Fecal Dysbiosis and Immune Dysfunction in Chinese Elderly Patients With Schizophrenia: An Observational Study

Schizophrenia (SZ) is a severe neuropsychiatric disorder with largely unknown etiology and pathogenesis. Mounting preclinical and clinical evidence suggests that the gut microbiome is a vital player in SZ. However, the gut microbiota characteristics and its host response in elderly SZ patients are s...

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Main Authors: Zongxin Ling, Guolin Jin, Xiumei Yan, Yiwen Cheng, Li Shao, Qinghai Song, Xia Liu, Longyou Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2022.886872/full
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author Zongxin Ling
Zongxin Ling
Guolin Jin
Xiumei Yan
Yiwen Cheng
Li Shao
Li Shao
Qinghai Song
Xia Liu
Longyou Zhao
author_facet Zongxin Ling
Zongxin Ling
Guolin Jin
Xiumei Yan
Yiwen Cheng
Li Shao
Li Shao
Qinghai Song
Xia Liu
Longyou Zhao
author_sort Zongxin Ling
collection DOAJ
description Schizophrenia (SZ) is a severe neuropsychiatric disorder with largely unknown etiology and pathogenesis. Mounting preclinical and clinical evidence suggests that the gut microbiome is a vital player in SZ. However, the gut microbiota characteristics and its host response in elderly SZ patients are still not well understood. A total of 161 samples was collected, including 90 samples from elderly SZ patients and 71 samples from healthy controls. We explored the gut microbiota profiles targeting the V3–V4 region of the 16S rRNA gene by MiSeq sequencing, and to analyze their associations with host immune response. Our data found that bacterial β-diversity analyses could divide the SZ patients and healthy controls into two different clusters. The Linear discriminant analysis Effect Size (LEfSe) identified the compositional changes in SZ-associated bacteria, including Faecalibacterium, Roseburia, Actinomyces, Butyricicoccus, Prevotella and so on. In addition, the levels of pro-inflammatory cytokines such as IL-1β were greatly increased in SZ patients while the levels of anti-inflammatory cytokines such as IFN-γ were markedly decreased. Correlation analysis suggested that these bacteria contributed to immune disturbances in the host that could be used as non-invasive biomarkers to distinguish the SZ patients from healthy controls. Moreover, several predicted functional modules, including increased lipopolysaccharide biosynthesis, folate biosynthesis, lipoic acid metabolism, and decreased bile acid biosynthesis, fatty acid biosynthesis in SZ-associated microbiota, could be utilized by the bacteria to produce immunomodulatory metabolites. This study, for the first time, demonstrated the structural and functional dysbiosis of the fecal microbiota in Chinese elderly SZ patients, suggesting the potential for using gut key functional bacteria for the early, non-invasive diagnosis of SZ, personalized treatment, and the development of tailor-made probiotics designed for Chinese elderly SZ patients.
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spelling doaj.art-fadf7e1dd53a4cb58e7566101cb2ba7c2022-12-22T02:26:48ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882022-06-011210.3389/fcimb.2022.886872886872Fecal Dysbiosis and Immune Dysfunction in Chinese Elderly Patients With Schizophrenia: An Observational StudyZongxin Ling0Zongxin Ling1Guolin Jin2Xiumei Yan3Yiwen Cheng4Li Shao5Li Shao6Qinghai Song7Xia Liu8Longyou Zhao9Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaJinan Microecological Biomedicine Shandong Laboratory, Jinan, ChinaDepartment of Psychiatry, Lishui Second People’s Hospital, Lishui, ChinaDepartment of Laboratory Medicine, Lishui Second People’s Hospital, Lishui, ChinaJinan Microecological Biomedicine Shandong Laboratory, Jinan, ChinaInstitute of Hepatology and Metabolic Diseases, Hangzhou Normal University, Hangzhou, ChinaInstitute of Translational Medicine, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, ChinaDepartment of Psychiatry, Lishui Second People’s Hospital, Lishui, ChinaDepartment of Intensive Care Unit, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Laboratory Medicine, Lishui Second People’s Hospital, Lishui, ChinaSchizophrenia (SZ) is a severe neuropsychiatric disorder with largely unknown etiology and pathogenesis. Mounting preclinical and clinical evidence suggests that the gut microbiome is a vital player in SZ. However, the gut microbiota characteristics and its host response in elderly SZ patients are still not well understood. A total of 161 samples was collected, including 90 samples from elderly SZ patients and 71 samples from healthy controls. We explored the gut microbiota profiles targeting the V3–V4 region of the 16S rRNA gene by MiSeq sequencing, and to analyze their associations with host immune response. Our data found that bacterial β-diversity analyses could divide the SZ patients and healthy controls into two different clusters. The Linear discriminant analysis Effect Size (LEfSe) identified the compositional changes in SZ-associated bacteria, including Faecalibacterium, Roseburia, Actinomyces, Butyricicoccus, Prevotella and so on. In addition, the levels of pro-inflammatory cytokines such as IL-1β were greatly increased in SZ patients while the levels of anti-inflammatory cytokines such as IFN-γ were markedly decreased. Correlation analysis suggested that these bacteria contributed to immune disturbances in the host that could be used as non-invasive biomarkers to distinguish the SZ patients from healthy controls. Moreover, several predicted functional modules, including increased lipopolysaccharide biosynthesis, folate biosynthesis, lipoic acid metabolism, and decreased bile acid biosynthesis, fatty acid biosynthesis in SZ-associated microbiota, could be utilized by the bacteria to produce immunomodulatory metabolites. This study, for the first time, demonstrated the structural and functional dysbiosis of the fecal microbiota in Chinese elderly SZ patients, suggesting the potential for using gut key functional bacteria for the early, non-invasive diagnosis of SZ, personalized treatment, and the development of tailor-made probiotics designed for Chinese elderly SZ patients.https://www.frontiersin.org/articles/10.3389/fcimb.2022.886872/fullSchizophreniaFaecalibacteriumLEfSedysbiosisnon-invasive diagnosis
spellingShingle Zongxin Ling
Zongxin Ling
Guolin Jin
Xiumei Yan
Yiwen Cheng
Li Shao
Li Shao
Qinghai Song
Xia Liu
Longyou Zhao
Fecal Dysbiosis and Immune Dysfunction in Chinese Elderly Patients With Schizophrenia: An Observational Study
Frontiers in Cellular and Infection Microbiology
Schizophrenia
Faecalibacterium
LEfSe
dysbiosis
non-invasive diagnosis
title Fecal Dysbiosis and Immune Dysfunction in Chinese Elderly Patients With Schizophrenia: An Observational Study
title_full Fecal Dysbiosis and Immune Dysfunction in Chinese Elderly Patients With Schizophrenia: An Observational Study
title_fullStr Fecal Dysbiosis and Immune Dysfunction in Chinese Elderly Patients With Schizophrenia: An Observational Study
title_full_unstemmed Fecal Dysbiosis and Immune Dysfunction in Chinese Elderly Patients With Schizophrenia: An Observational Study
title_short Fecal Dysbiosis and Immune Dysfunction in Chinese Elderly Patients With Schizophrenia: An Observational Study
title_sort fecal dysbiosis and immune dysfunction in chinese elderly patients with schizophrenia an observational study
topic Schizophrenia
Faecalibacterium
LEfSe
dysbiosis
non-invasive diagnosis
url https://www.frontiersin.org/articles/10.3389/fcimb.2022.886872/full
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