Colonization of intervertebral discs by Cutibacterium acnes in patients with low back pain: Protocol for an analytical study with microbiological, phenotypic, genotypic, and multiomic techniques

Lumbar disc degeneration (LDD) and low back pain (LBP) are two conditions that are closely related. Several studies have shown Cutibacterium acnes colonization of degenerated discs, but whether and how these finding correlates with LBP is unknown. A prospective study was planned to identify molecule...

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Veröffentlicht in:PloS one 2023-02, Vol.18 (2), p.e0271773-e0271773
Hauptverfasser: Magno da Rocha, Vinícius, Lima, Carla Ormundo Gonçalves Ximenes, Ferreira, Eliane de Oliveira, de Farias, Gabriel Corrêa, Nogueira, Fábio César Sousa, Martha Antunes, Luis Caetano, Cassiano, Keila Mara, Fiorelli, Rossano Kepler Alvim
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container_volume 18
creator Magno da Rocha, Vinícius
Lima, Carla Ormundo Gonçalves Ximenes
Ferreira, Eliane de Oliveira
de Farias, Gabriel Corrêa
Nogueira, Fábio César Sousa
Martha Antunes, Luis Caetano
Cassiano, Keila Mara
Fiorelli, Rossano Kepler Alvim
description Lumbar disc degeneration (LDD) and low back pain (LBP) are two conditions that are closely related. Several studies have shown Cutibacterium acnes colonization of degenerated discs, but whether and how these finding correlates with LBP is unknown. A prospective study was planned to identify molecules present in lumbar intervertebral discs (LLIVD) colonized by C. acnes in patients with LDD and LBP and correlate them with their clinical, radiological, and demographic profiles. The clinical manifestations, risk factors, and demographic characteristics of participants undergoing surgical microdiscectomy will be tracked. Samples will be isolated and pathogens found in LLIVD will be characterized phenotypically and genotypically. Whole genome sequencing (WGS) of isolated species will be used to phylotype and detect genes associated with virulence, resistance, and oxidative stress. Multiomic analyses of LLIVD colonized and non-colonized will be carried out to explain not only the pathogen's role in LDD, but also its involvement in the pathophysiology of LBP. This study was approved by the Institutional Review Board (CAAE 50077521.0.0000.5258). All patients who agree to participate in the study will sign an informed consent form. Regardless of the study's findings, the results will be published in a peer-reviewed medical journal. Trials registration number NCT05090553; pre-results.
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William</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colonization of intervertebral discs by Cutibacterium acnes in patients with low back pain: Protocol for an analytical study with microbiological, phenotypic, genotypic, and multiomic techniques</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-02-27</date><risdate>2023</risdate><volume>18</volume><issue>2</issue><spage>e0271773</spage><epage>e0271773</epage><pages>e0271773-e0271773</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Lumbar disc degeneration (LDD) and low back pain (LBP) are two conditions that are closely related. Several studies have shown Cutibacterium acnes colonization of degenerated discs, but whether and how these finding correlates with LBP is unknown. A prospective study was planned to identify molecules present in lumbar intervertebral discs (LLIVD) colonized by C. acnes in patients with LDD and LBP and correlate them with their clinical, radiological, and demographic profiles. The clinical manifestations, risk factors, and demographic characteristics of participants undergoing surgical microdiscectomy will be tracked. Samples will be isolated and pathogens found in LLIVD will be characterized phenotypically and genotypically. Whole genome sequencing (WGS) of isolated species will be used to phylotype and detect genes associated with virulence, resistance, and oxidative stress. Multiomic analyses of LLIVD colonized and non-colonized will be carried out to explain not only the pathogen's role in LDD, but also its involvement in the pathophysiology of LBP. This study was approved by the Institutional Review Board (CAAE 50077521.0.0000.5258). All patients who agree to participate in the study will sign an informed consent form. Regardless of the study's findings, the results will be published in a peer-reviewed medical journal. Trials registration number NCT05090553; pre-results.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36848344</pmid><doi>10.1371/journal.pone.0271773</doi><tpages>e0271773</tpages><orcidid>https://orcid.org/0000-0001-5507-7142</orcidid><orcidid>https://orcid.org/0000-0003-1686-0788</orcidid><orcidid>https://orcid.org/0000-0002-9977-6460</orcidid><oa>free_for_read</oa></addata></record>
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subjects Analysis
Antibiotics
Back pain
Back surgery
Biofilms
Biology and Life Sciences
Care and treatment
Causes of
Clinical trials
Colonization
Computer and Information Sciences
Control
Cutibacterium acnes
Degeneration
Demographics
Demography
Diagnosis
Engineering and Technology
Gene sequencing
Genomes
Hernia
Humans
Hypotheses
Identification and classification
Informed consent
Intervertebral Disc
Intervertebral Disc Degeneration - genetics
Intervertebral discs
Intervertebral disk
Intervertebral disk displacement
Laboratories
Low back pain
Low Back Pain - genetics
Medicine and Health Sciences
Multiomics
Oxidation resistance
Oxidative stress
Pain
Pathogenic microorganisms
Pathogens
Patients
Physical Sciences
Propionibacterium acnes - genetics
Prospective Studies
Prostheses
Proteins
Research and Analysis Methods
Review boards
Risk factors
Study Protocol
Virulence
Virulence (Microbiology)
Whole genome sequencing
title Colonization of intervertebral discs by Cutibacterium acnes in patients with low back pain: Protocol for an analytical study with microbiological, phenotypic, genotypic, and multiomic techniques
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