In a population of patients with Non Alcoholic Fatty Liver Disease (NAFLD), the investigators will compare the composition of the gut microbiota from patients with simple steatosis with that with steatohepatitis. The purpose of this study is to determine if the pathogenic Escherichia Coli to the B2 group and producing the genotoxin colibactin is a factor for developing NASH.
Gut microbiota composition is now linked to the onset of obesity, metabolic disorders, and Non Alcoholic Fatty Liver Disease . While simple steatosis has benign prognosis, steatohepatitis (NASH) leads to cirrhosis and hepatocarcinoma and increases cardiovascular and cancer- related mortality. Some Escherichia coli (E. coli) belonging to the B2 phylogenetic group are involved in many diseases. Those producing the genotoxin colibactin are in addition known to induce a chronic alteration of intestinal permeability, one of the major factors leading to NASH.
Study Type
OBSERVATIONAL
Enrollment
176
A small needle is inserted into the liver to collect a tissue sample
collection of stools
collection of blood sample
CHU Toulouse
Toulouse, France
composition of the gut microbiota between two groups, and prevalence of the Escherichia Coli belonging to the B2 group and producing the genotoxin colibactin.
compare the composition of the gut microbiota between patients with simple steatosis with steatohepatitis, and determinate the prevalence of the Escherichia Coli belonging to the B2 group and producing the genotoxin colibactin.
Time frame: 1 day
differences between the two groups
highlight other differences between the two cohort
Time frame: 1 day
determine wether bacteria, in particular escherichia Coli can translocate and reach steatohepatitis patients liver
determine if bacteria, in particular escherichia Coli can translocate and reach steatohepatitis patients liver
Time frame: 1 day
Exploration of a biomarker of fibrosis from blood microbiota in NAFLD patients
Determination of bacterial translocation assay PCR 16S bacterial gene in blood and sequence and analyse the microbiota.
Time frame: 1 day
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