益生菌双歧双歧杆菌G9-1通过抑制与生态失调相关的继发性炎症反应减轻5-氟尿嘧啶诱导的小鼠肠道粘膜炎。

Probiotic Bifidobacterium bifidum G9-1 attenuates 5-fluorouracil-induced intestinal mucositis in mice via suppression of dysbiosis-related secondary inflammatory responses.

作者信息

Kato Shinichi, Hamouda Nahla, Kano Yoshitaro, Oikawa Yousuke, Tanaka Yoshiki, Matsumoto Kenjiro, Amagase Kikuko, Shimakawa Masaki

机构信息

Division of Pathological Sciences, Department of Pharmacology and Experimental Therapeutics, Kyoto Pharmaceutical University, Kyoto, Japan.

R&D Center, Biofermin Pharmaceutical Co., Ltd., Kobe, Japan.

出版信息

Clin Exp Pharmacol Physiol. 2017 Oct;44(10):1017-1025. doi: 10.1111/1440-1681.12792. Epub 2017 Aug 24.

Abstract

Bifidobacterium, a major component of the intestinal microbiota, has been clinically used for the treatment of diarrhoea and constipation. 5-Fluorouracil (5-FU), widely used for cancer chemotherapy, is known to frequently induce intestinal mucositis accompanied by severe diarrhoea. The present study examined the effect of Bifidobacterium bifidum G9-1 (BBG9-1) on 5-FU-induced intestinal mucositis in mice. Intestinal mucositis was induced by repeated administration of 5-FU for 6 days. BBG9-1 was administered orally once daily for 9 days, beginning 3 days before the onset of 5-FU treatment. Repeated administration of 5-FU caused severe intestinal mucositis, characterised by shortening of villi and destruction of crypts, accompanied by increases in intestinal myeloperoxidase activity and inflammatory cytokine expression, body weight loss, and diarrhoea on day 6. Daily administration of BBG9-1 significantly reduced the severity of intestinal mucositis and inflammatory responses and tended to attenuate clinical symptoms. In contrast, BBG9-1 failed to prevent apoptosis induction on day 1 after the first 5-FU administration. The structure of the intestinal microbiota, as analysed by weighted UniFrac distance, was largely altered by 5-FU treatment, but this change was mitigated by daily administration of BBG9-1. Moreover, 5-FU treatment decreased the abundance of Firmicutes and increased the abundance of Bacteroidetes, but these responses were also significantly inhibited by daily administration of BBG9-1. These results suggest that BBG9-1 has an ameliorative effect against 5-FU-induced intestinal mucositis through the attenuation of inflammatory responses via improve dysbiosis. BBG9-1 could be useful for the prevention of intestinal mucositis during cancer chemotherapy.

摘要

双歧杆菌是肠道微生物群的主要组成部分,已在临床上用于治疗腹泻和便秘。5-氟尿嘧啶(5-FU)广泛用于癌症化疗,已知其经常诱发伴有严重腹泻的肠道粘膜炎。本研究考察了两歧双歧杆菌G9-1(BBG9-1)对5-FU诱导的小鼠肠道粘膜炎的影响。通过连续6天重复给予5-FU诱导肠道粘膜炎。从5-FU治疗开始前3天起,每天口服一次BBG9-1,持续9天。重复给予5-FU导致严重的肠道粘膜炎,其特征为绒毛缩短和隐窝破坏,同时伴有肠道髓过氧化物酶活性增加、炎性细胞因子表达增加、体重减轻以及第6天出现腹泻。每天给予BBG9-1可显著降低肠道粘膜炎的严重程度和炎症反应,并倾向于减轻临床症状。相比之下,BBG9-1未能预防首次给予5-FU后第1天的细胞凋亡诱导。通过加权UniFrac距离分析,5-FU治疗极大地改变了肠道微生物群的结构,但每天给予BBG9-1可减轻这种变化。此外,5-FU治疗降低了厚壁菌门的丰度,增加了拟杆菌门的丰度,但每天给予BBG9-1也显著抑制了这些反应。这些结果表明,BBG9-1通过改善生态失调减轻炎症反应,对5-FU诱导的肠道粘膜炎具有改善作用。BBG9-1可能有助于预防癌症化疗期间的肠道粘膜炎。

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