Gut microbiomes of Malawian twin pairs discordant for kwashiorkor.
Gut microbiomes of Malawian twin pairs discordant for kwashiorkor.
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DOI:
10.1126/science.1229000
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发表时间:
2013-02-01
期刊:
影响因子:
--
通讯作者:
Gordon JI
中科院分区:
文献类型:
--
作者:
Smith MI;Yatsunenko T;Manary MJ;Trehan I;Mkakosya R;Cheng J;Kau AL;Rich SS;Concannon P;Mychaleckyj JC;Liu J;Houpt E;Li JV;Holmes E;Nicholson J;Knights D;Ursell LK;Knight R;Gordon JI
Kwashiorkor, an enigmatic form of severe acute malnutrition, is the consequence of inadequate nutrient intake plus additional environmental insults. To investigate the role of the gut microbiome, we studied 317 Malawian twin pairs during the first 3 years of life. During this time, half of the twin pairs remained well-nourished, while 43% became discordant and 7% manifested concordance for acute malnutrition. Both children in twin pairs discordant for kwashiorkor were treated with a peanut-based, ready-to-use therapeutic food (RUTF). Time-series metagenomic studies revealed that RUTF produced a transient maturation of metabolic functions in kwashiorkor microbiomes that regressed when RUTF was stopped. Previously frozen fecal communities from several discordant pairs were each transplanted into gnotobiotic mice. The combination of Malawian diet and kwashiorkor microbiome produced marked weight loss in recipient mice, accompanied by perturbations in amino acid, carbohydrate and intermediary metabolism that were only transiently ameliorated with RUTF. These findings implicate the gut microbiome as a causal factor in kwashiorkor.
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发表时间:
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