Distinctive Gut Microbiota Alteration Is Associated with Poststroke Functional Recovery : Results from a Prospective Cohort Study

Copyright © 2021 Yini Dang et al.

Bibliographische Detailangaben
Veröffentlicht in:Neural plasticity. - 1998. - 2021(2021) vom: 25., Seite 1469339
1. Verfasser: Dang, Yini (VerfasserIn)
Weitere Verfasser: Zhang, Xintong, Zheng, Yu, Yu, Binbin, Pan, Dijia, Jiang, Xiaomin, Yan, Chengjie, Yu, Qiuyu, Lu, Xiao
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2021
Zugriff auf das übergeordnete Werk:Neural plasticity
Schlagworte:Journal Article Research Support, Non-U.S. Gov't
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520 |a Objectives: Functional prognosis is potentially correlated with gut microbiota alterations following the dysregulation of the gut-microbiota-brain axis after stroke. This study was designed to explore the poststroke alterations of gut microbiota and potential correlations between gut microbiota and global functions 
520 |a Methods: A total of thirty-eight patients with stroke and thirty-five healthy demographics-matched controls were recruited. Their fecal DNAs were extracted, and the V3-V4 regions of the conserved bacterial 16S RNA were amplified and sequenced on the Illumina MiSeq platform. Microbial composition, diversity indices, and species cooccurrence were compared between groups. Random forest and receiver operating characteristic analysis were used to identify potential diagnostic biomarkers. Relationships between discriminant bacteria and poststroke functional outcomes were estimated 
520 |a Results: Higher alpha diversity of gut microbiota was observed in poststroke patients as compared to the healthy controls (p < 0.05). Beta diversity showed that microbiota composition in the poststroke group was significantly different from that in the control group. Relative abundance of nine genera increased significantly in poststroke patients, while 82 genera significantly decreased (p < 0.05). The accuracy, specificity, and susceptibility of the optimal model consisted of the top 10 discriminant species were 93%, 100%, and 86%, respectively. Subgroup analysis showed that bacterial taxa abundant between subacute and chronic stroke patients were overall different (p < 0.05). The modified Rankin scale (mRS) (r = -0.370, p < 0.05), Fugl-Meyer assessment (FMA) score (r = 0.364, p < 0.05), water swallow test (WST) (r = 0.340, p < 0.05), and Barthel index (BI) (r = 0.349, p < 0.05) were significantly associated with alterations of distinctive gut microbiota 
520 |a Conclusions: The gut microbiota in patients with stroke was significantly changed in terms of richness and composition. Significant associations were detected between alterations of distinctive gut microbiota and global functional prognosis. It would facilitate novel treatment target selection in the context of stroke while the causal relationships between distinctive gut microbiota alterations and functional variations need to be further verified with well-designed studies 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
700 1 |a Zhang, Xintong  |e verfasserin  |4 aut 
700 1 |a Zheng, Yu  |e verfasserin  |4 aut 
700 1 |a Yu, Binbin  |e verfasserin  |4 aut 
700 1 |a Pan, Dijia  |e verfasserin  |4 aut 
700 1 |a Jiang, Xiaomin  |e verfasserin  |4 aut 
700 1 |a Yan, Chengjie  |e verfasserin  |4 aut 
700 1 |a Yu, Qiuyu  |e verfasserin  |4 aut 
700 1 |a Lu, Xiao  |e verfasserin  |4 aut 
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