Intestinal microflora in children with secondary hyperoxaluria and allergic respiratory diseases

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Abstract

BACKGROUND: The intestinal microflora has an important role in the human body by influencing metabolic processes. It is proved that changes in intestinal microbiocenosis can cause the development of diseases. To date, the state of the intestinal microflora in children with impaired oxalate metabolism in combination with allergic pathology remains insufficiently studied.

AIM: The aim of the research was to study the intestinal microflora in children with secondary hyperoxaluria and allergic respiratory diseases.

MATERIALS AND METHODS: We examined 50 children aged 3 to 7 years with a diagnosis of secondary hyperoxaluria. The children were divided into two groups: group I — children with secondary hyperoxaluria and allergic respiratory diseases (n = 21); group II — children with secondary hyperoxaluria without allergic respiratory diseases (n = 29). All patients underwent a study of the state of intestinal microflora using fecal analysis by real-time PCR with fluorescence detection. The high-performance liquid chromatography method was used to determine the level of short-chain fatty acids in the feces of patients with secondary hyperoxaluria and allergic respiratory diseases.

RESULTS: The level of oxaluria is higher in patients with a combination of secondary hyperoxaluria and allergic respiratory diseases than with isolated secondary hyperoxaluria (p = 0.018). Changes in the intestinal microflora were detected in all patients with secondary hyperoxaluria (100%, n = 50). Сhildren with secondary hyperoxaluria and allergic respiratory diseases had a lower intestinal content of Faecalibacterium prausnitzii (p = 0.004) and Ruminococcus spp. (p = 0.017), there were also violations of the metabolic activity of bacteria, manifested by a decrease in the concentration of monocarboxylic acids: acetic (0.18 ± 0.09), butyric (0.006 ± 0.003), valerian (0.003 ± 0.001).

CONCLUSIONS: Secondary hyperoxaluria in children aged 3 to 7 years is combined with a violation of the intestinal microflora, more pronounced in allergic respiratory diseases.

About the authors

Anna N. Obukhova

Privolzhsky Research Medical University

Author for correspondence.
Email: obukhovaanna@mail.ru
ORCID iD: 0000-0002-8070-5785
SPIN-code: 4682-5309

MD, PhD, Assistant Professor, Department of Hospital Pediatrics

Russian Federation, Nizhny Novgorod

Olga V. Khaletskaya

Privolzhsky Research Medical University

Email: ovh14@mail.ru
ORCID iD: 0000-0002-8531-3174
SPIN-code: 9342-9261

MD, PhD, Dr. Sci. (Medicine), Professor, Head, Department of Hospital Pediatrics

Russian Federation, Nizhny Novgorod

Natalia A. Shchelchkova

Privolzhsky Research Medical University

Email: n.shchelchkova@mail.ru
ORCID iD: 0000-0001-6398-4746
SPIN-code: 5248-7529

PhD, Associate Professor, Head, Central Research Laboratory of the Institute of Fundamental Medicine, Department of Normal Physiology named after N.Y. Belenkov

Russian Federation, Nizhny Novgorod

Andrey N. Seliverstov

Privolzhsky Research Medical University

Email: andselisk@gmail.com
ORCID iD: 0000-0002-2602-6247
SPIN-code: 9585-1623

Researcher, Central Research Laboratory of the Institute of Fundamental Medicine

Russian Federation, Nizhny Novgorod

Irina Yu. Shirokova

Privolzhsky Research Medical University

Email: shirokova.i@yandex.ru
ORCID iD: 0000-0002-8387-6344
SPIN-code: 9123-1213

MD, PhD, Associate Professor, Head, Bacteriological Laboratory of the Research Institute of Preventive Medicine of the University Clinic of the Federal State Educational Institution, Department of Epidemiology, Microbiology and Evidence-Based Medicine

Russian Federation, Nizhny Novgorod

Oksana M. Chekanina

Privolzhsky Research Medical University

Email: oksana-chekanina@mail.ru
ORCID iD: 0000-0002-6040-9866
SPIN-code: 9217-9430

Doctor of clinical and laboratory diagnostics, Research Institute of Preventive Medicine of the University Clinic

Russian Federation, Nizhny Novgorod

Elena V. Ermolina

Privolzhsky Research Medical University

Email: ermonay@gmail.com
ORCID iD: 0000-0002-6349-0890
SPIN-code: 4192-2480

Biologist, Research Institute of Preventive Medicine of the University Clinic

Russian Federation, Nizhny Novgorod

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