Studies has shown an increasingly infection rate after splenectomy, and there is a potential correlation between microbiota and immune system. investigators suppose that increasingly infection can be associated with the alteration composition of the gut microbiota after splenectomy. It's investigators' aim to discover if any difference of gut microbiota is exist in patients who suffer from traumatic splenectomy compared with normal people, ultimately aim toreduce and mitigation infection rate through controlling gut microbiota.
The spleen is crucial in regulating immune homoeostasis through its ability to link innate and adaptive immunity and to protect against infections. Asplenia refers to the absence of the spleen, a disorder that is rarely congenital and is more frequently as a result of surgery. Splenic hypofunction, as a result of asplenia can lead a series of changes in body systems. Recent study has show an increasingly infection rate after splenectomy including abdominal infection, pulmonary infection and cranial cavity infection. The gastrointestinal tract plays host to a diverse and metabolically complex community of microorganisms. Recent literature suggests that organisms in the gastrointestinal tract, referred to collectively as gut microbiota, play an indispensable role in the maintenance of host's homeostasis. Study has proved a potential correlation between microbiota and immune system. Lymphocyte, in either peripheral circulation or mesenteric lymph node, altered can lead to an composition change in microbiota. Investigators suppose that this phenomenon can be associated with the alteration of the resident commensal microenvironment after splenectomy compared to commensal communities. It's investigators' aim to discover if any difference of gut microbiota is exist in patients who suffer from traumatic splenectomy compared with normal people, ultimately aim toreduce and mitigation infection rate through controlling gut microbiota.
Study Type
OBSERVATIONAL
Enrollment
80
Traumatic patients who performed total splenectomy
First affiliated hospital of Harbin medical university
Harbin, Heilongjiang, China
RECRUITINGTranscriptional changes in gut microbiota
16S rRNA gene sequencing will be performed with stander procedure
Time frame: Baseline, 6 months after surgery, 12 months after surgery, 24 months after surgery
Transcriptional changes in plasma LPS levels
Plasma LPS level will be measured by ELISA
Time frame: Baseline, 6 months after surgery, 12 months after surgery, 24 months after surgery
Fecal SIgA
Fecal SIgA antibody will be measured by ELISA
Time frame: Baseline, 6 months after surgery, 12 months after surgery, 24 months after surgery
Fecal calprotectin
Fecal SIgA antibody will be measured by ELISA
Time frame: Baseline, 6 months after surgery, 12 months after surgery, 24 months after surgery
Plasma DAO
Plasma DAO antibody will be measured by ELISA
Time frame: Baseline, 6 months after surgery, 12 months after surgery, 24 months after surgery
Plasma D-Lac
Plasma D-Lac antibody will be measured by ELISA
Time frame: Baseline, 6 months after surgery, 12 months after surgery, 24 months after surgery
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