Intestinal microbiome changes and mechanisms of maintenance hemodialysis patients with constipation

From BugSigDB
Reviewed Marked as Reviewed by KateRasheed on 2025-5-1
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
Authors
Zhang A, Chen S, Zhu Y, Wu M, Lu B, Zhou X, Zhu Y, Xu X, Liu H, Zhu F, Lin R
Journal
Frontiers in cellular and infection microbiology
Year
2024
Keywords:
16S rRNA, Constipation, Intestinal biomarker, Maintenance haemodialysis (MHD), gut microbiome
BACKGROUND: Constipation is a common symptom in maintenance hemodialysis patients and greatly affects the quality of survival of hemodialysis patients. Fecal microbiota transplantation and probiotics are feasible treatments for functional constipation, but there is still a gap in the research on the characteristics of gut flora in patients with maintenance hemodialysis combined with constipation. The aim of this study is to clarify the characteristics of the intestinal flora and its changes in maintenance hemodialysis patients with constipation. METHODS: Fecal samples were collected from 45 participants, containing 15 in the maintenance hemodialysis constipation group,15 in the maintenance hemodialysis non-constipation group and 15 in the healthy control group. These samples were analyzed using 16S rRNA gene sequencing. The feature of the intestinal microbiome of maintenance hemodialysis constipation group and the microbiome differences among the three groups were elucidated by species annotation analysis, α-diversity analysis, β-diversity analysis, species difference analysis, and predictive functional analysis. RESULTS: The alpha diversity analysis indicated that maintenance hemodialysis constipation group was less diverse and homogeneous than maintenance hemodialysis non-constipation group and healthy control group. At the genus level, the top ten dominant genera in maintenance hemodialysis constipation group patients were Enterococcus, Escherichia-Shigella, Bacteroides, Streptococcus, Bifidobacterium, Ruminococcus_gnavus_group, Lachnospiraceae_unclassified, Faecalibacterium, Akkermansia and UCG-002. Compared with non-constipation group, the Enterococcus, Rhizobiales_unclassified, Filomicrobium, Eggerthella, Allobaculum, Prevotella_7, Gordonibacter, Mitochondria_unclassified, Lachnoanaerobaculum were significantly higher in constipation group (p<0.05). Compared with non-constipation group, the Kineothrix, Rhodopirellula, Weissella were significantly lower in constipation group (p<0.05). The predictive functional analysis revealed that compared with non-constipation group, constipation group was significantly enriched in pathways associated with pyruate metabolism, flavonoid biosynthesis. CONCLUSIONS: This study describes for the first time the intestinal microbiome characteristics of maintenance hemodialysis patients with constipation. The results of this study suggest that there is a difference in the intestinal flora between maintenance hemodialysis patients with constipation and maintenance hemodialysis patients without constipation.

Experiment 2


Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Differences from previous experiment shown

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
Treatment outcome measurement Treatment outcome measurement,treatment outcome measurement
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy Control Group (HCG)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Maintenance Hemodialysis with Constipation (MHDCG)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients undergoing hemodialysis also experiencing constipation.
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
15
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
Not specified
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

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

Pielou Quantifies how equal the community is numerically
decreased
Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
decreased
Simpson Estimator of species richness and species evenness: more weight on species evenness
decreased
Richness Number of species
decreased

Signature 1

Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Source: Figure 5 and 6

Description: Comparison of species abundance at the genus level.

Abundance in Group 1: increased abundance in Maintenance Hemodialysis with Constipation (MHDCG)

NCBI Quality ControlLinks
Akkermansia
Altererythrobacter
Dubosiella
Eggerthella
Enterococcus
Filomicrobium
Herminiimonas
Ruegeria
Verrucomicrobiota
Prevotella_7Prevotella_7
Clostridium sp. CAG:352

Revision editor(s): Shulamite

Signature 2

Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Source: Figure 5 and 6

Description: Comparison of species abundance at the genus level.

Abundance in Group 1: decreased abundance in Maintenance Hemodialysis with Constipation (MHDCG)

NCBI Quality ControlLinks
Agathobacter
Bilophila
Butyricicoccus
Coprobacter
Dialister
Enterobacter
Haemophilus
Kineothrix
Klebsiella
Leuconostoc
Parasutterella
Romboutsia
Erysipelotrichaceae_UCG-003Erysipelotrichaceae_UCG-003
Lachnospiraceae_UCG-006Lachnospiraceae_UCG-006
Thermodesulfobacteriota

Revision editor(s): Shulamite

Experiment 3


Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Maintenance Hemodialysis without Constipation (MHDNCG)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Hemodialysis patients who do not experience constipation.

Lab analysis

Statistical Analysis

Alpha Diversity

Pielou Quantifies how equal the community is numerically
decreased
Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
decreased
Simpson Estimator of species richness and species evenness: more weight on species evenness
decreased
Richness Number of species
decreased

Signature 1

Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Source: Figure 5 and 6

Description: Comparison of species abundance at the genus level.

Abundance in Group 1: increased abundance in Maintenance Hemodialysis without Constipation (MHDNCG)

NCBI Quality ControlLinks
Akkermansia
Clostridium sp. CAG:352
Neisseria
unclassified Lachnospiraceae
Verrucomicrobiota

Revision editor(s): Shulamite

Signature 2

Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Source: Figure 5 and 6

Description: Comparison of species abundance at the genus level.

Abundance in Group 1: decreased abundance in Maintenance Hemodialysis without Constipation (MHDNCG)

NCBI Quality ControlLinks
Alysiella
Bilophila
Citrobacter
Coprobacter
Coprococcus
Enterobacter
Haemophilus
Lacticaseibacillus
Lactiplantibacillus
Leuconostoc
Neobittarella (ex Bilen et al. 2018)
Selenomonas
Erysipelotrichaceae_UCG-003Erysipelotrichaceae_UCG-003
Thermodesulfobacteriota

Revision editor(s): Shulamite

Experiment 4


Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Maintenance Hemodialysis without Constipation (MHDNCG)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Maintenance Hemodialysis with Constipation (MHDCG)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients undergoing hemodialysis also experiencing constipation.

Lab analysis

Statistical Analysis

Alpha Diversity

Pielou Quantifies how equal the community is numerically
decreased
Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
decreased
Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Source: Figure 6

Description: Comparison of species abundance at the genus level.

Abundance in Group 1: increased abundance in Maintenance Hemodialysis with Constipation (MHDCG)

NCBI Quality ControlLinks
Allobaculum
Eggerthella
Enterococcus
Filomicrobium
Gordonibacter
Lachnoanaerobaculum
unclassified Hyphomicrobiales
Prevotella_7Prevotella_7

Revision editor(s): Shulamite

Signature 2

Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Source: Figure 6

Description: Comparison of species abundance at the genus level.

Abundance in Group 1: decreased abundance in Maintenance Hemodialysis with Constipation (MHDCG)

NCBI Quality ControlLinks
Kineothrix
Rhodopirellula
Weissella

Revision editor(s): Shulamite

Experiment 5


Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Differences from previous experiment shown

Subjects

Lab analysis

Statistical Analysis

Statistical test
LEfSe
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2

Alpha Diversity

Pielou Quantifies how equal the community is numerically
decreased
Shannon Estimator of species richness and species evenness: more weight on species richness
decreased
Chao1 Abundance-based estimator of species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
decreased
Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Source: Figure 7

Description: LEfSe analysis. The abundance difference analysis plots for the MHDCG and MHDNCG groups at the genus level.

Abundance in Group 1: decreased abundance in Maintenance Hemodialysis with Constipation (MHDCG)

NCBI Quality ControlLinks
Phocaeicola coprocola
Rhodopirellula
Veillonellaceae
Weissella
unclassified Rhodopirellula
unclassified Weissella
Veillonellales_SelenomonadalesVeillonellales_Selenomonadales

Revision editor(s): Shulamite

Signature 2

Reviewed Marked as Reviewed by KateRasheed on 2025-5-1

Curated date: 2025/04/20

Curator: Shulamite

Revision editor(s): Shulamite

Source: Figure 7

Description: LEfSe analysis. The abundance difference analysis plots for the MHDCG and MHDNCG groups at the genus level.

Abundance in Group 1: increased abundance in Maintenance Hemodialysis with Constipation (MHDCG)

NCBI Quality ControlLinks
Allobaculum
Comamonadaceae
Enterococcaceae
Enterococcus
Enterococcus faecium
Filomicrobium
Lachnoanaerobaculum
Lactobacillales
Vicinamibacteria
unclassified Allobaculum
unclassified Filomicrobium
unclassified Hyphomicrobiales
unclassified Lachnoanaerobaculum
Prevotella_7Prevotella_7
unclassified Prevotella_7unclassified Prevotella_7

Revision editor(s): Shulamite