Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus

<p dir="ltr">Children with Type 1 diabetes mellitus (T1DM) have an elevated risk of abnormal blood pressure (BP) measurements and patterns. Both hypertension and T1DM are well-known risk factors for cardiovascular disease and kidney failure. The human microbiome has been linked to bo...

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Main Author: Arun Prasath Lakshmanan (6807152) (author)
Other Authors: Ibrahim F. Shatat (14150601) (author), Sara Zaidan (17280787) (author), Shana Jacob (17280790) (author), Dhinoth Kumar Bangarusamy (11822378) (author), Shaikha Al-Abduljabbar (17280793) (author), Fawziya Al-Khalaf (13020792) (author), Goran Petroviski (17280796) (author), Annalisa Terranegra (3486953) (author)
Published: 2021
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author Arun Prasath Lakshmanan (6807152)
author2 Ibrahim F. Shatat (14150601)
Sara Zaidan (17280787)
Shana Jacob (17280790)
Dhinoth Kumar Bangarusamy (11822378)
Shaikha Al-Abduljabbar (17280793)
Fawziya Al-Khalaf (13020792)
Goran Petroviski (17280796)
Annalisa Terranegra (3486953)
author2_role author
author
author
author
author
author
author
author
author_facet Arun Prasath Lakshmanan (6807152)
Ibrahim F. Shatat (14150601)
Sara Zaidan (17280787)
Shana Jacob (17280790)
Dhinoth Kumar Bangarusamy (11822378)
Shaikha Al-Abduljabbar (17280793)
Fawziya Al-Khalaf (13020792)
Goran Petroviski (17280796)
Annalisa Terranegra (3486953)
author_role author
dc.creator.none.fl_str_mv Arun Prasath Lakshmanan (6807152)
Ibrahim F. Shatat (14150601)
Sara Zaidan (17280787)
Shana Jacob (17280790)
Dhinoth Kumar Bangarusamy (11822378)
Shaikha Al-Abduljabbar (17280793)
Fawziya Al-Khalaf (13020792)
Goran Petroviski (17280796)
Annalisa Terranegra (3486953)
dc.date.none.fl_str_mv 2021-08-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.biopha.2021.111736
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Bifidobacterium_reduction_is_associated_with_high_blood_pressure_in_children_with_type_1_diabetes_mellitus/24433276
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Paediatrics
Pharmacology and pharmaceutical sciences
Microbiota
Pediatric
Diabetes
Hypertension
Blood pressure
Dysbiosis
dc.title.none.fl_str_mv Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Children with Type 1 diabetes mellitus (T1DM) have an elevated risk of abnormal blood pressure (BP) measurements and patterns. Both hypertension and T1DM are well-known risk factors for cardiovascular disease and kidney failure. The human microbiome has been linked to both diabetes and hypertension, but the relationship between the gut microbiome and BP in children with T1DM is not well-understood. In this cross-sectional study, we examined the relationship between resting office BP and gut microbiota composition, diversity, and richness in children with T1DM and healthy controls. We recruited 29 pediatric subjects and divided them into three groups: healthy controls (HC, n = 5), T1DM with normal BP (T1DM-Normo, n = 17), and T1DM with elevated BP (T1DM-HBP, n = 7). We measured the BP, dietary and clinical parameters for each subject. We collected fecal samples to perform the 16s rDNA sequencing and to measure the short-chain fatty acids (SCFAs) level. The microbiome downstream analysis included the relative abundance of microbiota, alpha and beta diversity, microbial markers using Linear Discriminant effect size analysis (LEfSe), potential gut microbial metabolic pathways using Phylogenetic Investigation of Communities by Reconstruction of Unobserved States (PICRUSt) and metabolic pathways validation using Statistical Inference of Associations between Microbial Communities And host phenotype (SIAMCAT) machine learning toolbox. Our study results showed that T1DM-HBP group had distinct gut microbial composition (at multiple taxonomic levels) and reduced diversity (richness and abundance) compared with T1DM-Normo and HC groups. Children with T1DM-HBP showed a significant reduction of Bifidobacterium levels (especially B. adolescentis, B. bifidum, and B. longum) compared to the T1DM-Normo group. We also observed unique gut-microbial metabolic pathways, such as elevated lipopolysaccharide synthesis and glutathione metabolism in children with T1DM-HBP compared to T1DM-Normo children. We can conclude that the reduction in the abundance of genus Bifidobacterium could play a significant role in elevating the BP in pediatric T1DM subjects. More studies are needed to corroborate our findings and further explore the potential contributing mechanisms we describe.</p><h2>Other Information</h2><p dir="ltr">Published in: Biomedicine & Pharmacotherapy<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.biopha.2021.111736" target="_blank">https://dx.doi.org/10.1016/j.biopha.2021.111736</a></p>
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identifier_str_mv 10.1016/j.biopha.2021.111736
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spelling Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitusArun Prasath Lakshmanan (6807152)Ibrahim F. Shatat (14150601)Sara Zaidan (17280787)Shana Jacob (17280790)Dhinoth Kumar Bangarusamy (11822378)Shaikha Al-Abduljabbar (17280793)Fawziya Al-Khalaf (13020792)Goran Petroviski (17280796)Annalisa Terranegra (3486953)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesPaediatricsPharmacology and pharmaceutical sciencesMicrobiotaPediatricDiabetesHypertensionBlood pressureDysbiosis<p dir="ltr">Children with Type 1 diabetes mellitus (T1DM) have an elevated risk of abnormal blood pressure (BP) measurements and patterns. Both hypertension and T1DM are well-known risk factors for cardiovascular disease and kidney failure. The human microbiome has been linked to both diabetes and hypertension, but the relationship between the gut microbiome and BP in children with T1DM is not well-understood. In this cross-sectional study, we examined the relationship between resting office BP and gut microbiota composition, diversity, and richness in children with T1DM and healthy controls. We recruited 29 pediatric subjects and divided them into three groups: healthy controls (HC, n = 5), T1DM with normal BP (T1DM-Normo, n = 17), and T1DM with elevated BP (T1DM-HBP, n = 7). We measured the BP, dietary and clinical parameters for each subject. We collected fecal samples to perform the 16s rDNA sequencing and to measure the short-chain fatty acids (SCFAs) level. The microbiome downstream analysis included the relative abundance of microbiota, alpha and beta diversity, microbial markers using Linear Discriminant effect size analysis (LEfSe), potential gut microbial metabolic pathways using Phylogenetic Investigation of Communities by Reconstruction of Unobserved States (PICRUSt) and metabolic pathways validation using Statistical Inference of Associations between Microbial Communities And host phenotype (SIAMCAT) machine learning toolbox. Our study results showed that T1DM-HBP group had distinct gut microbial composition (at multiple taxonomic levels) and reduced diversity (richness and abundance) compared with T1DM-Normo and HC groups. Children with T1DM-HBP showed a significant reduction of Bifidobacterium levels (especially B. adolescentis, B. bifidum, and B. longum) compared to the T1DM-Normo group. We also observed unique gut-microbial metabolic pathways, such as elevated lipopolysaccharide synthesis and glutathione metabolism in children with T1DM-HBP compared to T1DM-Normo children. We can conclude that the reduction in the abundance of genus Bifidobacterium could play a significant role in elevating the BP in pediatric T1DM subjects. More studies are needed to corroborate our findings and further explore the potential contributing mechanisms we describe.</p><h2>Other Information</h2><p dir="ltr">Published in: Biomedicine & Pharmacotherapy<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.biopha.2021.111736" target="_blank">https://dx.doi.org/10.1016/j.biopha.2021.111736</a></p>2021-08-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.biopha.2021.111736https://figshare.com/articles/journal_contribution/Bifidobacterium_reduction_is_associated_with_high_blood_pressure_in_children_with_type_1_diabetes_mellitus/24433276CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/244332762021-08-01T00:00:00Z
spellingShingle Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus
Arun Prasath Lakshmanan (6807152)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Paediatrics
Pharmacology and pharmaceutical sciences
Microbiota
Pediatric
Diabetes
Hypertension
Blood pressure
Dysbiosis
status_str publishedVersion
title Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus
title_full Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus
title_fullStr Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus
title_full_unstemmed Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus
title_short Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus
title_sort Bifidobacterium reduction is associated with high blood pressure in children with type 1 diabetes mellitus
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Paediatrics
Pharmacology and pharmaceutical sciences
Microbiota
Pediatric
Diabetes
Hypertension
Blood pressure
Dysbiosis