PMID- 34993216 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220108 IS - 2296-858X (Print) IS - 2296-858X (Electronic) IS - 2296-858X (Linking) VI - 8 DP - 2021 TI - Alterations in the Gut Microbiota and Hepatitis-B-Virus Infection in Southern Chinese Patients With Coexisting Non-Alcoholic Fatty Liver Disease and Type-2 Diabetes Mellitus. PG - 805029 LID - 10.3389/fmed.2021.805029 [doi] LID - 805029 AB - Background: Hepatitis B virus (HBV) infection has been reported to affect the bacterial characteristics in the host. We aimed to elucidate the compositional and functional characteristics of the microbiota in southern Chinese patients with coexistent HBV infection, non-alcoholic fatty liver disease (NAFLD), and type-2 diabetes mellitus (T2DM). Methods: Healthy controls (HCs) and patients with coexistent NAFLD and T2DM were enrolled. Patients were divided into two groups: N1 (without HBV infection) and N2 (with HBV infection). Stool samples were collected for 16s RNA gene sequencing and untargeted metabolomics analysis. Results: Bacterial diversity was decreased in the N2 group. There was a significantly lower abundance of bacteria of Faecalibacterium, Gemmiger, and Clostridium_XIVA genera, but a higher abundance of Megamonas and Phascolarctobacterium genera in the N2 group. Compared with the N1 group, the abundance of Gemmiger species was even lower, and alterations in the abundance of Phascolarctobacterium and Clostridium_XIVA genera only occurred in the N2 group. There were significantly different fecal metabolic features, which were enriched in glucose and lipid metabolic pathways (e.g., fatty acid and glycerophospholipid metabolism) between the N2 and HC groups. Metabolites in glycerophospholipid metabolism, such as Sn-3-o-(geranylgeranyl)glycerol1-phosphate, were even higher in the N2 group than in the N1 group. The decreased Faecalibacterium and Gemmiger contributed to the increased level of Sn-3-o-(geranylgeranyl) glycerol1-phosphate, palmitoylcarnitine, and serum triglycerides. Clostridium_XIVA species were positively correlated to 15(s)-hpete. Megamonas species were positively correlated with the serum level of glucose indirectly. Conclusions: The distinct gut-microbiome profile associated with HBV infection has a role in lipid metabolism and glucose metabolism in patients with coexistent NAFLD and T2DM. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT03525769. CI - Copyright (c) 2021 Han, Huang, Ji, Zhou, Chen and Hou. FAU - Han, Weijia AU - Han W AD - Department of Liver Disease Center, Shenzhen Hospital, Southern Medical University, Shenzhen, China. AD - Hepatology Unit, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Huang, Chunyang AU - Huang C AD - Second Department of Liver Disease Center, Beijing Youan Hospital, Capital Medical University, Beijing, China. FAU - Ji, Yali AU - Ji Y AD - Hepatology Unit, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Zhou, Ling AU - Zhou L AD - Hepatology Unit, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Chen, Jinjun AU - Chen J AD - Hepatology Unit, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China. AD - Hepatology Unit, Zengcheng Branch, Nanfang Hospital, Southern Medical University, Guangzhou, China. AD - Chinese (Acute on) Chronic Liver Failure Consortium (Ch-CLIF.C), Shanghai, China. FAU - Hou, Jinlin AU - Hou J AD - Department of Liver Disease Center, Shenzhen Hospital, Southern Medical University, Shenzhen, China. LA - eng SI - ClinicalTrials.gov/NCT03525769 PT - Journal Article DEP - 20211221 PL - Switzerland TA - Front Med (Lausanne) JT - Frontiers in medicine JID - 101648047 PMC - PMC8724037 OTO - NOTNLM OT - HBV OT - NAFLD OT - hepatitis B virus OT - metabolome OT - microbiota COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/01/08 06:00 MHDA- 2022/01/08 06:01 PMCR- 2021/12/21 CRDT- 2022/01/07 06:29 PHST- 2021/10/29 00:00 [received] PHST- 2021/11/23 00:00 [accepted] PHST- 2022/01/07 06:29 [entrez] PHST- 2022/01/08 06:00 [pubmed] PHST- 2022/01/08 06:01 [medline] PHST- 2021/12/21 00:00 [pmc-release] AID - 10.3389/fmed.2021.805029 [doi] PST - epublish SO - Front Med (Lausanne). 2021 Dec 21;8:805029. doi: 10.3389/fmed.2021.805029. eCollection 2021.