Abstract Background Ulcerative colitis (UC) is an inflammatory disease mainly characterized by intestinal lesions, with persistent or recurrent diarrhea, mucous purulent stools as the main symptoms, accompanied by abdominal pain, urgency, and various systemic symptoms. The coexistence of viral bodies and other components of the microbiota with the host, in a dynamic equilibrium state, is a key factor in maintaining intestinal homeostasis and function[1]. Methods Perform metagenomic sequencing on the feces of 52 UC patients and 15 normal individuals to analyze the abundance of gut microbiota and viruses and their correlation with clinical indicators. Results 1. UC patients have dysbiosis of the gut microbiota, with a significant decrease in Bacteroidetes and a significant increase in Actinobacteria and Pseudomonas. There was a significant difference (q<0.05) in the presence of intestinal Rosebery bacteria between the healthy control group and the severe UC group; There were significant differences (q<0.01) between the healthy control group and the UC severe group in terms of Streptococcus lactis, Enterococcus faecium, Escherichia coli, Plantarum lactis, Lactobacillus rectalis, Enterococcus faecalis, and Lactobacillus reuteri. 2. UC patients have intestinal viral dysbiosis, There were statistically significant differences (q<0.05) between healthy individuals and patients with severe UC in terms of Bacteriophage sp., Enterococcus phage plant, Porcine type-c oncovirus, Lactobacillus phage LfeSau, and Siphaviridae sp. ctsfh5; There is a statistical difference (q<0.05) between mild and severe UC patients in Siphaviridae sp. ct4aE30, Enterococcus phage plantet, Siphaviridae sp. ctqOv4, Lactobacillus phage LfeSau, and Siphaviridae sp. ctsfh5. 3. We conducted a correlation study between differential microbiota and viruses and clinical indicators, and found that intestinal Roseburi bacteria were negatively correlated with modified Mayo score, ESR, and hsCRP; It is positively correlated with HGB. Siphaviridae sp. ctPB44 is negatively correlated with the modified Mayo score, ESR, and hsCRP. 4. We observed significant changes in the functional composition of the fecal microbiome in UC, with several microbial genes and functions identified in severe UC being more abundant than those in healthy individuals, including K13140, K01223, K02761, and K09454. Conclusion The gut microbiota and viruses of UC patients are disrupted, and whether in healthy individuals or UC patients, the predominant gut virus is Caudovicetes sp. However, the abundance of Caudovicetes sp. increases in UC patients. There is a certain correlation between intestinal Roseburia bacteria, Siphaviridae sp. ctPB44, and clinical indicators such as ESR, hsCRP, and HGB.
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