Damp-heat constitution influences gut microbiota and urine metabolism of Chinese infants

Background: As an increasingly popular complementary and alternative approach for early detection and treatment of disease, traditional Chinese medicine constitution (TCMC) divides human beings into those with balanced constitution (BC) and unbalanced constitution, where damp-heat constitution (DHC)...

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Main Authors: Haihong Zhao, Yuhan Zong, Wenle Li, Yaqi Wang, Weibo Zhao, Xianghe Meng, Fan Yang, Jingwei Kong, Xiaoshan Zhao, Ji Wang
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844022037124
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author Haihong Zhao
Yuhan Zong
Wenle Li
Yaqi Wang
Weibo Zhao
Xianghe Meng
Fan Yang
Jingwei Kong
Xiaoshan Zhao
Ji Wang
author_facet Haihong Zhao
Yuhan Zong
Wenle Li
Yaqi Wang
Weibo Zhao
Xianghe Meng
Fan Yang
Jingwei Kong
Xiaoshan Zhao
Ji Wang
author_sort Haihong Zhao
collection DOAJ
description Background: As an increasingly popular complementary and alternative approach for early detection and treatment of disease, traditional Chinese medicine constitution (TCMC) divides human beings into those with balanced constitution (BC) and unbalanced constitution, where damp-heat constitution (DHC) is one of the most unbalanced constitutions. Many studies have been carried out on the microscopic mechanism of constitution classification; however, most of these studies were conducted in adults and rarely in infants. Many diseases are closely related to intestinal microbiota, and metabolites produced by the interaction between microbiota and the body may impact constitution classification. Herein, we investigated the overall constitution distribution in Chinese infants, and analyzed the profiles of gut microbiota and urine metabolites of DHC to further promote the understanding of infants constitution classification. Methods: General information was collected and TCMC was evaluated by Constitutional Medicine Questionnaires. 1315 questionnaires were received in a cross-sectional study to investigate the constitution composition in Chinese infants. A total of 56 infants, including 30 DHC and 26 BC, were randomly selected to analyze gut microbiota by 16S rRNA sequencing and urine metabolites by UPLC-Q-TOF/MS method. Results: BC was the most common constitution in Chinese infants, DHC was the second common constitution. The gut microbiota and urine metabolites in the DHC group showed different composition compared to the BC group. Four differential genera and twenty differential metabolites were identified. In addition, the combined marker composed of four metabolites may have the high potential to discriminate DHC from BC with an AUC of 0.765. Conclusions: The study revealed the systematic differences in the gut microbiota and urine metabolites between infants with DHC and BC. Moreover, the differential microbiota and metabolites may offer objective evidences for constitution classification.
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spelling doaj.art-dc538522b0e043439efad3ed9474293d2023-03-02T04:59:41ZengElsevierHeliyon2405-84402023-02-0192e12424Damp-heat constitution influences gut microbiota and urine metabolism of Chinese infantsHaihong Zhao0Yuhan Zong1Wenle Li2Yaqi Wang3Weibo Zhao4Xianghe Meng5Fan Yang6Jingwei Kong7Xiaoshan Zhao8Ji Wang9National Institute of Traditional Chinese Medicine Constitution and Preventive Treatment of Disease, Beijing University of Chinese Medicine, Beijing, 100029, ChinaNational Institute of Traditional Chinese Medicine Constitution and Preventive Treatment of Disease, Beijing University of Chinese Medicine, Beijing, 100029, ChinaNational Institute of Traditional Chinese Medicine Constitution and Preventive Treatment of Disease, Beijing University of Chinese Medicine, Beijing, 100029, ChinaCollege of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, ChinaNational Institute of Traditional Chinese Medicine Constitution and Preventive Treatment of Disease, Beijing University of Chinese Medicine, Beijing, 100029, ChinaNeurology Department, Xuanwu Hospital of Capital Medical University, Beijing, 100053, ChinaNational Institute of Traditional Chinese Medicine Constitution and Preventive Treatment of Disease, Beijing University of Chinese Medicine, Beijing, 100029, ChinaNutrition and Metabolism Research Division, Innovation Center, Heilongjiang Feihe Dairy Co., Ltd., Beijing, 100015, ChinaNational Institute of Traditional Chinese Medicine Constitution and Preventive Treatment of Disease, Beijing University of Chinese Medicine, Beijing, 100029, China; School of Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, ChinaNational Institute of Traditional Chinese Medicine Constitution and Preventive Treatment of Disease, Beijing University of Chinese Medicine, Beijing, 100029, China; Corresponding author.Background: As an increasingly popular complementary and alternative approach for early detection and treatment of disease, traditional Chinese medicine constitution (TCMC) divides human beings into those with balanced constitution (BC) and unbalanced constitution, where damp-heat constitution (DHC) is one of the most unbalanced constitutions. Many studies have been carried out on the microscopic mechanism of constitution classification; however, most of these studies were conducted in adults and rarely in infants. Many diseases are closely related to intestinal microbiota, and metabolites produced by the interaction between microbiota and the body may impact constitution classification. Herein, we investigated the overall constitution distribution in Chinese infants, and analyzed the profiles of gut microbiota and urine metabolites of DHC to further promote the understanding of infants constitution classification. Methods: General information was collected and TCMC was evaluated by Constitutional Medicine Questionnaires. 1315 questionnaires were received in a cross-sectional study to investigate the constitution composition in Chinese infants. A total of 56 infants, including 30 DHC and 26 BC, were randomly selected to analyze gut microbiota by 16S rRNA sequencing and urine metabolites by UPLC-Q-TOF/MS method. Results: BC was the most common constitution in Chinese infants, DHC was the second common constitution. The gut microbiota and urine metabolites in the DHC group showed different composition compared to the BC group. Four differential genera and twenty differential metabolites were identified. In addition, the combined marker composed of four metabolites may have the high potential to discriminate DHC from BC with an AUC of 0.765. Conclusions: The study revealed the systematic differences in the gut microbiota and urine metabolites between infants with DHC and BC. Moreover, the differential microbiota and metabolites may offer objective evidences for constitution classification.http://www.sciencedirect.com/science/article/pii/S2405844022037124Gut microbiotaMetabolismBiomarkerDamp-heat constitutionTraditional Chinese medicineInfant
spellingShingle Haihong Zhao
Yuhan Zong
Wenle Li
Yaqi Wang
Weibo Zhao
Xianghe Meng
Fan Yang
Jingwei Kong
Xiaoshan Zhao
Ji Wang
Damp-heat constitution influences gut microbiota and urine metabolism of Chinese infants
Heliyon
Gut microbiota
Metabolism
Biomarker
Damp-heat constitution
Traditional Chinese medicine
Infant
title Damp-heat constitution influences gut microbiota and urine metabolism of Chinese infants
title_full Damp-heat constitution influences gut microbiota and urine metabolism of Chinese infants
title_fullStr Damp-heat constitution influences gut microbiota and urine metabolism of Chinese infants
title_full_unstemmed Damp-heat constitution influences gut microbiota and urine metabolism of Chinese infants
title_short Damp-heat constitution influences gut microbiota and urine metabolism of Chinese infants
title_sort damp heat constitution influences gut microbiota and urine metabolism of chinese infants
topic Gut microbiota
Metabolism
Biomarker
Damp-heat constitution
Traditional Chinese medicine
Infant
url http://www.sciencedirect.com/science/article/pii/S2405844022037124
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