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Chinese Journal of Antituberculosis ›› 2019, Vol. 41 ›› Issue (9): 985-992.doi: 10.3969/j.issn.1000-6621.2019.09.013

• Original Articles • Previous Articles     Next Articles

Fingerprint analysis of gut microbiota by denaturing gradient gel electrophoresis in newly diagnosed tuberculosis patients

Han YANG,Huan LI,Jun XI,Ai-fang LI,Ji-ru XU()   

  1. Department of Microbial Immunology, College of Basic Medicine, Xi’an Jiaotong University, Xi’an 710061, China
  • Received:2019-05-06 Online:2019-09-10 Published:2019-09-06
  • Contact: Ji-ru XU E-mail:xujiru@mail.xjtu.edu.cn

Abstract:

Objective To analyze the difference in gut microbiota between normal and newly diagnosed tuberculosis patients.Methods From August 2017 to July 2018, 2 to 3 copies of the fecal specimens of healthy medical examinations that met the inclusion criteria were collected at the fixed time every month in the Xi’dian Group Hospital. Specimens collection was stopped after collecting 30 specimens which served as the control group. The fecal specimens of patients with newly diagnosed tuberculosis were collected from August 2017 to July 2018 in the Xi’an Chest Hospital. Similarly, inclusion was stopped once 30 specimens were collected as the tuberculosis group. The diversity and similarity of gut microbiota in the control group and the tuberculosis group were analyzed by denaturing gradient gel electrophoresis, and the proportion of the bacteria groups in the main bands after polymerase chain reaction-denaturing gradient gel electrophoresis was analyzed.Results The number of bands (13.57±3.37) and the diversity index of the bacteria (H' index; 2.55±0.27) in the control group were significantly higher than those in the tuberculosis group ((8.60±4.19) and 1.99±0.52)), respectively, with the statistically significant differences (t=12.55, P<0.001; t=6.75, P<0.001). A statistically significant difference (Z=-73.38, P<0.001) was found in the intra-group Dice similarity coefficient (Cs) between the control group (22.90% (16.20%, 29.30%)) and the tuberculosis group ((35.35% (23.73%, 44.98%)) (both indicate the median and quartile). Sequencing alignment showed that the main gut microbiota of the control group and the tuberculosis group were mainly Bacteroides, accounting for 73.96% (179/242) and 79.40% (158/199), respectively. The proportion of Prevotella (9.04%, 18/199) in the tuberculosis group was lower than that in the control group (24.38%, 59/242), and the difference was statistically significant (χ 2=17.82, P<0.001). The proportion of Uncultured bacterium genus in the tuberculosis group (11.56%, 23/199) was higher than that in the control group (0, 0/242), and the difference was statistically significant (χ 2=29.51, P<0.001). Conclusion The gut microbiota of healthy people and tuberculosis patients are different due to different immune functions. The occurrence of tuberculosis may result in the changes in the composition ratio of Prevotella and Uncultured bacterium.

Key words: Tuberculosis, Intestines, Bacteria, Polydeoxyribonucleotides, Denaturing gradient gel electrophoresis