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O-6 ENHANCED METABOLISM OF AROMATIC AMINO ACIDS AND LOW-DIVERSITY GUT MICROBIOTA: SIGNATURES OF HEPATIC ENCEPHALOPATHY IN DECOMPENSATED CIRRHOTIC PATIENTS FROM WESTERN MEXICO
Tonatiuh Abimael Baltazar-Díaz1, Luz Alicia González-Hernández2, Juan Manuel Aldana-Ledesma3, Donovan Cortina-Romero1, Marcela Peña-Rodríguez4, Alejandra Natali Vega-Magaña5, Sara Minia Zepeda-Morales6, Rocío Ivette López-Roa6, Susana Del Toro-Arreola1, Miriam Bueno-Topete1
1 Institute for Research in Chronic-Degenerative Diseases, University Center of Health Sciences, Guadalajara University, Guadalajara, México
2 VIH Unit, Civil Hospital of de Guadalajara Fray Antonio Alcalde, Guadalajara, México
3 Gastroenterology Service, Civil Hospital of Guadalajara Fray Antonio Alcalde, Guadalajara, Mexico
4 Laboratory for the Diagnosis of Emerging and Reemerging Diseases, University Center of Health Sciences, University of Guadalajara, Guadalajara, Mexico
5 Biomedical Sciences Research Institute, University Center of Health Sciences, University of Guadalajara, Guadalajara, Mexico
6 Pharmaceutical Research and Development Laboratory, University Center of Exact Sciences and Engineering, University of Guadalajara, Guadalajara, Mexico
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        "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0001">Introduction and Objectives</span><p id="spara001" class="elsevierStyleSimplePara elsevierViewall">Alterations in the intestinal microbiota in decompensated cirrhosis are recognized as being critical in clinical evolution&#46; The onset of hepatic encephalopathy &#40;HE&#41; worsens the prognosis&#46; Metabolic functions related to intestinal microbiota&#44; such as ammonia production and imbalance of amino acid biosynthesis&#44; are believed to play a key role on the pathophysiology of HE&#46; This study aimed to evaluate the composition and functions of the intestinal microbiota in patients with decompensated cirrhosis and HE&#46;</p></span> <span id="abss0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0002">Materials and Methods</span><p id="spara002" class="elsevierStyleSimplePara elsevierViewall">Fecal samples from 31 decompensated cirrhotic patients &#40;20 with HE&#44; 11 without HE&#41; and 18 age-balanced healthy controls &#40;HC&#41; were included&#46; Microbial composition was characterized by 16S rRNA sequencing and analyzed using QIIME2&#46; Metabolic pathways were inferred by PICRUSt2&#46; SCFAs quantification was performed by gas chromatography &#40;GC&#41;&#46;</p></span> <span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Results</span><p id="spara003" class="elsevierStyleSimplePara elsevierViewall">Intestinal microbiota in HE group was characterized by a decreased &#945;-diversity&#44; compared to no-HE group &#40;<span class="elsevierStyleItalic">p</span>&#60;0&#46;01&#41; and HC &#40;<span class="elsevierStyleItalic">p</span>&#60;0&#46;001&#41;&#59; &#946;-diversity was also different between HE vs&#46; no-HE group &#40;<span class="elsevierStyleItalic">p</span>&#60;0&#46;05&#41; and HE vs&#46; HC &#40;<span class="elsevierStyleItalic">p</span>&#60;0&#46;001&#41;&#46; Intestinal microbiota from HE was defined by the presence of taxa such as <span class="elsevierStyleItalic">Escherichia</span>&#47;<span class="elsevierStyleItalic">Shigella</span>&#44; Burkholderiales and Lactobacillales&#46; Furthermore&#44; no-HE was characterized by the presence of <span class="elsevierStyleItalic">Veilonella</span> and <span class="elsevierStyleItalic">Bacteroides</span>&#46; Both groups were depleted of potential beneficial taxa&#44; such as <span class="elsevierStyleItalic">Ruminococcus</span> or <span class="elsevierStyleItalic">Faecalibacterium</span>&#44; which correlates with diminished levels of fecal SCFAs in these groups&#46; Inferred metabolic pathways showed that HE group was characterized by an enhanced chorismate metabolism&#44; which is a key precursor of aromatic amino acids&#44; along with antibiotic resistance and ammonia-producing pathways&#46; HE and no-HE group showed a significant increase in the metabolism of lipopolysaccharides&#46;</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Conclusions</span><p id="spara004" class="elsevierStyleSimplePara elsevierViewall">The intestinal microbiota of HE patients exhibit a lower diversity compared with no-HE and HC&#46; It is dominated by <span class="elsevierStyleItalic">Escherichia&#47;Shigella</span> and characterized by an enhanced metabolism of aromatic amino acids precursors and ammonia-producing pathways&#44; which suggests its participation in the pathophysiology of HE&#46; These results are described for the first time in western Mexico&#46;</p></span>"
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ISSN: 16652681
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