Depicting the composition of gut microbiota in children with tic disorders: an exploratory study.

Background: Symptom improvement in children with tic disorder (TD) following fecal microbiota transplantation led us to investigate the gut microbiota in TD. This exploratory study aims to depict the gut microbial profile in patients with TD and explore the impact of dopamine receptor antagonist (DR...

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Publicado en:Journal of Child Psychology & Psychiatry Vol. 62; no. 10; pp. 1246 - 1255
Autores principales: Xi, Wenjie, Gao, Xuefeng, Zhao, Huijun, Luo, Xi, Li, Jianfeng, Tan, Xinjie, Wang, Lei, Zhao, Jian‐Bo, Wang, Jing, Yang, Guang, Liu, Li‐Ying, Wang, Yang‐Yang, Peng, Lihua, Zou, Li‐Ping, Yang, Yunsheng
Formato: Artículo
Publicado: Wiley-Blackwell Oct2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2021
      vid: 62
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      pub: Wiley-Blackwell
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        152707135
        10.1111/jcpp.13409
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        atl: Depicting the composition of gut microbiota in children with tic disorders: an exploratory study.
      aug:
        au:
          Xi, Wenjie
          Gao, Xuefeng
          Zhao, Huijun
          Luo, Xi
          Li, Jianfeng
          Tan, Xinjie
          Wang, Lei
          Zhao, Jian‐Bo
          Wang, Jing
          Yang, Guang
          Liu, Li‐Ying
          Wang, Yang‐Yang
          Peng, Lihua
          Zou, Li‐Ping
          Yang, Yunsheng
        affil:
          School of Medicine, Nankai University, Tianjin, China
          Department of Gastroenterology and Hepatology, the First Medical Center, Chinese PLA General Hospital, Beijing, China
          Central Laboratory, Shenzhen Key Laboratory of Precision Medicine for Hematological Malignancies, Shenzhen University General Hospital, Shenzhen, China
          Department of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China
          Department of Pediatrics, Chinese PLA General Hospital, Beijing, China
          Center for Brain Disorders Research, Capital Medical University, Beijing Institute for Brain Disorders, Beijing, China
      su:
        Children
        Research
        Statistics
        Escherichia coli
        Gut microbiota
        Metadata
        Bacteroides
        Multivariate analysis
        Random forest algorithms
        Streptococcus
        Tic disorders
        Genomics
        Data analysis
        Fecal microbiota transplantation
        Dopamine antagonists
      sug:
        subj:
          Children
          Research
          Statistics
          Escherichia coli
          Gut microbiota
          Metadata
          Bacteroides
          Multivariate analysis
          Random forest algorithms
          Streptococcus
          Tic disorders
          Genomics
          Data analysis
          Fecal microbiota transplantation
          Dopamine antagonists
      keyword:
        dopamine receptor antagonists
        gut microbiota
        metabolic pathways
        metagenomics
        dopamine receptor antagonists
        gut microbiota
        metabolic pathways
        metagenomics
      ab: Background: Symptom improvement in children with tic disorder (TD) following fecal microbiota transplantation led us to investigate the gut microbiota in TD. This exploratory study aims to depict the gut microbial profile in patients with TD and explore the impact of dopamine receptor antagonist (DRA) drugs on the composition and metabolic function of the gut microbiota. Methods: The gut microbiota were profiled in fecal samples of 49 children with TD and 50 matched healthy controls (HC) using shotgun metagenomic sequencing. A random forest (RF) model was constructed using the gut bacterial species to distinguish TD from HC. Associations between clinical metadata and microbial abundance or function were analyzed using MaAsLin2 and Spearman correlation. Results: The gut microbiota in children with TD was featured by higher abundances of Bacteroides plebeius and Ruminococcus lactaris (a potential pro‐inflammatory taxon) and lower abundances of Prevotella stercorea and Streptococcus lutetiensis compared to HC. The constructed RF model accurately distinguished TD from HC based on the gut microbiota profile, resulting in an AUC of 0.884. Significant correlations were observed between tic symptom severity and the abundances of multiple bacterial species and gut microbiota metabolic functions. Multivariate analysis identified an upregulation of 4‐aminobutanoate (GABA) degradation in the gut microbiota associated with TD status. The gut microbiota of DRA‐treated TD children showed a distinct gut microbiota compared to the treatment‐naïve group, represented by an increase in some potential enteric pathogens such as Escherichia coli, a decline in several species including Akkermansia muciniphila, and alterations in various metabolic functions. Conclusions: Bacterial species promoting inflammatory responses and those modulating neurotransmitters such as GABA may be involved in the pathogenesis of TD. The use of DRA drugs is likely to induce overgrowth of some enteric pathogens and alter the gut microbiota metabolism.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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