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  4. Relationship between gut microbiota and lymphocyte subsets in Chinese Han patients with spinal cord injury

Relationship between gut microbiota and lymphocyte subsets in Chinese Han patients with spinal cord injury

Frontiers in Microbiology, 2022 · DOI: 10.3389/fmicb.2022.986480 · Published: September 26, 2022

Spinal Cord InjuryImmunologyGastroenterology

Simple Explanation

This study investigates the gut microbiota and lymphocyte subsets in Chinese Han patients with spinal cord injury (SCI). The gut microbiota of patients with SCI is associated with lymphocyte subsets. Therefore, it is possible to improve immune dysregulation in SCI patients by modulating gut microbiota, which may serve as a new therapeutic method for SCI. Spinal cord injury can cause suppression of the non-specific and specific immune function, which is called spinal cord injury induced immune depression syndrome (SCIIDS). The underlying mechanism of SCIIDS remains unclear. Studies have found that the gut microbiota is closely related to immune function, and the disruption of the gut microbiota can lead to immune dysfunction. This study used 16S rDNA high-throughput sequencing and bioinformatics methods to analyze the changes of the gut microbiota in SCI patients. The relationship of the gut microbiota with lymphocyte subsets was analyzed. Our findings may provide a new treatment alternative for improving the immune dysregulation in SCI patients by regulating the gut microbiota.

Study Duration
Not specified
Participants
23 SCI patients and 21 healthy controls
Evidence Level
Original Research

Key Findings

  • 1
    CD4 + cells, CD4 + /CD8 + ratio and CD4 + CD8 + cells in peripheral blood of SCI patients were significantly lower than those of the control group.
  • 2
    The gut microbiota community diversity index of SCI patients was significantly higher than that of healthy controls.
  • 3
    The relative abundance of Lachnospiraceae, Ruminococcaceae, and Escherichia-Shigella increased significantly, while the butyrate producing bacteria (Fusobacterium) that were beneficial to the gut were dramatically decreased.

Research Summary

This study aimed to investigate the changes in lymphocyte subsets and gut microbiota in Chinese Han patients with SCI. It enrolled 23 SCI patients and 21 healthy controls, collecting blood and fecal samples for analysis. The study found significantly lower levels of CD4+ cells, CD4+/CD8+ ratio, and CD4+CD8+ cells in SCI patients compared to controls. The gut microbiota diversity was significantly higher in SCI patients, with increased abundance of Lachnospiraceae, Ruminococcaceae, and Escherichia-Shigella, and decreased butyrate-producing bacteria. Correlation analysis revealed specific bacterial genera correlated with T lymphocyte subsets, NK cells, and B cells in SCI patients. These results suggest that gut microbiota in SCI patients is associated with lymphocyte subsets, offering a potential therapeutic avenue.

Practical Implications

Therapeutic potential for SCI

Modulating gut microbiota may improve immune dysregulation in SCI patients, providing a new therapeutic method.

Personalized treatment strategies

Understanding the specific correlations between gut microbiota and immune cells can lead to personalized treatment strategies targeting gut dysbiosis.

Diagnostic value for SCIIDS

Identifying key microbial markers associated with SCIIDS may aid in the development of standard diagnostic criteria.

Study Limitations

  • 1
    Lack of standard diagnostic criteria for SCIIDS
  • 2
    Insufficient sample size
  • 3
    Causal relationship between immune response and gut microbiota after SCI should be further clarified

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