肠道微生物群产生的琥珀酸会在抗生素治疗或运动障碍后促进艰难梭菌感染。

Gut microbiota-produced succinate promotes C. difficile infection after antibiotic treatment or motility disturbance.

作者信息

Ferreyra Jessica A, Wu Katherine J, Hryckowian Andrew J, Bouley Donna M, Weimer Bart C, Sonnenburg Justin L

机构信息

Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA 94305, USA.

Department of Comparative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.

出版信息

Cell Host Microbe. 2014 Dec 10;16(6):770-7. doi: 10.1016/j.chom.2014.11.003.

Abstract

Clostridium difficile is a leading cause of antibiotic-associated diarrhea. The mechanisms underlying C. difficile expansion after microbiota disturbance are just emerging. We assessed the gene expression profile of C. difficile within the intestine of gnotobiotic mice to identify genes regulated in response to either dietary or microbiota compositional changes. In the presence of the gut symbiont Bacteroides thetaiotaomicron, C. difficile induces a pathway that metabolizes the microbiota fermentation end-product succinate to butyrate. The low concentration of succinate present in the microbiota of conventional mice is transiently elevated upon antibiotic treatment or chemically induced intestinal motility disturbance, and C. difficile exploits this succinate spike to expand in the perturbed intestine. A C. difficile mutant compromised in succinate utilization is at a competitive disadvantage during these perturbations. Understanding the metabolic mechanisms involved in microbiota-C. difficile interactions may help to identify approaches for the treatment and prevention of C. difficile-associated diseases.

摘要

艰难梭菌是抗生素相关性腹泻的主要病因。微生物群紊乱后艰难梭菌扩张的潜在机制刚刚开始显现。我们评估了无菌小鼠肠道内艰难梭菌的基因表达谱,以鉴定因饮食或微生物群组成变化而被调控的基因。在肠道共生菌嗜热栖热放线菌存在的情况下,艰难梭菌诱导了一条将微生物群发酵终产物琥珀酸代谢为丁酸的途径。常规小鼠微生物群中存在的低浓度琥珀酸在抗生素治疗或化学诱导的肠道运动紊乱后会短暂升高,而艰难梭菌利用这种琥珀酸峰值在受干扰的肠道中扩张。在这些干扰过程中,琥珀酸利用受损的艰难梭菌突变体处于竞争劣势。了解微生物群与艰难梭菌相互作用中涉及的代谢机制可能有助于确定治疗和预防艰难梭菌相关疾病的方法。

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