Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Padova, Italy.
Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Br J Pharmacol. 2017 Oct;174(20):3623-3639. doi: 10.1111/bph.13965. Epub 2017 Aug 30.
Gut microbiota is essential for the development of the gastrointestinal system, including the enteric nervous system (ENS). Perturbations of gut microbiota in early life have the potential to alter neurodevelopment leading to functional bowel disorders later in life. We examined the hypothesis that gut dysbiosis impairs the structural and functional integrity of the ENS, leading to gut dysmotility in juvenile mice.
To induce gut dysbiosis, broad-spectrum antibiotics were administered by gavage to juvenile (3weeks old) male C57Bl/6 mice for 14 days. Bile acid composition in the intestinal lumen was analysed by liquid chromatography-mass spectrometry. Changes in intestinal motility were evaluated by stool frequency, transit of a fluorescent-labelled marker and isometric muscle responses of ileal full-thickness preparations to receptor and non-receptor-mediated stimuli. Alterations in ENS integrity were assessed by immunohistochemistry and Western blot analysis.
Antibiotic treatment altered gastrointestinal transit, luminal bile acid metabolism and bowel architecture. Gut dysbiosis resulted in distorted glial network, loss of myenteric plexus neurons, altered cholinergic, tachykininergic and nitrergic neurotransmission associated with reduced number of nNOS neurons and different ileal distribution of the toll-like receptor TLR2. Functional defects were partly reversed by activation of TLR2 signalling.
Gut dysbiosis caused complex morpho-functional neuromuscular rearrangements, characterized by structural defects of the ENS and increased tachykininergic neurotransmission. Altogether, our findings support the beneficial role of enteric microbiota for ENS homeostasis instrumental in ensuring proper gut neuromuscular function during critical stages of development.
肠道微生物群对于胃肠道系统的发育至关重要,包括肠神经系统(ENS)。生命早期肠道微生物群的紊乱有可能改变神经发育,导致生命后期出现功能性肠道疾病。我们假设肠道微生物失调会损害 ENS 的结构和功能完整性,导致幼年小鼠的肠道运动障碍。
为了诱导肠道微生物失调,通过灌胃向幼年(3 周龄)雄性 C57Bl/6 小鼠施用广谱抗生素 14 天。通过液相色谱-质谱法分析肠道腔中的胆汁酸组成。通过粪便频率、荧光标记标志物的传递和回肠全层制剂对受体和非受体介导刺激的等长肌肉反应来评估肠道运动的变化。通过免疫组织化学和 Western blot 分析评估 ENS 完整性的变化。
抗生素治疗改变了胃肠道转运、腔胆汁酸代谢和肠道结构。肠道微生物失调导致神经胶质网络扭曲、肌间神经丛神经元丢失、改变胆碱能、速激肽能和氮能神经传递,与 nNOS 神经元数量减少以及 TLR2 受体的不同回肠分布有关。TLR2 信号的激活部分逆转了功能缺陷。
肠道微生物失调导致复杂的形态功能神经肌肉重排,其特征是 ENS 的结构缺陷和速激肽能神经传递增加。总之,我们的发现支持肠道微生物群对于 ENS 动态平衡的有益作用,这对于确保在发育关键阶段肠道神经肌肉功能正常至关重要。