Dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbations

Abstract Increasing evidence has indicated the intimate relationship between the gastrointestinal tract and respiratory tract. The microbial ecosystem has been confirmed to share key conceptual features with gut‐lung microbiome disorder and dysregulation during chronic obstructive pulmonary disease...

Full description

Saved in:
Bibliographic Details
Main Authors: Zhe Sun, Qiu‐Li Zhu, Yun Shen, Tao Yan, Xin Zhou
Format: Article
Language:English
Published: Wiley 2020-02-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:https://doi.org/10.1002/kjm2.12147
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850186572665716736
author Zhe Sun
Qiu‐Li Zhu
Yun Shen
Tao Yan
Xin Zhou
author_facet Zhe Sun
Qiu‐Li Zhu
Yun Shen
Tao Yan
Xin Zhou
author_sort Zhe Sun
collection DOAJ
description Abstract Increasing evidence has indicated the intimate relationship between the gastrointestinal tract and respiratory tract. The microbial ecosystem has been confirmed to share key conceptual features with gut‐lung microbiome disorder and dysregulation during chronic obstructive pulmonary disease (COPD) exacerbations. However, the dynamic changes of the gut‐lung microbiome during COPD exacerbations and its potential role in disease etiology remain poorly understood. The present study investigated the dynamic changes of gut and lung microorganisms during acute exacerbation of chronic obstructive pulmonary disease (AECOPD). A longitudinal 16S ribosomal DNA survey of the gut and lung microbiome was completed on 90 feces and sputum samples collected from 15 subjects with AECOPD at three visits, which were defined as exacerbation, seven‐day stable state. The present analysis revealed a dynamic gut‐lung microbiota, where changes appeared to be associated with exacerbation events indicative of specific exacerbation phenotypes. Antibiotic and steroid treatments appeared to have differential effects on the gut‐lung microbiome, and the microbiome was associated with disease progression, but not with severity. The abundance and diversity of the microbiome was strongly influenced by the disease progression and therapy. Using culture‐independent methods to impact the gut and lung microbiota on AECOPD may be the key to understanding the interactions between the gut and lung, highlighting its potential as a biomarker, and possibly a target for future respiratory therapeutics.
format Article
id doaj-art-41349c16a4b940a9b7828127da91db1f
institution OA Journals
issn 1607-551X
2410-8650
language English
publishDate 2020-02-01
publisher Wiley
record_format Article
series Kaohsiung Journal of Medical Sciences
spelling doaj-art-41349c16a4b940a9b7828127da91db1f2025-08-20T02:16:19ZengWileyKaohsiung Journal of Medical Sciences1607-551X2410-86502020-02-0136210711310.1002/kjm2.12147Dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbationsZhe Sun0Qiu‐Li Zhu1Yun Shen2Tao Yan3Xin Zhou4Department of Respiration Medicine Shanghai General Hospital of Nanjing Medical University Shanghai ChinaDepartment of Respiratory Shanghai General Hospital, Shanghai Jiao Tong University Shanghai ChinaDepartment of Respiratory Shanghai General Hospital, Shanghai Jiao Tong University Shanghai ChinaDepartment of Respiratory Shanghai General Hospital, Shanghai Jiao Tong University Shanghai ChinaDepartment of Respiration Medicine Shanghai General Hospital of Nanjing Medical University Shanghai ChinaAbstract Increasing evidence has indicated the intimate relationship between the gastrointestinal tract and respiratory tract. The microbial ecosystem has been confirmed to share key conceptual features with gut‐lung microbiome disorder and dysregulation during chronic obstructive pulmonary disease (COPD) exacerbations. However, the dynamic changes of the gut‐lung microbiome during COPD exacerbations and its potential role in disease etiology remain poorly understood. The present study investigated the dynamic changes of gut and lung microorganisms during acute exacerbation of chronic obstructive pulmonary disease (AECOPD). A longitudinal 16S ribosomal DNA survey of the gut and lung microbiome was completed on 90 feces and sputum samples collected from 15 subjects with AECOPD at three visits, which were defined as exacerbation, seven‐day stable state. The present analysis revealed a dynamic gut‐lung microbiota, where changes appeared to be associated with exacerbation events indicative of specific exacerbation phenotypes. Antibiotic and steroid treatments appeared to have differential effects on the gut‐lung microbiome, and the microbiome was associated with disease progression, but not with severity. The abundance and diversity of the microbiome was strongly influenced by the disease progression and therapy. Using culture‐independent methods to impact the gut and lung microbiota on AECOPD may be the key to understanding the interactions between the gut and lung, highlighting its potential as a biomarker, and possibly a target for future respiratory therapeutics.https://doi.org/10.1002/kjm2.12147acute exacerbations of chronic obstructive pulmonary diseasedynamic changesgut‐lungmicrobiome
spellingShingle Zhe Sun
Qiu‐Li Zhu
Yun Shen
Tao Yan
Xin Zhou
Dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbations
Kaohsiung Journal of Medical Sciences
acute exacerbations of chronic obstructive pulmonary disease
dynamic changes
gut‐lung
microbiome
title Dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbations
title_full Dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbations
title_fullStr Dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbations
title_full_unstemmed Dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbations
title_short Dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbations
title_sort dynamic changes of gut and lung microorganisms during chronic obstructive pulmonary disease exacerbations
topic acute exacerbations of chronic obstructive pulmonary disease
dynamic changes
gut‐lung
microbiome
url https://doi.org/10.1002/kjm2.12147
work_keys_str_mv AT zhesun dynamicchangesofgutandlungmicroorganismsduringchronicobstructivepulmonarydiseaseexacerbations
AT qiulizhu dynamicchangesofgutandlungmicroorganismsduringchronicobstructivepulmonarydiseaseexacerbations
AT yunshen dynamicchangesofgutandlungmicroorganismsduringchronicobstructivepulmonarydiseaseexacerbations
AT taoyan dynamicchangesofgutandlungmicroorganismsduringchronicobstructivepulmonarydiseaseexacerbations
AT xinzhou dynamicchangesofgutandlungmicroorganismsduringchronicobstructivepulmonarydiseaseexacerbations