RESUMO
OBJECTIVE: To evaluate the taxonomic composition of the gut microbiome in gout patients with and without tophi formation, and predict bacterial functions that might have an impact on urate metabolism. METHODS: Hypervariable V3-V4 regions of the bacterial 16S rRNA gene from fecal samples of gout patients with and without tophi (n = 33 and n = 25, respectively) were sequenced and compared to fecal samples from 53 healthy controls. We explored predictive functional profiles using bioinformatics in order to identify differences in taxonomy and metabolic pathways. RESULTS: We identified a microbiome characterized by the lowest richness and a higher abundance of Phascolarctobacterium, Bacteroides, Akkermansia, and Ruminococcus_gnavus_group genera in patients with gout without tophi when compared to controls. The Proteobacteria phylum and the Escherichia-Shigella genus were more abundant in patients with tophaceous gout than in controls. Fold change analysis detected nine genera enriched in healthy controls compared to gout groups (Bifidobacterium, Butyricicoccus, Oscillobacter, Ruminococcaceae_UCG_010, Lachnospiraceae_ND2007_group, Haemophilus, Ruminococcus_1, Clostridium_sensu_stricto_1, and Ruminococcaceae_UGC_013). We found that the core microbiota of both gout groups shared Bacteroides caccae, Bacteroides stercoris ATCC 43183, and Bacteroides coprocola DSM 17136. These bacteria might perform functions linked to one-carbon metabolism, nucleotide binding, amino acid biosynthesis, and purine biosynthesis. Finally, we observed differences in key bacterial enzymes involved in urate synthesis, degradation, and elimination. CONCLUSION: Our findings revealed that taxonomic variations in the gut microbiome of gout patients with and without tophi might have a functional impact on urate metabolism.
Assuntos
Disbiose , Microbioma Gastrointestinal , Gota/metabolismo , Metagenoma , Metagenômica , Ácido Úrico/metabolismo , Biodiversidade , Biologia Computacional/métodos , Gota/etiologia , Gota/patologia , Humanos , Metagenômica/métodos , Mapeamento de Interação de Proteínas , Mapas de Interação de ProteínasRESUMO
OBJECTIVE: The aim of this study was to analyze the association between relative leg length (RLL) (leg length × 100/height) and adiposity in a sample of 6- to 8-year-old children of Maya ancestry from Motul and Merida, Mexico. METHODS: This cross-sectional study included 260 children (128 girls) measured between 2011 and 2015. The RLL was used as a measure of body proportionality. Linear regression models were performed to examine the association between RLL (predictor) and three adiposity indicators (outcome variables): fat mass index (kg/m2 ), waist circumference (z-score), and sum of triceps and subscapular skinfolds (z-score). RESULTS: The prevalence of stunting was 12%, and a higher prevalence (19%) of short RLL (leg stunting) was found. The prevalence of overweight and obesity were 16% and 20%, respectively, but the highest prevalence was found for abdominal obesity (40%). None of the adiposity indicators were related to RLL (P > .05), even after adjusting for the influence of children's sex and age. CONCLUSIONS: Our results suggest that the coexistence of short RLL and high body adiposity is not observed in all populations. Our findings do not discount the possibility that a negative association between RLL and adiposity is expressed at older ages.
Assuntos
Desenvolvimento Infantil , Transtornos do Crescimento/epidemiologia , Indígenas Norte-Americanos/estatística & dados numéricos , Perna (Membro)/crescimento & desenvolvimento , Sobrepeso/epidemiologia , Adiposidade , Tamanho Corporal , Criança , Estudos Transversais , Feminino , Humanos , Masculino , México/epidemiologia , Obesidade/epidemiologia , Obesidade Abdominal/epidemiologia , PrevalênciaRESUMO
Height cannot always be measured directly, hence the need for height estimation formulae. This study presents two new linear regression equations for estimating height from tibial length among Maya populations. Body height and percutaneous tibial length were measured in two living Maya samples from the state of Yucatan, Mexico. The first sample comprises 100 adults (63 females and 37 males) from the community of Dzemul, (Group 1) and the second sample comprises 71 adults (26 females and 45 males) from the city of Mérida (Group 2). A linear regression model equation was then adjusted to estimate height from tibia length for each group. These models were then compared using 95% confidence intervals for the estimated variables. No differences were observed between the equations at this interval. Thus, both equations appear adequate for estimating body height from tibia length in contemporary Yucatecan populations. While the formula of Group 1 is applicable also to bioarcheological studies, the formula of Group 2 is more appropriate for studies in living populations.