Gut dysbiosis induces the development of pre-eclampsia through bacterial translocation
ObjectivePre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic diseases, but the role of gut microbiome in the pathogenesis of PE remains unknown.DesignWe performed a case–control study to compare the faecal m...
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Published in | Gut Vol. 69; no. 3; pp. 513 - 522 |
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Main Authors | , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
BMJ Publishing Group Ltd and British Society of Gastroenterology
01.03.2020
BMJ Publishing Group LTD |
Subjects | |
Online Access | Get full text |
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Abstract | ObjectivePre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic diseases, but the role of gut microbiome in the pathogenesis of PE remains unknown.DesignWe performed a case–control study to compare the faecal microbiome of PE and normotensive pregnant women by 16S ribosomal RNA (rRNA) sequencing. To address the causative relationship between gut dysbiosis and PE, we used faecal microbiota transplantation (FMT) in an antibiotic-treated mouse model. Finally, we determined the microbiome translocation and immune responses in human and mouse placental samples by 16S rRNA sequencing, quantitative PCR and in situ hybridisation.ResultsPatients with PE showed reduced bacterial diversity with obvious dysbiosis. Opportunistic pathogens, particularly Fusobacterium and Veillonella, were enriched, whereas beneficial bacteria, including Faecalibacterium and Akkermansia, were markedly depleted in the PE group. The abundances of these discriminative bacteria were correlated with blood pressure (BP), proteinuria, aminotransferase and creatinine levels. On successful colonisation, the gut microbiome from patients with PE triggered a dramatic, increased pregestational BP of recipient mice, which further increased after gestation. In addition, the PE-transplanted group showed increased proteinuria, embryonic resorption and lower fetal and placental weights. Their T regulatory/helper-17 balance in the small intestine and spleen was disturbed with more severe intestinal leakage. In the placenta of both patients with PE and PE-FMT mice, the total bacteria, Fusobacterium, and inflammatory cytokine levels were significantly increased.ConclusionsThis study suggests that the gut microbiome of patients with PE is dysbiotic and contributes to disease pathogenesis. |
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AbstractList | ObjectivePre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic diseases, but the role of gut microbiome in the pathogenesis of PE remains unknown.DesignWe performed a case–control study to compare the faecal microbiome of PE and normotensive pregnant women by 16S ribosomal RNA (rRNA) sequencing. To address the causative relationship between gut dysbiosis and PE, we used faecal microbiota transplantation (FMT) in an antibiotic-treated mouse model. Finally, we determined the microbiome translocation and immune responses in human and mouse placental samples by 16S rRNA sequencing, quantitative PCR and in situ hybridisation.ResultsPatients with PE showed reduced bacterial diversity with obvious dysbiosis. Opportunistic pathogens, particularly Fusobacterium and Veillonella, were enriched, whereas beneficial bacteria, including Faecalibacterium and Akkermansia, were markedly depleted in the PE group. The abundances of these discriminative bacteria were correlated with blood pressure (BP), proteinuria, aminotransferase and creatinine levels. On successful colonisation, the gut microbiome from patients with PE triggered a dramatic, increased pregestational BP of recipient mice, which further increased after gestation. In addition, the PE-transplanted group showed increased proteinuria, embryonic resorption and lower fetal and placental weights. Their T regulatory/helper-17 balance in the small intestine and spleen was disturbed with more severe intestinal leakage. In the placenta of both patients with PE and PE-FMT mice, the total bacteria, Fusobacterium, and inflammatory cytokine levels were significantly increased.ConclusionsThis study suggests that the gut microbiome of patients with PE is dysbiotic and contributes to disease pathogenesis. Pre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic diseases, but the role of gut microbiome in the pathogenesis of PE remains unknown. We performed a case-control study to compare the faecal microbiome of PE and normotensive pregnant women by 16S ribosomal RNA (rRNA) sequencing. To address the causative relationship between gut dysbiosis and PE, we used faecal microbiota transplantation (FMT) in an antibiotic-treated mouse model. Finally, we determined the microbiome translocation and immune responses in human and mouse placental samples by 16S rRNA sequencing, quantitative PCR and in situ hybridisation. Patients with PE showed reduced bacterial diversity with obvious dysbiosis. Opportunistic pathogens, particularly and , were enriched, whereas beneficial bacteria, including and , were markedly depleted in the PE group. The abundances of these discriminative bacteria were correlated with blood pressure (BP), proteinuria, aminotransferase and creatinine levels. On successful colonisation, the gut microbiome from patients with PE triggered a dramatic, increased pregestational BP of recipient mice, which further increased after gestation. In addition, the PE-transplanted group showed increased proteinuria, embryonic resorption and lower fetal and placental weights. Their T regulatory/helper-17 balance in the small intestine and spleen was disturbed with more severe intestinal leakage. In the placenta of both patients with PE and PE-FMT mice, the total bacteria, , and inflammatory cytokine levels were significantly increased. This study suggests that the gut microbiome of patients with PE is dysbiotic and contributes to disease pathogenesis. Pre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic diseases, but the role of gut microbiome in the pathogenesis of PE remains unknown.OBJECTIVEPre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic diseases, but the role of gut microbiome in the pathogenesis of PE remains unknown.We performed a case-control study to compare the faecal microbiome of PE and normotensive pregnant women by 16S ribosomal RNA (rRNA) sequencing. To address the causative relationship between gut dysbiosis and PE, we used faecal microbiota transplantation (FMT) in an antibiotic-treated mouse model. Finally, we determined the microbiome translocation and immune responses in human and mouse placental samples by 16S rRNA sequencing, quantitative PCR and in situ hybridisation.DESIGNWe performed a case-control study to compare the faecal microbiome of PE and normotensive pregnant women by 16S ribosomal RNA (rRNA) sequencing. To address the causative relationship between gut dysbiosis and PE, we used faecal microbiota transplantation (FMT) in an antibiotic-treated mouse model. Finally, we determined the microbiome translocation and immune responses in human and mouse placental samples by 16S rRNA sequencing, quantitative PCR and in situ hybridisation.Patients with PE showed reduced bacterial diversity with obvious dysbiosis. Opportunistic pathogens, particularly Fusobacterium and Veillonella, were enriched, whereas beneficial bacteria, including Faecalibacterium and Akkermansia, were markedly depleted in the PE group. The abundances of these discriminative bacteria were correlated with blood pressure (BP), proteinuria, aminotransferase and creatinine levels. On successful colonisation, the gut microbiome from patients with PE triggered a dramatic, increased pregestational BP of recipient mice, which further increased after gestation. In addition, the PE-transplanted group showed increased proteinuria, embryonic resorption and lower fetal and placental weights. Their T regulatory/helper-17 balance in the small intestine and spleen was disturbed with more severe intestinal leakage. In the placenta of both patients with PE and PE-FMT mice, the total bacteria, Fusobacterium, and inflammatory cytokine levels were significantly increased.RESULTSPatients with PE showed reduced bacterial diversity with obvious dysbiosis. Opportunistic pathogens, particularly Fusobacterium and Veillonella, were enriched, whereas beneficial bacteria, including Faecalibacterium and Akkermansia, were markedly depleted in the PE group. The abundances of these discriminative bacteria were correlated with blood pressure (BP), proteinuria, aminotransferase and creatinine levels. On successful colonisation, the gut microbiome from patients with PE triggered a dramatic, increased pregestational BP of recipient mice, which further increased after gestation. In addition, the PE-transplanted group showed increased proteinuria, embryonic resorption and lower fetal and placental weights. Their T regulatory/helper-17 balance in the small intestine and spleen was disturbed with more severe intestinal leakage. In the placenta of both patients with PE and PE-FMT mice, the total bacteria, Fusobacterium, and inflammatory cytokine levels were significantly increased.This study suggests that the gut microbiome of patients with PE is dysbiotic and contributes to disease pathogenesis.CONCLUSIONSThis study suggests that the gut microbiome of patients with PE is dysbiotic and contributes to disease pathogenesis. |
Author | Huang, Liping He, Yan Wang, Zhijian Tang, Wenli Hu, Haoyue Feng, Yinglin Chen, Xia Ke, Guibao Li, Pan Zhong, Mei Huang, Yongxin Zhou, Hongwei Liu, Mian Chen, Yun Yue, Xiaojing Zheng, Huimin Zhuang, Lingling Yu, Yanhong Chen, Mu-Xuan |
Author_xml | – sequence: 1 givenname: Xia orcidid: 0000-0002-7915-4568 surname: Chen fullname: Chen, Xia organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 2 givenname: Pan surname: Li fullname: Li, Pan organization: Microbiome Medicine Center, Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China – sequence: 3 givenname: Mian surname: Liu fullname: Liu, Mian organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 4 givenname: Huimin surname: Zheng fullname: Zheng, Huimin organization: Microbiome Research Centre, St George and Sutherland Clinical School, University of New South Wales, Sydney, New South Wales, Australia – sequence: 5 givenname: Yan surname: He fullname: He, Yan organization: Microbiome Medicine Center, Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China – sequence: 6 givenname: Mu-Xuan surname: Chen fullname: Chen, Mu-Xuan organization: Microbiome Medicine Center, Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China – sequence: 7 givenname: Wenli surname: Tang fullname: Tang, Wenli organization: Microbiome Medicine Center, Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China – sequence: 8 givenname: Xiaojing surname: Yue fullname: Yue, Xiaojing organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 9 givenname: Yongxin surname: Huang fullname: Huang, Yongxin organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 10 givenname: Lingling surname: Zhuang fullname: Zhuang, Lingling organization: Department of Obstetrics and Gynecology, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China – sequence: 11 givenname: Zhijian surname: Wang fullname: Wang, Zhijian organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 12 givenname: Mei surname: Zhong fullname: Zhong, Mei organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 13 givenname: Guibao surname: Ke fullname: Ke, Guibao organization: Department of Internal Medicine, Affiliated Hospital, Chengdu University, Chengdu, Sichuan, China – sequence: 14 givenname: Haoyue surname: Hu fullname: Hu, Haoyue organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 15 givenname: Yinglin surname: Feng fullname: Feng, Yinglin organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 16 givenname: Yun surname: Chen fullname: Chen, Yun organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 17 givenname: Yanhong surname: Yu fullname: Yu, Yanhong email: yuyh1010@hotmail.com organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China – sequence: 18 givenname: Hongwei surname: Zhou fullname: Zhou, Hongwei email: hzhou@smu.edu.cn organization: Microbiome Medicine Center, Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China – sequence: 19 givenname: Liping surname: Huang fullname: Huang, Liping email: lphuang2006@126.com organization: Department of Obstetrics and Gynecology, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31900289$$D View this record in MEDLINE/PubMed |
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Snippet | ObjectivePre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic... Pre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic diseases, but... |
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SubjectTerms | Animals Antibiotics Antigens Bacteria Bacterial Translocation Blood Pressure Case-Control Studies CD4 Lymphocyte Count Chemokines - genetics Creatinine Creatinine - blood Cytokines - genetics Digestive system Discriminant analysis Disease Disease Models, Animal Dysbacteriosis Dysbiosis - complications Dysbiosis - physiopathology Embryos Faecalibacterium Feces - microbiology Female Fetal Resorption - microbiology Fetuses Flow cytometry Fusobacteria Fusobacterium Gastrointestinal Microbiome Gastrointestinal tract Gene expression Gestation Gut microbiota Gynecology Hospitals Humans Hybridization Hypertension Immune response Immunoglobulins immunology Inflammation Insulin resistance intestinal bacteria intestinal barrier function Intestinal microflora Intestine, Small - immunology Metabolic disorders Metabolic syndrome Mice Microbiomes Microbiota Obstetrics Opportunist infection Pathogenesis Placenta Placenta - immunology Placenta - metabolism Placenta - microbiology Pre-eclampsia Pre-Eclampsia - microbiology Pre-Eclampsia - physiopathology Preeclampsia Pregnancy Probiotics Proteins Proteinuria Proteinuria - urine RNA, Messenger - metabolism rRNA 16S Small intestine Spleen Statistical analysis Studies T-Lymphocytes, Regulatory Taxonomy Th17 Cells Transplantation Urine Veillonella |
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Title | Gut dysbiosis induces the development of pre-eclampsia through bacterial translocation |
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