Duodenal and rectal mucosal microbiota related to small intestinal bacterial overgrowth in diarrhea-predominant irritable bowel syndrome

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Reviewed Marked as Reviewed by Folakunmi on 2024-2-9
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Yang M, Zhang L, Hong G, Li Y, Li G, Qian W, Xiong H, Bai T, Song J, Hou X
Journal
Journal of gastroenterology and hepatology
Year
2020
Keywords:
glucose hydrogen breath test, irritable bowel syndrome, microbial dysbiosis index, mucosal-associated microbiota, small intestinal bacterial overgrowth
BACKGROUND AND AIM: Small intestinal bacterial overgrowth (SIBO) has been proposed as an etiologic factor in irritable bowel syndrome, particularly the diarrhea-predominant subtype (IBS-D). We aimed to identify potential intestinal microbial pattern in IBS-D patients with SIBO. METHODS: Diarrhea-predominant irritable bowel syndrome patients fulfilling Rome III criteria were recruited and randomly divided into an exploratory cohort (57 cases) and a validation cohort (20 cases). SIBO was identified according to standard glucose hydrogen breath test. For 16S rRNA gene sequencing, samples of duodenal mucosa, duodenal fluid, rectal mucosa, and fresh feces were collected and performed. The α and β diversity, as well as differences in microbial composition and function, in SIBO+ and SIBO- IBS-D subjects were evaluated. RESULTS: The microbial diversity and composition obviously differed between SIBO+ and SIBO- IBS-D in duodenal and rectal mucosa but not in duodenal fluid and fresh feces. For rectal mucosal microbiota, it displayed markedly reduced aerobe and Gram-negative bacteria and increased facultative anaerobe and Gram-positive bacteria, moreover, altered functions of microbial metabolism in SIBO+ IBS-D. Significantly higher rectal mucosa-related microbial dysbiosis index was observed in SIBO+ IBS-D, and a cut-off value at -0.37 had a sensitivity of 56.55% and specificity of 90.91% to identify the SIBO in IBS-D subjects. CONCLUSIONS: Mucosal microbiota, rather than luminal bacteria, has a more apparent dysbiosis in SIBO+ IBS-D patients relative to those without SIBO. Rectal mucosa-associated microbiota may act as a potential predictor of SIBO in IBS-D patients.

Experiment 1


Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2022/07/30

Curator: Jeshudy

Revision editor(s): Jeshudy, Peace Sandy, Folakunmi

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
Duodenal mucosa Doudenal mucosa,Duodenal mucous membrane,Duodenum mucosa,Mucosa of duodenum,Mucous membrane of duodenum,Duodenal mucosa,duodenal mucosa
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Small intestine enteropathy small bowel enteropathy,Small intestine enteropathy,small intestine enteropathy
Group 0 name Corresponds to the control (unexposed) group for case-control studies
IBS.sibo-
Group 1 name Corresponds to the case (exposed) group for case-control studies
IBS.sibo+
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
duodenal mucosa samples of patients with typical clinical symptoms and normal colonoscopy presentation fulfilling the Rome III diagnostic criteria with SIBO
Group 0 sample size Number of subjects in the control (unexposed) group
43
Group 1 sample size Number of subjects in the case (exposed) group
34
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
3 months; also includes probiotics and proton-pump inhibitors

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V1-V3
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Roche454

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

Alpha Diversity

Chao1 Abundance-based estimator of species richness
increased

Signature 1

Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2022/07/30

Curator: Jeshudy

Revision editor(s): Jeshudy

Source: Figure S3

Description: Enriched genera in duodenal mucosa obtained from LEfSe.

Abundance in Group 1: increased abundance in IBS.sibo+

NCBI Quality ControlLinks
Arthrobacter
Carnobacterium
Leuconostoc
Bradyrhizobium
Nevskia
Lactococcus
Pseudomonas

Revision editor(s): Jeshudy

Signature 2

Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2022/07/30

Curator: Jeshudy

Revision editor(s): Jeshudy, Folakunmi

Source: Figure S3B

Description: Enriched genera in duodenal mucosa obtained from LEfSe.

Abundance in Group 1: decreased abundance in IBS.sibo+

NCBI Quality ControlLinks
Achromobacter
Agrobacterium
Brevibacterium
Brevundimonas
Microbacterium
Micrococcus
Ochrobactrum
Paenibacillus
Propionibacterium
Rhizobium
Sphingobacterium
Sphingobium
Streptomyces purpurascens
Corynebacterium

Revision editor(s): Jeshudy, Folakunmi

Experiment 3


Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2022/07/30

Curator: Jeshudy

Revision editor(s): WikiWorks, Jeshudy, Atrayees, Folakunmi

Differences from previous experiment shown

Subjects

Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Mucosa of rectum Mucosa of organ of rectum,Mucous membrane of rectum,Organ mucosa of rectum,Rectal mucosa,Rectal mucous membrane,Rectum mucosa,Rectum mucosa of organ,Rectum mucous membrane,Rectum organ mucosa,Mucosa of rectum,mucosa of rectum
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Small intestine enteropathy small bowel enteropathy,Small intestine enteropathy,small intestine enteropathy
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
rectal mucosa samples of patients with typical clinical symptoms and normal colonoscopy presentation fulfilling the Rome III diagnostic criteria; with SIBO

Lab analysis

Statistical Analysis

Confounders controlled for Confounding factors that have been accounted for by stratification or model adjustment
age, body mass index, sex

Alpha Diversity

Chao1 Abundance-based estimator of species richness
decreased

Signature 1

Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2024/02/08

Curator: Folakunmi

Revision editor(s): Folakunmi

Source: figure 3B

Description: Differentially abundant taxa in rectal mucosa between SIBO- IBS-D patients and SIBO+ IBS-D patients.

Abundance in Group 1: increased abundance in IBS.sibo+

NCBI Quality ControlLinks
Anaerovibrio
Carnobacterium
Enterococcus
Modestobacter
T78T78
SMB53SMB53
Geobacillus
Bifidobacterium
Propionibacterium
Helcococcus

Revision editor(s): Folakunmi

Signature 2

Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2024/02/08

Curator: Folakunmi

Revision editor(s): Folakunmi

Source: figure 3B

Description: Differentially abundant taxa in rectal mucosa between SIBO- IBS-D patients and SIBO+ IBS-D patients.

Abundance in Group 1: decreased abundance in IBS.sibo+

NCBI Quality ControlLinks
Prevotella
Roseburia
Ruminococcus
Blautia
Staphylococcus
Janibacter
Citrobacter
Odoribacter
Methylobacterium
Deinococcus
Agrobacterium
Sphingobacterium

Revision editor(s): Folakunmi

Experiment 4


Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2022/07/30

Curator: Jeshudy

Revision editor(s): WikiWorks, Jeshudy, Atrayees, Folakunmi

Differences from previous experiment shown

Subjects

Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Duodenum Proximal intestine,Upper intestine,Duodenum,duodenum
Group 0 name Corresponds to the control (unexposed) group for case-control studies
HC.sibo-
Group 1 name Corresponds to the case (exposed) group for case-control studies
HC.sibo+
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
duodenal fluid samples of healthy controls (with no IBS) with SIBO
Group 0 sample size Number of subjects in the control (unexposed) group
12
Group 1 sample size Number of subjects in the case (exposed) group
7

Lab analysis

Statistical Analysis

Statistical test
Chi-Square
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
Not specified

Alpha Diversity

Chao1 Abundance-based estimator of species richness
unchanged

Signature 1

Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2022/07/30

Curator: Jeshudy

Revision editor(s): Jeshudy

Source: Table S1

Description: Comparisons of microbial composition at the phylum level between SIBO+ and SIBO- IBS-D patients and healthy individuals.

Abundance in Group 1: increased abundance in HC.sibo+

NCBI Quality ControlLinks
Bacteroidota

Revision editor(s): Jeshudy

Experiment 5


Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2022/07/30

Curator: Jeshudy

Revision editor(s): Jeshudy, Atrayees, Folakunmi

Differences from previous experiment shown

Subjects

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
Group 0 name Corresponds to the control (unexposed) group for case-control studies
IBS.sibo-
Group 1 name Corresponds to the case (exposed) group for case-control studies
IBS.sibo+
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Feces samples of patients with typical clinical symptoms and normal colonoscopy presentation fulfilling the Rome III diagnostic criteria; with SIBO
Group 0 sample size Number of subjects in the control (unexposed) group
43
Group 1 sample size Number of subjects in the case (exposed) group
34

Lab analysis

Statistical Analysis

Alpha Diversity

Chao1 Abundance-based estimator of species richness
unchanged

Signature 1

Reviewed Marked as Reviewed by Folakunmi on 2024-2-8

Curated date: 2022/07/30

Curator: Jeshudy

Revision editor(s): Jeshudy

Source: Table S1

Description: Comparisons of microbial composition at the phylum level between SIBO+ and SIBO- IBS-D patients and healthy individuals.

Abundance in Group 1: increased abundance in IBS.sibo+

NCBI Quality ControlLinks
Bacillota

Revision editor(s): Jeshudy