原发性干燥综合征患者肠道微生物组和代谢组的多方面特征
Multi-faceted characterization of the gut microbiome and metabolome in patients with primary Sjögren syndrome.
Multi-faceted characterization of the gut microbiome and metabolome in patients with primary Sjögren syndrome.
原发性干燥综合征(pSS)的肠道微生物组及其代谢潜能在很大程度上仍未被探索。本研究对206例pSS患者和355例非pSS对照者的粪便样本进行了全宏基因组鸟枪法测序,并将组成和功能谱分析与血清及粪便代谢组学相结合。pSS与广泛的多界微生物改变相关,包括49种细菌(如副血链球菌、唾液乳杆菌和微小韦荣球菌)、19种真菌(尤其是白色念珠菌)和1,323种病毒。这些特征形成了稳健的界间相关性,并在独立验证队列中实现了高诊断准确性。功能和代谢组学分析揭示,患者中毒素相关和芳香族通路富集,而保护性代谢物耗竭。pSS富集的细菌携带大量免疫原性表位、毒力因子和抗菌药物耐药基因,并在离体条件下诱导促炎反应。总之,这些发现勾勒出pSS的多层面微生物框架,并提示肠道菌群失调与免疫失调之间的机制联系。
The gut microbiome and its metabolomic potential in primary Sjögren syndrome (pSS) remain largely unexplored. Here, we perform whole-metagenome shotgun sequencing of fecal samples from 206 pSS patients and 355 non-pSS controls, integrating compositional and functional profiling with serum and fecal metabolomes. pSS is associated with extensive multi-kingdom alterations, including 49 bacterial (e.g., Streptococcus parasanguinis, Ligilactobacillus salivarius, and Veillonella parvula), 19 fungal (notably Candida albicans), and 1,323 viral species. These signatures form robust inter-kingdom correlations and achieve high diagnostic accuracy in an independent validation cohort. Functional and metabolomic analyses reveal enrichment of toxin-related and aromatic pathways and depletion of protective metabolites in patients. pSS-enriched bacteria harbor abundant immunogenic epitopes, virulence factors, and antimicrobial resistance genes, and induce proinflammatory responses ex vivo. Together, these findings outline a multi-faceted microbial framework for pSS and suggest mechanistic links between gut dysbiosis and immune dysregulation.
Changming Chen, Yida Xing, Guorui Xing, Fanxin Zeng, Ning Zheng, Shanshan Sha, et al. Multi-faceted characterization of the gut microbiome and metabolome in patients with primary Sjögren syndrome.. Cell reports. Medicine. 2026; doi:10.1016/j.xcrm.2026.102777.
Changming Chen, Yida Xing, Guorui Xing, Fanxin Zeng, Ning Zheng, Shanshan Sha, et al (2026). Multi-faceted characterization of the gut microbiome and metabolome in patients with primary Sjögren syndrome.. Cell reports. Medicine. https://doi.org/10.1016/j.xcrm.2026.102777
Changming Chen, Yida Xing, Guorui Xing, Fanxin Zeng, Ning Zheng, Shanshan Sha, et al. Multi-faceted characterization of the gut microbiome and metabolome in patients with primary Sjögren syndrome.[J]. Cell reports. Medicine, 2026 doi:10.1016/j.xcrm.2026.102777.
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