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논문 기본 정보

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학술저널
저자정보
Ming-Wun Wong (Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan) I-Hsuan Lo (Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan) Wei-Kai Wu (Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan) Po-Yu Liu (Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan) Yu-Tang Yang (Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan) Chun-Yao Chen (Department of Life Sciences, Tzu Chi University, Hualien, Taiwan) Ming-Shiang Wu (Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan) Sunny H Wong (Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore) Wei-Yi Lei (Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan) Chih-Hsun Yi (Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan) Tso-Tsai Liu (Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan) Jui-Sheng Hung (Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan) Shu-Wei Liang (Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan) C Prakash Gyawali (Division of Gastroenterology, Washington University School of Medicine, St Louis, MI, USA) Chien-Lin Che (Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan)
저널정보
대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.30 No.3
발행연도
2024.7
수록면
332 - 342 (11page)
DOI
10.5056/jnm22191

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Background/AimsIneffective esophageal motility (IEM) is common in patients with gastroesophageal reflux disease (GERD) and can be associated with poor esophageal contraction reserve on multiple rapid swallows. Alterations in the esophageal microbiome have been reported in GERD, but the relationship to presence or absence of contraction reserve in IEM patients has not been evaluated. We aim to investigate whether contraction reserve influences esophageal microbiome alterations in patients with GERD and IEM. MethodsWe prospectively enrolled GERD patients with normal endoscopy and evaluated esophageal motility and contraction reserve with multiple rapid swallows during high-resolution manometry. The esophageal mucosa was biopsied for DNA extraction and 16S ribosomal RNA gene V3-V4 (Illumina)/full-length (Pacbio) amplicon sequencing analysis. ResultsAmong the 56 recruited patients, 20 had normal motility (NM), 19 had IEM with contraction reserve (IEM-R), and 17 had IEM without contraction reserve (IEM-NR). Esophageal microbiome analysis showed a significant decrease in microbial richness in patients with IEM-NR when compared to NM. The beta diversity revealed different microbiome profiles between patients with NM or IEM-R and IEM-NR (P = 0.037). Several esophageal bacterial taxa were characteristic in patients with IEM-NR, including reduced Prevotella spp. and Veillonella dispar, and enriched Fusobacterium nucleatum. In a microbiome-based random forest model for predicting IEM-NR, an area under the receiver operating characteristic curve of 0.81 was yielded. ConclusionsIn symptomatic GERD patients with normal endoscopic findings, the esophageal microbiome differs based on contraction reserve among IEM. Absent contraction reserve appears to alter the physiology and microbiota of the esophagus.

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