牛奶蛋白过敏婴儿肠道菌群结构分析

The analysis of intestinal microflora in infants with cow's milk protein allergy

  • 摘要:
    目的 探究牛奶蛋白过敏(CMPA)婴儿肠道菌群多样性及门属种丰度变化,为CMPA婴儿早防早治提供理论依据。
    方法 选取确诊CMPA婴儿粪便18例及健康婴儿12例新鲜粪便标本,采用宏基因组测序方法检测两组粪便中的肠道菌群,对检测结果进行生物信息学分析,从多样性、结构上比较两组的差异。
    结果 CMPA组肠道菌群香浓指数为1.232±0.367,较健康对照组(1.885±0.281)显著降低(P<0.05);整体上两组组成在门、属、种上存在差异(P<0.05)。在种水平上,以长双歧杆菌、两歧双歧杆菌、链状双歧杆菌、齿双歧杆菌、假链状双歧杆菌等双歧杆菌菌种丰度降低为主。母乳喂养的CMPA婴儿肠道菌群更接近健康婴儿。
    结论 肠道菌群的变化可能参与CMPA的发生,不仅肠道菌群多样性降低,且结构发生变化;尽早对肠道菌群进行检测,并根据检测结果对肠道菌群进行调节,对婴儿CMPA早防早治可能起到积极作用。

     

    Abstract:
    Objective To explore the changes of intestinal microflora diversity and phylum species abundance in infants with cow's milk protein allergy (CMPA), so as to provide theoretical basis for early prevention and treatment of CMPA infants.
    Methods Samples from 18 infants with diagnosed CMPA and 12 healthy infants were selected. Metagenomic sequencing method was used to detect intestinal microflora in feces of the two groups. Bioinformatics analysis was performed on the detection results, and the differences between the two groups were compared in terms of diversity and structure.
    Results The intestinal microflora Shannon index of the CMPA group was 1.232±0.367, which was significantly lower than that of the healthy control group (1.885±0.281) (P < 0.05). Overall, there were differences in phylum, genus and species between the two groups (P < 0.05). At the species level, the abundance of Bifidobacterium_longum, Bifidobacterium_bifidum, Bifidobacterium_catenulatum, Bifidobacterium_dentium, Bifidobacterium_pseudocatenulatum and other Bifidobacterium species were decreased. The breastfed CMPA infants had intestinal microflora closer to that of healthy babies.
    Conclusion The changes of intestinal flora may participate in the occurrence of CMPA. Such changes not only reduce the diversity of intestinal microflora, but also alter its structure. Detecting the state of intestinal microflora at an early stage and making adjustments to it according to the detection results may play a positive role in early prevention and treatment of CMPA in infants.

     

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