Characteristics of fecal microbial communities in patients with non-anastomotic biliary strictures after liver transplantation

World J Gastroenterol. 2017 Dec 14;23(46):8217-8226. doi: 10.3748/wjg.v23.i46.8217.

Abstract

Aim: To explore the possible relationship between fecal microbial communities and non-anastomotic stricture (NAS) after liver transplantation (LT).

Methods: A total of 30 subjects including 10 patients with NAS, 10 patients with no complications after LT, and 10 non-LT healthy individuals were enrolled. Fecal microbial communities were assessed by the 16S rRNA gene sequencing technology.

Results: Different from the uncomplicated and healthy groups, unbalanced fecal bacterium ratio existed in patients with NAS after LT. The results showed that NAS patients were associated with a decrease of Firmicutes and Bacteroidetes and an increase of Proteobacteria at the phylum level, with the proportion-ratio imbalance between potential pathogenic families including Enterococcaceae, Streptococcaceae, Enterobacteriaceae, Pseudomonadaceae and dominant families including Bacteroidaceae.

Conclusion: The compositional shifts of the increase of potential pathogenic bacteria as well as the decrease of dominant bacteria might contribute to the incidence of NAS.

Keywords: Dysbacteriosis; Fecal microbiota; Ischemia-reperfusion injury; Non-anastomotic stricture; Orthotopic liver transplantation.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Bacteria / genetics
  • Bacteria / isolation & purification*
  • Bacteria / pathogenicity
  • Biliary Tract Diseases / etiology
  • Biliary Tract Diseases / microbiology*
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / microbiology
  • DNA, Bacterial / isolation & purification
  • Dysbiosis / etiology
  • Dysbiosis / microbiology
  • End Stage Liver Disease / surgery
  • Feces / microbiology*
  • Female
  • Gastrointestinal Microbiome*
  • Humans
  • Liver Transplantation / adverse effects*
  • Male
  • Middle Aged
  • RNA, Ribosomal, 16S / genetics
  • Sequence Analysis, DNA

Substances

  • DNA, Bacterial
  • RNA, Ribosomal, 16S