机构:[1]Guangzhou Univ Chinese Med, Clin Coll 2, Guangzhou, Peoples R China广东省中医院[2]Guangdong Prov Hosp Chinese Med, Dept Nephrol, Guangzhou, Peoples R China大德路总院肾内科大德路总院肾内科广东省中医院[3]Guangzhou Univ Chinese Med, Guangdong Hong Kong Macau Joint Lab Chinese Med &, Guangzhou, Guangdong, Peoples R China[4]Hunan Acad Tradit Chinese Med, Affiliated Hosp, Changsha, Peoples R China
Background: IgA nephropathy (IgAN) is the most common type of glomerulonephritis in Asia. Its pathogenesis involves higher expression of galactose-deficient IgA1 (Gd-IgA1) and dysregulated intestinal mucosal immunity. The objective of this study was to explore whether specific gut microbiota and associated enzymes affect Gd-IgA1 in IgAN. Methods: This study carried out shotgun metagenomic sequencing with Illumina on fecal samples collected from 20 IgAN patients (IgAN group) and 20 healthy controls (HCs group) who were recruited from January 2016 to December 2018 at the Second Clinical College of Guangzhou University of Chinese Medicine. Differences analysis in gut microbiota was performed to determine the overall microbiota composition, the representative enterotypes, and the microbiota abundance. Correlations between gut microbiota and clinical indicators were assessed by Spearman's analysis. Moreover, the functional prediction of microbial communities and the quantitative calculation of enzymes encoded by microbiome were performed using the MetaCyc pathway and the bioBakery three platform, respectively. Results: Bacteroides plebeius and Bacteroides vulgatus levels were higher, while Prevotella copri and Alistipes putredinis levels were lower in the IgAN group compared to HCs group. Enterotype I characterized by Bacteroides was closely related to the IgAN patients. Moreover, Bacteroides fragilis, Flavonifractor plautii and Ruminococcus gnavus were characteristic bacteria enriched in IgAN patients. Spearman's correlation analysis found that Eggerthella lenta and Ruminococcus bromii were positively correlated with urine protein-creatinine ratio, while Ruminococcus gnavus showed a direct association with red blood cells in urine, and Bacteroides vulgatus and Ruminococcus gnavus were positively correlated with eGFR. These results indicated that intestinal dysbacteriosis occurred in IgAN patients and was associated with clinical and biochemical features. In addition, MetaCyc pathway analysis predicted microbiota-related metabolic pathways, including the biosynthesis of amino acids and glycans, were associated with the IgAN group. Microbial enzymes analysis highlighted that Gd-IgA1-associated alpha-galactosidase and alpha-N-acetyl-galactosaminidase secreted by Flavonifractor plautii were enriched in IgAN patients. Conclusion: These findings suggested that alpha-galactosidase and alpha-N-acetyl-galactosaminidase secreted by Flavonifractor plautii might be related to the production of Gd-IgA1, indicating that enzymes originated from abnormal intestinal microbiota may contribute to the production of Gd-IgA1 and play an important role in the pathogenesis of IgAN.
基金:
2020 Guangdong Provincial Science and Technology Innovation Strategy Special Fund (Guangdong-Hong Kong-Macau Joint Lab); Guangdong Provincial Hospital of Chinese Medicine [2020B1212030006]; Project of inheritance of Famous Doctors in Guangdong Provincial Hospital of Chinese Medicine [YN2019ML06]; [DF00902]
第一作者机构:[1]Guangzhou Univ Chinese Med, Clin Coll 2, Guangzhou, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Guangzhou Univ Chinese Med, Clin Coll 2, Guangzhou, Peoples R China[2]Guangdong Prov Hosp Chinese Med, Dept Nephrol, Guangzhou, Peoples R China[3]Guangzhou Univ Chinese Med, Guangdong Hong Kong Macau Joint Lab Chinese Med &, Guangzhou, Guangdong, Peoples R China
推荐引用方式(GB/T 7714):
Liang Xiaolin,Zhang Simeng,Zhang Difei,et al.Metagenomics-based systematic analysis reveals that gut microbiota Gd-IgA1-associated enzymes may play a key role in IgA nephropathy[J].FRONTIERS IN MOLECULAR BIOSCIENCES.2022,9:doi:10.3389/fmolb.2022.970723.
APA:
Liang, Xiaolin,Zhang, Simeng,Zhang, Difei,Hu, Liang,Zhang, La...&Lu, Fuhua.(2022).Metagenomics-based systematic analysis reveals that gut microbiota Gd-IgA1-associated enzymes may play a key role in IgA nephropathy.FRONTIERS IN MOLECULAR BIOSCIENCES,9,
MLA:
Liang, Xiaolin,et al."Metagenomics-based systematic analysis reveals that gut microbiota Gd-IgA1-associated enzymes may play a key role in IgA nephropathy".FRONTIERS IN MOLECULAR BIOSCIENCES 9.(2022)