The Respiratory Microbiome in Cystic Fibrosis : Compartment Patterns and Clinical Relationships in Early Stage Disease

Marian Garcia-Nuñez, Miguel Garcia-Gonzalez, Xavier Pomares, Concepción Montón, Laura Millares, Sara Quero, Elena Prina, Oscar Asensio-De la Cruz, Montserrat Bosque, Silvia Capilla, Oscar Cuevas, Eduard Monsó

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13 Citations (Scopus)

Abstract

We compared the bacterial microbiomes lodged in the bronchial tree, oropharynx and nose of patients with early stage cystic fibrosis (CF) not using chronic antibiotics, determining their relationships with lung function and exacerbation frequency. CF patients were enrolled in a cohort study during stability and were checked regularly over the following 9 months. Upper respiratory samples (sputum [S], oropharyngeal swab [OP] and nasal washing [N]) were collected at the first visit and every 3 months. 16S rRNA gene amplification and sequencing was performed and analyzed with QIIME. Seventeen CF patients were enrolled (16.6 SD 9.6 years). Alpha-diversity of bacterial communities between samples was significantly higher in S than in OP (Shannon index median 4.6 [IQR: 4.1-4.9] vs. 3.7 [IQR: 3-1-4.1], p = 0.003/Chao 1 richness estimator median 97.75 [IQR: 85.1-110.9] vs. 43.9 [IQR: 31.7-59.9], p = 0.003) and beta-diversity analysis also showed significant differences in the microbial composition of both respiratory compartments (Adonis test of Bray Curtis dissimilarity matrix, p = 0.001). Dominant taxa were found at baseline in five patients (29.4%), who showed lower forced expiratory volume in the first second (FEV1%, mean 74.8 [SD 19] vs. 97.2 [SD 17.8], p = 0.035, Student t test). The Staphylococcus genus had low RAs in most samples (median 0.26% [IQR 0.01-0.69%]), but patients with RA
Original languageEnglish
JournalFrontiers in Microbiology
Volume11
DOIs
Publication statusPublished - 2020

Keywords

  • Cystic fibrosis
  • Microbiome
  • Exacerbation
  • Lung function
  • Staphylococcus aureus

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