Microbiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.

<h4>Introduction</h4>The etiology of diverticulosis is still poorly understood. However, in patients with diverticulitis, markers of mucosal inflammation and microbiota alterations have been found. The aim of this study was to evaluate potential differences of the gut microbiota composit...

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Autores principales: Tessel M van Rossen, Rogier E Ooijevaar, Johan Ph Kuyvenhoven, Anat Eck, Herman Bril, René Buijsman, Marja A Boermeester, Hein B A C Stockmann, Niels de Korte, Andries E Budding
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spelling oai:doaj.org-article:548d1f0584034efd9ce33e3cd17c91ca2021-12-02T20:08:29ZMicrobiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.1932-620310.1371/journal.pone.0256657https://doaj.org/article/548d1f0584034efd9ce33e3cd17c91ca2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256657https://doaj.org/toc/1932-6203<h4>Introduction</h4>The etiology of diverticulosis is still poorly understood. However, in patients with diverticulitis, markers of mucosal inflammation and microbiota alterations have been found. The aim of this study was to evaluate potential differences of the gut microbiota composition and mucosal immunity between patients with asymptomatic diverticulosis and controls.<h4>Methods</h4>We performed a prospective study on patients who underwent routine colonoscopy for causes not related to diverticular disease or inflammatory bowel disease. Participants were grouped based on the presence or absence of diverticula. Mucosal biopsies were obtained from the sigmoid and transverse colon. Microbiota composition was analyzed with IS-pro, a 16S-23S based bacterial profiling technique. To predict if patients belonged to the asymptomatic diverticulosis or control group a partial least squares discriminant analysis (PLS-DA) regression model was used. Inflammation was assessed by neutrophil and lymphocyte counts within the taken biopsies.<h4>Results</h4>Forty-three patients were enrolled. Intestinal microbiota profiles were highly similar within individuals for all phyla. Between individuals, microbiota profiles differed substantially but regardless of the presence (n = 19) of absence (n = 24) of diverticula. Microbiota diversity in both sigmoid and transverse colon was similar in all participants. We were not able to differentiate between diverticulosis patients and controls with a PLS-DA model. Mucosal lymphocyte counts were comparable among both groups; no neutrophils were detected in any of the studied biopsies.<h4>Conclusions</h4>Microbiota composition and inflammatory markers were comparable among asymptomatic diverticulosis patients and controls. This suggests that the gut microbiota and mucosal inflammation do not play a major role in the pathogenesis of diverticula formation.Tessel M van RossenRogier E OoijevaarJohan Ph KuyvenhovenAnat EckHerman BrilRené BuijsmanMarja A BoermeesterHein B A C StockmannNiels de KorteAndries E BuddingPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0256657 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Tessel M van Rossen
Rogier E Ooijevaar
Johan Ph Kuyvenhoven
Anat Eck
Herman Bril
René Buijsman
Marja A Boermeester
Hein B A C Stockmann
Niels de Korte
Andries E Budding
Microbiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.
description <h4>Introduction</h4>The etiology of diverticulosis is still poorly understood. However, in patients with diverticulitis, markers of mucosal inflammation and microbiota alterations have been found. The aim of this study was to evaluate potential differences of the gut microbiota composition and mucosal immunity between patients with asymptomatic diverticulosis and controls.<h4>Methods</h4>We performed a prospective study on patients who underwent routine colonoscopy for causes not related to diverticular disease or inflammatory bowel disease. Participants were grouped based on the presence or absence of diverticula. Mucosal biopsies were obtained from the sigmoid and transverse colon. Microbiota composition was analyzed with IS-pro, a 16S-23S based bacterial profiling technique. To predict if patients belonged to the asymptomatic diverticulosis or control group a partial least squares discriminant analysis (PLS-DA) regression model was used. Inflammation was assessed by neutrophil and lymphocyte counts within the taken biopsies.<h4>Results</h4>Forty-three patients were enrolled. Intestinal microbiota profiles were highly similar within individuals for all phyla. Between individuals, microbiota profiles differed substantially but regardless of the presence (n = 19) of absence (n = 24) of diverticula. Microbiota diversity in both sigmoid and transverse colon was similar in all participants. We were not able to differentiate between diverticulosis patients and controls with a PLS-DA model. Mucosal lymphocyte counts were comparable among both groups; no neutrophils were detected in any of the studied biopsies.<h4>Conclusions</h4>Microbiota composition and inflammatory markers were comparable among asymptomatic diverticulosis patients and controls. This suggests that the gut microbiota and mucosal inflammation do not play a major role in the pathogenesis of diverticula formation.
format article
author Tessel M van Rossen
Rogier E Ooijevaar
Johan Ph Kuyvenhoven
Anat Eck
Herman Bril
René Buijsman
Marja A Boermeester
Hein B A C Stockmann
Niels de Korte
Andries E Budding
author_facet Tessel M van Rossen
Rogier E Ooijevaar
Johan Ph Kuyvenhoven
Anat Eck
Herman Bril
René Buijsman
Marja A Boermeester
Hein B A C Stockmann
Niels de Korte
Andries E Budding
author_sort Tessel M van Rossen
title Microbiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.
title_short Microbiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.
title_full Microbiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.
title_fullStr Microbiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.
title_full_unstemmed Microbiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.
title_sort microbiota composition and mucosal immunity in patients with asymptomatic diverticulosis and controls.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/548d1f0584034efd9ce33e3cd17c91ca
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