Article(id=1240929923439850336, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240929920461886112, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202402138, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1707580800000, receivedDateStr=2024-02-11, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773790349110, onlineDateStr=2026-03-18, pubDate=1717948800000, pubDateStr=2024-06-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773790349110, onlineIssueDateStr=2026-03-18, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773790349110, creator=13701087609, updateTime=1773790349110, updator=13701087609, issue=Issue{id=1240929920461886112, tenantId=1146029695717560320, journalId=1227665162245664772, year='2024', volume='51', issue='11', pageStart='1921', pageEnd='2112', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1773790348400, creator=13701087609, updateTime=1773827281389, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241084828704109275, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240929920461886112, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241084828704109276, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240929920461886112, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=1921, endPage=1927, ext={EN=ArticleExt(id=1240929923741840245, articleId=1240929923439850336, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Study on intestinal microbial characteristics of 10-year risk of atherosclerotic cardiovascular disease in Tibetan population, columnId=1240413921954295836, journalTitle=Modern Preventive Medicine, columnName=Epidemiology and Statistical Methods, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the differences of intestinal flora, metabolic pathways, and functional genes among people at ten-year risk of atherosclerotic cardiovascular disease (ASCVD) in Tibetan population. Methods Based on the follow-up survey data of the natural population cohort in Lhasa in southwest China, a total of 94 people were included in the “China Blood Lipid Management Guide 2023” for follow-up analysis. DNA was extracted from stool samples and analyzed by macro genomic sequencing. The composition of intestinal flora of people at different 10-year risks of ASCVD was compared by bioinformatics method. The metabolic pathway and functional genes were predicted by Kyoto Encyclopedia of Gene and Genome (KEGG) and MetaCye database. Linear discriminant analysis and generalized linear regression were used to screen differential bacteria and explore their relationship with related phenotypes. Results The α diversity of people at risk of ASCVD in the middle and high 10-year risk was significantly decreased (t=-8.213, P=0.032). Strains closely related to butyrate production such as Bacteroides uniforms, (LDA=4.035, P=0.001), Faecalibacterium prausnitzii (LDA=3.876, P=0.003), Bacteroides ovatus (LDA=3.648, P=0.006), Bacteroides fragilis (LDA=3.604, P=0.003), Ruminococcus bicirculans (LDA=3.188, P=0.009), and Roseburia hominis(LDA= 3.169, P=0.004) were enriched in the population with low 10-year risk of ASCVD. The pathways and functional genes related to lipopolysaccharide synthesis (LDA=2.619, P=0.004) and lipid metabolism (LDA=2.694, P=0.001) were significantly up-regulated in the middle and high 10-year ASCVD risk population. Conclusion The intestinal microflora and metabolic function of the people at 10-year risk of ASCVD are significantly changed, and the imbalance of intestinal flora may also be one of the important reasons for changing the 10-year risk of ASCVD.
, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, authorCompany=null, fund=null, authors=null, authorsList=Zhe-jun XIANG, Qing-yu DOU, Xing ZHAO, Shu-juan YANG, Pei-bin ZENG), CN=ArticleExt(id=1240929925516030973, articleId=1240929923439850336, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=藏族人群动脉粥样硬化性心血管疾病10年发病风险肠道微生物特征研究, columnId=1228016567632462653, journalTitle=现代预防医学, columnName=流行病与统计方法, runingTitle=null, highlight=null, articleAbstract=
目的 探究藏族地区人群不同动脉粥样硬化性心血管疾病(ASCVD)10年发病风险人群的肠道菌群及其代谢通路和功能基因的差异。方法 基于西南区域自然人群队列拉萨地区的随访调查数据,参照《中国血脂管理指南2023》总共纳入94人进行后续分析。对样本粪便提取DNA后进行宏基因组测序分析,通过生物信息学方法,比较不同ASCVD10年发生风险人群的肠道菌群构成。并利用京都基因与基因组百科全书(KEGG)和MetaCye数据库预测其代谢通路和功能基因,采用线性判别分析和广义线性回归,筛选差异菌群以及探究其与相关表型的联系。结果 中高ASCVD10年发病风险人群的α多样性显著降低(t=-8.213,P=0.032)。与产丁酸盐密切相关的菌种如单形拟杆菌(Bacteroides uniformis,LDA=4.035, P=0.001)、普拉梭菌(Faecalibacterium prausnitzii,LDA=3.876, P=0.003)、卵形拟杆菌(Bacteroides ovatus,LDA=3.648,P=0.006)、脆弱拟杆菌(Bacteroides fragilis,LDA=3.604,P=0.003)、双环瘤胃球菌(Ruminococcus bicirculans,LDA=3.188,P=0.009)、人罗斯拜瑞菌(Roseburia hominis,LDA= 3.169,P=0.004)在低ASCVD10年风险人群中富集。并且涉及脂多糖合成(LDA=2.619,P=0.004)和脂质代谢(LDA=2.694,P=0.001)相关的通路和功能基因均在中高ASCVD 10年风险人群显著上调。结论 中高ASCVD10年发病风险人群的肠道微生物和代谢功能明显改变,肠道菌群失调可能也是改变人群ASCVD 10年发病风险的重要原因之一。
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点,除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=Wz4Jx6P+wPjBdjZSNH9IJg==, magXml=9JhZRIscCSITq75/aDzBEg==, pdfUrl=null, pdf=NiTYiQLcnh1HZjoC5gDyuQ==, pdfFileSize=3776977, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=zDbT0nQxy/Gdmwt0yMSiuw==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=QDC0eaecJ3jiHpId7JFeew==, mapNumber=null, authorCompany=null, fund=null, authors=
向哲军(2000—),男,硕士在读,研究方向:微生物、公众健康与检验
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The gut microbiome diversity index in different 10-year ASCVD risk groups, figureFileSmall=XsbK54MWQ6DGf7o3tlunzw==, figureFileBig=zDbT0nQxy/Gdmwt0yMSiuw==, tableContent=null), ArticleFig(id=1240929928825336122, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=CN, label=图1, caption=
不同ASCVD10年发病人群肠道菌群多样性指数注:图A为Simpson指数;图B为Shannon指数;图C为β-多样性的PCoA分析;图D为宿主表型或暴露对β多样性的影响;*表示P<0.05;**表示P<0.01。
, figureFileSmall=XsbK54MWQ6DGf7o3tlunzw==, figureFileBig=zDbT0nQxy/Gdmwt0yMSiuw==, tableContent=null), ArticleFig(id=1240929929089577291, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=EN, label=Figure 2, caption=
The microbial composition in different 10-year ASCVD risk groups, figureFileSmall=zAgQFbJCQmUtHxaGkcQu8w==, figureFileBig=OHB127XJa3B3PILSTNT1EQ==, tableContent=null), ArticleFig(id=1240929929207017816, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=CN, label=图2, caption=
不同ASCVD 10年发病人群肠道微生物组成差异注:图A为门水平下肠道微生物差异;图B为种水平下肠道微生物差异。
, figureFileSmall=zAgQFbJCQmUtHxaGkcQu8w==, figureFileBig=OHB127XJa3B3PILSTNT1EQ==, tableContent=null), ArticleFig(id=1240929929299292513, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=EN, label=Figure 3, caption=
Differential species and their associations with related phenotypes in different 10-year ASCVD groups, figureFileSmall=qEoe0TwT5A4u5ZCBNeug7Q==, figureFileBig=iTJDSpAvoUfFVbcQ4g+Elg==, tableContent=null), ArticleFig(id=1240929929391567207, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=CN, label=图3, caption=
不同ASCVD10年发病人群肠道差异物种及其与相关表型的关联注:图A为属水平差异物种;图B为种水平差异物种;图C为差异物种相关表型的关联;使用CLR对微生物组丰度数据进行变换,同时校正年龄、性别、BMI、吸烟程度、饮酒摄入、水果摄入、蔬菜摄入、体力活动、总能量摄入;对P<0.05的结果进行展示,通过关联Z分数(Z-score)*effect size,进行着色,白色为负向,“+”为正向,“-”为负向。
, figureFileSmall=qEoe0TwT5A4u5ZCBNeug7Q==, figureFileBig=iTJDSpAvoUfFVbcQ4g+Elg==, tableContent=null), ArticleFig(id=1240929929513202037, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=EN, label=Figure 4, caption=
Intestinal microbial functional characteristics of gut microbiome in different 10-year ASCVD risk groups, figureFileSmall=Pk/hajAw+kF0/w/dqU3TSg==, figureFileBig=BDiflTh+iwCKZ1VVhBTIkQ==, tableContent=null), ArticleFig(id=1240929929609671036, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=CN, label=图4, caption=
不同ASCVD10年发病人群肠道微生物功能特征注:图A不同风险组的差异代谢通路;图B不同风险组的差异功能基因。
, figureFileSmall=Pk/hajAw+kF0/w/dqU3TSg==, figureFileBig=BDiflTh+iwCKZ1VVhBTIkQ==, tableContent=null), ArticleFig(id=1240929929865523589, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=EN, label=Table 1, caption=
Basic characteristics of Tibetan participants with HM-risk and low risk [
,n(%),M(P25,P75)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 基本特征 | HM-risk (n=38) | Low risk(n=56) | 统计量 | P值 |
|---|
| 年龄(岁) | 51.58±10.84 | 46.86±8.94 | 2.221 | 0.023 |
| 性别 | | | | |
| 男 | 25 (65.8) | 21 (37.5) | 6.162 | 0.013 |
| 女 | 13 (34.2) | 35 (62.5) | | |
| 最高教育程度 | | | | |
| 未正规上过学 | 17 (44.74) | 22 (39.29) | 1.024 | 0.475 |
| 小学 | 17 (44.74) | 24 (42.86) | | |
| 初中 | 3 (7.89) | 9 (16.07) | | |
| 高中(包括中专/技校) | 1 (2.63) | 0 (0) | | |
| 大学(包括研究生) | 0 (0) | 1 ( 1.79) | | |
| BMI (kg/m2) | 26.66±4.32 | 25.40±3.62 | 1.482 | 0.129 |
| 腰臀比 | 0.94 (0.89, 0.97) | 0.91 (0.85, 0.94) | 7.616 | 0.006 |
| 舒张压 (mm Hg) | 84.71±11.46 | 73.80±8.49 | 5.009 | <0.001 |
| 收缩压 (mm Hg) | 128.42±16.99 | 109.95±12.67 | 5.708 | <0.001 |
| 总胆固醇 (mmol/L) | 4.52±1.52 | 3.93±1.08 | 2.068 | 0.031 |
| 低密度脂蛋白 (mmol/L) | 2.87 (2.05, 3.60) | 2.21 (1.86, 2.73) | 5.110 | 0.018 |
| 高密度脂蛋白 (mmol/L) | 1.06±0.36 | 1.06±0.36 | 0.013 | 0.991 |
| 甘油三酯 (mmol/L) | 1.21 (0.89, 1.42) | 0.88 (0.62, 1.26) | 6.049 | 0.031 |
| 空腹血糖 (mmol/L) | 5.06±1.49 | 4.73±0.48 | 1.345 | 0.132 |
| 糖化血红蛋白 (%) | 5.80 (5.43, 6.00) | 5.60 (5.30, 6.00) | 0.894 | 0.621 |
| 薯类摄入 (g/w) | 350.00 (200.00, 700.00) | 350.00 (200.00, 700.00) | 0.096 | 0.757 |
| 红肉及其制品 (g/w) | 350.00 (350.00, 700.00) | 350.00 (93.75, 700.00) | 0.003 | 0.959 |
| 家禽及其制品 (g/w) | 11.67 (0, 50.00) | 50.00 (0, 200.00) | 6.023 | 0.014 |
| 蛋类及其制品 (g/w) | 60.00 (1.00, 243.00) | 100.00 (45.00, 202.50) | 0.455 | 0.523 |
| 新鲜蔬菜 (g/w) | 700.00 (350.00, 1 400.00) | 700.00 (700.00, 2 100.00) | 3.633 | 0.057 |
| 新鲜水果 (g/w) | 525.00 (100.00, 1 162.50) | 530.00 (237.50, 1 400.00) | 1.075 | 0.356 |
| 乳类及其制品 (g/w) | 150.00 (20.42, 500.00) | 245.00 (0, 700.00) | 0.196 | 0.658 |
| 大米摄入 (g/w) | 1 400.00 (1 050.00, 2 240.00) | 1 450.00 (1 120.00, 2 800.00) | 0.539 | 0.463 |
| 面食摄入 (g/w) | 610.00 (150.00, 1 050.00) | 600.00 (300.00, 1 050.00) | 0.006 | 0.938 |
| 杂粮摄入 (g/w) | 655.67 (359.58, 812.00) | 672.33 (405.62, 1 009.00) | 0.330 | 0.566 |
| 饮茶摄入 (g/w) | 28.00 (9.50, 55.65) | 28.00 (14.00, 42.00) | 0.001 | 0.981 |
| 吸烟程度 | | | | |
| 从不吸烟 | 28 (73.68) | 48 (85.71) | 2.924 | 0.232 |
| 过去吸过烟 | 7 (18.42) | 7 (12.50) | | |
| 吸烟 | 3 ( 7.89) | 1 ( 1.79) | | |
| 饮酒量 (g/w) | 1.44±2.56 | 7.11±42.17 | -1.003 | 0.411 |
| 总能量摄入 (J) | 11 955.23±4 855.91 | 12 688.93±4 536.39 | -0.738 | 0.456 |
| 体力活动 (Mets) | 14.99 (9.30, 22.41) | 10.94 (6.57, 18.45) | 1.018 | 0.925 |
| 粪便排便频次 | | | | |
| 每天多于一次 | 1 ( 2.63) | 8 (14.29) | 6.248 | 0.101 |
| 基本上每天一次 | 27 (71.05) | 27 (48.21) | | |
| 基本上隔天一次 | 7 (18.42) | 16 (28.57) | | |
| 每周少于三次 | 3 ( 7.89) | 5 ( 8.93) | | |
), ArticleFig(id=1240929930037490068, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240929923439850336, language=CN, label=表1, caption=
藏族中高ASCVD10年发病风险人群和低ASCVD10年发病风险人群基本特征[
,n(%),M(P25,P75)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 基本特征 | HM-risk (n=38) | Low risk(n=56) | 统计量 | P值 |
|---|
| 年龄(岁) | 51.58±10.84 | 46.86±8.94 | 2.221 | 0.023 |
| 性别 | | | | |
| 男 | 25 (65.8) | 21 (37.5) | 6.162 | 0.013 |
| 女 | 13 (34.2) | 35 (62.5) | | |
| 最高教育程度 | | | | |
| 未正规上过学 | 17 (44.74) | 22 (39.29) | 1.024 | 0.475 |
| 小学 | 17 (44.74) | 24 (42.86) | | |
| 初中 | 3 (7.89) | 9 (16.07) | | |
| 高中(包括中专/技校) | 1 (2.63) | 0 (0) | | |
| 大学(包括研究生) | 0 (0) | 1 ( 1.79) | | |
| BMI (kg/m2) | 26.66±4.32 | 25.40±3.62 | 1.482 | 0.129 |
| 腰臀比 | 0.94 (0.89, 0.97) | 0.91 (0.85, 0.94) | 7.616 | 0.006 |
| 舒张压 (mm Hg) | 84.71±11.46 | 73.80±8.49 | 5.009 | <0.001 |
| 收缩压 (mm Hg) | 128.42±16.99 | 109.95±12.67 | 5.708 | <0.001 |
| 总胆固醇 (mmol/L) | 4.52±1.52 | 3.93±1.08 | 2.068 | 0.031 |
| 低密度脂蛋白 (mmol/L) | 2.87 (2.05, 3.60) | 2.21 (1.86, 2.73) | 5.110 | 0.018 |
| 高密度脂蛋白 (mmol/L) | 1.06±0.36 | 1.06±0.36 | 0.013 | 0.991 |
| 甘油三酯 (mmol/L) | 1.21 (0.89, 1.42) | 0.88 (0.62, 1.26) | 6.049 | 0.031 |
| 空腹血糖 (mmol/L) | 5.06±1.49 | 4.73±0.48 | 1.345 | 0.132 |
| 糖化血红蛋白 (%) | 5.80 (5.43, 6.00) | 5.60 (5.30, 6.00) | 0.894 | 0.621 |
| 薯类摄入 (g/w) | 350.00 (200.00, 700.00) | 350.00 (200.00, 700.00) | 0.096 | 0.757 |
| 红肉及其制品 (g/w) | 350.00 (350.00, 700.00) | 350.00 (93.75, 700.00) | 0.003 | 0.959 |
| 家禽及其制品 (g/w) | 11.67 (0, 50.00) | 50.00 (0, 200.00) | 6.023 | 0.014 |
| 蛋类及其制品 (g/w) | 60.00 (1.00, 243.00) | 100.00 (45.00, 202.50) | 0.455 | 0.523 |
| 新鲜蔬菜 (g/w) | 700.00 (350.00, 1 400.00) | 700.00 (700.00, 2 100.00) | 3.633 | 0.057 |
| 新鲜水果 (g/w) | 525.00 (100.00, 1 162.50) | 530.00 (237.50, 1 400.00) | 1.075 | 0.356 |
| 乳类及其制品 (g/w) | 150.00 (20.42, 500.00) | 245.00 (0, 700.00) | 0.196 | 0.658 |
| 大米摄入 (g/w) | 1 400.00 (1 050.00, 2 240.00) | 1 450.00 (1 120.00, 2 800.00) | 0.539 | 0.463 |
| 面食摄入 (g/w) | 610.00 (150.00, 1 050.00) | 600.00 (300.00, 1 050.00) | 0.006 | 0.938 |
| 杂粮摄入 (g/w) | 655.67 (359.58, 812.00) | 672.33 (405.62, 1 009.00) | 0.330 | 0.566 |
| 饮茶摄入 (g/w) | 28.00 (9.50, 55.65) | 28.00 (14.00, 42.00) | 0.001 | 0.981 |
| 吸烟程度 | | | | |
| 从不吸烟 | 28 (73.68) | 48 (85.71) | 2.924 | 0.232 |
| 过去吸过烟 | 7 (18.42) | 7 (12.50) | | |
| 吸烟 | 3 ( 7.89) | 1 ( 1.79) | | |
| 饮酒量 (g/w) | 1.44±2.56 | 7.11±42.17 | -1.003 | 0.411 |
| 总能量摄入 (J) | 11 955.23±4 855.91 | 12 688.93±4 536.39 | -0.738 | 0.456 |
| 体力活动 (Mets) | 14.99 (9.30, 22.41) | 10.94 (6.57, 18.45) | 1.018 | 0.925 |
| 粪便排便频次 | | | | |
| 每天多于一次 | 1 ( 2.63) | 8 (14.29) | 6.248 | 0.101 |
| 基本上每天一次 | 27 (71.05) | 27 (48.21) | | |
| 基本上隔天一次 | 7 (18.42) | 16 (28.57) | | |
| 每周少于三次 | 3 ( 7.89) | 5 ( 8.93) | | |
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