酒精相关的肠道菌群失调会损害肺部对肺炎克雷伯菌的宿主防御能力。

Alcohol-associated intestinal dysbiosis impairs pulmonary host defense against Klebsiella pneumoniae.

作者信息

Samuelson Derrick R, Shellito Judd E, Maffei Vincent J, Tague Eric D, Campagna Shawn R, Blanchard Eugene E, Luo Meng, Taylor Christopher M, Ronis Martin J J, Molina Patricia E, Welsh David A

机构信息

Department of Medicine, Section of Pulmonary/Critical Care & Allergy/Immunology, Louisiana State University Health Sciences Center, New Orleans, LA, United States of America.

Department of Microbiology, Immunology and Parasitology, Louisiana State University Health Sciences Center, New Orleans, LA, United States of America.

出版信息

PLoS Pathog. 2017 Jun 12;13(6):e1006426. doi: 10.1371/journal.ppat.1006426. eCollection 2017 Jun.

Abstract

Chronic alcohol consumption perturbs the normal intestinal microbial communities (dysbiosis). To investigate the relationship between alcohol-mediated dysbiosis and pulmonary host defense we developed a fecal adoptive transfer model, which allows us to investigate the impact of alcohol-induced gut dysbiosis on host immune response to an infectious challenge at a distal organ, independent of prevailing alcohol use. Male C57BL/6 mice were treated with a cocktail of antibiotics (ampicillin, gentamicin, neomycin, vancomycin, and metronidazole) via daily gavage for two weeks. A separate group of animals was fed a chronic alcohol (or isocaloric dextrose pair-fed controls) liquid diet for 10 days. Microbiota-depleted mice were recolonized with intestinal microbiota from alcohol-fed or pair-fed (control) animals. Following recolonization groups of mice were sacrificed prior to and 48 hrs. post respiratory infection with Klebsiella pneumoniae. Klebsiella lung burden, lung immunology and inflammation, as well as intestinal immunology, inflammation, and barrier damage were examined. Results showed that alcohol-associated susceptibility to K. pneumoniae is, in part, mediated by gut dysbiosis, as alcohol-naïve animals recolonized with a microbiota isolated from alcohol-fed mice had an increased respiratory burden of K. pneumoniae compared to mice recolonized with a control microbiota. The increased susceptibility in alcohol-dysbiosis recolonized animals was associated with an increase in pulmonary inflammatory cytokines, and a decrease in the number of CD4+ and CD8+ T-cells in the lung following Klebsiella infection but an increase in T-cell counts in the intestinal tract following Klebsiella infection, suggesting intestinal T-cell sequestration as a factor in impaired lung host defense. Mice recolonized with an alcohol-dysbiotic microbiota also had increased intestinal damage as measured by increased levels of serum intestinal fatty acid binding protein. Collectively, these results suggest that alterations in the intestinal immune response as a consequence of alcohol-induced dysbiosis contribute to increased host susceptibility to Klebsiella pneumonia.

摘要

长期饮酒会扰乱正常的肠道微生物群落(生态失调)。为了研究酒精介导的生态失调与肺部宿主防御之间的关系,我们建立了一种粪便过继转移模型,该模型使我们能够独立于当前的饮酒情况,研究酒精诱导的肠道生态失调对远端器官感染性挑战的宿主免疫反应的影响。雄性C57BL/6小鼠通过每日灌胃接受抗生素鸡尾酒(氨苄青霉素、庆大霉素、新霉素、万古霉素和甲硝唑)治疗两周。另一组动物喂食慢性酒精(或等热量葡萄糖配对喂养对照)液体饮食10天。微生物群耗尽的小鼠用来自酒精喂养或配对喂养(对照)动物的肠道微生物群重新定殖。重新定殖后,在肺炎克雷伯菌呼吸道感染前和感染后48小时处死小鼠组。检测肺炎克雷伯菌肺部负荷、肺部免疫学和炎症,以及肠道免疫学、炎症和屏障损伤。结果表明,酒精相关的对肺炎克雷伯菌的易感性部分是由肠道生态失调介导的,因为用从酒精喂养小鼠分离的微生物群重新定殖的未接触过酒精的动物,与用对照微生物群重新定殖的小鼠相比,肺炎克雷伯菌的呼吸道负荷增加。酒精生态失调重新定殖动物中易感性增加与肺部炎性细胞因子增加以及肺炎克雷伯菌感染后肺中CD4+和CD8+T细胞数量减少有关,但肺炎克雷伯菌感染后肠道中T细胞计数增加,表明肠道T细胞隔离是肺部宿主防御受损的一个因素。用酒精生态失调微生物群重新定殖的小鼠肠道损伤也增加,这通过血清肠道脂肪酸结合蛋白水平升高来衡量。总体而言,这些结果表明,酒精诱导的生态失调导致的肠道免疫反应改变会导致宿主对肺炎克雷伯菌肺炎的易感性增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b505/5481032/9863c9695be9/ppat.1006426.g001.jpg

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