Gut microbial profile of treatment-naive patients with primary biliary cholangitis
Open accessAbstract
Background and aims: The pathogenesis of primary biliary cholangitis (PBC) is associated with alterations of gut microbiota. We compared the gut microbiota of PBC patients and healthy controls from Zhejiang Province and assessed the use of these data for the diagnosis of PBC. Methods: First, 16S rRNA gene sequencing was used to characterize the gut microbiota of treatment-naive PBC patients (n=25) and matched healthy controls (n=25). Then, the value of gut microbiota composition for the diagnosis of PBC and assessment of PBC severity was determined. Results: The gut microbiota of PBC patients had lower diversity based on three different metrics of alpha-diversity (ace, Chao1, and observed features) and fewer overall genera (all p<0.01). PBC patients had significant enrichment of four genera and significant depletion of eight genera. We identified six amplicon sequence variants (Serratia, Oscillospirales, Ruminococcaceae, Faecalibacterium, Sutterellaceae, and Coprococcus) as optimal biomarkers to distinguish PBC patients from controls based on receiver operating characteristic analysis (area under the curve [AUC] = 0.824). PBC patients who were anti-gp210-positive had lower levels of Oscillospiraceae than those who were anti-gp210-negative. KEGG functional annotation suggested the major changes in the gut microbiota of PBC patients were related to lipid metabolism and biosynthesis of secondary metabolites. Conclusion: We characterized the gut microbiota of treatment-naive PBC patients and healthy controls from Zhejiang Province. The PBC patients had significant alterations in their gut microbiota, suggesting that gut microbiota composition could be useful as a non-invasive tool for the diagnosis of PBC.
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Oscillospiraceae and Faecalibacterium are negatively correlated with the presence of the primary biliary cholangitis-specific anti-nuclear antibody anti-gp210.
“Oscillospiraceae and Faecalibacterium are negatively correlated with the presence of the primary biliary cholangitis-specific anti-nuclear antibody anti-gp210.34,35”
From Primary biliary cholangitis. (2024) · cites this paper as [35]
The Results section, “Correlation of fecal microbiome characteristics and PBC disease severity,” reports that Oscillospiraceae enrichment was negatively related to anti-gp210 antibody status. The paper reports reduced Faecalibacterium in PBC patients relative to controls, but the supplied passages do not link it to anti-gp210 status. Page numbers were not supplied. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThe diversity of the intestinal microbiome is decreased in treatment-naive primary biliary cholangitis patients with a unique intestinal microbiota composed of elevated levels of Enterobacteriaceae, Pseudomonas, Veillonella, and Clostridium, along with reduced levels of Oscillospira and Suterella.
“diversity of the intestinal microbiome is decreased in treatment-naive primary biliary cholangitis patients 34,35 with a unique intestinal microbiota composed of elevated levels of Enterobacteriaceae, Pseudomonas, Veillonella, and Clostridium, along with reduced levels of Oscillospira and Suterella.33”
From Primary biliary cholangitis. (2024) · cites this paper as [35]
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Experimental — accuracy not yet measuredThe diversity of the intestinal microbiome is diminished in individuals with primary biliary cholangitis.
“Notably, the diversity of the intestinal microbiome is diminished in individuals with primary biliary cholangitis.”
From Primary biliary cholangitis. (2024) · cites this paper as [35]
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Tanaka, A., Ma, X., Takahashi, A., & Vierling, J. M. (2024) · The Lancet · doi:10.1016/s0140-6736(24)01303-5 · Cited by 177 · see citing works
- Authors
- Zhou, Y.-J., Ying, G.-X., Dong, S.-L., Xiang, B., & Jin, Q.-F.
- Affiliations
- Hangzhou Xixi hospital (CN)
- Venue
- Frontiers in Immunology
- Publisher
- Frontiers Media SA
- Published
- 2023-05-08
- Volume
- 14
- Pages
- 1126117-1126117
- ISSN
- 1664-3224 (ISSN-L)
- PMC
- PMC10200865
- OpenAlex
- W4375866985
- Cited by
- 26
- References
- 4
- Citations by year
- 2026: 8 · 2025: 6 · 2024: 10 · 2023: 2
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Immunology (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- primary biliary cirrhosis, gut microbiota, biomarkers, alpha diversity, Serratia, Oscillospiraceae, Faecalibacterium, Ruminococcaceae, Coprococcus, lipid metabolism, secondary metabolite biosynthesis, disease severity
- MeSH terms
- Clostridiales, Eubacteriales, Gastrointestinal Microbiome, Humans, Liver Cirrhosis, Biliary, RNA, Ribosomal, 16S, Area Under Curve, Benchmarking, Lactobacillales
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