Diarrhoea-predominant irritable bowel syndrome distinguishable by 16S rRNA gene phylotype quantification

• Published in: World journal of gastroenterology : WJG Vol. 15; no. 47; pp. 5936 - 5945
• Main Authors: Lyra, Anna, Rinttilä, Teemu, Nikkilä, Janne, Krogius-Kurikka, Lotta, Kajander, Kajsa, Malinen, Erja, Mättö, Jaana, Mäkelä, Laura, Palva, Airi
• Format: Journal Article
• Language: English
• Published: United States Department of Basic Veterinary Sciences, Faculty of Veterinary Medicine,University of Helsinki, Helsinki 00014, Finland%Department of Basic Veterinary Sciences, Faculty of Veterinary Medicine,University of Helsinki, Helsinki 00014, Finland 21.12.2009; Institute of Biomedicine, Faculty of Medicine,University of Helsinki, Helsinki 00014, Finland%VTT Biotechnology, VTT, Espoo 02044, Finland; The Finnish Red Cross, Blood Service, Helsinki 00310, Finland%Institute of Clinical Medicine, University of Helsinki, Helsinki 00014, Finland; Alimetrics Ltd., Espoo, Espoo 02920, Finland%Valio Ltd., Research Centre, Helsinki 00370,Finland; The WJG Press and Baishideng
• Subjects: Adult; Bacteria - genetics; Diarrhea - microbiology; Diarrhea - physiopathology; Feces - microbiology; Female; Humans; IBS; Irritable Bowel Syndrome - classification; Irritable Bowel Syndrome - genetics; Irritable Bowel Syndrome - microbiology; Irritable Bowel Syndrome - physiopathology; Male; Middle Aged; Original; RNA, Ribosomal, 16S - genetics; rRNA基因; Young Adult; 主成分分析; 基因序列分析; 核糖体RNA; 细菌种类; 综合征; 肠道微生物; Diarrhoea-predominant irritable bowel syndrome; 16S ribosomal RNA; Quantitative real-time polymerase chain reaction; Intestinal microbiota; Irritable bowel syndrome
• ISSN: 1007-9327; 2219-2840; 2219-2840
• DOI: 10.3748/wjg.15.5936

AIM：To study whether selected bacterial 16S ribosomal RNA（rRNA）gene phylotypes are capable of distinguishing irritable bowel syndrome（IBS）. METHODS：The faecal microbiota of twenty volunteers with IBS,subdivided into eight diarrhoea-predominant （IBS-D）,eight constipation-predominant（IBS-C）and four mixed symptom-subtype（IBS-M）IBS patients,and fifteen control subjects,were analysed at three timepoints with a set of fourteen quantitative real-timepolymerase chain reaction assays.All assays targeted 16S rRNA gene phylotypes putatively associated with IBS,based on 16S rRNA gene library sequence analysis. The target phylotypes were affiliated with Actinobac-teria,Bacteroidetes and Firmicutes.Eight of the target phylotypes had less than 95%similarity to cultured bacterial species according to their 16S rRNA gene sequence.The data analyses were made with repeated-measures ANCOVA-type modelling of the data and principle component analysis（PCA）with linear mixed-effects models applied to the principal component scores. RESULTS：Bacterial phylotypes Clostridium cocleatum 88%,Clostridium thermosuccinogenes 85%,Coprobacillus catenaformis 91%,Ruminococcus bromii-like, Ruminococcus torques 91%,and R.torques 93%were detected from all samples analysed.A multivariate analysis of the relative quantities of all 14 bacterial 16S rRNA gene phylotypes suggested that the intestinal microbiota of the IBS-D patients differed from other sample groups.The PCA on the first principal component（PC1）,explaining 30.36%of the observed variation in the IBS-D patient group,was significantly altered from all other sample groups（IBS-D vs control, P=0.01;IBS-D vs IBS-M,P=0.00;IBS-D vs IBS-C, P=0.05）.Significant differences were also observed in the levels of distinct phylotypes using relative values in proportion to the total amount of bacteria.A phy-lotype with 85%similarity to C.thermosuccinogenes was quantified in significantly different quantities among the IBS-D and control subjects（-4.08±0.90 vs -3.33±1.16,P=0.04）and IBS-D and IBS-M subjects （-4.08±0.90 vs-3.08±1.38,P=0.05）.Furthermore,a phylotype with 94%similarity to R.torques was more prevalent in IBS-D patients＇intestinal micro- biota than in that of control subjects（-2.43±1.49 vs -4.02±1.63,P=0.01）.A phylotype with 93%simi- larity to R.torques was associated with control sam- ples when compared with IBS-M（-2.41±0.53 vs -2.92±0.56,P=0.00）.Additionally,a R.bromii-like phylotype was associated with IBS-C patients in com- parison to control subjects（-1.61±1.83 vs-3.69± 2.42,P=0.01）.All of the above mentioned phylotype specific alterations were independent of the effect of time. CONCLUSION：Significant phylotype level alterationsin the intestinal microbiotas of IBS patients were observed,further emphasizing the possible contribution of the gastrointestinal microbiota in IBS.