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Microbiome terkait dengan diabetes tipe 1 : Pergeseran keanekaragaman spesies microbiome sebelum onset penyakit
Dalam studi longitudinal terbesar dari microbiome sampai saat ini , para peneliti telah mengidentifikasi hubungan antara perubahan mikrobiota usus dan timbulnya diabetes tipe 1 . Penelitian , yang diikuti bayi yang secara genetik cenderung dengan kondisi , menemukan bahwa onset bagi mereka dimana penyakit ini berkembang didahului oleh penurunan keragaman mikroba - termasuk penurunan proporsional dalam jumlah spesies yang dikenal untuk meningkatkan kesehatan dalam usus .....read more
Microbiome
linked to type 1 diabetes: Shift in microbiome species diversity prior to
disease onset
Date:
February 5, 2015
Source:
Broad Institute of MIT
and Harvard
Summary:
In the largest
longitudinal study of the microbiome to date, researchers have identified a
connection between changes in gut microbiota and the onset of type 1 diabetes.
The study, which followed infants who were genetically predisposed to the
condition, found that onset for those who developed the disease was preceded by
a drop in microbial diversity -- including a disproportional decrease in the
number of species known to promote health in the gut.
.....................
In the largest longitudinal study of the
microbiome to date, researchers from the Broad Institute of MIT and Harvard,
Massachusetts General Hospital (MGH), and the DIABIMMUNE Study Group have
identified a connection between changes in gut microbiota and the onset of type
1 diabetes (T1D). The study, which followed infants who were genetically
predisposed to the condition, found that onset for those who developed the
disease was preceded by a drop in microbial diversity -- including a
disproportional decrease in the number of species known to promote health in
the gut. These findings, published by Cell, Host & Microbe,
could help pave the way for microbial-based diagnostic and therapeutic options
for those with T1D.
The human microbiome, which consists of the trillions of microorganisms
(bacteria, viruses, and other assorted "bugs") that reside in our
bodies, has become an area of growing interest to the medical community as
researchers have begun to probe the role it plays in human health and disease.
While most bugs in our microbiome are harmless, and even beneficial, changes in
the microbiome (and in the interactions microbial species share with their
human hosts) have been linked to various disease states, including diabetes and
Inflammatory Bowel Disease (IBD).
To explore the possible connection between changes in the microbiome and
type 1 diabetes, a team led by Ramnik Xavier, an Institute Member of the Broad
and Chief of Gastroenterology at MGH, followed 33 infants (out of a much larger
cohort of Finnish and Estonian children) who were genetically predisposed to
T1D. From birth to age 3, the team regularly analyzed the subjects' stool
samples, collecting data on the composition of their gut microbiome.
In the handful that developed T1D during this period, the team observed a
25% drop in community diversity (in other words, in the number of distinct
species present in the microbiome) one year prior to the onset of the disease.
They also noted that this population shift included a decrease in bacteria
known to help regulate health in the gut, along with an increase in potentially
harmful bacteria that are known to promote inflammation. The findings are
further evidence of a previously identified link between inflammation of the
gut and type 1 diabetes.
"We know from previous human studies that changes in gut bacterial
composition correlate with the early development of type 1 diabetes, and that
the interactions between bacterial networks may be a contributing factor in why
some people at risk for the disease develop type 1 diabetes and others
don't," said Jessica Dunne, Director of Discovery Research at JDRF, which
funded the study. "This is the first study to show how specific changes in
the microbiome are affecting the progression to symptomatic T1D."
Previous studies have shown that transferring microbiota from mice that
were predisposed to autoimmune diabetes (the mouse equivalent of T1D) to mice
that were not predisposed increased the prevalence of autoimmune diabetes in
mice that were otherwise unlikely to develop the disease. Studies in humans
have also shown an association between T1D and the bacterial composition of the
gut. However, those studies were retrospective, meaning they were conducted
after the patients developed the disease, making causality difficult to prove.
"This study is unique because we have taken a cohort of children at
high risk of developing type 1 diabetes and then followed what changes in the
microbiome tip the balance toward progression to the disease," Xavier
said.
Aleksandar Kostic, a postdoctoral fellow in Xavier's lab and first author
of the study, agreed, calling the study "a compelling piece of evidence
pointing toward a direct role of the microbiome in type 1 diabetes."
Since the study also followed infants who did not ultimately develop type 1
diabetes, the researchers were also able to gain insights into the normal
development of the microbiome during infancy. They found that, while the
species of bacteria present in the gut microbiome vary greatly between
individuals, the composition of the microbiome is generally stable within the
individual over time.
Moreover, using metabolomic analysis (looking at the metabolites -- the
tiny molecules produced during metabolism -- in subject stool samples), the
researchers were also able to see that, while bacterial species varied between
individuals, the biological functions served by the various species in the
microbiome remained consistent over time, and from person to person.
"Whether the bacterial community is very small, as it is in early infancy,
or if it's larger as it is later in life, the community is always serving the
same major functions regardless of its composition. No matter which species are
present, they encode the same major metabolic pathways, indicating that they're
doing the same jobs," Kostic said.
By revealing patterns in the development of the microbiome in healthy
individuals, and in those progressing toward T1D onset, the findings may
ultimately have diagnostic or therapeutic implications. In terms of
diagnostics, understanding how the microbiome shifts prior to the onset of
disease could ultimately help clinicians spot early microbial features of T1D.
As for therapeutics, Xavier, who is also the Kurt Isselbacher Chair in
Medicine at Harvard Medical School and Co-Director of the Center for Microbiome
Informatics and Therapeutics at MIT, says that knowing which species are absent
and which are flourishing in the gastrointestinal tract of children with T1D
may help make it possible to slow progression of the disease after onset by
revealing ways to manipulate the microbiome and, in turn, microbiome-induced
immunoregulation.
The next step, he says, is to broaden the sample pool to determine what
factors in the environment and in the microbiome might be making Finns -- who
are at exceptionally high risk of T1D -- more predisposed to the disease than
other populations. That includes revisiting the hygiene hypothesis, which holds
that a lack of childhood exposure to microbiota and other potentially
infectious agents may hinder the development of the immune system and increase
susceptibility to immunological disorders.
The researchers are also examining the metagenomic data gathered in the
study to determine what biological pathways the microbiota are acting upon --
or what metabolites they may be producing -- that could be contributing to
disease.
The study was funded by JDRF and supported by the European Union Seventh
Framework Programme and The Academy of Finland Centre of Excellence in
Molecular Systems Immunology and Physiology Research.
Other researchers who worked on the study include: Dirk Gevers, Heli
Siljander, Tommi Vatanen, Tuulia Hyötyläinen, Anu-Maaria Hämäläinen, Aleksandr
Peet, Vallo Tillmann, Päivi Pöhö, Ismo Mattila, Harri Lähdesmäki, Eric A.
Franzosa, Outi Vaarala, Marcus de Goffau, Hermie Harmsen, Jorma Ilonen, Suvi M.
Virtanen, Clary Clish, Matej Orešič, Curtis Huttenhower, and the DIABIMMUNE
Study Group under the leadership of Mikael Knip.
Story Source:
The above story is based on materials provided by Broad
Institute of MIT and Harvard. Note: Materials may be edited for content and length.
Journal Reference:
1. Aleksandar D. Kostic, Dirk Gevers,
Heli Siljander, Tommi Vatanen, Tuulia Hyötyläinen, Anu-Maaria Hämäläinen,
Aleksandr Peet, Vallo Tillmann, Päivi Pöhö, Ismo Mattila, Harri Lähdesmäki,
Eric A. Franzosa, Outi Vaarala, Marcus de Goffau, Hermie Harmsen,
Jorma Ilonen, Suvi M. Virtanen, Clary B. Clish, Matej Orešič, Curtis
Huttenhower, Mikael Knip, Ramnik J. Xavier. The Dynamics of the
Human Infant Gut Microbiome in Development and in Progression toward Type 1
Diabetes. Cell Host & Microbe, 2015; DOI: 10.1016/j.chom.2015.01.001