International Journal of Celiac Disease, 2017, Vol. 5, No. 4, 159-163
Available online at http://pubs.sciepub.com/ijcd/5/4/8
©Science and Education Publishing
DOI:10.12691/ijcd-5-4-8
Characterization of Enterobacteries Genus in Intestinal
Microbiota of Celiac Children
Fatima Lahcene
1,*
, Aicha Tir Touil Meddah
1
, Karim Bouziane-Nedjadi
2
, Boumediene Meddah
1
, André Leke
3
1
Laboratory of Bioconversion Microbiological Engineering and Sanitary Safety (LBMESS), University of Mascara, Algeria
2
Department of pediatrics “C” (A. Cabral), CHU of Oran, Algeria
3
Department of pediatric resuscitation, CHU, Amiens, France
*Corresponding author: lahcenefatima352@yahoo.com
Abstract The imbalance of the intestinal microbiota is link, by several diseases such as celiac disease, which
causes inflammation in the small intestine. This inflammation is due by the digestion of gluten present in some type
of cereals. In this work, fecal and duodenal biopsy samples were collected to characterize by conventional culture
technique the composition of the Enterobacteries group in intestinal mirobiota of celiac children and were compared
with control children. A significant difference detected in the intestinal flora of celiac children compared to controls
children concerning the Enterobacteries group. We found an increase of E.coli, Enterobacter aerogeneses, and
Klebsiella with presence of Salmonella sp, Shigella sp in biopsy and fecal samples of celiac children and a
relationship between the increase of Enterobacter cloacea and the presence of positive anti-transglutaminase value.
Keywords: celiac disease, intestinal microbiota, enterobacteries, E.coli, anti-transglutaminase
Cite This Article: Fatima Lahcene, Aicha Tir Touil Meddah, Karim Bouziane-Nedjadi, Boumediene Meddah,
and André Leke, “Characterization of Enterobacteries Genus in Intestinal Microbiota of Celiac Children.”
International Journal of Celiac Disease, vol. 5, no. 4 (2017): 159-163. doi: 10.12691/ijcd-5-4-8.
1. Introduction
Intestinal flora is a complex microbial consortium. It
participates actively in our good health. [1,2]. This microbial
population hosted in the human digestive tract and contains
approximately 10
14
bacteria [3]. The intestinal microbiota is
considered as a full organ which plays an important role in
energy metabolism, and nutritional balance [4]. It also serves
to stimulate the intestinal immune system and opposes
the intestinal colonization by pathogenic microorganisms
(barrier effect) [5,6]. These functions can be influence if
the composition of the flora is changed. Changing the
composition of the intestinal flora both, quantitative and
qualitative level may be the cause of intestinal disorders
like diarrhea or chronic inflammatory diseases such as
celiac disease [7].
Celiac disease (CD) is an autoimmune affection that occurs
in genetically susceptible individuals [8]. This disorder results
in damage to the wall of the small intestine mucosa. When
foods with gluten consuming. Gluten is a form of protein
found in some cereals as (wheat, (hordein and rye) [9,10].
The damage to the intestine mucosa leads to poor absorption
of many nutrient specially (fat, calcium, iron, and folate)
Which results in a growth retardation in children and a risk of
osteoporosis in adults [11,12] and also causes in change of the
bacterial groups of intestinal flora as Enterobacterie [13].
The objective of this study was to determine the
composition of Enterobactries group starting at biopsy and
fecal samples in celiac children and controls children by
classical microbiology technical.
2. Materials and Methods
2.1. Subjects and Samples Collection
The duodenal biopsy samples and fecal samples were
collected from two groups of children; (1) group of celiac
children, having clinical manifestations evoking the celiac
disease, occurring after the introduction of gluten in the
diet with a confirmation of the disease by histological analysis
according to the classification of Marsh for different types
of villous atrophy and serological analysis, such children
have no other pathology. For (2) group of controls, are
non-celiac children, have a normal villous structure and a
negative serology. The two groups of children do not
follow any treatment with antibiotics or corticosteroids at
least two month prior to sampling period. A total 30 fecal
and 19 duodenal biopsy of these children were collected in
sterile jars labeled with the name of the child.
2.2. Ethical Consideration
The children were enlisted in the study after informed
consent was achieved by their parents and the Ethics
Committee of the faculty of Medicine - Oran- Algeria.
2.3. Sample Treatment
One gram of each fecal sample and per milligram of
intestinal biopsy (grinding using a scalpel) were weighed
and placed into 9 ml of sterile physiological water; it is the