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Dynamics of the Gut Microbiome in Shigella-Infected Children during the First Two Years of Life.
Ndungo, Esther; Holm, Johanna B; Gama, Syze; Buchwald, Andrea G; Tennant, Sharon M; Laufer, Miriam K; Pasetti, Marcela F; Rasko, David A.
Afiliación
  • Ndungo E; Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Holm JB; Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Gama S; Institute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Buchwald AG; Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Tennant SM; Blantyre Malaria Project, University of Malawi College of Medicine, Blantyre, Malawi.
  • Laufer MK; Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Pasetti MF; Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  • Rasko DA; Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
mSystems ; 7(5): e0044222, 2022 10 26.
Article en En | MEDLINE | ID: mdl-36121169
Shigella continues to be a major contributor to diarrheal illness and dysentery in children younger than 5 years of age in low- and middle-income countries. Strategies for the prevention of shigellosis have focused on enhancing adaptive immunity. The interaction between Shigella and intrinsic host factors, such as the microbiome, remains unknown. We hypothesized that Shigella infection would impact the developing microbial community in infancy and, conversely, that changes in the gastrointestinal microbiome may predispose infections. To test this hypothesis, we characterized the gastrointestinal microbiota in a longitudinal birth cohort from Malawi that was monitored for Shigella infection using 16S rRNA amplicon sequencing. Children with at least one Shigella quantitative polymerase chain reaction (qPCR) positive sample during the first 2 years of life (cases) were compared to uninfected controls that were matched for sex and age. Overall, the microbial species diversity, as measured by the Shannon diversity index, increased over time, regardless of case status. At early time points, the microbial community was dominated by Bifidobacterium longum and Escherichia/Shigella. A greater abundance of Prevotella 9 and Bifidobacterium kashiwanohense was observed at 2 years of age. While no single species was associated with susceptibility to Shigella infection, significant increases in Lachnospiraceae NK4A136 and Fusicatenibacter saccharivorans were observed following Shigella infection. Both taxa are in the family Lachnospiraceae, which are known short-chain fatty acid producers that may improve gut health. Our findings identified temporal changes in the gastrointestinal microbiota associated with Shigella infection in Malawian children and highlight the need to further elucidate the microbial communities associated with disease susceptibility and resolution. IMPORTANCE Shigella causes more than 180 million cases of diarrhea globally, mostly in children living in poor regions. Infection can lead to severe health impairments that reduce quality of life. There is increasing evidence that disruptions in the gut microbiome early in life can influence susceptibility to illnesses. A delayed or impaired reconstitution of the microbiota following infection can further impact overall health. Aiming to improve our understanding of the interaction between Shigella and the developing infant microbiome, we investigated changes in the gut microbiome of Shigella-infected and uninfected children over the course of their first 2 years of life. We identified species that may be involved in recovery from Shigella infection and in driving the microbiota back to homeostasis. These findings support future studies into the elucidation of the interaction between the microbiota and enteric pathogens in young children and into the identification of potential targets for prevention or treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Shigella / Disentería Bacilar / Microbioma Gastrointestinal Tipo de estudio: Prognostic_studies Aspecto: Patient_preference Límite: Child / Child, preschool / Humans / Infant Idioma: En Revista: MSystems Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Shigella / Disentería Bacilar / Microbioma Gastrointestinal Tipo de estudio: Prognostic_studies Aspecto: Patient_preference Límite: Child / Child, preschool / Humans / Infant Idioma: En Revista: MSystems Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos