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 inGut Vol. 69; no. 3; pp. 513 - 522
Main Authors Chen, Xia, Li, Pan, Liu, Mian, Zheng, Huimin, He, Yan, Chen, Mu-Xuan, Tang, Wenli, Yue, Xiaojing, Huang, Yongxin, Zhuang, Lingling, Wang, Zhijian, Zhong, Mei, Ke, Guibao, Hu, Haoyue, Feng, Yinglin, Chen, Yun, Yu, Yanhong, Zhou, Hongwei, Huang, Liping
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd and British Society of Gastroenterology 01.03.2020
BMJ Publishing Group LTD
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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.
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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Issue 3
Keywords bacterial translocation
intestinal bacteria
intestinal barrier function
immunology
Language English
License This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
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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
URI https://gut.bmj.com/content/69/3/513.full
https://www.ncbi.nlm.nih.gov/pubmed/31900289
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