Bacterial biota in reflux esophagitis and Barrett's esophagus

作     者：Zhiheng Pei Liying Yang Richard M Peek Jr Steven M Levine David T Pride Martin J Blaser 

作者机构：Departments of Pathology and Medicine New York University School of Medicine New York NY 10016 the United States of America and Department of Veterans Affairs New York Harbor Health System New York NY 10010United States Department of Pathology New York University School of Medicine New York NY 10016 United States Jr Department of Medicine Vanderbilt University School of Medicine Nashville TN 37212United States Department of Medicine New York University School of Medicine New York NY 10016 United States Departments of Medicine and Microbiology New York University School of Medicine New York NY 10016United States Departments of Medicine and MicrobiologyNew York University School of Medicine New York NY 10016the United States of America and Department of Veterans AffairsNew York Harbor Health System New York NY 10010 United States 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2005年第11卷第46期

页      面：7277-7283页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by R01CA97946  R21DK57941  R01GM63270 R01 DK58587  and R01CA77955  and by the General Clinical Research Center core grant to New York University School of Medicine (NIH/NCRR M01 RR00096) from the National Institutes of Health  by the Medical Research Service of the Department of Veterans Affairs  and by the Ellison Medical Foundation 

主　　题：Bacterial biota Esophagus 16S rDNA PCR 

摘      要：AIM： To identify the bacterial flora in conditions such as Barrett＇s esophagus and reflux esophagitis to determine if they are similar to normal esophageal flora. METHODS： Using broad-range 16S rDNA PCR, esophageal biopsies were examined from 24 patients [9 with normal esophageal mucosa, 12 with gastroesophageal reflux disease （GERD）, and 3 with Barrett＇s esophagus]. Two separate broad-range PCR reactions were performed for each patient, and the resulting products were cloned. In one patient with Barrett＇s esophagus, 99 PCR clones were analyzed. RESULTS： Two separate clones were recovered from each patient （total = 48）, representing 24 different species, with 14 species homologous to known bacteria, 5 homologous to unidentified bacteria, and 5 were not homologous （〈97% identity） to any known bacterial 16S rDNA sequences. Seventeen species were found in the reflux esophagitis patients, 5 in the Barrett＇s esophagus patients, and 10 in normal esophagus patients. Further analysis concentrating on a single biopsy from an individual with Barrett＇s esophagus revealed the presence of 21 distinct bacterial species. Members of four phyla were represented, including Bacteroidetes, Firmicutes, Proteobacteria, and Actinobacteria. Microscopic examination of each biopsy demonstrated bacteria in intimate association with the distal esophageal epithelium, suggesting that the presence of these bacteria is not transitory. CONCLUSION： These findings provide evidence for a complex, residential bacterial population in esophageal reflux-related disorders. While much of this biota is present in the normal esophagus, more detailed comparisons may help identify potential disease associations.