Confirmation of a Duodenal Mucosa-Associated Microbiota (#21)
The
duodenum represents a unique niche within the digestive tract, characterised by
the presence of aggressive digestive enzymes and bile. Due to the harsh conditions, the duodenum has
long been considered sterile, with bacteria only present due to cross
contamination or bacterial overgrowth due to immune deficiencies or motility
disorders. Emerging evidence from
molecular and culture based studies supports the presence of bacteria in this
region in healthy individuals. However,
these studies are constrained by issues of contamination during sampling, particularly
from the upper gastrointestinal tract (oral cavity, saliva and stomach). In order to overcome this, we have utilised
biopsy forceps protected by a sheath, allowing targeted, aseptic sampling of
the duodenal mucosa. Biopsy samples were
collected using the aseptic device from individuals undergoing upper gastrointestinal
endoscopy with ethical approval.
Following gDNA extraction, amplicon libraries spanning the V6-V8 region of
the 16S rRNA gene were constructed, sequenced using the Illumina MiSeq
platform, and analysed through QIIME.
Microbial DNA was detected in all samples, indicating the presence of a duodenal
mucosal microbiota. Sequence analysis
revealed a community dominated by Streptococcus,
representing up to 50% of the total bacterial load. The other most abundant genera identified
were Prevotella, Lactobacillus, Veillonella,
Neisseria and Porphyromonas. While these
genera are typically identified in the oral microbiota, these results indicate
they are also located in the duodenal mucosa.
Concurrent sequencing of reagent-only controls revealed the presence of
a “microbiota” in common laboratory reagents, in line with recent studies. However, there was relatively limited overlap
between OTUs identified in reagents and duodenal samples (primarily Pseudomonas and Caulobacteraceae). The
bacteria identified in this study therefore represent members of a unique
duodenal mucosa-associated microbiota.
Further investigation is ongoing into the adaptation of this bacterial
community to the duodenal niche and links between the duodenal microbiota and
disordered gut function.