Gut microbiota dysbiosis in Chinese children with type 1 diabetes mellitus:An observational study

BACKGROUND Gut microbiota dysbiosis is reportedly actively involved in autoimmune diseases such as type 1 diabetes mellitus(T1DM).However,the alterations in the gut microbiota and their correlation with fasting blood glucose(FBG)in Chinese children with T1DM remain unclear.AIM To investigate alterations in the gut microbiota in Chinese children with T1DM and their associations with clinical indicators.METHODS Samples from 51 children with T1DM and 47 age-matched and gender-matched healthy controls were obtained,to explore the structural and functional alterations in the fecal microbiota.The V3-V4 regions of the 16S rRNA gene were sequenced on a MiSeq instrument,and the association with FBG were analyzed.RESULTS We found that the bacterial diversity was significantly increased in the T1DMassociated fecal microbiota,and changes in the microbial composition were observed at different taxonomic levels.The T1DM-reduced differential taxa,such as Bacteroides vulgatus ATCC8482,Bacteroides ovatus,Bacteroides xylanisolvens,and Flavonifractor plautii,were negatively correlated with FBG,while the T1DMenriched taxa,such as Blautia,Eubacterium hallii group,Anaerostipes hadrus,and Dorea longicatena,were positively correlated with FBG.Bacteroides vulgatus ATCC8482,Bacteroides ovatus,the Eubacterium hallii group,and Anaerostipes hadrus,either alone or in combination,could be used as noninvasive diagnostic biomarkers to discriminate children with T1DM from healthy controls.In addition,the functional changes in the T1DM-associated fecal microbiota also suggest that these fecal microbes were associated with altered functions and metabolic activities,such as glycan biosynthesis and metabolism and lipid metabolism,which might play vital roles in the pathogenesis and development of T1DM.CONCLUSION Our present comprehensive investigation of the T1DM-associated fecal microbiota provides novel insights into the pathogenesis of the disease and sheds light on the diagnosis and treatment of T1DM.

Correction to“Gut microbiota dysbiosis in Chinese children with type 1 diabetes mellitus:An observational study”

Liu X,Cheng YW,Shao L,Sun SH,Wu J,Song QH,Zou HS,Ling ZX.Gut microbiota dysbiosis in Chinese children with type 1 diabetes mellitus:An observational study.World J Gastroenterol 2021;27(19):2394-2414[PMID:34040330 DOI:10.3748/wjg.v27.i19.2394].In this article,the affiliation of the first author was wrong.Xia Liu,the first author,belonged to Department of Intensive Care Unit,The First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,310003,China.

慢性丙型肝炎患者的血清维生素D与严重肝纤维化相关性研究:系统性的荟萃分析(英文)

研究目的:利用meta分析方法来探索慢性丙型肝炎患者低血清维生素D水平与严重肝纤维化相关性。创新要点:丙型病毒性肝炎病人的低血清维生素D水平与严重肝纤维化并不一定有相关性。研究方法:结合已发表的临床研究数据,采用荟萃分析方法,定量分析低血清维生素D水平与慢性丙型肝炎患者严重肝纤维化相关性(图2;表2)。重要结论:此荟萃分析对于认识丙型肝炎病人低血清维生素D水平与肝纤维化严重程度的相关性有重要意义,对未来相关临床研究具有指导意义。