ОСОБЕННОСТИ ИЗМЕНЕНИЯ МИКРОБИОТЫ СЛЮНЫ И ФЕКАЛИЙ У ПАЦИЕНТА С ДЕСМИНОПАТИЕЙ T341P
Аннотация
Обоснование. Десминопатии относятся к редким мышечным заболеваниям, вызываемых мутациями в гене DES. В настоящее время крайне малочисленны сведения об изменении микробиоты биологических сред у данных пациентов.
Цель. Изучить изменение микробиоты слюны и фекалий у пациента с десминопатией T341P в гетерозиготном состоянии.
Материалы и методы. В ретроспективное исследование вошло наблюдение пробанда с семейной формой десминопатии T341P. Количественный анализ 56 клинически значимых микроорганизмов осуществляли непосредственно в биологическом материале методом газовой хромато-масс-спектрометрии.
Результаты. С прогрессированием десминопатии в рассматриваемых биологических средах пробанда установлено появление вирусов Эпштейна-Барра, Herpes spp, цитомегаловируса и грамотрицательных палочек. Наблюдается избыточный бактериальный рост фекальной микробиоты и снижение микроорганизмов в слюне. Отмечается превышение нормы по суммарному количеству микроорганизмов и увеличение их видового разнообразия. Доминируют в кале Propionibacterium jensenii, Eubacterium spp, Eggerthella lenta, а в слюне – Clostridium ramosum. Установлено выраженное увеличение транзиторной микробиоты в кале с доминированием Peptostreptococcus anaerobius 18623, а также появление и стремительный рост в 441 раз потенциально опасной бактерии Clostridium difficile. Суммарный уровень эндотоксина в слюне и фекальной микробиоте пробанда возрастает и превышает норму соответственно в 13,7 и 81,8 раза. При этом отмечается низкий уровень плазмалогена.
Заключение. Результаты исследований в перспективе могут быть использованы для определения тактики комплексных вмешательств.
Скачивания
Литература
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González-Soltero R., Bailén M., de Lucas B. et al. Role of oral and gut microbiota in dietary nitrate metabolism and its impact on sports performance // Nutrients. 2020. T. 12, №. 12. C. 3611. https://doi.org/10.3390/nu12123611
Kulikova O., Brodehl A., Kiseleva A. et al. The desmin (DES) mutation p. A337P is associated with left-ventricular non-compaction cardiomyopathy // Genes. 2021. T. 12, №. 1. C. 121. https://doi.org/10.3390/genes12010121
Linsalata M., Riezzo G., D’Attoma B. et al. Noninvasive biomarkers of gut barrier function identify two subtypes of patients suffering from diarrhoea predominant-IBS: a case-control study // BMC gastroenterology. 2018. T. 18, №. 1. C. 1-14. https://doi.org/10.1186/s12876-018-0888-6
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Osipov G.A., Boiko N.B., Fedosova N.F. et al. Comparative gas chromatography-mass spectrometry study of the composition of microbial chemical markers in feces // Microbial Ecology in Health and Disease. 2009. T. 21, №. 3-4. C. 159-171. https://doi.org/10.3109/08910600903462657
Pauls V.Yu. A review of clinical data of family form of myofibrillar desmin myopathy // Systematic Reviews in Pharmacy. 2019. T. 10, №. 2. C. 130-136. https://doi.org/10.5530/srp.2019.2.21
Pauls V.Yu. Change in redox status and biochemical parameters in patient with desminopathy T341P several years after disease symptoms onset // Journal of Pharmaceutical Negative Results. 2021. T. 12, №. 2. C. 24-28. https://doi.org/10.47750/pnr.2021.12.02.004
Pauls V.Yu. Dynamics of immune status in myofibrillar myopathy with the T341P DES mutation // Systematic Reviews in Pharmacy. 2020. T. 11, №. 9. C. 818-824. https://doi.org/10.31838/srp.2020.9.116
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Smits W.K., Lyras D., Lacy D.B. et al. Clostridium difficile infection // Nature reviews Disease primers. 2016. T. 2, №. 1. C. 1-20. https://doi.org/10.1038/nrdp.2016.20
Smolina N., Khudiakov A., Knyazeva A. et al. Desmin mutations result in mitochondrial dysfunction regardless of their aggregation properties // BBA-Molecular Basis of Disease. 2020. T. 1866, №. 6. C. 165745. https://doi.org/10.1016/j.bbadis.2020.165745
Spörrer M., Kah D., Gerum R.C. et al. The desmin mutation R349P increases contractility and fragility of stem cell-generated muscle micro-tissues // Neuropathology and Applied Neurobiology. 2022. T. 48, №. 3. C. e12784. https://doi.org/10.1111/nan.12784
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Yoo J.Y., Groer M., Dutra S.V.O. et al. Gut microbiota and immune system interactions // Microorganisms. 2020. T. 8, №. 10. C. 1587. https://doi.org/10.3390/microorganisms8101587
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