大理大学学报 ›› 2022, Vol. 7 ›› Issue (2): 71-75.

• 预防医学 • 上一篇    下一篇

精神分裂症患者病情控制与肠道菌群结构的关系探讨

尹春蕾1,刘荣荣2,李丽娟13*   

  1. 1.大理大学公共卫生学院,云南大理 6710002.枣庄市疾病预防控制中心,山东枣庄 2770003.大理大学澜湄人类健康研究中心,云南大理 671000

  • 收稿日期:2021-06-29 修回日期:2021-10-07 出版日期:2022-02-15 发布日期:2022-03-29
  • 通讯作者: 李丽娟,教授,E-mail:lelejuan@126.com。
  • 作者简介:尹春蕾,硕士研究生,主要从事分子流行病学与卫生统计学研究。
  • 基金资助:
    云南省地方本科高校基础研究联合专项资金项目(202001BA070001-065);云南省教育厅科学研究基金项目(2021415

Relationship between Disease Control and Intestinal Flora Structure in Patients with Schizophrenia

Yin Chunlei1 Liu Rongrong2 Li Lijuan13*   

  1. 1.College of Public Health Dali University Dali Yunnan 671000 China 2. Zaozhuang Center for Disease Control and Prevention Zaozhuang Shandong 277000 China 3. Lan Mae Human Health Research Center of Dali University Dali Yunnan 671000 China

  • Received:2021-06-29 Revised:2021-10-07 Online:2022-02-15 Published:2022-03-29

摘要: 目的:了解有无家族史的精神分裂症患者不同病情期与肠道菌群结构的关系。方法:选择201712月至20188月在大理白族自治州第二人民医院精神科入院治疗的精神分裂症患者,在发作期和控制期采集粪便,用高通量测序得出不同病期的肠道菌群结构。结果:各样品中相对丰度最高的菌门为厚壁菌门;相对丰度最高的菌纲为梭杆菌纲;主要优势菌属为拟杆菌属、粪杆菌属、大肠埃希菌-志贺氏菌、乳杆菌属等。多样性分析提示各组间比较差异有统计学意义(P<0.05)。物种差异分析提示,患者控制期优势物种是放线菌门的丙酸杆菌目,患者发作期优势物种是厚壁菌门毛螺菌科的CAG-56属。患者有家族史组优势物种是拟杆菌门的F082菌科,无家族史组的优势物种是变形菌门的琥珀酸弧菌科。结论:精神分裂症患者在发作期与控制期的肠道菌群结构和多样性分布存在差异,其病情控制与肠道菌群结构可能存在关联。

关键词: font-family:宋体, ">精神分裂症;肠道菌群;高通量测序;病期控制;家族史

Abstract:

 Objective To investigate the relationship between intestinal flora structure and different stages of schizophrenia patients with or without family history. Methods Hospitalized patients with schizophrenia from December 2017 to August 2018 in the psychiatry department of the econd Hospital of Dali Bai Autonomous Prefecture were chosen as the subjects whose excrement were collected in attack period and control period and their structures of intestinal flora in different disease periods were tested with high- throughput sequencing. Results Phylum with the highest relative abundance among the samples was Firmicutes. Ascomycetes with the highest relative abundance was Fusobacteria. The dominant bacteria genera were Bacteroidetes Faecalis Escherichia coli - Shigella Lactobacillus etc. Diversity analysis showed that there were statistically significant differences among all groups P<0.05. Species-difference analysis suggested that the dominant species in the control stage of the patient was propionic bacilli of Actinomycetes and the dominant species in the attack stage was CAG-56 genus of Pilospiraceae of Firmicutes. The dominant species in patients with family history was the family F082 of Bacteroidetes and the dominant species in patients without family history was the family Succinvibrio of Proteobacteria. Conclusion There are differences in the structure and diversity of intestinal flora between patients with schizophrenia during attack and control periods and there may be a relationship between disease control and the structure of intestinal flora.

Key words: font-family:Times New Roman, ">schizophreniafont-family:Times New Roman, ">;font-family:Times New Roman, "> intestinal florafont-family:Times New Roman, ">;font-family:Times New Roman, "> high-throughput sequencingfont-family:Times New Roman, ">;font-family:Times New Roman, "> disease controlfont-family:Times New Roman, ">;font-family:Times New Roman, "> family history

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