临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (4): 264-.doi: 10.3969/j.issn.1000-3606.2020.04.006

• 综合报道 • 上一篇    下一篇

注意缺陷多动障碍患儿的肠道菌群特征

张珊,万林,孙于林,杨光   

  1. 解放军总医院第一医学中心儿内科(北京 100853)
  • 出版日期:2020-04-15 发布日期:2020-04-15
  • 通讯作者: 杨光 电子信箱:Email:yangg301@sina.com
  • 基金资助:
    国家自然科学基金面上项目(No.81671279);国家重点研发计划(No.2018YFC1002500)

Characteristics of gut microbiota in children with attention deficit hyperactivity disorder

ZHANG Shan, WAN Lin, SUN Yulin, YANG Guang   

  1. Department of Pediatric, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
  • Online:2020-04-15 Published:2020-04-15

摘要: 目的 探索注意缺陷多动障碍(ADHD)患儿肠道菌群分布特征,以及肠道菌群在其发病过程中的可能作用 及其机制。方法 采用病例对照研究方法,2019年1月至2019年6月选取6~12岁ADHD患儿17例,并征集同年龄健康儿 童17例为对照,进行粪便菌群的宏基因组测序及分析,比较组间菌群α多样性及物种分类(属、种)的相对丰度等差异。 结果 ADHD患儿与对照组肠道菌群的α多样性差异无统计学意义(P>0.05)。 在菌属水平上,ADHD患儿的粪肠杆菌属 Facelibacterium及韦荣球菌属Veillonellaceae丰度降低,气味杆菌属 Odoribacter丰度增高,差异均有统计学意义(P<0.05)。 肠球菌属Enterococcus增高,差异有统计学意义(LDA>2)。 在菌种水平上,ADHD患儿普氏栖粪杆菌Faecalibacterium prausnitzii、毛螺科菌Lachnospiraceae bacterium以及活泼瘤胃球菌Ruminococcus gnavus丰度降低,而粪拟杆菌Bacteroides caccae、内脏拟杆菌Odoribacter splanchnicus、木假单胞菌Paraprevotella xylaniphila以及小韦荣球菌Veillonella parvula丰 度增高,差异有统计学意义(P<0.05)。 结论 ADHD患儿的肠道菌群构成存在异常。

关键词: 注意缺陷多动障碍; 肠道菌群; 宏基因组测序; 儿童

Abstract: Objective To explore the distribution characteristics of gut microbiota in children with attention deficit hyperactivity disorder (ADHD) and its possible role and mechanism in the pathogenesis of ADHD. Methods Case-control study was used in this study. From January 2019 to June 2019, 17 ADHD children aged 6-12 years were selected, and 17 healthy children of the same age were recruited as controls. Metagenomic sequencing and analysis of fecal microflora were carried out to compare the Alpha diversity of microflora and the relative abundance of species classification (genus and species) between groups. Results There was no significant difference in Alpha diversity of gut microbiota between ADHD and control groups (P>0.05). At the level of bacteria genus, compared with healthy children, the abundance of Facelibacterium and Veillonellaceae was reduced while the abundance of Odoribacter was increased in ADHD children, and differences were statistically significant (P<0.05). Furthermore, Enterococcus were significantly increased (LDA>2). At the level of bacteria species, the abundance of Faecalibacterium prausnitzii, Lachnospiraceae bacterium and Ruminococcus gnavus was decreased, while the abundance of Bacteroides caccae, Odoribacter splanchnicus, Paraprevotella xylaniphila and Veillonella parvula was increased in ADHD children, and there were significantly differences (P<0.05). Conclusion The composition of gut microbiota in ADHD children was abnormal.

Key words:  attention deficit hyperactivity disorder; gut microbiota; macrogenomic sequencing; child