Fecal Microbiota in Patients with Irritable Bowel Syndrome Compared with Healthy Controls Using Real-Time Polymerase Chain Reaction: An Evidence of Dysbiosis

Background Dysbiosis may play a role in irritable bowel syndrome (IBS), hitherto an enigmatic disorder. We evaluated selected fecal microbes in IBS patients and healthy controls (HC). Methods Fecal 16S rRNA copy number of selected bacteria was studied using qPCR in 47 patients with IBS (Rome III) an...

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Veröffentlicht in:Digestive diseases and sciences 2015-10, Vol.60 (10), p.2953-2962
Hauptverfasser: Shukla, Ratnakar, Ghoshal, Ujjala, Dhole, Tapan N., Ghoshal, Uday C.
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Ghoshal, Ujjala
Dhole, Tapan N.
Ghoshal, Uday C.
description Background Dysbiosis may play a role in irritable bowel syndrome (IBS), hitherto an enigmatic disorder. We evaluated selected fecal microbes in IBS patients and healthy controls (HC). Methods Fecal 16S rRNA copy number of selected bacteria was studied using qPCR in 47 patients with IBS (Rome III) and 30 HC. Results Of 47 patients, 20 had constipation (IBS-C), 20 diarrhea (IBS-D), and seven unclassified IBS (IBS-U). Relative difference in 16S rRNA copy number of Bifidobacterium ( P  = 0.042) was lower, while those of Ruminococcus productus - Clostridium coccoides ( P  = 0.016), Veillonella ( P  = 0.008), Bacteroides thetaiotamicron ( P  
doi_str_mv 10.1007/s10620-015-3607-y
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We evaluated selected fecal microbes in IBS patients and healthy controls (HC). Methods Fecal 16S rRNA copy number of selected bacteria was studied using qPCR in 47 patients with IBS (Rome III) and 30 HC. Results Of 47 patients, 20 had constipation (IBS-C), 20 diarrhea (IBS-D), and seven unclassified IBS (IBS-U). Relative difference in 16S rRNA copy number of Bifidobacterium ( P  = 0.042) was lower, while those of Ruminococcus productus - Clostridium coccoides ( P  = 0.016), Veillonella ( P  = 0.008), Bacteroides thetaiotamicron ( P  < 0.001), Pseudomonas aeruginosa ( P  < 0.001), and Gram-negative bacteria (GNB, P  = 0.001) were higher among IBS patients than HC. Number of Lactobacillus ( P  = 0.002) was lower, while that of Bacteroides thetaiotamicron ( P  < 0.001) and segmented filamentous bacteria (SFB, P  < 0.001) was higher among IBS-D than IBS-C. Numbers of Bacteroides thetaiotamicron ( P  < 0.001), P. aeruginosa ( P  < 0.001), and GNB ( P  < 0.01) were higher among IBS-C and IBS-D than HC. Quantity of SFB was higher among IBS-D ( P  = 0.011) and lower among IBS-C ( P  = 0.002) than HC. Number of Veillonella species was higher among IBS-C than HC ( P  = 0.002). P. aeruginosa was frequently detected among IBS than HC (46/47 [97.9 %] vs. 10/30 [33.3 %], P  < 0.001). Abdominal distension ( n  = 34/47) was associated with higher number of Bacteroides thetaiotamicron , Clostridium coccoides , P. aeruginosa , SFB, and GNB; bloating ( n  = 22/47) was associated with Clostridium coccoides and GNB. Microbial flora was different among IBS than HC on principal component analysis. Conclusion Fecal microbiota was different among IBS than HC, and different sub-types were associated with different microbiota. P. aeruginosa was more frequent and higher in number among IBS patients.]]></description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-015-3607-y</identifier><identifier>PMID: 25784074</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Aged ; Bacteria ; Bacteroides thetaiotamicron ; Bifidobacterium ; Biochemistry ; Care and treatment ; Case-Control Studies ; Clostridium coccoides ; Comparative analysis ; Diarrhea ; DNA, Bacterial - analysis ; Dysbiosis - microbiology ; Evidence-Based Medicine ; Feces - microbiology ; Female ; Gastroenterology ; Gram-Negative Bacteria - genetics ; Gram-Negative Bacteria - isolation &amp; purification ; Gram-Positive Bacteria - genetics ; Gram-Positive Bacteria - isolation &amp; purification ; Hepatology ; Humans ; Irritable bowel syndrome ; Irritable Bowel Syndrome - microbiology ; Irritable Bowel Syndrome - physiopathology ; Lactobacillus ; Male ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Microbiota (Symbiotic organisms) ; Microbiota - genetics ; Middle Aged ; Oncology ; Original Article ; Polymerase chain reaction ; Pseudomonas aeruginosa ; Real-Time Polymerase Chain Reaction - methods ; Reference Values ; RNA ; Ruminococcus ; Transplant Surgery ; Veillonella ; Young Adult</subject><ispartof>Digestive diseases and sciences, 2015-10, Vol.60 (10), p.2953-2962</ispartof><rights>Springer Science+Business Media New York 2015</rights><rights>COPYRIGHT 2015 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c542t-de68d335abc467084966bbde143026ebb68cbf9b19a516bf5a1c060c15a42d8d3</citedby><cites>FETCH-LOGICAL-c542t-de68d335abc467084966bbde143026ebb68cbf9b19a516bf5a1c060c15a42d8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-015-3607-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-015-3607-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25784074$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shukla, Ratnakar</creatorcontrib><creatorcontrib>Ghoshal, Ujjala</creatorcontrib><creatorcontrib>Dhole, Tapan N.</creatorcontrib><creatorcontrib>Ghoshal, Uday C.</creatorcontrib><title>Fecal Microbiota in Patients with Irritable Bowel Syndrome Compared with Healthy Controls Using Real-Time Polymerase Chain Reaction: An Evidence of Dysbiosis</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description><![CDATA[Background Dysbiosis may play a role in irritable bowel syndrome (IBS), hitherto an enigmatic disorder. We evaluated selected fecal microbes in IBS patients and healthy controls (HC). Methods Fecal 16S rRNA copy number of selected bacteria was studied using qPCR in 47 patients with IBS (Rome III) and 30 HC. Results Of 47 patients, 20 had constipation (IBS-C), 20 diarrhea (IBS-D), and seven unclassified IBS (IBS-U). Relative difference in 16S rRNA copy number of Bifidobacterium ( P  = 0.042) was lower, while those of Ruminococcus productus - Clostridium coccoides ( P  = 0.016), Veillonella ( P  = 0.008), Bacteroides thetaiotamicron ( P  < 0.001), Pseudomonas aeruginosa ( P  < 0.001), and Gram-negative bacteria (GNB, P  = 0.001) were higher among IBS patients than HC. Number of Lactobacillus ( P  = 0.002) was lower, while that of Bacteroides thetaiotamicron ( P  < 0.001) and segmented filamentous bacteria (SFB, P  < 0.001) was higher among IBS-D than IBS-C. Numbers of Bacteroides thetaiotamicron ( P  < 0.001), P. aeruginosa ( P  < 0.001), and GNB ( P  < 0.01) were higher among IBS-C and IBS-D than HC. Quantity of SFB was higher among IBS-D ( P  = 0.011) and lower among IBS-C ( P  = 0.002) than HC. Number of Veillonella species was higher among IBS-C than HC ( P  = 0.002). P. aeruginosa was frequently detected among IBS than HC (46/47 [97.9 %] vs. 10/30 [33.3 %], P  < 0.001). Abdominal distension ( n  = 34/47) was associated with higher number of Bacteroides thetaiotamicron , Clostridium coccoides , P. aeruginosa , SFB, and GNB; bloating ( n  = 22/47) was associated with Clostridium coccoides and GNB. Microbial flora was different among IBS than HC on principal component analysis. Conclusion Fecal microbiota was different among IBS than HC, and different sub-types were associated with different microbiota. P. aeruginosa was more frequent and higher in number among IBS patients.]]></description><subject>Adult</subject><subject>Aged</subject><subject>Bacteria</subject><subject>Bacteroides thetaiotamicron</subject><subject>Bifidobacterium</subject><subject>Biochemistry</subject><subject>Care and treatment</subject><subject>Case-Control Studies</subject><subject>Clostridium coccoides</subject><subject>Comparative analysis</subject><subject>Diarrhea</subject><subject>DNA, Bacterial - analysis</subject><subject>Dysbiosis - microbiology</subject><subject>Evidence-Based Medicine</subject><subject>Feces - microbiology</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gram-Negative Bacteria - genetics</subject><subject>Gram-Negative Bacteria - isolation &amp; purification</subject><subject>Gram-Positive Bacteria - genetics</subject><subject>Gram-Positive Bacteria - isolation &amp; purification</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Irritable bowel syndrome</subject><subject>Irritable Bowel Syndrome - microbiology</subject><subject>Irritable Bowel Syndrome - physiopathology</subject><subject>Lactobacillus</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Medicine, Experimental</subject><subject>Microbiota (Symbiotic organisms)</subject><subject>Microbiota - genetics</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Polymerase chain reaction</subject><subject>Pseudomonas aeruginosa</subject><subject>Real-Time Polymerase Chain Reaction - methods</subject><subject>Reference Values</subject><subject>RNA</subject><subject>Ruminococcus</subject><subject>Transplant Surgery</subject><subject>Veillonella</subject><subject>Young Adult</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkstu1DAUhiNERYfCA7BBltiwSWs7sZ2wG4aWViqignZt2c7JjKvEntoeqjwM74qjKVeBkBe2zvn-c5H_onhB8DHBWJxEgjnFJSasrDgW5fSoWBAmqpIy3jwuFpjw_CaEHxZPY7zFGLeC8CfFIWWiqbGoF8XXMzBqQB-sCV5bnxSyDl2pZMGliO5t2qCLEGxSegD01t_DgD5Prgt-BLTy41YF6PbYOaghbaYcdSn4IaKbaN0afcrh8tpm_MoP0whBxazcqNwmp0yy3r1BS4dOv9gOnAHke_RuinmWaOOz4qBXQ4TnD_dRcXN2er06Ly8_vr9YLS9Lw2qayg5401UVU9rUXOCmbjnXugNSV5hy0Jo3RvetJq1ihOueKWIwx4YwVdMuS4-K1_u62-DvdhCTHG00MAzKgd9FSRpatXVFMPs_KkjVsorSOqOv_kBv_S64vMhMUUEbTKuf1FoNIK3rfQrKzEXlMlO5rWBzreO_UPl0MFrjHfQ2x38TkL0gf2yMAXq5DXZUYZIEy9k9cu8emd0jZ_fIKWtePgy80yN0PxTf7ZIBugdiTrk1hF82-mfVb68LzyE</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Shukla, Ratnakar</creator><creator>Ghoshal, Ujjala</creator><creator>Dhole, Tapan N.</creator><creator>Ghoshal, Uday C.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20151001</creationdate><title>Fecal Microbiota in Patients with Irritable Bowel Syndrome Compared with Healthy Controls Using Real-Time Polymerase Chain Reaction: An Evidence of Dysbiosis</title><author>Shukla, Ratnakar ; Ghoshal, Ujjala ; Dhole, Tapan N. ; Ghoshal, Uday C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-de68d335abc467084966bbde143026ebb68cbf9b19a516bf5a1c060c15a42d8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bacteria</topic><topic>Bacteroides thetaiotamicron</topic><topic>Bifidobacterium</topic><topic>Biochemistry</topic><topic>Care and treatment</topic><topic>Case-Control Studies</topic><topic>Clostridium coccoides</topic><topic>Comparative analysis</topic><topic>Diarrhea</topic><topic>DNA, Bacterial - analysis</topic><topic>Dysbiosis - microbiology</topic><topic>Evidence-Based Medicine</topic><topic>Feces - microbiology</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gram-Negative Bacteria - genetics</topic><topic>Gram-Negative Bacteria - isolation &amp; purification</topic><topic>Gram-Positive Bacteria - genetics</topic><topic>Gram-Positive Bacteria - isolation &amp; purification</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Irritable bowel syndrome</topic><topic>Irritable Bowel Syndrome - microbiology</topic><topic>Irritable Bowel Syndrome - physiopathology</topic><topic>Lactobacillus</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Medicine, Experimental</topic><topic>Microbiota (Symbiotic organisms)</topic><topic>Microbiota - genetics</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Polymerase chain reaction</topic><topic>Pseudomonas aeruginosa</topic><topic>Real-Time Polymerase Chain Reaction - methods</topic><topic>Reference Values</topic><topic>RNA</topic><topic>Ruminococcus</topic><topic>Transplant Surgery</topic><topic>Veillonella</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shukla, Ratnakar</creatorcontrib><creatorcontrib>Ghoshal, Ujjala</creatorcontrib><creatorcontrib>Dhole, Tapan N.</creatorcontrib><creatorcontrib>Ghoshal, Uday C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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We evaluated selected fecal microbes in IBS patients and healthy controls (HC). Methods Fecal 16S rRNA copy number of selected bacteria was studied using qPCR in 47 patients with IBS (Rome III) and 30 HC. Results Of 47 patients, 20 had constipation (IBS-C), 20 diarrhea (IBS-D), and seven unclassified IBS (IBS-U). Relative difference in 16S rRNA copy number of Bifidobacterium ( P  = 0.042) was lower, while those of Ruminococcus productus - Clostridium coccoides ( P  = 0.016), Veillonella ( P  = 0.008), Bacteroides thetaiotamicron ( P  < 0.001), Pseudomonas aeruginosa ( P  < 0.001), and Gram-negative bacteria (GNB, P  = 0.001) were higher among IBS patients than HC. Number of Lactobacillus ( P  = 0.002) was lower, while that of Bacteroides thetaiotamicron ( P  < 0.001) and segmented filamentous bacteria (SFB, P  < 0.001) was higher among IBS-D than IBS-C. Numbers of Bacteroides thetaiotamicron ( P  < 0.001), P. aeruginosa ( P  < 0.001), and GNB ( P  < 0.01) were higher among IBS-C and IBS-D than HC. Quantity of SFB was higher among IBS-D ( P  = 0.011) and lower among IBS-C ( P  = 0.002) than HC. Number of Veillonella species was higher among IBS-C than HC ( P  = 0.002). P. aeruginosa was frequently detected among IBS than HC (46/47 [97.9 %] vs. 10/30 [33.3 %], P  < 0.001). Abdominal distension ( n  = 34/47) was associated with higher number of Bacteroides thetaiotamicron , Clostridium coccoides , P. aeruginosa , SFB, and GNB; bloating ( n  = 22/47) was associated with Clostridium coccoides and GNB. Microbial flora was different among IBS than HC on principal component analysis. Conclusion Fecal microbiota was different among IBS than HC, and different sub-types were associated with different microbiota. P. aeruginosa was more frequent and higher in number among IBS patients.]]></abstract><cop>New York</cop><pub>Springer US</pub><pmid>25784074</pmid><doi>10.1007/s10620-015-3607-y</doi><tpages>10</tpages></addata></record>
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subjects Adult
Aged
Bacteria
Bacteroides thetaiotamicron
Bifidobacterium
Biochemistry
Care and treatment
Case-Control Studies
Clostridium coccoides
Comparative analysis
Diarrhea
DNA, Bacterial - analysis
Dysbiosis - microbiology
Evidence-Based Medicine
Feces - microbiology
Female
Gastroenterology
Gram-Negative Bacteria - genetics
Gram-Negative Bacteria - isolation & purification
Gram-Positive Bacteria - genetics
Gram-Positive Bacteria - isolation & purification
Hepatology
Humans
Irritable bowel syndrome
Irritable Bowel Syndrome - microbiology
Irritable Bowel Syndrome - physiopathology
Lactobacillus
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Microbiota (Symbiotic organisms)
Microbiota - genetics
Middle Aged
Oncology
Original Article
Polymerase chain reaction
Pseudomonas aeruginosa
Real-Time Polymerase Chain Reaction - methods
Reference Values
RNA
Ruminococcus
Transplant Surgery
Veillonella
Young Adult
title Fecal Microbiota in Patients with Irritable Bowel Syndrome Compared with Healthy Controls Using Real-Time Polymerase Chain Reaction: An Evidence of Dysbiosis
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