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Gut microbiota dysbiosis in patients with hepatitis B virus-related cirrhosis
Authors:Wu Shu  Chen Shanjian  Lin Jinpiao  Ou Qishui
Institution:1. The First Affiliated Hospital of Fujian Medical University, No. 20 Chazhong Road, Fuzhou, CN;2. Fujian Key Laboratory of Laboratory Medicine, Fuzhou, CN;3. Gene Diagnosis Research Center, Fujian Medical University, Fuzhou, CN
Abstract:Introduction and aimChronic hepatitis B (CHB) is a global epidemic disease that results from hepatitis B virus (HBV) infection and may progress to liver cirrhosis. The relationship between hepatitis B virus-related cirrhosis (HBV-RC) and gut microbiota dysbiosis is still unclear. The aim of this study is to elucidate the compositional and functional characteristics of the gut microbiota in the patients with liver cirrhosis and healthy individuals.Materials and methodsWe analyzed the gut microbiome in patients with HBV-RC and healthy individuals by 16S rRNA sequencing and metagenomic sequencing of fecal samples. A total of 113 genera, 85 families, 57 orders, 44 classes and 21 phyla were performed.ResultsOur results suggests that the composition of the gut microbiota had changed in the early stages of cirrhosis. We further identified more than 17 genera with different richness in compensated and decompensated cirrhosis groups. PICRUSt analysis showed that changes in bacterial composition can lead to significant changes in gene function, which may be one of the causes of liver cirrhosis.ConclusionOur study demonstrated that the composition of gut microbiota changed at different phases of HBV-RC. Gut microbiome transformation may be a biological factor in the progression of cirrhosis.
Keywords:Gut microbiota  Liver cirrhosis  Hepatitis B virus  Dysbiosis  Metagenomic sequencing  ALP  Alkaline Phosphatase  ALT  Alanine aminotransferase  AST  Aspartate aminotransferase  CHB  Chronic Hepatitis B  CTP scoring  Child-Turcotte-Pugh scoring  HBV  Hepatitis B Virus  HBV-RC  Hepatitis B Virus-Related Cirrhosis  HDL  High-Density Lipoprotein  LDA  Linear Discriminant Analysis  LDL  Low-Density Lipoprotein  LEfSe  LDA Effect Size  OTUs  Operational Taxonomic Units  PC  Platelet Count  PICRUSt  Phylogenetic Investigation of Communities by Reconstruction of Unobserved States  PLS-DA  Partial Least Squares Discriminant Analysis  PT  Prothrombin Time  SCFAs  Short-Chain Fatty Acids  TG  Triglycerides  TP  Total Protein
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