Ribosomal

核糖体
  • 文章类型: Journal Article
    DNA片段化指数(DFI),一种诊断男性不育的新生物标志物,与不良的生殖结果密切相关。先前的研究报告说,精液微生物组与精子DNA完整性相关,这表明微生物组可能是精子DNA损伤的原因之一。然而,尚未阐明微生物群如何发挥其作用。这里,我们使用16SrRNA测序和非靶向代谢组学技术的组合来研究微生物群在高精子DNA片段化指数(HDFI)中的作用.我们报告说,增加特定的微生物谱有助于高精子DNA片段化,因此暗示精液微生物组是HDFI患者的新治疗靶点。此外,我们发现乳杆菌属的数量发生了变化:HDFI患者中的乳杆菌属丰富,阐明了L.iners对男性生殖健康的潜在影响。最后,我们还确定了乙酰辅酶A发酵富集丁酸II和嘌呤核碱基降解I在高精子DNA片段样品中,提示丁酸可能是精子DNA损伤的靶代谢产物。这些发现为HDFI患者中微生物群与精子质量之间复杂的相互作用提供了有价值的见解。为进一步研究和潜在的临床干预奠定基础。重要性DNA片段化指数(DFI)是精子DNA片段化的量度。因为高精子DNA碎片指数(HDFI)与不良生殖结局密切相关,这与开创性微生物组有关。因为目前HDFI治疗的数量有限,而且大多数没有明确的疗效,了解精液微生物组对精子DNA的影响是至关重要的。这里,我们评估了精子DNA碎片高和低的患者的精液微生物组及其代谢产物.我们发现增加的特异性微生物谱有助于高精子DNA片段化。特别是,乳杆菌与高精子DNA片段化具有独特的相关性。此外,丁酸可能是微生物组产生的损害精子DNA的目标代谢产物。我们的发现支持精液微生物组和精子DNA损伤之间的相互作用,并表明精液微生物组应成为HDFI患者的新治疗靶标。
    DNA fragmentation index (DFI), a new biomarker to diagnose male infertility, is closely associated with poor reproductive outcomes. Previous research reported that seminal microbiome correlated with sperm DNA integrity, suggesting that the microbiome may be one of the causes of DNA damage in sperm. However, it has not been elucidated how the microbiota exerts their effects. Here, we used a combination of 16S rRNA sequencing and untargeted metabolomics techniques to investigate the role of microbiota in high sperm DNA fragmentation index (HDFI). We report that increased specific microbial profiles contribute to high sperm DNA fragmentation, thus implicating the seminal microbiome as a new therapeutic target for HDFI patients. Additionally, we found that the amount of Lactobacillus species was altered: Lactobacillus iners was enriched in HDFI patients, shedding light on the potential influence of L. iners on male reproductive health. Finally, we also identified enrichment of the acetyl-CoA fermentation to butanoate II and purine nucleobase degradation I in the high sperm DNA fragmentation samples, suggesting that butanoate may be the target metabolite of sperm DNA damage. These findings provide valuable insights into the complex interplay between microbiota and sperm quality in HDFI patients, laying the foundation for further research and potential clinical interventions.IMPORTANCEThe DNA fragmentation index (DFI) is a measure of sperm DNA fragmentation. Because high sperm DNA fragmentation index (HDFI) has been strongly associated with adverse reproductive outcomes, this has been linked to the seminal microbiome. Because the number of current treatments for HDFI is limited and most of them have no clear efficacy, it is critical to understand how semen microbiome exerts their effects on sperm DNA. Here, we evaluated the semen microbiome and its metabolites in patients with high and low sperm DNA fragmentation. We found that increased specific microbial profiles contribute to high sperm DNA fragmentation. In particular, Lactobacillus iners was uniquely correlated with high sperm DNA fragmentation. Additionally, butanoate may be the target metabolite produced by the microbiome to damage sperm DNA. Our findings support the interaction between semen microbiome and sperm DNA damage and suggest that seminal microbiome should be a new therapeutic target for HDFI patients.
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  • 文章类型: Journal Article
    肿瘤抑制因子p14/19ARF通过控制转录终止因子1(TTF1)的核仁定位来调节核糖体RNA(rRNA)的合成。然而,TTF1在调节rRNA基因和潜在控制生长方面的作用尚不清楚.我们现在证明TTF1表达通过确定核糖体的细胞补体来调节细胞生长。出乎意料的是,它通过充当非编码LncRNA和pRNA合成的“障碍”来实现这一目标,我们显示这些非编码LncRNA和pRNA是由存在于小鼠和人核糖体RNA基因47Spre-rRNA启动子上游的“间隔启动子”重复产生的。出乎意料的是,这些非编码RNA的内源性产生不会诱导CpG甲基化或基因沉默。相反,它以顺式作用抑制47S前起始复合物的形成,从而通过一种让人联想到启动子干扰或闭塞的机制从头合成pre-rRNA。一起来看,我们的数据描绘了从p19ARF到通过非编码RNA调节核糖体生物合成来抑制细胞生长的途径,并验证了哺乳动物细胞中关键的细胞生长规律.
    The tumor suppressor p14/19ARF regulates ribosomal RNA (rRNA) synthesis by controlling the nucleolar localization of Transcription Termination Factor 1 (TTF1). However, the role played by TTF1 in regulating the rRNA genes and in potentially controlling growth has remained unclear. We now show that TTF1 expression regulates cell growth by determining the cellular complement of ribosomes. Unexpectedly, it achieves this by acting as a \"roadblock\" to synthesis of the noncoding LncRNA and pRNA that we show are generated from the \"Spacer Promoter\" duplications present upstream of the 47S pre-rRNA promoter on the mouse and human ribosomal RNA genes. Unexpectedly, the endogenous generation of these noncoding RNAs does not induce CpG methylation or gene silencing. Rather, it acts in cis to suppress 47S preinitiation complex formation and hence de novo pre-rRNA synthesis by a mechanism reminiscent of promoter interference or occlusion. Taken together, our data delineate a pathway from p19ARF to cell growth suppression via the regulation of ribosome biogenesis by noncoding RNAs and validate a key cellular growth law in mammalian cells.
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  • 文章类型: Journal Article
    虽然DNA甲基化和胃微生物组均与胃癌(GC)相关,它们在预测GC中的联合作用尚不清楚。这项研究调查了联合DNA甲基化和胃微生物组特征预测幽门螺杆菌阴性GC的潜力。
    在本病例对照研究中,我们进行了定量甲基化特异性聚合酶链反应,以测量75例幽门螺杆菌阴性患者胃粘膜中DKK3,SFRP1,EMX1,NKX6-1,MIR124-3和TWIST1的甲基化水平,包括慢性胃炎(CG),肠上皮化生(IM),和GC。DNA甲基化和胃微生物组的联合分析,使用16SrRNA基因测序,在75例患者中进行了30例。
    GC患者的DKK3,SFRP1,EMX1,MIR124-3和TWIST1的甲基化水平明显高于对照组(所有q<0.05)。IM患者MIR124-3和TWIST1甲基化水平高于CG患者,GC患者也高于IM患者(所有q<0.05)。在调整年龄后,TWIST1的较高甲基化水平是幽门螺杆菌阴性GC的独立预测因子,性别,和萎缩(比值比[OR],15.15;95%置信区间[CI],1.58至145.46;p=0.018)。TWIST1甲基化和GC微生物组指数(微生物组标记)的组合在调整年龄后与幽门螺杆菌阴性GC显着相关,性别,和萎缩(或,50.00;95%CI,1.69至1,476;p=0.024)。
    TWIST1甲基化和GC微生物组指数的组合可能提供作为预测幽门螺杆菌阴性GC的生物标志物的潜力。
    While DNA methylation and gastric microbiome are each associated with gastric cancer (GC), their combined role in predicting GC remains unclear. This study investigated the potential of a combined DNA methylation and gastric microbiome signature to predict Helicobacter pylori-negative GC.
    In this case-control study, we conducted quantitative methylation-specific polymerase chain reaction to measure the methylation levels of DKK3, SFRP1, EMX1, NKX6-1, MIR124-3, and TWIST1 in the gastric mucosa from 75 H. pylori-negative patients, including chronic gastritis (CG), intestinal metaplasia (IM), and GC. A combined analysis of DNA methylation and gastric microbiome, using 16S rRNA gene sequencing, was performed in 30 of 75 patients.
    The methylation levels of DKK3, SFRP1, EMX1, MIR124-3, and TWIST1 were significantly higher in patients with GC than in controls (all q<0.05). MIR124-3 and TWIST1 methylation levels were higher in patients with IM than those with CG and also in those with GC than in those with IM (all q<0.05). A higher methylation level of TWIST1 was an independent predictor for H. pylori-negative GC after adjusting for age, sex, and atrophy (odds ratio [OR], 15.15; 95% confidence interval [CI], 1.58 to 145.46; p=0.018). The combination of TWIST1 methylation and GC microbiome index (a microbiome marker) was significantly associated with H. pylori-negative GC after adjusting for age, sex, and atrophy (OR, 50.00; 95% CI, 1.69 to 1,476; p=0.024).
    The combination of TWIST1 methylation and GC microbiome index may offer potential as a biomarker for predicting H. pylori-negative GC.
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  • 文章类型: Journal Article
    背景:在基因翻译过程中可能发生的一种陌生人现象是,当核糖体沿着mRNA读取时,各种细胞和分子特性有助于使核糖体停滞在光滑的序列上,并将核糖体转移到其他两个交替的阅读框中。备用帧有不同的密码子,所以不同的氨基酸被添加到肽链上。更重要的是,原来的终止密码子不再在框架内,所以核糖体可以绕过终止密码子,继续翻译过去的密码子。这产生了更长版本的蛋白质,原始框内氨基酸的融合,其次是所有的交替框架氨基酸。目前没有自动软件来预测这些程序化的核糖体移码(PRF)的发生。它们目前只能通过人工策展来识别。
    结果:在这里我们介绍PRFect,一种创新的机器学习方法,用于检测和预测各种类型的编码基因中的PRFs。PRFect将先进的机器学习技术与多个复杂细胞属性的集成相结合,如二级结构,密码子使用,核糖体结合位点干扰,方向,和光滑的网站图案。计算和结合这些不同的属性提出了重大挑战,但是通过广泛的研究和开发,我们已经实现了用户友好的方法。PRFect的代码是免费提供的,开源,并且可以通过终端中的单个命令轻松安装。我们对不同生物的全面评估,包括细菌,古细菌,和噬菌体,展示了PRFect的强劲表现,实现高灵敏度,特异性,准确度超过90%。PRFect的代码是免费提供的,并安装一个单一的终端命令。
    结论:PRFect代表了PRF检测和预测领域的重大进展,为研究人员和科学家提供了一个强大的工具来解开编码基因中编程的核糖体移码的复杂性。
    BACKGROUND: One of the stranger phenomena that can occur during gene translation is where, as a ribosome reads along the mRNA, various cellular and molecular properties contribute to stalling the ribosome on a slippery sequence and shifting the ribosome into one of the other two alternate reading frames. The alternate frame has different codons, so different amino acids are added to the peptide chain. More importantly, the original stop codon is no longer in-frame, so the ribosome can bypass the stop codon and continue to translate the codons past it. This produces a longer version of the protein, a fusion of the original in-frame amino acids, followed by all the alternate frame amino acids. There is currently no automated software to predict the occurrence of these programmed ribosomal frameshifts (PRF), and they are currently only identified by manual curation.
    RESULTS: Here we present PRFect, an innovative machine-learning method for the detection and prediction of PRFs in coding genes of various types. PRFect combines advanced machine learning techniques with the integration of multiple complex cellular properties, such as secondary structure, codon usage, ribosomal binding site interference, direction, and slippery site motif. Calculating and incorporating these diverse properties posed significant challenges, but through extensive research and development, we have achieved a user-friendly approach. The code for PRFect is freely available, open-source, and can be easily installed via a single command in the terminal. Our comprehensive evaluations on diverse organisms, including bacteria, archaea, and phages, demonstrate PRFect\'s strong performance, achieving high sensitivity, specificity, and an accuracy exceeding 90%. The code for PRFect is freely available and installs with a single terminal command.
    CONCLUSIONS: PRFect represents a significant advancement in the field of PRF detection and prediction, offering a powerful tool for researchers and scientists to unravel the intricacies of programmed ribosomal frameshifting in coding genes.
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  • 文章类型: Case Reports
    日本一名84岁的男子在9年前接受了血管内主动脉修复术,患有感染的动脉瘤。我们在现场检测到脱硫弧菌MB。患者经手术清创后康复,人工血管置换,和适当的抗菌治疗。临床医生应怀疑Desulfovibriospp。类似病例中的感染。
    An 84-year-old man in Japan who had undergone endovascular aortic repair 9 years earlier had an infected aneurysm develop. We detected Desulfovibrio desulfuricans MB at the site. The patient recovered after surgical debridement, artificial vessel replacement, and appropriate antimicrobial therapy. Clinicians should suspect Desulfovibrio spp. infection in similar cases.
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  • 文章类型: Journal Article
    脂肽是表面活性的,细菌的天然产物,真菌和蓝藻的起源,具有不同的结构和功能。以此类推,许多化学合成技术产生了具有理想特征和功能的新设计脂肽。脂肽是自组装引导的,具有在纳米结构表面高密度呈现功能性表位的能力的超分子化合物。此功能有助于其在多个行业领域的成功应用,包括食物,饲料,个人护理,和药剂学。在这次全面审查中,与更常见的非核糖体脂肽一起引入了新的核糖体合成脂肽类。我们重点介绍了研究最多以及最近描述的脂肽家族的关键代表,强调结构特征,自组装和相关功能。常见的生物,脂肽的化学和混合生产路线,包括突出的类似物和衍生物也进行了讨论。此外,旨在提高脂肽产量的基因工程策略,总结和举例说明了多样性和生物活性。关于申请,这项工作主要详细介绍了脂肽在个人护理和化妆品行业作为清洁剂的潜力,保湿剂,抗衰老/抗皱,皮肤美白和防腐剂以及制药行业作为抗菌剂,疫苗,免疫疗法,和抗癌药物。鉴于本评论涉及人类应用,我们总结了脂肽制剂的安全性及其可持续生产的主题。
    Lipopeptides are surface active, natural products of bacteria, fungi and green-blue algae origin, having diverse structures and functionalities. In analogy, a number of chemical synthesis techniques generated new designer lipopeptides with desirable features and functions. Lipopetides are self-assembly guided, supramolecular compounds which have the capacity of high-density presentation of the functional epitopes at the surface of the nanostructures. This feature contributes to their successful application in several industry sectors, including food, feed, personal care, and pharmaceutics. In this comprehensive review, the novel class of ribosomally synthesized lipopeptides is introduced alongside the more commonly occuring non-ribosomal lipopeptides. We highlight key representatives of the most researched as well as recently described lipopeptide families, with emphasis on structural features, self-assembly and associated functions. The common biological, chemical and hybrid production routes of lipopeptides, including prominent analogues and derivatives are also discussed. Furthermore, genetic engineering strategies aimed at increasing lipopeptide yields, diversity and biological activity are summarized and exemplified. With respect to application, this work mainly details the potential of lipopeptides in personal care and cosmetics industry as cleansing agents, moisturizer, anti-aging/anti-wrinkling, skin whitening and preservative agents as well as the pharmaceutical industry as anitimicrobial agents, vaccines, immunotherapy, and cancer drugs. Given that this review addresses human applications, we conclude on the topic of safety of lipopeptide formulations and their sustainable production.
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  • 文章类型: Preprint
    背景基因翻译过程中可能发生的一种奇怪现象是,当核糖体沿着mRNA读取时,各种细胞和分子特性导致核糖体停滞在一个光滑的序列上,将核糖体移入另外两个交替阅读框之一。备用帧有不同的密码子,所以不同的氨基酸被添加到肽链上,但更重要的是,原来的终止密码子不再在框架内,所以核糖体可以绕过终止密码子,继续翻译过去的密码子。这产生了更长版本的蛋白质,原始框内氨基酸的融合,其次是所有的交替框架氨基酸。目前没有自动软件来预测这些程序化的核糖体移码(PRF)的发生。它们目前只能通过人工策展来识别。结果在这里我们提出了PRFect,一种创新的机器学习方法,用于检测和预测各种类型的编码基因中的PRFs。PRFect将先进的机器学习技术与多个复杂细胞属性的集成相结合,如二级结构,密码子使用,核糖体结合位点干扰,方向,和光滑的网站图案。计算和结合这些不同的属性提出了重大挑战,但是通过广泛的研究和开发,我们已经实现了用户友好的方法。PRFect的代码是免费提供的,开源,并且可以通过终端中的单个命令轻松安装。我们对不同生物的全面评估,包括细菌,古细菌,和噬菌体,展示了PRFect的强劲表现,实现高灵敏度,特异性,准确度超过90%。结论PRFect代表了PRF检测和预测领域的重大进步。为研究人员和科学家提供了一个强大的工具来解开编码基因中编程的核糖体移码的复杂性。
    UNASSIGNED: One of the stranger phenomena that can occur during gene translation is where, as a ribosome reads along the mRNA, various cellular and molecular properties contribute to stalling the ribosome on a slippery sequence, shifting the ribosome into one of the other two alternate reading frames. The alternate frame has different codons, so different amino acids are added to the peptide chain, but more importantly, the original stop codon is no longer in-frame, so the ribosome can bypass the stop codon and continue to translate the codons past it. This produces a longer version of the protein, a fusion of the original in-frame amino acids, followed by all the alternate frame amino acids. There is currently no automated software to predict the occurrence of these programmed ribosomal frameshifts (PRF), and they are currently only identified by manual curation.
    UNASSIGNED: Here we present PRFect, an innovative machine-learning method for the detection and prediction of PRFs in coding genes of various types. PRFect combines advanced machine learning techniques with the integration of multiple complex cellular properties, such as secondary structure, codon usage, ribosomal binding site interference, direction, and slippery site motif. Calculating and incorporating these diverse properties posed significant challenges, but through extensive research and development, we have achieved a user-friendly approach. The code for PRFect is freely available, open-source, and can be easily installed via a single command in the terminal. Our comprehensive evaluations on diverse organisms, including bacteria, archaea, and phages, demonstrate PRFect\'s strong performance, achieving high sensitivity, specificity, and an accuracy exceeding 90%.
    UNASSIGNED: PRFect represents a significant advancement in the field of PRF detection and prediction, offering a powerful tool for researchers and scientists to unravel the intricacies of programmed ribosomal frameshifting in coding genes.
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  • 文章类型: Observational Study
    中风是一组常见的脑血管疾病,可导致脑损伤或死亡。多项研究表明,口腔健康与中风之间存在密切联系。然而,缺血性卒中(IS)的口腔微生物组特征及其潜在临床意义尚不清楚.本研究旨在描述IS的口腔微生物组成,IS的高风险,和健康个体,并概述微生物群与IS预后之间的关系。
    这项观察性研究招募了三组:IS,高风险IS(HRIS),和健康控制(HC)个体。从参与者收集临床数据和唾液。90天后采用改良Rankin量表评分评价脑卒中预后。从唾液中提取DNA并进行16S核糖体核糖核酸(rRNA)基因扩增子测序。使用QIIME2和R包分析序列数据以评估口腔微生物组和中风之间的关联。
    根据纳入标准,本研究共纳入146名受试者。与HC相比,HRIS和IS在Chao1中表现出逐渐增加的趋势,观察到物种丰富度,以及香农和辛普森多样性指数。在置换多变量方差分析的基础上,数据表明HC和HRIS之间的唾液微生物群组成差异很大(F=2.40,P<0.001),HC和IS(F=5.07,P<0.001),HRIS和IS(F=2.79,P<0.001)。g_链球菌的相对丰度,g_普雷沃氏菌,g_Veillonella,g_梭杆菌,HRIS和IS的g_密螺旋体高于HC。此外,我们通过差异属构建了预测模型,以有效区分90天预后较差的IS患者和预后良好的IS患者(曲线下面积=79.7%;95%CI,64.41%-94.97%;p<0.01).
    总之,HRIS和IS受试者的口腔唾液微生物组具有更高的多样性,差异细菌对IS的严重程度和预后有一定的预测价值。口腔微生物群可用作IS患者的潜在生物标志物。
    Stroke is a common group of cerebrovascular diseases that can lead to brain damage or death. Several studies have shown a close link between oral health and stroke. However, the oral microbiome profiling of ischemic stroke (IS) and its potential clinical implication are unclear. This study aimed to describe the oral microbiota composition of IS, the high risk of IS, and healthy individuals and to profile the relationship between microbiota and IS prognosis.
    This observational study recruited three groups: IS, high-risk IS (HRIS), and healthy control (HC) individuals. Clinical data and saliva were collected from participants. The modified Rankin scale score after 90 days was used to assess the prognosis of stroke. Extracted DNA from saliva and performed 16S ribosomal ribonucleic acid (rRNA) gene amplicon sequencing. Sequence data were analyzed using QIIME2 and R packages to evaluate the association between the oral microbiome and stroke.
    A total of 146 subjects were enrolled in this study according to the inclusion criteria. Compared with HC, HRIS and IS demonstrated a progressive increase trend in Chao1, observed species richness, and Shannon and Simpson diversity index. On the basis of permutational multivariate analysis of variance, the data indicate a great variation in the saliva microbiota composition between HC and HRIS (F = 2.40, P < 0.001), HC and IS (F = 5.07, P < 0.001), and HRIS and IS (F = 2.79, P < 0.001). The relative abundance of g_Streptococcus, g_Prevotella, g_Veillonella, g_Fusobacterium, and g_Treponema was higher in HRIS and IS compared with that in HC. Furthermore, we constructed the predictive model by differential genera to effectively distinguish patients with IS with poor 90-day prognoses from those with good (area under the curve = 79.7%; 95% CI, 64.41%-94.97%; p < 0.01).
    In summary, the oral salivary microbiome of HRIS and IS subjects have a higher diversity, and the differential bacteria have some predictive value for the severity and prognosis of IS. Oral microbiota may be used as potential biomarkers in patients with IS.
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  • 文章类型: Journal Article
    有关马的生物学和流行病学的基本知识仍需改进,以有助于设计更好的寄生虫控制策略。Nemabiomemetabarcoding是量化和识别大量样品中物种的便捷工具,可以克服cyathostomin形态学鉴定所代表的障碍。迄今为止,这种方法依赖于核糖体RNA基因的内部转录间隔区2(ITS-2),对cyathostomin社区的预测性能进行了有限的调查。使用单个cyathostomin蠕虫的DNA池,这项研究旨在提供第一个元素来比较ITS-2和本研究中新开发的细胞色素c氧化酶亚基I(COI)条形码的性能。条形码预测能力在两个人的各种模拟社区组成中进行了比较,来自不同物种的5个和11个个体。估计每个条形码的扩增偏倚。还比较了各种类型的生物样品之间的结果,即,鸡蛋,感染性幼虫或成虫。选择生物信息学参数以产生每个条形码的cyathostomin群落的最接近表示。强调需要已知组成的社区用于元转录目的。总的来说,建议的COI条形码相对于ITS-2rDNA区域是次优的,由于PCR扩增偏差,敏感性降低,与预期的群落组成差异更大。在三种样本类型中,元编码产生了一致的社区组成。然而,使用ITS-2条形码,在感染幼虫的相对丰度与其他生命阶段之间发现了不完美的相关性。虽然结果仍然受到所考虑的生物材料的限制,他们建议ITS-2和COI条形码都需要额外的改进。
    Basic knowledge on the biology and epidemiology of equine strongylid species still needs to be improved to contribute to the design of better parasite control strategies. Nemabiome metabarcoding is a convenient tool to quantify and identify species in bulk samples that could overcome the hurdle that cyathostomin morphological identification represents. To date, this approach has relied on the internal transcribed spacer 2 (ITS-2) of the ribosomal RNA gene, with a limited investigation of its predictive performance for cyathostomin communities. Using DNA pools of single cyathostomin worms, this study aimed to provide the first elements to compare performances of the ITS-2 and a cytochrome c oxidase subunit I (COI) barcode newly developed in this study. Barcode predictive abilities were compared across various mock community compositions of two, five and 11 individuals from distinct species. The amplification bias of each barcode was estimated. Results were also compared between various types of biological samples, i.e., eggs, infective larvae or adults. Bioinformatic parameters were chosen to yield the closest representation of the cyathostomin community for each barcode, underscoring the need for communities of known composition for metabarcoding purposes. Overall, the proposed COI barcode was suboptimal relative to the ITS-2 rDNA region, because of PCR amplification biases, reduced sensitivity and higher divergence from the expected community composition. Metabarcoding yielded consistent community composition across the three sample types. However, imperfect correlations were found between relative abundances from infective larvae and other life-stages for Cylicostephanus species using the ITS-2 barcode. While the results remain limited by the considered biological material, they suggest that additional improvements are needed for both the ITS-2 and COI barcodes.
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  • 文章类型: Journal Article
    目的:间质性膀胱炎/膀胱疼痛综合征(IC/BPS)是一种慢性泌尿系统疾病,在美国有近800万女性被诊断出。尿液微生物群是否发挥病因学作用仍存在争议。大多数研究评估了IC/BPS患者排尿或导尿的微生物群作为膀胱尿路上皮的代表;然而,尿液可能不是膀胱微生物群的真实反映。膀胱活检组织可以提供更准确的,因此更具临床相关性,膀胱微生物群的图片。
    方法:膀胱活检组织来自:(a)30名女性,在治疗性膀胱水扩张后,通过膀胱镜引导的冷杯活检进行IC/BPS(18-80y/o),和(b)10名非IC/BPS女性接受盆腔器官脱垂修复。为了检测细菌,对每个RNAlater保存的活检的技术副本进行16SrRNA基因测序。为了观察细菌,多聚甲醛固定,对石蜡包埋的活检进行联合多重荧光原位杂交(FISH)和荧光免疫组织化学(IHC)分析和共聚焦显微镜检查.
    结果:通过16SrRNA基因测序在大多数活检的至少一个技术重复中检测到细菌。最丰富的属是葡萄球菌,其次是乳酸杆菌。大肠杆菌很常见,但不丰富。IC/BPS患者与对照组之间无显著差异(P>.05)。FISH和IHC组合可重复检测到人膀胱活检组织固有层的尿路上皮和病变区域以及毛细血管壁中的上皮细胞和脱落细胞中的16SrRNA。
    结论:我们得出结论,成年女性的尿路上皮和尿液微生物群相似,但不相同。
    Interstitial cystitis/bladder pain syndrome is a chronic urological condition diagnosed in nearly 8 million females in the United States. Whether urinary microbiota play an etiological role remains controversial. Most studies assessed the microbiota of interstitial cystitis/bladder pain syndrome patients with voided or catheterized urine as a proxy for bladder urothelium; however, urine may not be a true reflection of the bladder microbiota. Bladder biopsy tissue may provide a more accurate, and thus more clinically relevant, picture of bladder microbiota.
    Bladder biopsy tissues were obtained from: (1) 30 females with interstitial cystitis/bladder pain syndrome (18-80 years old) via cystoscopically guided cold-cup biopsy following therapeutic bladder hydrodistention, and (2) 10 non-interstitial cystitis/bladder pain syndrome females undergoing pelvic organ prolapse repair. To detect bacteria, technical duplicates of each RNAlater-preserved biopsy were subjected to 16S rRNA gene sequencing. To visualize bacteria, paraformaldehyde-fixed, paraffin-embedded biopsies were subjected to a combined multiplexed fluorescence in situ hybridization and fluorescence immunohistochemistry assay and confocal microscopy.
    Bacteria were detected by 16S rRNA gene sequencing in at least 1 technical duplicate of most biopsies. The most abundant genus was Staphylococcus, followed by Lactobacillus; Escherichia was common but not abundant. There was no significant difference between interstitial cystitis/bladder pain syndrome patients and controls (P > .05). Combined fluorescence in situ hybridization and immunohistochemistry reproducibly detected 16S rRNA in epithelial cells and shed cells in the urothelium and lesioned areas and capillary walls in the lamina propria of human bladder biopsy tissue.
    We conclude that urothelial and urinary microbiota are similar but not identical in adult females.
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