Pituitary & hypothalamus

The comprehensive evaluation of oral and fecal microbiota in patients with acromegaly

PituitaryPublished Cross-sectional study

Authors' conclusion

Patients with acromegaly show distinct gut microbiota profiles, and it is evident that factors beyond the GH/IGF-1 axis play a role in shaping the gut microbiota of individuals with acromegaly.

Study context

Population
Patients with acromegaly (treated and followed up, or newly diagnosed) and healthy participants
Participants
103 / 15 / 34
Exposure
Treated acromegaly vs newly diagnosed acromegaly vs healthy controls
  • Acromegalyn = 103
  • Newly diagnosed acromegalyn = 15
  • Healthy controlsn = 34reference
Outcome
Oral and fecal microbiota (16S rRNA sequencing)
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

  • Firmicutes/Bacteroidetes ratio significantly lower in treated (medical and/or surgical) acromegaly than in healthy controls
  • Significant difference in fecal and oral microbiota of acromegaly with disease control vs healthy controls
  • Significant difference in fecal and oral microbiota of acromegaly without disease control
  • No clear relationship between disease control status, intestinal polyps, T2D and oral and gut microbiota composition in acromegaly patients with different treatments

Observational data: associations, not effects.

Original publication

The comprehensive evaluation of oral and fecal microbiota in patients with acromegaly. Pituitary. Published 19 August 2024. doi:10.1007/s11102-024-01444-6

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