Anxiety Disorders and Gut Dysbiosis in Primary Sjogren's Syndrome-Mediated Dry Eye Patients

作者全名："Zhang, Yiting; Gan, Meiqi; He, Yuqin; Liu, Tingting; Xu, Mei"

作者地址："[Zhang, Yiting; Gan, Meiqi; He, Yuqin; Liu, Tingting; Xu, Mei] Chongqing Med Univ, Affiliated Hosp 1, Chongqing Eye Inst, Chongqing Branch,Natl Clin Res Ctr Ocular Dis,Chon, Chongqing, Peoples R China; [Xu, Mei] Chongqing Med Univ, Affiliated Hosp 1, Youyi Rd 1, Chongqing 400016, Peoples R China"

通信作者："Xu, M (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Youyi Rd 1, Chongqing 400016, Peoples R China."

来源：INTERNATIONAL JOURNAL OF GENERAL MEDICINE

ESI学科分类：　

WOS号：WOS:000989787100001

JCR分区：Q2

影响因子：2.1

年份：2023

卷号：16

期号：　

开始页：1735

结束页：1746

文献类型：Article

关键词：primary Sjogren's syndrome; dry eye; anxiety; gut microbiota

摘要："Purpose: Primary Sjogren's syndrome (pSS), a disease that is associated with a high prevalence of psychological disorders, has become increasingly important. Interactions between the gut microbiota and ocular conditions have been identified in pSS. As mental intervention is frequently needed, this study aims to investigate the relationship between anxiety disorders and the gut microbiome in patients with pSS-mediated dry eye. Methods: Demographics and self-administered questionnaires were obtained. Faecal samples were evaluated using 16S ribosomal RNA gene sequencing. Results: The Hospital Anxiety and Depression Scale (HADS-A) cut-off point of >= 8 points showed a sensitivity and specificity of 76.5% and 80.0%, respectively. In all participants, we found that the prevalence of anxiety disorder was 30.4%. Dry eye discomfort could promote an anxious state, and conversely, anxiety could threaten tear film and increase the risk of pSS activity. There was a certain correlation between anxiety disorder and gut dysbiosis. Prevotella was associated with dry eye severity (p <0.001). Bacteroidetes (p =0.046) and Odoribacter (p =0.001) were correlated with pSS activity. Conclusion: There is a bidirectional relationship between anxiety disorder and the gut microbiota in pSS-mediated dry eye. Alterations in certain classes of gut microbiota are associated with pSS activity and dry eye severity. Main gut microbiota alterations that have a facilitating impact on anxiety are emerging in pSS-mediated dry eye. Future studies are needed to explore specific therapeutic targets for improving mental health in pSS-mediated dry eye by microbiota intervention."

基金机构：National Natural Science Foundation of China [81900887]; Basic science and frontier technology research in Chongqing [cstc2017jcyjAX0447]

基金资助正文："Funding The study was funded by the National Natural Science Foundation of China (81900887) , and Basic science and frontier technology research in Chongqing (cstc2017jcyjAX0447) ."