Categorization of the Ocular Microbiome in Japanese Stevens–Johnson Syndrome Patients With Severe Ocular Complications

The commensal microbiota is involved in a variety of diseases. Our group has noticed that patients with Stevens–Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) often present with persistent inflammation of the ocular surface, even in the chronic stage, and that this inflammation is exacerbat...

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Autores principales: Mayumi Ueta, Koji Hosomi, Jonguk Park, Kenji Mizuguchi, Chie Sotozono, Shigeru Kinoshita, Jun Kunisawa
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/28b84839d1fe4fadadecc012d3254721
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spelling oai:doaj.org-article:28b84839d1fe4fadadecc012d32547212021-11-19T07:55:06ZCategorization of the Ocular Microbiome in Japanese Stevens–Johnson Syndrome Patients With Severe Ocular Complications2235-298810.3389/fcimb.2021.741654https://doaj.org/article/28b84839d1fe4fadadecc012d32547212021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcimb.2021.741654/fullhttps://doaj.org/toc/2235-2988The commensal microbiota is involved in a variety of diseases. Our group has noticed that patients with Stevens–Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) often present with persistent inflammation of the ocular surface, even in the chronic stage, and that this inflammation is exacerbated by colonization of the mucosa by certain bacteria. However, the changes in the composition of the ocular microbiome in SJS/TEN patients with severe ocular complications (SOCs) remain to be fully investigated. Here, we conducted a cross-sectional study of 46 Japanese subjects comprising 9 healthy control subjects and 37 SJS/TEN patients with SOC. The 16S rRNA-based genetic analyses revealed that the diversity of the ocular microbiome was reduced in SJS/TEN patients with SOC compared with that in healthy control subjects. Principal coordinate analysis based on Bray–Curtis distance at the genus level revealed that the relative composition of the ocular microbiome was different in healthy control subjects and SJS/TEN patients with SOC, and that the SJS/TEN patients with SOC could be divided into four groups based on whether their microbiome was characterized by enrichment of species in genus Corynebacterium 1, Neisseriaceae uncultured, or Staphylococcus or by simultaneous enrichment in species in genera Propionibacterium, Streptococcus, Fusobacterium, Lawsonella, and Serratia. Collectively, our findings indicate that enrichment of certain bacteria at the ocular surface could be associated with ocular surface inflammation in SJS/TEN patients with SOC.Mayumi UetaKoji HosomiJonguk ParkKenji MizuguchiKenji MizuguchiChie SotozonoShigeru KinoshitaJun KunisawaJun KunisawaJun KunisawaJun KunisawaFrontiers Media S.A.articleStevens–Johnson syndrome (SJS)ocular microbiomeCorynebacteriumNeisseriaceaeStaphylococcusmucosal immunityMicrobiologyQR1-502ENFrontiers in Cellular and Infection Microbiology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Stevens–Johnson syndrome (SJS)
ocular microbiome
Corynebacterium
Neisseriaceae
Staphylococcus
mucosal immunity
Microbiology
QR1-502
spellingShingle Stevens–Johnson syndrome (SJS)
ocular microbiome
Corynebacterium
Neisseriaceae
Staphylococcus
mucosal immunity
Microbiology
QR1-502
Mayumi Ueta
Koji Hosomi
Jonguk Park
Kenji Mizuguchi
Kenji Mizuguchi
Chie Sotozono
Shigeru Kinoshita
Jun Kunisawa
Jun Kunisawa
Jun Kunisawa
Jun Kunisawa
Categorization of the Ocular Microbiome in Japanese Stevens–Johnson Syndrome Patients With Severe Ocular Complications
description The commensal microbiota is involved in a variety of diseases. Our group has noticed that patients with Stevens–Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) often present with persistent inflammation of the ocular surface, even in the chronic stage, and that this inflammation is exacerbated by colonization of the mucosa by certain bacteria. However, the changes in the composition of the ocular microbiome in SJS/TEN patients with severe ocular complications (SOCs) remain to be fully investigated. Here, we conducted a cross-sectional study of 46 Japanese subjects comprising 9 healthy control subjects and 37 SJS/TEN patients with SOC. The 16S rRNA-based genetic analyses revealed that the diversity of the ocular microbiome was reduced in SJS/TEN patients with SOC compared with that in healthy control subjects. Principal coordinate analysis based on Bray–Curtis distance at the genus level revealed that the relative composition of the ocular microbiome was different in healthy control subjects and SJS/TEN patients with SOC, and that the SJS/TEN patients with SOC could be divided into four groups based on whether their microbiome was characterized by enrichment of species in genus Corynebacterium 1, Neisseriaceae uncultured, or Staphylococcus or by simultaneous enrichment in species in genera Propionibacterium, Streptococcus, Fusobacterium, Lawsonella, and Serratia. Collectively, our findings indicate that enrichment of certain bacteria at the ocular surface could be associated with ocular surface inflammation in SJS/TEN patients with SOC.
format article
author Mayumi Ueta
Koji Hosomi
Jonguk Park
Kenji Mizuguchi
Kenji Mizuguchi
Chie Sotozono
Shigeru Kinoshita
Jun Kunisawa
Jun Kunisawa
Jun Kunisawa
Jun Kunisawa
author_facet Mayumi Ueta
Koji Hosomi
Jonguk Park
Kenji Mizuguchi
Kenji Mizuguchi
Chie Sotozono
Shigeru Kinoshita
Jun Kunisawa
Jun Kunisawa
Jun Kunisawa
Jun Kunisawa
author_sort Mayumi Ueta
title Categorization of the Ocular Microbiome in Japanese Stevens–Johnson Syndrome Patients With Severe Ocular Complications
title_short Categorization of the Ocular Microbiome in Japanese Stevens–Johnson Syndrome Patients With Severe Ocular Complications
title_full Categorization of the Ocular Microbiome in Japanese Stevens–Johnson Syndrome Patients With Severe Ocular Complications
title_fullStr Categorization of the Ocular Microbiome in Japanese Stevens–Johnson Syndrome Patients With Severe Ocular Complications
title_full_unstemmed Categorization of the Ocular Microbiome in Japanese Stevens–Johnson Syndrome Patients With Severe Ocular Complications
title_sort categorization of the ocular microbiome in japanese stevens–johnson syndrome patients with severe ocular complications
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/28b84839d1fe4fadadecc012d3254721
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