Characteristics of fecal microbiota in different constipation subtypes and association with colon physiology, lifestyle factors, and psychological status

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Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Yu T, Ding Y, Qian D, Lin L, Tang Y
Journal
Therapeutic advances in gastroenterology
Year
2023
Keywords:
chronic constipation, colon physiology, microbiota, psychological distress
BACKGROUND: Patients with chronic constipation (CC) show altered gut microbial composition. OBJECTIVES: To compare the fecal microbiota with different constipation subtypes and to identify potential influencing factors. DESIGN: This is a prospective cohort study. METHODS: The stool samples of 53 individuals with CC and 31 healthy individuals were analyzed using 16S rRNA sequencing. The associations between microbiota composition and colorectal physiology, lifestyle factors, and psychological distress were analyzed. RESULTS: In all, 31 patients with CC were classified as having slow-transit constipation, and 22 were classified under normal-transit constipation. The relative abundance of Bacteroidaceae was lower, and the relative abundance of Peptostreptococcaceae, Christensenellaceae, and Clostridiaceae was higher in slow-transit than in normal-transit group. In all, 28 and 25 patients with CC had dyssynergic defecation (DD) and non-DD, respectively. The relative abundance of Bacteroidaceae and Ruminococcaceae was higher in DD than in non-DD. Rectal defecation pressure was negatively correlated with the relative abundance of Prevotellaceae and Ruminococcaceae but positively correlated with that of Bifidobacteriaceae in CC patients. Multiple linear regression analysis suggested that depression was a positive predictor of Lachnospiraceae relative abundance, and sleep quality was an independent predictor of decreased relative abundance of Prevotellaceae. CONCLUSION: Patients with different CC subtypes showed different characteristics of dysbiosis. Depression and poor sleep were the main factors that affected the intestinal microbiota of patients with CC. PLAIN LANGUAGE SUMMARY: Characteristics of fecal microbiota in different constipation subtypes and association with colon physiology, lifestyle factors, and psychological status Patients with chronic constipation (CC) show altered gut microbial composition. Previous studies in CC are limited by lacking of subtype stratification, which is reflected in the lack of agreement in findings across the large number of microbiome studies. We analyzed stool microbiome of 53 CC patients and 31 healthy individuals using 16S rRNA sequencing. We found that the relative abundance of Bacteroidaceae was lower, and the relative abundance of Peptostreptococcaceae, Christensenellaceae, and Clostridiaceae was higher in slow-transit than in normal-transit CC patients. The relative abundance of Bacteroidaceae and Ruminococcaceae was higher in dyssynergic defecation (DD) than in non-DD patients with CC. In addition, depression was a positive predictor of Lachnospiraceae relative abundance, and sleep quality was an independent predictor of decreased relative abundance of Prevotellaceae in all CC patients. This study emphasizes patients with different CC subtypes have different characteristics of dysbiosis. Depression and poor sleep may be the main factors that affect the intestinal microbiota of patients with CC.

Experiment 1


Needs review

Curated date: 2025/03/21

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Subjects

Location of subjects
China
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Chronic constipation Chronic constipation,Infrequent bowel movements,chronic constipation
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy Controls (HC) participants
Group 1 name Corresponds to the case (exposed) group for case-control studies
Chronic Constipation (CC) patients
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Individuals diagnosed with conditions like Slow-Transit Constipation (STC) or Dyssynergic Defecation (DD).
Group 0 sample size Number of subjects in the control (unexposed) group
31
Group 1 sample size Number of subjects in the case (exposed) group
53
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
1 Month

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V4

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
Mann-Whitney (Wilcoxon)
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Yes

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Chao1 Abundance-based estimator of species richness
unchanged
Simpson Estimator of species richness and species evenness: more weight on species evenness
decreased
Richness Number of species
unchanged

Signature 1

Needs review

Curated date: 2025/03/21

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Source: Figure 2b and 2d

Description: Statistical analysis of bacterium at the phylum and family level.

Abundance in Group 1: increased abundance in Chronic Constipation (CC) patients

NCBI Quality ControlLinks
Actinomycetota
Bacillota
Bifidobacteriaceae
Coriobacteriaceae
Erysipelotrichaceae
Lachnospiraceae
Oscillospiraceae

Revision editor(s): Oriade-designs, Aiyshaaaa

Signature 2

Needs review

Curated date: 2025/03/21

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Source: Figure 2b and 2d

Description: Statistical analysis of bacterium at the phylum and family level.

Abundance in Group 1: decreased abundance in Chronic Constipation (CC) patients

NCBI Quality ControlLinks
Bacteroidaceae
Bacteroidota
Prevotellaceae
Pseudomonadota
Streptococcaceae

Revision editor(s): Oriade-designs, Aiyshaaaa

Experiment 2


Needs review

Curated date: 2025/03/31

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Normal-transit constipation (NTC)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Slow-transit constipation (STC)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Individuals diagnosed with Slow-Transit Constipation (STC).
Group 0 sample size Number of subjects in the control (unexposed) group
22
Group 1 sample size Number of subjects in the case (exposed) group
31
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
1 month

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/04/01

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Source: Figure 3a and 3b

Description: Statistic analysis of bacterium in the family and phylum level in STC and NTC groups

Abundance in Group 1: increased abundance in Slow-transit constipation (STC)

NCBI Quality ControlLinks
Bacillota
Christensenellaceae
Coriobacteriaceae
Peptostreptococcaceae

Revision editor(s): Oriade-designs, Aiyshaaaa

Signature 2

Needs review

Curated date: 2025/04/01

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Source: Figure 3a and 3b

Description: Statistic analysis of bacterium in the phylum level in STC and NTC groups

Abundance in Group 1: decreased abundance in Slow-transit constipation (STC)

NCBI Quality ControlLinks
Bacteroidaceae
Bacteroidota
Prevotellaceae

Revision editor(s): Oriade-designs, Aiyshaaaa

Experiment 3


Needs review

Curated date: 2025/03/31

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy Controls (HC)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Normal-transit constipation (NTC)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Individuals diagnosed with Normal-transit constipation (NTC)
Group 0 sample size Number of subjects in the control (unexposed) group
31
Group 1 sample size Number of subjects in the case (exposed) group
22
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
1 Month

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/04/01

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Source: Figure 3a&3b

Description: Statistic analysis of bacterium in the phylum and family level in NTC and HC groups.

Abundance in Group 1: increased abundance in Normal-transit constipation (NTC)

NCBI Quality ControlLinks
Acidaminococcaceae
Actinomycetota
Bacillota
Bacteroidaceae
Bifidobacteriaceae
Enterobacteriaceae
Lachnospiraceae
Porphyromonadaceae
Verrucomicrobiaceae
Eubacteriales

Revision editor(s): Oriade-designs, Aiyshaaaa

Signature 2

Needs review

Curated date: 2025/04/01

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Source: Figure 3a and 3b

Description: Statistic analysis of bacterium in the family and phylum level in NTC and HC groups.

Abundance in Group 1: decreased abundance in Normal-transit constipation (NTC)

NCBI Quality ControlLinks
Alcaligenaceae
Bacteroidota
Prevotellaceae
Pseudomonadota
Rikenellaceae
Staphylococcaceae
Streptococcaceae
Veillonellaceae

Revision editor(s): Oriade-designs, Aiyshaaaa

Experiment 4


Needs review

Curated date: 2025/04/01

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Slow-Transit Constipation (STC)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Individuals diagnosed with conditions like Slow-Transit Constipation (STC)
Group 1 sample size Number of subjects in the case (exposed) group
31

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/04/01

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Source: Figure 3a and 3b

Description: Statistic analysis of bacterium in the phylum and family level in STC and HC groups.

Abundance in Group 1: increased abundance in Slow-Transit Constipation (STC)

NCBI Quality ControlLinks
Actinomycetota
Bacillota
Bifidobacteriaceae
Coriobacteriaceae
Eubacteriales
Lachnospiraceae
Peptostreptococcaceae
Staphylococcaceae
unclassified Actinomycetota
Christensenellaceae

Revision editor(s): Oriade-designs, Aiyshaaaa

Signature 2

Needs review

Curated date: 2025/04/01

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Source: Figure 3a and 3b

Description: Statistic analysis of bacterium in the phylum and family level in STC and HC groups.

Abundance in Group 1: decreased abundance in Slow-Transit Constipation (STC)

NCBI Quality ControlLinks
Alcaligenaceae
Bacteroidaceae
Prevotellaceae
Rikenellaceae
Streptococcaceae
Veillonellaceae
Bacteroidota
Pseudomonadota

Revision editor(s): Oriade-designs, Aiyshaaaa

Experiment 5


Needs review

Curated date: 2025/04/01

Curator: Oriade-designs

Revision editor(s): Oriade-designs, Aiyshaaaa

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Non-dyssynergic defecation (non-DD)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Dyssynergic defecation (DD)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Individuals diagnosed with Dyssynergic Defecation (DD).
Group 0 sample size Number of subjects in the control (unexposed) group
15
Group 1 sample size Number of subjects in the case (exposed) group
38

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/04/05

Curator: Aiyshaaaa

Revision editor(s): Aiyshaaaa, Oriade-designs

Source: Fig 3c and 3d

Description: Statistic analysis of bacterium in the phylum and family level in DD and non-DD group.

Abundance in Group 1: increased abundance in Dyssynergic defecation (DD)

NCBI Quality ControlLinks
Acidaminococcaceae
Bacteroidaceae
Bacteroidota
Caryophanaceae
Oscillospiraceae
Porphyromonadaceae

Revision editor(s): Aiyshaaaa, Oriade-designs

Signature 2

Needs review

Curated date: 2025/04/05

Curator: Aiyshaaaa

Revision editor(s): Aiyshaaaa, Oriade-designs

Source: Figure 3c and 3d

Description: Statistic analysis of bacterium in the phylum and family level in DD and non-DD groups.

Abundance in Group 1: decreased abundance in Dyssynergic defecation (DD)

NCBI Quality ControlLinks
Bacillota
Enterobacteriaceae
Lachnospiraceae
Prevotellaceae
Pseudomonadota
Veillonellaceae

Revision editor(s): Aiyshaaaa, Oriade-designs

Experiment 6


Needs review

Curated date: 2025/04/05

Curator: Aiyshaaaa

Revision editor(s): Aiyshaaaa

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy Controls (HC)
Group 0 sample size Number of subjects in the control (unexposed) group
31

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/04/05

Curator: Aiyshaaaa

Revision editor(s): Aiyshaaaa, Oriade-designs

Source: Figure 3c and 3d

Description: Statistic analysis of bacterium in the phylum and family level in DD and HC groups.

Abundance in Group 1: increased abundance in Dyssynergic defecation (DD)

NCBI Quality ControlLinks
Acidaminococcaceae
Bacillota
Bifidobacteriaceae
Caryophanaceae
Oscillospiraceae
Porphyromonadaceae

Revision editor(s): Aiyshaaaa, Oriade-designs

Signature 2

Needs review

Curated date: 2025/04/05

Curator: Aiyshaaaa

Revision editor(s): Aiyshaaaa, Oriade-designs

Source: Fig 3c and 3d

Description: Statistic analysis of bacterium in the phylum and family level in DD and HC groups.

Abundance in Group 1: decreased abundance in Dyssynergic defecation (DD)

NCBI Quality ControlLinks
Alcaligenaceae
Bacteroidaceae
Bacteroidota
Prevotellaceae
Pseudomonadota
Streptococcaceae
Veillonellaceae

Revision editor(s): Aiyshaaaa, Oriade-designs

Experiment 7


Needs review

Curated date: 2025/04/05

Curator: Aiyshaaaa

Revision editor(s): Aiyshaaaa

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Non-dyssynergic defecation (non-DD)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Individuals who has been catergorized as Non-Dyssynergic Defecation (non-DD).
Group 1 sample size Number of subjects in the case (exposed) group
15

Lab analysis

Statistical Analysis

Signature 1

Needs review

Curated date: 2025/04/05

Curator: Aiyshaaaa

Revision editor(s): Aiyshaaaa, Oriade-designs

Source: Figure 3c and 3d

Description: Statistic analysis of bacterium in the phylum level in non-DD and HC groups.

Abundance in Group 1: increased abundance in Non-dyssynergic defecation (non-DD)

NCBI Quality ControlLinks
Bacillota
Bifidobacteriaceae
Caryophanaceae
Coriobacteriaceae
Enterobacteriaceae
Lachnospiraceae
Oscillospiraceae
Pseudomonadota

Revision editor(s): Aiyshaaaa, Oriade-designs

Signature 2

Needs review

Curated date: 2025/04/05

Curator: Aiyshaaaa

Revision editor(s): Aiyshaaaa

Source: Fig 3c and 3d

Description: Statistic analysis of bacterium in the phylum and family level in non-DD and HC groups.

Abundance in Group 1: decreased abundance in Non-dyssynergic defecation (non-DD)

NCBI Quality ControlLinks
Bacteroidota
Bacteroidaceae
Prevotellaceae
Acidaminococcaceae
Veillonellaceae
Streptococcaceae
Rikenellaceae
Porphyromonadaceae
Alcaligenaceae

Revision editor(s): Aiyshaaaa