Profiling gut microbiota and bile acid metabolism in critically ill children.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
21 06 2022
Historique:
received: 24 11 2021
accepted: 26 05 2022
entrez: 21 6 2022
pubmed: 22 6 2022
medline: 24 6 2022
Statut: epublish

Résumé

Broad-spectrum antimicrobial use during the treatment of critical illness influences gastrointestinal fermentation endpoints, host immune response and metabolic activity including the conversion of primary to secondary bile acids. We previously observed reduced fermentation capacity in the faecal microbiota of critically ill children upon hospital admission. Here, we further explore the timecourse of the relationship between the microbiome and bile acid profile in faecal samples collected from critically ill children. The microbiome was assayed by sequencing of the 16S rRNA gene, and faecal water bile acids were measured by liquid chromatography mass spectrometry. In comparison to admission faecal samples, members of the Lachnospiraceae recovered during the late-acute phase (days 8-10) of hospitalisation. Patients with infections had a lower proportion of Lachnospiraceae in their gut microbiota than controls and patients with primary admitting diagnoses. Keystone species linked to ecological recovery were observed to decline with the length of PICU admission. These species were further suppressed in patients with systemic infection, respiratory failure, and undergoing surgery. Bile acid composition recovers quickly after intervention for critical illness which may be aided by the compositional shift in Lachnospiraceae. Our findings suggest gut microbiota recovery can be readily assessed via measurement of faecal bile acids.

Identifiants

pubmed: 35729169
doi: 10.1038/s41598-022-13640-0
pii: 10.1038/s41598-022-13640-0
pmc: PMC9213539
doi:

Substances chimiques

Bile Acids and Salts 0
RNA, Ribosomal, 16S 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

10432

Subventions

Organisme : Wellcome Trust
ID : 215515
Pays : United Kingdom
Organisme : Department of Health
ID : BRC-1215-20014
Pays : United Kingdom

Informations de copyright

© 2022. The Author(s).

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Auteurs

Iain Robert Louis Kean (IRL)

Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom. irlk2@cam.ac.uk.

Joseph Wagner (J)

The Peter Doherty Institute for Infection and Immunity, Melbourne Health, Melbourne, Australia.
Wellcome Sanger Institute, Cambridge, United Kingdom.

Anisha Wijeyesekera (A)

Department of Food and Nutritional Sciences, University of Reading, Reading, United Kingdom.

Marcus De Goffau (M)

Wellcome Sanger Institute, Cambridge, United Kingdom.
Department of Experimental Vascular Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom.

Sarah Thurston (S)

Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Department of Haematology, University of Cambridge, Cambridge, United Kingdom.

John A Clark (JA)

Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom.

Deborah K White (DK)

Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom.

Jenna Ridout (J)

Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
EACH, Milton, Cambridge, United Kingdom.

Shruti Agrawal (S)

Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, United Kingdom.

Riaz Kayani (R)

Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, United Kingdom.

Roddy O'Donnell (R)

Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, United Kingdom.

Padmanabhan Ramnarayan (P)

Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
St Mary's Hospital, London, United Kingdom.

Mark J Peters (MJ)

Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
UCL Great Ormond Street Institute of Child Health, London, United Kingdom.

Nigel Klein (N)

Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
UCL Great Ormond Street Institute of Child Health, London, United Kingdom.

Elaine Holmes (E)

Section of Biomolecular Medicine, Division of Systems Medicine, Department of Metabolism, Digestion and Reproduction, Imperial College London, London, United Kingdom.

Julian Parkhill (J)

Wellcome Sanger Institute, Cambridge, United Kingdom.
Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom.

Stephen Baker (S)

Cambridge Institute of Therapeutic Immunology and Infectious Disease, Jeffrey Cheah Biomedical Centre, University of Cambridge, Cambridge, United Kingdom.
Department of Medicine, University of Cambridge, Cambridge, United Kingdom.

Nazima Pathan (N)

Department of Paediatrics, University of Cambridge, Cambridge, United Kingdom.
Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, United Kingdom.

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