The Association between Gut Microbiome and Pregnancy-Induced Hypertension: A Nested Case–Control Study

(1) Background: Pregnancy-induced hypertension (PIH) is associated with obvious microbiota dysbiosis in the third trimester of pregnancy. However, the mechanisms behind these changes remain unknown. Therefore, this study aimed to explore the relationship between the gut microbiome in early pregnancy...

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Main Authors: Huijun Lin, Junru Chen, Shujuan Ma, Rongjing An, Xingli Li, Hongzhuan Tan
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/21/4582
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author Huijun Lin
Junru Chen
Shujuan Ma
Rongjing An
Xingli Li
Hongzhuan Tan
author_facet Huijun Lin
Junru Chen
Shujuan Ma
Rongjing An
Xingli Li
Hongzhuan Tan
author_sort Huijun Lin
collection DOAJ
description (1) Background: Pregnancy-induced hypertension (PIH) is associated with obvious microbiota dysbiosis in the third trimester of pregnancy. However, the mechanisms behind these changes remain unknown. Therefore, this study aimed to explore the relationship between the gut microbiome in early pregnancy and PIH occurrence. (2) Methods: A nested case–control study design was used based on the follow-up cohort. Thirty-five PIH patients and thirty-five matched healthy pregnant women were selected as controls. The gut microbiome profiles were assessed in the first trimester using metagenomic sequencing. (3) Results: Diversity analyses showed that microbiota diversity was altered in early pregnancy. At the species level, eight bacterial species were enriched in healthy controls: <i>Alistipes putredinis</i>, <i>Bacteroides vulgatus</i>, <i>Ruminococcus torques</i>, <i>Oscillibacter unclassified</i>, <i>Akkermansia muciniphila</i>, <i>Clostridium citroniae</i>, <i>Parasutterella excrementihominis</i> and <i>Burkholderiales bacterium_1_1_47</i>. Conversely, <i>Eubacterium rectale</i>, and <i>Ruminococcus bromii</i> were enriched in PIH patients. The results of functional analysis showed that the changes in these different microorganisms may affect the blood pressure of pregnant women by affecting the metabolism of vitamin K<sub>2</sub>, sphingolipid, lipid acid and glycine. (4) Conclusion: Microbiota dysbiosis in PIH patients begins in the first trimester of pregnancy, and this may be associated with the occurrence of PIH. Bacterial pathway analyses suggest that the gut microbiome might lead to the development of PIH through the alterations of function modules.
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spelling doaj.art-ee16b47e9d754539a748fe9250917f552023-11-24T06:13:52ZengMDPI AGNutrients2072-66432022-11-011421458210.3390/nu14214582The Association between Gut Microbiome and Pregnancy-Induced Hypertension: A Nested Case–Control StudyHuijun Lin0Junru Chen1Shujuan Ma2Rongjing An3Xingli Li4Hongzhuan Tan5Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha 410000, ChinaClinical Research Center for Reproduction and Genetics in Hunan Province, Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha 410000, ChinaClinical Research Center for Reproduction and Genetics in Hunan Province, Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha 410000, ChinaHunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha 410000, ChinaHunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha 410000, ChinaHunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha 410000, China(1) Background: Pregnancy-induced hypertension (PIH) is associated with obvious microbiota dysbiosis in the third trimester of pregnancy. However, the mechanisms behind these changes remain unknown. Therefore, this study aimed to explore the relationship between the gut microbiome in early pregnancy and PIH occurrence. (2) Methods: A nested case–control study design was used based on the follow-up cohort. Thirty-five PIH patients and thirty-five matched healthy pregnant women were selected as controls. The gut microbiome profiles were assessed in the first trimester using metagenomic sequencing. (3) Results: Diversity analyses showed that microbiota diversity was altered in early pregnancy. At the species level, eight bacterial species were enriched in healthy controls: <i>Alistipes putredinis</i>, <i>Bacteroides vulgatus</i>, <i>Ruminococcus torques</i>, <i>Oscillibacter unclassified</i>, <i>Akkermansia muciniphila</i>, <i>Clostridium citroniae</i>, <i>Parasutterella excrementihominis</i> and <i>Burkholderiales bacterium_1_1_47</i>. Conversely, <i>Eubacterium rectale</i>, and <i>Ruminococcus bromii</i> were enriched in PIH patients. The results of functional analysis showed that the changes in these different microorganisms may affect the blood pressure of pregnant women by affecting the metabolism of vitamin K<sub>2</sub>, sphingolipid, lipid acid and glycine. (4) Conclusion: Microbiota dysbiosis in PIH patients begins in the first trimester of pregnancy, and this may be associated with the occurrence of PIH. Bacterial pathway analyses suggest that the gut microbiome might lead to the development of PIH through the alterations of function modules.https://www.mdpi.com/2072-6643/14/21/4582pregnancy-induced hypertensiongut microbiomemetagenomic sequencingnested case–control study
spellingShingle Huijun Lin
Junru Chen
Shujuan Ma
Rongjing An
Xingli Li
Hongzhuan Tan
The Association between Gut Microbiome and Pregnancy-Induced Hypertension: A Nested Case–Control Study
Nutrients
pregnancy-induced hypertension
gut microbiome
metagenomic sequencing
nested case–control study
title The Association between Gut Microbiome and Pregnancy-Induced Hypertension: A Nested Case–Control Study
title_full The Association between Gut Microbiome and Pregnancy-Induced Hypertension: A Nested Case–Control Study
title_fullStr The Association between Gut Microbiome and Pregnancy-Induced Hypertension: A Nested Case–Control Study
title_full_unstemmed The Association between Gut Microbiome and Pregnancy-Induced Hypertension: A Nested Case–Control Study
title_short The Association between Gut Microbiome and Pregnancy-Induced Hypertension: A Nested Case–Control Study
title_sort association between gut microbiome and pregnancy induced hypertension a nested case control study
topic pregnancy-induced hypertension
gut microbiome
metagenomic sequencing
nested case–control study
url https://www.mdpi.com/2072-6643/14/21/4582
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