鸡肉,摄入结合抗阻训练对老年女性的肌肉质量和力量,以及潜在的机制是否涉及肠道微生物群的变化。93名志愿者(年龄59-79岁)被随机分配到安慰剂(SedPL)或鸡肉(SedHP)的久坐对照和安慰剂(RTPL)或鸡肉(RTHP)的抵抗训练。使用腿部伸展和卷曲进行阻力训练,每周3天,持续12周。煮鸡肉(110克,含有22.5g蛋白质),每周3d,持续12周。与SedHP组相比,RT+PL组的最大肌肉力量和全身瘦体重显着增加,RT+HP组比Sed+HP和RT+PL组显著增加。此外,在干预前后,4组的肠道菌群组成均未发生变化.此外,使用基于错误发现率的统计学分析对肠道细菌进行的个体比较显示,四组在干预前后均无变化.阻力训练结合鸡肉摄入可能有效增加肌肉质量和力量,而不会大幅改变老年女性的肠道微生物群组成。
    This study investigated the effects of white meat, such as chicken, intake combined with resistance training on muscle mass and strength in the elderly women, and whether the underlying mechanism involves changes in the gut microbiota. Ninety-three volunteers (age 59-79 years) were randomly allocated to sedentary control with placebo (Sed + PL) or chicken meat (Sed + HP) and resistance training with placebo (RT + PL) or chicken meat (RT + HP). Resistance training sessions were performed 3 d/week for 12 weeks using leg extensions and curls. Boiled chicken meat (110 g, containing 22.5 g protein) was ingested 3 d/week for 12 weeks. Maximal muscle strength and whole-body lean mass increased significantly in the RT + PL group compared to the Sed + HP group, and the RT + HP group showed a significantly greater increase than the Sed + HP and RT + PL groups. Additionally, the gut microbiota composition did not change before or after the interventions in any of the four groups. Moreover, the individual comparison of gut bacteria using false discovery rate-based statistical analysis showed no alterations before or after the interventions in the four groups. Resistance training combined with chicken meat intake may effective have increased muscle mass and strength without drastically modifying the gut microbiota composition in elderly women.
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  • 文章类型: Journal Article
    目的:α-葡萄糖苷酶抑制剂阿卡波糖被批准用于治疗2型糖尿病(T2D)。它通过减少肠道水解和吸收摄入的碳水化合物而在肠腔中起作用。这降低了餐后血糖浓度并增加了肠远端部分中碳水化合物的含量,潜在地影响肠道微生物组(GM)组成,从而可能影响与T2D相关的肠道微生物组(GM)生态失调。这里,我们研究了阿卡波糖对T2D患者GM组成的影响.
    方法:在先前进行的随机试验中收集的粪便样本,安慰剂对照,双盲,交叉研究,其中15名接受二甲双胍治疗的T2D个体(年龄57-85岁,HbA1c40-74mmol/mol,BMI23.6-34.6kg/m2)接受了两个14天的阿卡波糖和安慰剂治疗期,分别,相隔六周的清洗期。在每个治疗期之前和结束时收集粪便样品。通过16SrRNA基因扩增子测序评估GM谱。
    结果:与治疗前的GM曲线相比,阿卡波糖或安慰剂治疗后的GM曲线未受影响(P>0.7)。这适用于样品内多样性(α-多样性)和样品间细菌组成多样性(β-多样性)的分析。此外,没有优势细菌物种区分处理组,阿卡波糖处理后,克雷伯菌属和大肠杆菌的相对丰度仅略有增加(P<0.05)。
    结论:在二甲双胍治疗的T2D患者中,用阿卡波糖治疗14天对GM仅显示生理上不重要的影响。
    UNASSIGNED: The alpha-glucosidase inhibitor acarbose is approved for the treatment of type 2 diabetes (T2D). It acts in the lumen of the gut by reducing intestinal hydrolysis and absorption of ingested carbohydrates. This reduces postprandial blood glucose concentration and increases the content of carbohydrates in the distal parts of the intestine potentially influencing gut microbiome (GM) composition and possibly impacting the gut microbiome (GM) dysbiosis associated with T2D. Here, we investigated the effect of acarbose on GM composition in patients with T2D.
    UNASSIGNED: Faecal samples were collected in a previously conducted randomised, placebo-controlled, double-blind, crossover study in which 15 individuals with metformin-treated T2D (age 57-85 years, HbA1c 40-74 mmol/mol, BMI 23.6-34.6 kg/m2) were subjected to two 14-day treatment periods with acarbose and placebo, respectively, separated by a 6-week wash-out period. Faecal samples were collected before and by the end of each treatment period. The GM profiles were evaluated by 16S rRNA gene amplicon sequencing.
    UNASSIGNED: The GM profiles after the treatment periods with acarbose or placebo remained unaffected (P > 0.7) when compared with the GM profiles before treatment. This applied to the analysis of within-sample diversity (α-diversity) and between-sample bacterial composition diversity (β-diversity). Additionally, no dominant bacterial species differentiated the treatment groups, and only minor increases in the relative abundances of Klebsiella spp. and Escherichia coli (P < 0.05) were observed after acarbose treatment.
    UNASSIGNED: In patients with metformin-treated T2D, 14 days of treatment with acarbose showed only minor effects on GM as seen in increased relative abundances of Klebsiella spp. and Escherichia coli.
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  • 文章类型: Journal Article
    最低抑制浓度(MIC)测定经常因其代表性而受到质疑。特别是当食源性病原体被检测时,重要的是还要考虑人体消化系统的参数。因此,本研究旨在评估两种抗生素的抑制能力,环丙沙星和四环素,对抗肠道沙门氏菌和单核细胞增生李斯特菌,在具有代表性的环境条件下。更具体地说,从简单的有氧实验室条件开始,逐渐将人类胃肠道(GIT)恶劣环境的各个方面添加到GIT的体外模拟中。这样,包括缺氧环境在内的参数的影响,GIT的物理化学条件(低胃液pH,消化酶,胆汁酸)和肠道微生物群进行了评估。通过包括选定的肠道细菌物种的代表性财团来模拟后者。在这项研究中,建立了两种抗生素对相关食源性病原体的MIC,在前面提到的环境条件下。肠球菌的结果强调了进行此类研究时厌氧环境的重要性,因为病原体在这样的条件下生长。包含物理化学屏障导致肠球菌和单核细胞增生李斯特菌的结果完全相反,因为前者对环丙沙星更敏感,而后者对四环素的敏感性较低。最后,即使在没有抗生素的情况下,肠道细菌也对单核细胞增生李斯特菌具有杀菌作用,而肠道细菌保护肠球菌免受环丙沙星的影响。
    Minimum inhibitory concentrations (MIC) assays are often questioned for their representativeness. Especially when foodborne pathogens are tested, it is of crucial importance to also consider parameters of the human digestive system. Hence, the current study aimed to assess the inhibitory capacity of two antibiotics, ciprofloxacin and tetracycline, against Salmonella enterica and Listeria monocytogenes, under representative environmental conditions. More specifically, aspects of the harsh environment of the human gastrointestinal tract (GIT) were gradually added to the experimental conditions starting from simple aerobic lab conditions into an in vitro simulation of the GIT. In this way, the effects of parameters including the anoxic environment, physicochemical conditions of the GIT (low gastric pH, digestive enzymes, bile acids) and the gut microbiota were evaluated. The latter was simulated by including a representative consortium of selected gut bacteria species. In this study, the MIC of the two antibiotics against the relevant foodborne pathogens were established, under the previously mentioned environmental conditions. The results of S. enterica highlighted the importance of the anaerobic environment when conducting such studies, since the pathogen thrived under such conditions. Inclusion of physicochemical barriers led to exactly opposite results for S. enterica and L. monocytogenes since the former became more susceptible to ciprofloxacin while the latter showed lower susceptibility towards tetracycline. Finally, the inclusion of gut bacteria had a bactericidal effect against L. monocytogenes even in the absence of antibiotics, while gut bacteria protected S. enterica from the effect of ciprofloxacin.
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  • 文章类型: Randomized Controlled Trial
    先前的研究表明,膳食纤维(DF)的高摄入量和有效的身体活动水平有利于患有心脏代谢疾病的中老年人群的心脏代谢健康。然而,缺乏心血管代谢风险较低的年轻人的证据.这项研究旨在调查各种干预措施的影响,包括高纤维(HF)饮食和跳绳(RS)运动对心脏代谢危险因素(CRF)和年轻人肠道微生物群的组成。一项为期12周的平行设计的随机对照试验在本科生中进行(n=96),他们被随机分配到HF组(≥20g/dDF),RS组(2000次跳跃/周),和对照(CON)组。在完成审判的84人中,人体测量特征的测量,生化参数,在干预开始和结束时采取肠道微生物群。干预之后,与CON组相比,RS运动导致心率和甘油三酯水平显着降低(均P<0.05),但是HF和CON组之间的CRF没有显着差异。与基线相比时,12周的HF饮食干预导致无脂质量增加,体脂和腰围百分比降低(均P<0.05)。关于干预后的肠道微生物群改变,我们发现与CON组相比,乳酸杆菌的相对丰度在HF组和RS组均显著下降,在RS组中,Muribaculaceae减少,HF组的Eubacterium_coprostanolidgenes_组降低(均P<0.05)。最后,使用预测性功能分析在RS组中检测到7种代谢途径的变化,而HF组仅有一条通路发生改变(均P<0.05)。总之,与CON组相比,RS运动改善了年轻人的身体成分,而与基线相比,HF饮食只是增强了CRF。此外,RS和HF干预都改变了乳酸菌和各种其他肠道微生物群。结果表明,HF饮食和RS运动可以部分有益于心脏代谢健康,并调节年轻人的肠道微生物群。试用注册:ClinicalTrials.gov,NCT04834687。
    Previous studies have shown that high intake of dietary fiber (DF) and efficient levels of physical activity are beneficial for cardiometabolic health in middle-aged and elderly populations with cardiometabolic disease. However, evidence from young adults with low cardiometabolic risk is lacking. This study aimed to investigate the effects of various interventions including a high-fiber (HF) diet and the rope-skipping (RS) exercise on cardiometabolic risk factors (CRFs) and the composition of the gut microbiota in young adults. A 12-week parallel-designed randomized controlled trial was conducted in undergraduates (n = 96), who were randomly assigned to the HF group (≥20 g/d DF), the RS group (2000 jumps/week), and the control (CON) group. Among the 84 people who completed the trial, measurements of anthropometric characteristics, biochemical parameters, and gut microbiota were taken at the beginning and end of the intervention. After the intervention, the RS exercise led to a significant decrease in the heart rate and triglyceride levels compared to the CON group (all P < 0.05), but there was no significant difference in CRFs between the HF and CON groups. When compared to baseline, the 12-week HF diet intervention resulted in an increase in fat-free mass, and a decrease in the percentage of body fat and waist circumference (all P < 0.05). With regard to gut microbiota alterations after intervention, we found that compared with the CON group, the relative abundance of Lactobacillus decreased significantly in both the HF group and the RS group, Muribaculaceae decreased in the RS group, and Eubacterium_coprostanoligenes_group decreased in the HF group (all P < 0.05). Finally, shifts in 7 metabolic pathways were detected in the RS group using predictive functional profiling, while only one pathway was altered in the HF group (all P < 0.05). In conclusion, the RS exercise improved body composition compared to the CON group in young adults, while the HF diet just enhanced CRFs in contrast to baseline. Furthermore, both RS and HF interventions altered Lactobacillus and various other gut microbiota. The results indicated that the HF diet and RS exercise could partly benefit cardiometabolic health and modulate gut microbiota in young adults. Trial registration: ClinicalTrials.gov, NCT04834687.
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  • 文章类型: Randomized Controlled Trial
    背景:尽管胃肠道微生物群的组成改变据称是支持姜的一些治疗作用,标准化的生姜补充剂对肠道微生物群的影响尚未在人体中进行测试。
    目的:为了确定标准化生姜(生姜)根粉的效果,与安慰剂相比,健康成年人的胃肠道细菌和相关结局。
    方法:一项随机双盲安慰剂对照试验将18-30岁的参与者分配到生姜或微晶纤维素(MCC)安慰剂组。干预措施包括1.2g/天的生姜(每天四粒胶囊,总计84mg/天的活性姜辣素/姜辣素),为期1周,为期14天。主要结果是胃肠道社区组成,α和β的多样性,和不同的丰度,使用粪便样品的16SrRNA基因测序进行测量。次要结果是胃肠道症状,肠功能,抑郁症,焦虑,压力,疲劳,生活质量,和不良事件。
    结果:n=51名参与者被纳入并分析(71%为女性;平均年龄25[SD:3]岁;生姜:n=29,安慰剂:n=22)。门的相对丰度增加更大,放线菌,与安慰剂相比,在补充生姜后观察到(U:145.0;Z:-2.1;p=0.033)。生姜与更丰富的副杆菌属有关,芽孢杆菌,Ruminococaceaeincertaesedis,未分类的芽孢杆菌,去氟科,莫甘草科,和芽孢杆菌科以及布劳特氏菌属和Sphingomonadaceae科的丰度较低(p<0.05)。补充生姜可改善消化不良症状(U:196.0;Z:-2.4;p=0.015)。生姜组和安慰剂组之间的α和β多样性以及其他次要结局没有差异。未报告中度或重度不良事件。
    结论:补充姜根粉是安全的,并且改变了胃肠道细菌组成的各个方面;但是,没有改变α或β多样性,肠功能,胃肠道症状,心情,或健康成年人的生活质量。这些结果提供了关于生姜补充作用机制的进一步理解。
    背景:澳大利亚新西兰临床试验注册中心(参考:ACTRN12620000302954p;https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=379178&isReview=true)和治疗用品管理局(参考:CT-2020-CTN-00380-1)。
    Despite compositional alterations in gastrointestinal microbiota being purported to underpin some of the therapeutic effects of ginger, the effect of a standardized ginger supplement on gut microbiota has not been tested in humans.
    To determine the effect of a standardized ginger (Zingiber officinale) root powder, compared to placebo, on gastrointestinal bacteria and associated outcomes in healthy adults.
    A randomized double-blind placebo-controlled trial allocated participants aged 18 to 30 y to ginger or microcrystalline cellulose (MCC) placebo. The intervention comprised 1.2 g/d of ginger (4 capsules per day totaling 84 mg/d of active gingerols/shogaols) for 14 d following a 1-wk run-in period. Primary outcomes were gastrointestinal community composition, alpha and beta diversity, and differential abundance, measured using 16S rRNA gene sequencing of fecal samples. Secondary outcomes were gastrointestinal symptoms, bowel function, depression, anxiety, stress, fatigue, quality of life, and adverse events.
    Fifty-one participants were enrolled and analyzed (71% female; mean age 25 ± 3 y; ginger: n = 29, placebo: n = 22). There was a greater increase in relative abundance of phylum, Actinobacteria, observed following ginger supplementation compared to placebo (U: 145.0; z: -2.1; P = 0.033). Ginger was associated with a greater abundance of the genera Parabacteroides, Bacillus, Ruminococcaceae incertae sedis, unclassified Bacilli, families Defluviitaleaceae, Morganellaceae, and Bacillaceae as well as lower abundance of the genus Blautia and family Sphingomonadaceae (P < 0.05). An improvement in indigestion symptoms was observed with ginger supplementation (U: 196.0; z: -2.4; P = 0.015). No differences between ginger and placebo groups were found for alpha and beta diversity or other secondary outcomes. No moderate or severe adverse events were reported.
    Supplementation with ginger root powder was safe and altered aspects of gastrointestinal bacteria composition; however, it did not change alpha- or beta diversity, bowel function, gastrointestinal symptoms, mood, or quality of life in healthy adults. These results provide further understanding regarding the mechanisms of action of ginger supplementation. This trial was registered in the Australia New Zealand Clinical Trials Registry as ACTRN12620000302954p and the Therapeutic Goods Administration as CT-2020-CTN-00380-1.
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  • 文章类型: Journal Article
    高纤维饮食通过广泛的机制(包括肠道微生物群发酵衍生的短链脂肪酸(SCFA)生产)有益于许多健康结果。Mycoprotein(以Quorn出售)是一种高纤维(>6g/100g湿重(ww))和蛋白质(13g/100gww)的食物,已被证明对人体的血糖控制和食欲具有积极作用。然而,对此的机制知之甚少。这里,我们研究了肠道微生物群α-和β-多样性的变化,添加预消化的真菌蛋白(Quorn)的粪便分批培养物中的pH和SCFA产生,大豆,鸡和对照(未补充)使用八种来自健康供体的新鲜粪便。结果表明,预消化的真菌蛋白不会改变pH(p=.896),与对照相比,肠道微生物群的α-或β-多样性,大豆,和鸡肉。然而,鸡导致24小时后总SCFA显着增加,而不是对照(+57.07mmol/L,p=.01)。特别是,与大豆相比,丙酸盐增加(+19.59mmol/L,p=.03)和对照(+23.19mmol/L,p<.01)。未检测到SCFA的其他差异。总之,在本实验的设置中,预消化的真菌蛋白未被健康的肠道微生物群体外发酵。
    High-fibre diets are beneficial for many health outcomes via a wide range of mechanisms including gut microbiota fermentation-derived short-chain fatty acid (SCFAs) production. Mycoprotein (marketed as Quorn) is a food high in fibre (>6 g/100 g wet weight (ww)) and protein (13 g/100 g ww) which has been shown to have positive effects on glycemic control and appetite in humans. Nevertheless, the mechanisms underpinning this are poorly understood. Here, we investigate the changes in gut microbiota α- and β-diversity, pH and SCFAs production in faecal batch cultures supplemented with pre-digested mycoprotein (Quorn), soy, chicken and control (unsupplemented) using eight fresh stools from healthy donors. The results showed that pre-digested mycoprotein did not alter pH (p = .896), α- or β-diversity of the gut microbiota when compared to the control, soy, and chicken. Nevertheless, chicken led to a significant increase in total SCFAs post-24 h vs. control (+57.07 mmol/L, p = .01). In particular, propionate increased when compared to soy (+19.59 mmol/L, p = .03) and the control (+23.19 mmol/L, p < .01). No other differences in SCFAs were detected. In conclusion, pre-digested mycoprotein was not fermented in vitro by healthy gut microbiota in the settings of this experiment.
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  • 文章类型: Journal Article
    本文提供的宏基因组数据与“免疫介导疾病的生物多样性假说的安慰剂对照双盲测试:环境微生物多样性引起细胞因子的变化和T调节细胞的增加”的已发表研究相关。儿童。该数据库包含干预和安慰剂日托中儿童的沙箱沙和皮肤和肠道微生物的16S核糖体RNA(rRNA)宏基因组学。在干预日托中心,3-5岁的儿童暴露于富含微生物多样性土壤的游乐场沙中。在安慰剂托儿所里,儿童接触到与干预日托中相似的视觉,但是微生物贫瘠的沙子上有泥炭。沙子,通过在IlluminaMiSeq平台上对细菌16SrRNA基因进行高通量测序,在基线和干预14天和28天后对皮肤和肠道宏基因组学进行分析.这个数据集显示了皮肤细菌群落的组成,包括伽玛变形杆菌和芽孢杆菌,改变了,以及在干预治疗中,30多个细菌属的相对丰度如何在儿童皮肤上转移,而安慰剂组没有发生移位。
    The metagenomic data presented in this article are related to the published research of \"A Placebo-controlled double-blinded test of the biodiversity hypothesis of immune-mediated diseases: Environmental microbial diversity elicits changes in cytokines and increase in T regulatory cells in young children\" This database contains 16S ribosomal RNA (rRNA) metagenomics of sandbox sand and skin and gut microbiota of children in the intervention and placebo daycares. In intervention daycares, children aged 3-5 years were exposed to playground sand enriched with microbially diverse soil. In placebo daycares, children were exposed to visually similar as in intervention daycares, but microbially poor sand colored with peat. Sand, skin and gut metagenomics were analyzed at baseline and after 14 and 28 days of intervention by high throughput sequencing of bacterial 16S rRNA gene on the Illumina MiSeq platform. This dataset shows how skin bacterial community composition, including classes Gammaproteobacteria and Bacilli, changed, and how the relative abundance of over 30 bacterial genera shifted on the skin of children in the intervention treatment, while no shifts occurred in the placebo group.
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  • 文章类型: Journal Article
    胃肠道含有肠道微生物群,其结构改变(生态失调)与肠道通透性增加(“漏肠”)有关,使腔抗原和细菌产品,如纳米细菌细胞外囊泡(BEV)进入循环系统。血液来源的BEV含有各种货物,并且可以是用于诊断和监测疾病状态和诸如炎性肠病(IBD)的复发的有用的生物标志物。为了推进这个概念,我们开发了一种快速的,经济有效的方案来分离BEV相关的DNA,并使用16SrRNA基因测序来确定健康个体和克罗恩病和溃疡性结肠炎患者血液微生物组的细菌来源。16SrRNA基因测序成功地鉴定了血浆来源的BEVDNA的来源。分析表明,血液微生物群丰富,多样性,或IBD中的成分,健康控制,和方案对照组没有显著差异,强调低生物量研究中的“试剂盒”污染问题。我们的初步研究为开展更大规模的研究提供了基础,以确定血液微生物群分析作为IBD诊断辅助手段的潜在用途。
    The gastrointestinal tract harbors the gut microbiota, structural alterations of which (dysbiosis) are linked with an increase in gut permeability (\"leaky gut\"), enabling luminal antigens and bacterial products such as nanosized bacterial extracellular vesicles (BEVs) to access the circulatory system. Blood-derived BEVs contain various cargoes and may be useful biomarkers for diagnosis and monitoring of disease status and relapse in conditions such as inflammatory bowel disease (IBD). To progress this concept, we developed a rapid, cost-effective protocol to isolate BEV-associated DNA and used 16S rRNA gene sequencing to identify bacterial origins of the blood microbiome of healthy individuals and patients with Crohn\'s disease and ulcerative colitis. The 16S rRNA gene sequencing successfully identified the origin of plasma-derived BEV DNA. The analysis showed that the blood microbiota richness, diversity, or composition in IBD, healthy control, and protocol control groups were not significantly distinct, highlighting the issue of \'kit-ome\' contamination in low-biomass studies. Our pilot study provides the basis for undertaking larger studies to determine the potential use of blood microbiota profiling as a diagnostic aid in IBD.
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  • 文章类型: Journal Article
    动物研究表明,肠道微生物组可以影响记忆,社会行为,和类似焦虑的行为。一些人体研究显示了类似的结果,肠道微生物组的变化与痴呆症有关,抑郁症,和人格特质,尽管这些研究大多受到样本量小和其他偏见的限制。这里,我们分析了威斯康星州纵向研究中313名参与者的粪便样本,随机选择的基于人群的老年人队列,具有测量的心理认知维度(认知,心情,和个性)和关键的混杂因素。16sV4测序表明,Megamonas与所有测量的心理认知特征有关,梭杆菌与认知和人格特质有关,假杆菌_Eubacterium与情绪和人格特质有关,Butyvibrio与认知特征有关,梭菌与情绪特征有关。这些发现对于敏感性分析是稳健的,并提供了老年人肠道微生物组和多种心理认知特征之间共同关系的新证据。证实了一些动物文献,同时也提供了新的见解。虽然我们解决了以前研究中的一些弱点,进一步的研究是必要的,以阐明肠道微生物组和多种心理认知特征之间的时间和因果关系,在良好的表型,随机选择的基于人群的样本。
    Animal studies have shown that the gut microbiome can influence memory, social behavior, and anxiety-like behavior. Several human studies show similar results where variation in the gut microbiome is associated with dementia, depression, and personality traits, though most of these studies are limited by small sample size and other biases. Here, we analyzed fecal samples from 313 participants in the Wisconsin Longitudinal Study, a randomly selected population-based cohort of older adults, with measured psycho-cognitive dimensions (cognition, mood, and personality) and key confounders. 16s V4 sequencing showed that Megamonas is associated with all measured psycho-cognitive traits, Fusobacterium is associated with cognitive and personality traits, Pseudoramibacter_Eubacterium is associated with mood and personality traits, Butyvibrio is associated with cognitive traits, and Cloacibacillus is associated with mood traits. These findings are robust to sensitivity analyses and provide novel evidence of shared relationships between the gut microbiome and multiple psycho-cognitive traits in older adults, confirming some of the animal literature, while also providing new insights. While we addressed some of the weaknesses in prior studies, further studies are necessary to elucidate temporal and causal relationships between the gut microbiome and multiple psycho-cognitive traits in well-phenotyped, randomly-selected population-based samples.
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  • 文章类型: Journal Article
    在二十一世纪,抗生素耐药性正在成为全球公共卫生的主要威胁之一。几个复杂的因素与抗生素耐药性的出现和传播有关。新出现的证据表明,用于慢性病的药物可能通过药物-药物相互作用或肠道微生物群的药物代谢对抗生素耐药性有贡献。
    本研究的目的是比较从使用精神药物的参与者和明显健康的对照组中分离出的肠道细菌的细菌谱和耐药模式。
    社会人口统计学数据是从使用精神药物的患者和明显健康的人收集的。从患者记录中收集临床数据。从107名使用精神药物的患者和107名明显健康的对照中收集粪便样本。使用氧化酶分离和鉴定肠道细菌菌群,吲哚,和BDBBL晶体肠/非发酵罐识别系统。使用圆盘扩散法进行抗生素敏感性试验,和Mast盘用于鉴定广谱β-内酰胺酶(ESBL)和/或产生AmpC的分离株。
    总共分离并鉴定了245株细菌。从这些,从使用精神药物的患者中分离出124例(50.6%)细菌。两组间细菌谱无差异。大肠杆菌是使用精神药物和明显健康对照的患者中分离出的普遍[100(80.6%)和102(84.3%)]细菌,分别。从使用精神药物的患者中分离出的大肠杆菌对阿莫西林-克拉维酸的耐药性明显更高,头孢菌素(第二,3rd,第四代),美罗培南,环丙沙星和四环素.使用精神药物的患者分离产生ESBL的肠杆菌科[(OR=2.3,95%C.I:(1.4-4.0)]和MDR[OR=5.4,95%C.I:(1.5-29.8)]的几率更高。
    观察到的从使用精神药物的患者肠道中分离出的细菌的抗生素耐药性模式非常高。在大肠杆菌分离株中,抗生素抗性的程度更为明显。
    UNASSIGNED: In the twenty-first century, antibiotic resistance is becoming one of the major global public health threats. Several complex factors are associated with the emergence and spread of antibiotic resistance. Emerging evidences are indicating that drugs used for chronic illness conditions might have a contribution for antibiotic resistance either through drug-drug interactions or metabolism of the drugs by gut microbiota.
    UNASSIGNED: The aim of this study was to compare the bacteria profile and resistance patterns of gut bacteria isolated from participants using psychotropic drugs and apparently healthy controls.
    UNASSIGNED: Socio-demographic data were collected from patients using psychotropic medications and apparently healthy persons. Clinical data were collected from patient records. Stool samples were collected from 107 patients using psychotropic medications and 107 apparently healthy controls. Gut bacterial flora were isolated and identified using oxidase, indole, and BD BBL crystal Enteric/Non-fermenter identification system. Antibiotic susceptibility test was done using the disk diffusion method, and Mast disks were used to identify extended-spectrum betalactamase (ESBL) and/or AmpC-producing isolates.
    UNASSIGNED: A total of 245 bacterial isolates were isolated and identified. From these, 124 (50.6%) bacteria were isolated from patients using Psychotropic medications. There was no bacteria profile difference between the two groups. Escherichia coli was the prevalent [100 (80.6%) and 102 (84.3%)] bacteria isolated from patients using psychotropic medications and apparently healthy controls, respectively. Escherichia coli isolated from patients using psychotropic medications showed significantly higher resistance against amoxicillin-clavulanic acid, cephalosporin (2nd, 3rd, 4th generations), meropenem, ciprofloxacin and tetracycline. The odds of isolating ESBL-producing Enterobacteriaceae [(OR=2.3, 95% C.I: (1.4-4.0)] and MDR [OR=5.4, 95% C.I: (1.5-29.8)] were higher on patients using psychotropic medications.
    UNASSIGNED: The observed antibiotic resistance pattern of bacteria isolated from guts of patients using psychotropic medications was very high. The magnitude of antibiotic resistance is more pronounced among E. coli isolates.
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