Functional imaging of the interaction between gut microbiota and the human host: A proof-of-concept clinical study evaluating novel use for 18F-FDG PET-CT.

Functional imaging of the interaction between gut microbiota and the human host: A proof-of-concept clinical study evaluating novel use for 18F-FDG PET-CT.
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DOI:
10.1371/journal.pone.0192747
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发表时间:
2018
期刊:
影响因子:
3.7
通讯作者:
Yang YX
Yang YX
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Boursi B;Werner TJ;Gholami S;Houshmand S;Mamtani R;Lewis JD;Wu GD;Alavi A;Yang YX

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最近比较无菌小鼠与常规饲养小鼠的数据表明,结肠细胞的能量稳态通过调节短链脂肪酸(SCFA)产生和葡萄糖利用而依赖于肠道微生物群。我们试图评估18F-FDG PET-CT作为一种新的技术,用于葡萄糖代谢改变的功能成像,这是肠道微生物群和人类宿主之间相互作用的结果。我们在健康人群中进行了一项前瞻性研究,在口服广谱抗生素之前和之后进行了18F-FDG PET-CT和肠道微生物群采样。主要结局是总的和局部生理性结肠18F-FDG摄取(测量为平均和最大标准化摄取值[SUV平均值和SUV最大值])。该研究表明,在抗生素治疗后,所有研究参与者的生理性结肠18F-FDG摄取显著增加,肠道细菌负荷减少4-5log。SUVmax的平均增加为0.63±0.37 SD(p = 0.004),中位增加为0.42,IQR为0.40-0.81。SUV平均值的平均增加为0.31±0.24 SD(p = 0.01),中位增加为0.41,IQR为0.06-0.55。这种现象的一个可能的解释是由于SCFA的短缺,结肠细胞代谢向糖酵解的转变。
Recent data comparing germ-free to conventionally-raised mice demonstrated that energy homeostasis of colonocytes is dependent on gut microbiota through regulation of short chain fatty acids (SCFA) production and glucose utilization. We sought to evaluate 18F-FDG PET-CT as a novel technique for functional imaging of alterations in glucose metabolism as a result of the interaction between the gut microbiota and the human host. We conducted a prospective study in healthy humans that underwent 18F-FDG PET-CT and sampling of the gut microbiota before and after orally administered broad-spectrum antibiotics. The primary outcomes were total and regional physiologic colonic 18F-FDG uptake (measured as the mean and max standardized uptake values [SUVmean and SUVmax]). The study demonstrated significant increases in physiologic colonic 18F-FDG uptake in all study participants following antibiotic treatment and a 4-5log reduction of gut bacterial load. The mean increase in SUVmax was 0.63±0.37 SD (p = 0.004) and the median increase was 0.42 with an IQR of 0.40–0.81. The mean increase in SUVmean was 0.31±0.24 SD (p = 0.01) and the median increase was 0.41 with an IQR of 0.06–0.55. A likely explanation for this phenomenon is a shift in colonocyte metabolism to glycolysis due to a shortage of SCFA.
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