Profiles and diagnostic value of intestinal microbiota in schizophrenia patients with metabolic syndrome

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Reviewed Marked as Reviewed by Svetlana up on 2024-8-13
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
Authors
Xing M, Gao H, Yao L, Wang L, Zhang C, Zhu L, Cui D
Journal
Frontiers in endocrinology
Year
2023
Keywords:
16S rRNA, dyslipidemia, intestinal microbiota, metabolic syndrome, schizophrenia, type 2 diabetes
AIMS/HYPOTHESIS: It is widely thought that the intestinal microbiota plays a significant role in the pathogenesis of metabolic disorders. However, the gut microbiota composition and characteristics of schizophrenia patients with metabolic syndrome (MetS) have been largely understudied. Herein, we investigated the association between the metabolic status of mainland Chinese schizophrenia patients with MetS and the intestinal microbiome. METHODS: Fecal microbiota communities from 115 male schizophrenia patients (57 with MetS and 58 without MetS) were assessed by 16S ribosomal RNA gene sequencing. We assessed the variations of gut microbiome between both groups and explored potential associations between intestinal microbiota and parameters of MetS. In addition, the Phylogenetic Investigation of Communities by Reconstruction of Unobserved States (PICRUSt) based on the KEGG database was used to predict the function of intestinal microbiota. We also conducted Decision Tree Analysis to develop a diagnostic model for the MetS in patients with schizophrenia based on the composition of intestinal microbiota. RESULTS: The fecal microbial diversity significantly differed between groups with or without MetS (α-diversity (Shannon index and Simpson index): p=0.0155, p=0.0089; β-diversity: p=0.001). Moreover, the microbial composition was significantly different between the two groups, involving five phyla and 38 genera (p<0.05). In addition, a significant correlation was observed between the metabolic-related parameters and abundance of altered microbiota including HDL-c (r2 = 0.203, p=0.0005), GLU (r2 = 0.286, p=0.0005) and WC (r2 = 0.061, p=0.037). Furthermore, KEGG pathway analysis showed that 16 signaling pathways were significantly enriched between the two groups (p<0.05). Importantly, our diagnostic model based on five microorganisms established by decision tree analysis could effectively distinguish between patients with and without MetS (AUC = 0.94). CONCLUSIONS/INTERPRETATION: Our study established the compositional and functional characteristics of intestinal microbiota in schizophrenia patients with MetS. These new findings provide novel insights into a better understanding of this disease and provide the theoretical basis for implementing new interventional therapies in clinical practice.

Experiment 1


Reviewed Marked as Reviewed by Svetlana up on 2024-8-13

Curated date: 2024/08/09

Curator: Eve10111

Revision editor(s): Eve10111, Scholastica

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
Metabolic syndrome Cardiovascular Syndrome, Metabolic,Cardiovascular Syndromes, Metabolic,Dysmetabolic Syndrome X,Insulin Resistance Syndrome X,Metabolic Cardiovascular Syndrome,metabolic syndrome,Metabolic Syndrome X,metabolic syndrome X,Metabolic X Syndrome,Reaven Syndrome X,Syndrome X, Dysmetabolic,Syndrome X, Insulin Resistance,Syndrome X, Metabolic,Syndrome X, Reaven,Syndrome, Metabolic Cardiovascular,Syndrome, Metabolic X,X Syndrome, Metabolic,Metabolic syndrome
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Schizophrenia patients with MetS
Group 1 name Corresponds to the case (exposed) group for case-control studies
Schizophrenia patients without MetS
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Schizophrenia patients with metabolic syndrome (MetS)
Group 0 sample size Number of subjects in the control (unexposed) group
58
Group 1 sample size Number of subjects in the case (exposed) group
57
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
3 Months

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
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)?
No
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
3

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2024-8-13

Curated date: 2024/07/12

Curator: JoyceQ

Revision editor(s): JoyceQ, Scholastica

Source: Figure 4A

Description: A Linear Discriminant Analysis (LDA) Effect Size (LEfSe) analysis of significant bacterial differences in the fecal microbiota of schizophrenia patients with versus without metabolic syndrome (MetS)

Abundance in Group 1: increased abundance in Schizophrenia patients without MetS

NCBI Quality ControlLinks
Akkermansia
Catenibacterium
Clostridiaceae
Clostridium
Erysipelotrichaceae
Erysipelotrichales
Eubacterium
Peptostreptococcaceae
Sarcina
Turicibacter
Turicibacteraceae
Verrucomicrobiaceae
Erysipelotrichia
Verrucomicrobiia
Verrucomicrobiales
Verrucomicrobiota
Prochlorococcus
TuricibacteralesTuricibacterales

Revision editor(s): JoyceQ, Scholastica

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2024-8-13

Curated date: 2024/07/12

Curator: JoyceQ

Revision editor(s): JoyceQ, Scholastica

Source: Figure 4A

Description: A Linear Discriminant Analysis (LDA) Effect Size (LEfSe) analysis of significant bacterial differences in the fecal microbiota of schizophrenia patients with versus without metabolic syndrome (MetS)

Abundance in Group 1: decreased abundance in Schizophrenia patients without MetS

NCBI Quality ControlLinks
Alcaligenaceae
Bacteria
Bacteroidaceae
Bacteroidales
Bacteroides
Bacteroidia
Betaproteobacteria
Burkholderia
Burkholderiaceae
Burkholderiales
Clostridium
Dialister
Lactobacillales
Lactobacillus
Megamonas
Moraxellaceae
Parabacteroides
Porphyromonadaceae
Pseudomonadales
Staphylococcaceae
Streptococcaceae
Sutterella
Veillonellaceae
Lactobacillaceae
Pseudomonadota
Bacteroidota

Revision editor(s): JoyceQ, Scholastica