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基于Stacking模型的脑卒中后抑郁与肠道菌群之间的关系研究

Analysis of the relationship between post-stroke depression and intestinal flora based on stacking model

来源期刊: 广州医药 | 1109-1116 发布时间:2025-09-17 收稿时间:2025/11/13 18:52:25 阅读量:28
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关键词:
主成分分析Stacking模型肠道菌群脑卒中后抑郁菌群多样性
principal component analysisStacking modelgut microbiotapost-stroke depressionflora diversity
DOI:
10.20223/j.cnki.1000-8535.2025.08.014
收稿时间:
2024-06-22 
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0  
目的 本研究以脑卒中患者为研究对象,通过二代Illumina高通量测序平台对患者的粪便标本进行微生物群落多样性测序。选择物种丰度≥30%的24个门类(Phylum)作为肠道菌群的研究指标,进而研究肠道菌群与脑卒后抑郁(PSD)之间的相关关系。方法 以40位脑卒中患者的24个门类作为特征变量,抑郁组和对照组为二分类目标变量,建立以Logistic回归、随机森林、支持向量机和AdaBoost为基模型的Stacking分类模型。主成分分析方法作为该模型的特征选择方法选择恰当的主成分进行模型训练,通过二分类评价报告(precision、recall、f1-score)、ROC曲线和混淆矩阵等评价指标对其性能进行评价。结果 (1)通过差异性检验分析了两组(抑郁组和对照组)的基线一致(P<0.05);(2)从Stacking模型融合的角度定量分析了影响脑卒中后抑郁情绪的具体肠道菌群。研究结果可知,放线菌门、拟杆菌门、变形菌门和酸杆菌门在PSD患者中均增加(P<0.001);厚壁菌门,疣微菌门,绿弯菌门和软壁菌门在PSD患者中降低(P<0.001)。结论 以上菌群是影响脑卒中后抑郁患者情绪的主要影响因素,因此,在临床上通过恰当干预肠道菌群的变化来调节脑卒中后抑郁患者的抑郁水平,这为脑卒中后抑郁情绪的诊断和治疗方案提供科学依据。
Objective In this study,patients with stroke were selected as the research object,and the microbial community diversity of patients' stool samples was sequenced by the second-generation Illumina high-throughput sequencing platform. Twenty four phylum species with 30% species abundance were selected as indicators for the study of gut microbiota,and then the correlation between gut microbiota and post-stroke depression(PSD) was studied.Methods Taking 24 categories of 40 stroke patients as characteristic variables,depression group and control group as dichotomous target variables,a stacking classification model based on Logistic regression,random forest,support vector machine and AdaBoost was established.As the feature selection method of the model,principal component analysis selects the appropriate principal components for model training,and evaluates its performance through dichotomous evaluation reports(precision,recall,f1 score),ROC curve and confusion matrix.Results The baseline of the two groups(depression group and control group)was consistent(P<0.05)through the difference test.From the perspective of stacking model fusion,the specific intestinal flora affecting post-stroke depression was quantitatively analyzed.The results showed that Actinobacteria,Bacteroidetes,Proteobacteria and Acidobacteria were significantly increased in PSD patients(P<0.001),while Firmicutes,Verrucomicrobia,Chloroflexi and Tenericutes were significantly decreased in PSD patients(P<0.001).Conclusions The above microbiota are the main factors affecting the mood of patients with post-stroke depression.Therefore,in clinical practice,we can adjust the depression level of patients with post-stroke depression by properly intervening the changes of intestinal microbiota,which provides a scientific basis for the diagnosis and treatment of PSD.
1、 陈丽萍,韩棉梅,傅思媚.电针联合重复经颅磁刺激治疗脑卒中后抑郁伴失眠的临床研究[J].广州医药,2021,52(2):6-10. 陈丽萍,韩棉梅,傅思媚.电针联合重复经颅磁刺激治疗脑卒中后抑郁伴失眠的临床研究[J].广州医药,2021,52(2):6-10.
2、 周洁,胡凌娟,怀晴雨.基于主成分分析和TOPSIS模型的我国各省份医疗水平评价研究[J].中国全科医学,2023,26(34):4254-4260,4268. 周洁,胡凌娟,怀晴雨.基于主成分分析和TOPSIS模型的我国各省份医疗水平评价研究[J].中国全科医学,2023,26(34):4254-4260,4268.
3、 克劳斯·巴克豪斯,本德·埃里克森,伍尔夫·普林克,等.多元统计分析方法用SPSS工具[M].2版.上海:格致出版社,2017:200-201. 克劳斯·巴克豪斯,本德·埃里克森,伍尔夫·普林克,等.多元统计分析方法用SPSS工具[M].2版.上海:格致出版社,2017:200-201.
4、 李玉莹,张景肖.成分数据的logistic回归模型研究[J].数理统计与管理,2019,38(3):442-449. 李玉莹,张景肖.成分数据的logistic回归模型研究[J].数理统计与管理,2019,38(3):442-449.
5、 冯金周,刘发健,江华.颅脑损伤患者临床死亡预测:一项基于机器学习的主成分分析-逻辑回归模型[J].临床神经外科杂志,2019,16(2):99-103. 冯金周,刘发健,江华.颅脑损伤患者临床死亡预测:一项基于机器学习的主成分分析-逻辑回归模型[J].临床神经外科杂志,2019,16(2):99-103.
6、 孙仕亮,赵静.模式识别与机器学习[M].北京:清华大学出版社,2020:89. 孙仕亮,赵静.模式识别与机器学习[M].北京:清华大学出版社,2020:89.
7、 张培文. 基于stacking融合模型的脂肪肝致病影响因素的筛选分析[D].重庆:重庆大学,2022. 张培文. 基于stacking融合模型的脂肪肝致病影响因素的筛选分析[D].重庆:重庆大学,2022.
8、 李英杰,王岩,贾艺林,等.基于Stacking集成学习的肾综合征出血热发病数据预测模型研究[J].中国卫生统计,2022,39(6):811-814. 李英杰,王岩,贾艺林,等.基于Stacking集成学习的肾综合征出血热发病数据预测模型研究[J].中国卫生统计,2022,39(6):811-814.
9、 熊思伟,刘玉琳.基于Borderline-SMOTE算法与Stacking集成学习的前列腺肿瘤风险预测研究[J].现代肿瘤医学,2023,31(16):3075-3081. 熊思伟,刘玉琳.基于Borderline-SMOTE算法与Stacking集成学习的前列腺肿瘤风险预测研究[J].现代肿瘤医学,2023,31(16):3075-3081.
10、 周志华. 机器学习[M].北京:清华大学出版社,2016:124-125. 周志华. 机器学习[M].北京:清华大学出版社,2016:124-125.
11、 de VOS W M,TILG H,van HUL M,et al.Gut microbiome and health:Mechanistic insights[J].Gut,2022,71(5):1020-1032. de VOS W M,TILG H,van HUL M,et al.Gut microbiome and health:Mechanistic insights[J].Gut,2022,71(5):1020-1032.
12、 蒋海寅. 人类肠道微生物群落菌群多样性变化与抑郁症的相关性研究[D].杭州:浙江大学,2015. 蒋海寅. 人类肠道微生物群落菌群多样性变化与抑郁症的相关性研究[D].杭州:浙江大学,2015.
13、 Lü J,GUO W,CHEN S,et al.Host plants influence the composition of the gut bacteria in Henosepilachna vigintioctopunctata[J].PLoS One,2019,14(10):e0224213. Lü J,GUO W,CHEN S,et al.Host plants influence the composition of the gut bacteria in Henosepilachna vigintioctopunctata[J].PLoS One,2019,14(10):e0224213.
14、 COLE J R,WANG Q,FISH J A,et al.Ribosomal Database Project:Data and tools for high throughput rRNA analysis[J].Nucl Acids Res,2014,42(D1):D633-D642. COLE J R,WANG Q,FISH J A,et al.Ribosomal Database Project:Data and tools for high throughput rRNA analysis[J].Nucl Acids Res,2014,42(D1):D633-D642.
15、 QUAST C,PRUESSE E,YILMAZ P,et al.The SILVA ribosomal RNA gene database project:Improved data processing and web-based tools[J].Nucleic Acids Res,2013,41(Database issue):D590-D596. QUAST C,PRUESSE E,YILMAZ P,et al.The SILVA ribosomal RNA gene database project:Improved data processing and web-based tools[J].Nucleic Acids Res,2013,41(Database issue):D590-D596.
16、 CAPORASO J G,KUCZYNSKI J,STOMBAUGH J,et al.QIIME allows analysis of high-throughput community sequencing data[J].Nat Methods,2010,7(5):335-336. CAPORASO J G,KUCZYNSKI J,STOMBAUGH J,et al.QIIME allows analysis of high-throughput community sequencing data[J].Nat Methods,2010,7(5):335-336.
17、 郭旭东,李延红,翟珍惜.脑卒中后抑郁症患者粪便微生物种群多样性和均衡性分析[J].中国微生态学杂志,2022,34(6):685-689. 郭旭东,李延红,翟珍惜.脑卒中后抑郁症患者粪便微生物种群多样性和均衡性分析[J].中国微生态学杂志,2022,34(6):685-689.
18、 范文涛,闫咏梅,别玉龙,等.脑卒中后抑郁症患者肠道菌群的多样性分析[J].南方医科大学学报,2016,36(10):1305-1311. 范文涛,闫咏梅,别玉龙,等.脑卒中后抑郁症患者肠道菌群的多样性分析[J].南方医科大学学报,2016,36(10):1305-1311.
19、 秦利华,马娟娟,马玲玲,等.卒中后抑郁症患者肠道菌群的多样性分析[J].医药论坛杂志,2022,43(17):64-67. 秦利华,马娟娟,马玲玲,等.卒中后抑郁症患者肠道菌群的多样性分析[J].医药论坛杂志,2022,43(17):64-67.
20、 BARANDOUZI Z A,STARKWEATHER A R,HENDERSON W A,et al.Altered composition of gut microbiota in depression:A systematic review[J].Front Psychiatry,2020(11):541. BARANDOUZI Z A,STARKWEATHER A R,HENDERSON W A,et al.Altered composition of gut microbiota in depression:A systematic review[J].Front Psychiatry,2020(11):541.
21、 VALLES-COLOMER M,FALONY G,DARZI Y,et al.The neuroactive potential of the human gut microbiota in quality of life and depression[J]. Nat Microbiol,2019,4(4):623-632. VALLES-COLOMER M,FALONY G,DARZI Y,et al.The neuroactive potential of the human gut microbiota in quality of life and depression[J]. Nat Microbiol,2019,4(4):623-632.
22、 DU Y,GAO X R,PENG L,et al.Crosstalk between the microbiota-gut-brain axis and depression[J].Heliyon,2020,6(6):e04097. DU Y,GAO X R,PENG L,et al.Crosstalk between the microbiota-gut-brain axis and depression[J].Heliyon,2020,6(6):e04097.
23、 LIANG S,WU X,HU X,et al.Recognizing depression from the Microbiota-Gut-Brain axis[J].Int J Mol Sci,2018,19(6):1592. LIANG S,WU X,HU X,et al.Recognizing depression from the Microbiota-Gut-Brain axis[J].Int J Mol Sci,2018,19(6):1592.
24、 赵欢,牟君.卒中后抑郁与肠道微生物的相关性分析[J].临床医学进展,2023,13(7):10663-10668. 赵欢,牟君.卒中后抑郁与肠道微生物的相关性分析[J].临床医学进展,2023,13(7):10663-10668.
25、 MAN S C,HUNG B H B,NG R M K,et al.A pilot controlled trial of a combination of dense cranial electroacupuncture stimulation and body acupuncture for post-stroke depression[J].BMC Complement Altern Med,2014,14:255. MAN S C,HUNG B H B,NG R M K,et al.A pilot controlled trial of a combination of dense cranial electroacupuncture stimulation and body acupuncture for post-stroke depression[J].BMC Complement Altern Med,2014,14:255.
26、 石丽娜,朱庆丽,荣根满,等.脑卒中后抑郁的发病率与临床特点[J].中外医学研究,2012(13):103. 石丽娜,朱庆丽,荣根满,等.脑卒中后抑郁的发病率与临床特点[J].中外医学研究,2012(13):103.
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