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The Journal of allergy and clinical immunology · 2023

Intestinal microbiome and metabolome signatures in patients with chronic granulomatous disease.

Наблюдательное исследованиеСтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАResearch Support, N.I.H., IntramuralНазвание и аннотация: Перевод пока не подготовлен
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Chandrasekaran Prabha, Han Yu, Zerbe Christa S, Heller Theo, DeRavin Suk See, Kreuzberg Samantha A, Marciano Beatriz E, Siu Yik, Jones Drew R, Abraham Roshini S, Stephens Michael C, Tsou Amy M, Snapper Scott, Conlan Sean, Subramanian Poorani, Quinones Mariam, Grou Caroline, Calderon Virginie, Deming Clayton, Leiding Jennifer W, Arnold Danielle E, Logan Brent R, Griffith Linda M, Petrovic Aleksandra, Mousallem Talal I, Kapoor Neena, Heimall Jennifer R, Barnum Jessie L, Kapadia Malika, Wright Nicola, Rayes Ahmad, Chandra Sharat, Broglie Larisa A, Chellapandian Deepak, Deal Christin L, Grunebaum Eyal, Lim Stephanie Si, Mallhi Kanwaldeep, Marsh Rebecca A, Murguia-Favela Luis, Parikh Suhag, Touzot Fabien, Cowan Morton J, Dvorak Christopher C, Haddad Elie, Kohn Donald B, Notarangelo Luigi D, Pai Sung-Yun, Puck Jennifer M, Pulsipher Michael A, Torgerson Troy R, Kang Elizabeth M, Malech Harry L, Segre Julia A, Bryant Clare E, Holland Steven M, Falcone Emilia Liana

Аннотация

BACKGROUND: Chronic granulomatous disease (CGD) is caused by defects in any 1 of the 6 subunits forming the nicotinamide adenine dinucleotide phosphate oxidase complex 2 (NOX2), leading to severely reduced or absent phagocyte-derived reactive oxygen species production. Almost 50% of patients with CGD have inflammatory bowel disease (CGD-IBD). While conventional IBD therapies can treat CGD-IBD, their benefits must be weighed against the risk of infection. Understanding the impact of NOX2 defects on the intestinal microbiota may lead to the identification of novel CGD-IBD treatments.

OBJECTIVE: We sought to identify microbiome and metabolome signatures that can distinguish individuals with CGD and CGD-IBD.

METHODS: We conducted a cross-sectional observational study of 79 patients with CGD, 8 pathogenic variant carriers, and 19 healthy controls followed at the National Institutes of Health Clinical Center. We profiled the intestinal microbiome (amplicon sequencing) and stool metabolome, and validated our findings in a second cohort of 36 patients with CGD recruited through the Primary Immune Deficiency Treatment Consortium.

RESULTS: We identified distinct intestinal microbiome and metabolome profiles in patients with CGD compared to healthy individuals. We observed enrichment for Erysipelatoclostridium spp, Sellimonas spp, and Lachnoclostridium spp in CGD stool samples. Despite differences in bacterial alpha and beta diversity between the 2 cohorts, several taxa correlated significantly between both cohorts. We further demonstrated that patients with CGD-IBD have a distinct microbiome and metabolome profile compared to patients without CGD-IBD.

CONCLUSION: Intestinal microbiome and metabolome signatures distinguished patients with CGD and CGD-IBD, and identified potential biomarkers and therapeutic targets.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты