The gut dysbiosis and plasma lipid metabolisms signatures in children with active tuberculosis

From BugSigDB
Needs review
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI Uniform resource identifier for web resources.
Authors
Sun B, Yu X, Qi H, Xu F, Jiao W, Fang M, Duan L, Zeng X, Yang X, Wang X, Zhu Y, Mi K, Shen A, Sun L
Journal
BMC microbiology
Year
2025
Keywords:
Child, Gut microbiota, Lipids, Tuberculosis
BACKGROUND: The human gut microbiota is an important modulator of host immune responses and has a crucial role in the development of tuberculosis (TB). Evidences suggest that metabolites may function as a bridge between gut microbiome and TB progression in children. However, the underlying interactive mechanisms are not well explored. The results may provide useful insight into the role played by the gut microbiome in pulmonary TB in children. METHODS: To explore the gut bacterial features and its interaction with plasma lipid metabolisms in children with TB. We enrolled children aged younger than 14 years old from Beijing Children’s Hospital and West China Second Hospital between January 2020 and June 2021. We investigated the gut bacterial community using 16S rRNA sequencing of 98 children with active TB, 37 other infectious diseases, and 80 healthy children. The plasma lipids were further analyzed using ultra-high-performance liquid chromatography coupled with mass spectrometry. RESULTS: Children with TB showed decreased diversity and species richness indices compared to healthy children. Significant increases in the abundance of Firmicutes and Actinobacteriota combined with a decrease in the abundance of Bacteroidetes and Proteobacteria were also observed in TB children when compared with healthy controls. Among children with TB, gut bacterial composition differed in subgroups with pulmonary and extrapulmonary TB, or subgroups with different Mycobacterium tuberculosis (MTB) load. Children with TB had a higher risk of fever (OR = 3.02, P = 0.005) and poor appetite (OR = 2.96, P = 0.02) than the controls. Several bacterial genera were associated with severe illness and clinical indices, such as aspartate aminotransferase levels and fever. The plasma lipids showedc difference between TB patients and the children with other infectious diseases. Eight genera with the highest relative abundance strongly correlated with the plasma lipids. CONCLUSIONS: The gut microbiome is compromised in TB children, with a correlation with the plasma lipid metabolites and clinical presentations. Integrating analysis of microbiome and metabolism may help improve precise diagnosis, treatment, and mechanism study for TB in children. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12866-025-04141-x.

Experiment 1


Needs review

Curated date: 2025/07/19

Curator: Nuerteye

Revision editor(s): Nuerteye

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
Pulmonary tuberculosis lung TB,lung tuberculosis,pulmonary TB,pulmonary tuberculosis,Tuberculosis, Pulmonary,Pulmonary tuberculosis
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Healthy controls
Group 1 name Corresponds to the case (exposed) group for case-control studies
Active pulmonary tuberculosis
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
positive Mycobacterium tuberculosis culture results or molecular testing results using Xpert MTB/RIF Ultra.
Group 0 sample size Number of subjects in the control (unexposed) group
80
Group 1 sample size Number of subjects in the case (exposed) group
98

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V3-V4
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
LEfSe
Linear Discriminant Analysis
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
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2

Alpha Diversity

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

Needs review

Curated date: 2025/07/19

Curator: Nuerteye

Revision editor(s): Nuerteye

Source: Figure 1I

Description: Comparisons of the gut microbiota in in children with active TB and non-TB groups. LDA score histogram in tuberculosis children compared with healthy controls.

Abundance in Group 1: increased abundance in Active pulmonary tuberculosis

NCBI Quality ControlLinks
Bacilli
FirmicutesFirmicutes
Lactobacillales
Enterococcus
Enterococcaceae
Erysipelotrichales
ErysipelatoclostridiaceaeErysipelatoclostridiaceae
Subdoligranulum
Catenibacterium
ActinobacteriotaActinobacteriota
Erysipelotrichaceae
Coriobacteriales
Coriobacteriia
Holdemanella

Revision editor(s): Nuerteye

Signature 2

Needs review

Curated date: 2025/07/19

Curator: Nuerteye

Revision editor(s): Nuerteye

Source: Figure 1I

Description: Comparisons of the gut microbiota in in children with active TB and non-TB groups. LDA score histogram in tuberculosis children compared with healthy controls.

Abundance in Group 1: decreased abundance in Active pulmonary tuberculosis

NCBI Quality ControlLinks
Selenomonadaceae
Bacteroides vulgatusBacteroides vulgatus
Megamonas
Negativicutes
Gammaproteobacteria
Lachnospiraceae
Lachnospirales
Faecalibacterium
Bacteroidaceae
Bacteroides
Bacteroidota
Bacteroidia
Bacteroidales

Revision editor(s): Nuerteye

Experiment 2


Needs review

Curated date: 2025/07/19

Curator: Nuerteye

Revision editor(s): Nuerteye

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
mild tuberculosis (mild TB)
Group 1 name Corresponds to the case (exposed) group for case-control studies
severe tuberculosis (severe TB)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Cases with severe TB
Group 0 sample size Number of subjects in the control (unexposed) group
65
Group 1 sample size Number of subjects in the case (exposed) group
33

Lab analysis

Statistical Analysis

Statistical test
LEfSe
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Not specified

Alpha Diversity

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

Signature 1

Needs review

Curated date: 2025/07/19

Curator: Nuerteye

Revision editor(s): Nuerteye

Source: Figure 2F

Description: Association of the gut microbiota with severity of TB. LDA score histogram

Abundance in Group 1: increased abundance in severe tuberculosis (severe TB)

NCBI Quality ControlLinks
Prevotella copriPrevotella copri
Klebsiella
Gammaproteobacteria
ProteobacteriaProteobacteria

Revision editor(s): Nuerteye

Signature 2

Needs review

Curated date: 2025/07/19

Curator: Nuerteye

Revision editor(s): Nuerteye

Source: Figure 2F

Description: Association of the gut microbiota with severity of TB. LDA score histogram

Abundance in Group 1: decreased abundance in severe tuberculosis (severe TB)

NCBI Quality ControlLinks
Blautia
Leuconostoc
Lachnospira
Intestinimonas butyriciproducens
Bacteroides
Eubacterium sulciEubacterium sulci
Alistipes shahii
Lachnospiraceae UCG 004Lachnospiraceae UCG 004
Oxalobacteraceae

Revision editor(s): Nuerteye