Abstract

Betel nut chewing (BNC) is prevalent in South Asia and Southeast Asia. BNC can affect host health by modulating the gut microbiota. The aim of this study is to evaluate the effect of BNC on the gut microbiota of the host. Feces samples were obtained from 34 BNC individuals from Ledong and Lingshui, Hainan, China. The microbiota was analyzed by 16S rRNA gene sequencing. BNC decreased the microbial α-diversity. Firmicutes, Bacteroidetes, Actinobacteria, and Proteobacteria were the predominant phyla, accounting for 99.35% of the BNC group. The Firmicutes-to-Bacteroidetes ratio was significantly increased in the BNC group compared to a control group. The abundances of the families Aerococcaceae, Neisseriaceae, Moraxellaceae, Porphyromonadaceae, and Planococcaceae were decreased in the BNC/BNC_Male/BNC_Female groups compared to the control group, whereas the abundances of Coriobacteriaceae, Streptococcaceae, Micrococcaceae, Xanthomonadaceae, Coxiellaceae, Nocardioidaceae, Rhodobacteraceae, and Succinivibrionaceae were increased. In general, the gut microbiome profiles suggest that BNC may have positive effects, such as an increase in the abundance of beneficial microbes and a reduction in the abundance of disease-related microbes. However, BNC may also produce an increase in the abundance of disease-related microbes. Therefore, extraction of prebiotic components could increase the beneficial value of betel nut.

Highlights

  • Betel nut chewing (BNC) is prevalent in South Asia and Southeast Asia [1, 2]

  • The abundance of Bacteroidetes was significantly lower in the BNC group compared to the Ctr group (S1 Table)

  • The Firmicutes-to-Bacteroidetes ratio was significantly higher in the BNC group (9.52) than the Ctr group (4.75)

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Summary

Introduction

Betel nut chewing (BNC) is prevalent in South Asia and Southeast Asia [1, 2]. Betel nut is the fourth most addictive consumer product globally, surpassed only by tobacco, alcohol, and coffee [3]. Betel nut is consumed widely by approximately 600 million people worldwide [3]. The southern part of China, especially Hainan, is the main production and consumption area for betel nut [4]. Betel nut is a traditional Chinese medicine used to treat parasitic diseases, various gastrointestinal disorders (abdominal distension, abdominal pain, dyspepsia, and diarrhea), and jaundice [5].

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