In:
Frontiers in Microbiology, Frontiers Media SA, Vol. 13 ( 2022-2-18)
Abstract:
Post-cholecystectomy diarrhea (PCD) is a common complication of gallbladder removal, and gut microbiota changes have been determined in PCD patients. Bile acid diarrhea (BAD) is supposed to be the main pathogenic factor for PCD due to the disrupted fecal bile acid metabolism in diarrheal patients. However, the profiling of bile acid metabolite alteration in PCD is unclear and whether changed gut microbiota and fecal bile acid metabolism are correlated is also underdetermined. The fecal bile acid metabolites from fecal samples were profiled by targeted UPLC/MS (ultra-high-performance liquid chromatography coupled with a triple-quadrupole mass spectrometer) and the composition of fecal bile acid metabolites in PCD patients was demonstrated to be distinct from those in Non-PCD and HC groups. In addition, the quantification of bile acid excretion in feces of diarrheal patients was significantly elevated. Furthermore, 16S rRNA sequencing results revealed that PCD patients had the lowest operational taxonomic units (OTU) and significant reduction in microbial richness and evenness. Bacterial composition was remarkably shifted in PCD patients, which mainly lay in dominated phyla Firmicutes and Bacteroidota . Besides, the co-abundance network among genus bacteria declined in PCD. Among the genera, Prevotella , Enterococcus , and Erysipelotrichaceae_UCG-003 were enriched, but Alistipes, Bacteroides , Ruminococcus , and Phascolarctobacterium were reduced. Moreover, these disease-linked genera were closely associated with several diarrheal phenotypes. Notably, changed bile acid metabolites exhibited strong correlations with gut microbiota as well. Conclusively, this study reveals associations between PCD-linked microbes and bile acid metabolites, which may synergistically correlate to postoperative diarrhea.
Type of Medium:
Online Resource
ISSN:
1664-302X
DOI:
10.3389/fmicb.2022.800604
DOI:
10.3389/fmicb.2022.800604.s001
DOI:
10.3389/fmicb.2022.800604.s002
DOI:
10.3389/fmicb.2022.800604.s003
DOI:
10.3389/fmicb.2022.800604.s004
DOI:
10.3389/fmicb.2022.800604.s005
DOI:
10.3389/fmicb.2022.800604.s006
DOI:
10.3389/fmicb.2022.800604.s007
DOI:
10.3389/fmicb.2022.800604.s008
Language:
Unknown
Publisher:
Frontiers Media SA
Publication Date:
2022
detail.hit.zdb_id:
2587354-4
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