Variations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgery

Abstract Gallstone disease is a prevalent biliary disease worldwide, and bacteria play vital roles in the disease development and progression, as well as the prognosis after endoscopic surgery. However, there have been limited studies to explore the key taxa involved. In this study, bile samples fro...

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Main Authors: Xunchao Cai, Yao Peng, Yajie Gong, Xiuting Huang, Lu Liu, Yifan Chen, Jingfeng Du, Zhongming Dai, Yun Qian, Long Xu
Format: Article
Language:English
Published: BMC 2023-09-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-023-01308-y
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author Xunchao Cai
Yao Peng
Yajie Gong
Xiuting Huang
Lu Liu
Yifan Chen
Jingfeng Du
Zhongming Dai
Yun Qian
Long Xu
author_facet Xunchao Cai
Yao Peng
Yajie Gong
Xiuting Huang
Lu Liu
Yifan Chen
Jingfeng Du
Zhongming Dai
Yun Qian
Long Xu
author_sort Xunchao Cai
collection DOAJ
description Abstract Gallstone disease is a prevalent biliary disease worldwide, and bacteria play vital roles in the disease development and progression, as well as the prognosis after endoscopic surgery. However, there have been limited studies to explore the key taxa involved. In this study, bile samples from healthy controls (HCs, liver donors without hepatobiliary disease) and three diseased groups, namely patients with gallbladder stones (GBS), patients with common bile duct stones (CBDS), and patients with stricture in the common bile duct (SCBD), were collected and analyzed. Bacterial community characterization based on 16S rRNA amplicon sequencing showed that bacterial diversities did not change significantly alongside gallstone disease development and progression. The predominant phyla in each group were Proteobacteria, Firmicutes, Bacteroidota, and Fusobacteriota, representing over 80% in abundance of the biliary bacteria community. Specifically, the abundance of Proteobacteria decreased greatly while that of Firmicutes and Bacteroidota increased greatly in the diseased groups when compared to that in HCs. Moreover, linear discriminant analysis identified several genera highly represented in the diseased groups. Among them, Klebsiella, Prevotella, Pseudomonas and Veillonella are persistent in both the HCs group and the diseased groups, indicating an enrichment of local bile bacteria in the diseased bile; while Lachnoanerobaculum, Atopobium, Oribacterium, and Stomatobaculum, those aligned to oral cavity taxa, are persistent in the diseased groups but are transient in the HCs group, and their abundances sequentially increased with the disease development and progression (HCs→GBS→CBDS→SCBD), implying a translocation and colonization of the oral cavity bacteria in the diseased bile. Moreover, co-occurrence network analysis revealed that bacterial infection (e.g., Photobacterium and Plesiomonas) from the intestine was developed during endoscopic surgery with reduced bile bacteria diversity. The results of this study revealed that the bile bacterial community is relatively stable and dominated by a few persistent taxa. Moreover, we hypothesized that translocation and colonization of specific bacteria from the oral cavity happens alongside gallstone disease development and progression, and bacterial infection from the intestinal tract results in poor outcomes after endoscopic surgery.
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spelling doaj.art-2a6aa63a9b8b4b7c9d08a085c5a5e4672023-11-19T12:47:44ZengBMCEuropean Journal of Medical Research2047-783X2023-09-0128111510.1186/s40001-023-01308-yVariations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgeryXunchao Cai0Yao Peng1Yajie Gong2Xiuting Huang3Lu Liu4Yifan Chen5Jingfeng Du6Zhongming Dai7Yun Qian8Long Xu9Department of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalDepartment of Gastroenterology and Hepatology, Shenzhen University General HospitalAbstract Gallstone disease is a prevalent biliary disease worldwide, and bacteria play vital roles in the disease development and progression, as well as the prognosis after endoscopic surgery. However, there have been limited studies to explore the key taxa involved. In this study, bile samples from healthy controls (HCs, liver donors without hepatobiliary disease) and three diseased groups, namely patients with gallbladder stones (GBS), patients with common bile duct stones (CBDS), and patients with stricture in the common bile duct (SCBD), were collected and analyzed. Bacterial community characterization based on 16S rRNA amplicon sequencing showed that bacterial diversities did not change significantly alongside gallstone disease development and progression. The predominant phyla in each group were Proteobacteria, Firmicutes, Bacteroidota, and Fusobacteriota, representing over 80% in abundance of the biliary bacteria community. Specifically, the abundance of Proteobacteria decreased greatly while that of Firmicutes and Bacteroidota increased greatly in the diseased groups when compared to that in HCs. Moreover, linear discriminant analysis identified several genera highly represented in the diseased groups. Among them, Klebsiella, Prevotella, Pseudomonas and Veillonella are persistent in both the HCs group and the diseased groups, indicating an enrichment of local bile bacteria in the diseased bile; while Lachnoanerobaculum, Atopobium, Oribacterium, and Stomatobaculum, those aligned to oral cavity taxa, are persistent in the diseased groups but are transient in the HCs group, and their abundances sequentially increased with the disease development and progression (HCs→GBS→CBDS→SCBD), implying a translocation and colonization of the oral cavity bacteria in the diseased bile. Moreover, co-occurrence network analysis revealed that bacterial infection (e.g., Photobacterium and Plesiomonas) from the intestine was developed during endoscopic surgery with reduced bile bacteria diversity. The results of this study revealed that the bile bacterial community is relatively stable and dominated by a few persistent taxa. Moreover, we hypothesized that translocation and colonization of specific bacteria from the oral cavity happens alongside gallstone disease development and progression, and bacterial infection from the intestinal tract results in poor outcomes after endoscopic surgery.https://doi.org/10.1186/s40001-023-01308-yBiliary diseaseBacterial translocationIntestinal bacterial infectionOral cavity bacteriaTaxa presenceClinical index
spellingShingle Xunchao Cai
Yao Peng
Yajie Gong
Xiuting Huang
Lu Liu
Yifan Chen
Jingfeng Du
Zhongming Dai
Yun Qian
Long Xu
Variations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgery
European Journal of Medical Research
Biliary disease
Bacterial translocation
Intestinal bacterial infection
Oral cavity bacteria
Taxa presence
Clinical index
title Variations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgery
title_full Variations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgery
title_fullStr Variations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgery
title_full_unstemmed Variations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgery
title_short Variations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgery
title_sort variations of bile bacterial community alongside gallstone disease progression and key taxa involved in poor outcomes after endoscopic surgery
topic Biliary disease
Bacterial translocation
Intestinal bacterial infection
Oral cavity bacteria
Taxa presence
Clinical index
url https://doi.org/10.1186/s40001-023-01308-y
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