| Autor: |
Zeng X; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Gao X; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Peng Y; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Wu Q; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Zhu J; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Tan C; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Xia G; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., You C; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Xu R; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Pan S; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China., Zhou H; State Key Laboratory of Organ Failure Research, Microbiome Medicine Center, Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, China., He Y; State Key Laboratory of Organ Failure Research, Microbiome Medicine Center, Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, China., Yin J; Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China. |
| Abstrakt: |
Objective: Gut microbiota is a newly identified risk factor for stroke, and there are no large prospective studies linking the baseline gut microbiome to long-term risk of stroke. We present here the correlation between the gut microbiota and stroke risk in people with no prior stroke history. Methods: A total of 141 participants aged ≥60 years without prior history of stroke were recruited and divided into low-risk, medium-risk, and high-risk groups based on known risk factors and whether they were suffering from chronic diseases. The composition of their gut microbiomes was compared using 16S rRNA gene amplicon next-generation-sequencing and Quantitative Insights into Microbial Ecology (QIIME) analysis. Levels of fecal short-chain fatty acids were measured using gas chromatography. Results: We found that opportunistic pathogens (e.g., Enterobacteriaceae and Veillonellaceae) and lactate-producing bacteria (e.g., Bifidobacterium and Lactobacillus ) were enriched, while butyrate-producing bacteria (e.g., Lachnospiraceae and Ruminococcaceae) were depleted, in the high-risk group compared to the low-risk group. Butyrate concentrations were also lower in the fecal samples obtained from the high-risk group than from the low-risk group. The concentrations of other short-chain fatty acids (e.g., acetate, propionate, isobutyrate, isovalerate, and valerate) in the gut were comparable among the three groups. Conclusion: Participants at high risk of stroke were characterized by the enrichment of opportunistic pathogens, low abundance of butyrate-producing bacteria, and reduced concentrations of fecal butyrate. More researches into the gut microbiota as a risk factor in stroke should be carried out in the near future. |
