Immunology Department, Weizmann Institute of Science, 7610001 Rehovot, Israel.
Immunology Department, Weizmann Institute of Science, 7610001 Rehovot, Israel; Internal Medicine Department, Tel Aviv Sourasky Medical Center, 6423906 Tel Aviv, Israel.
Cell. 2018 Sep 6;174(6):1406-1423.e16. doi: 10.1016/j.cell.2018.08.047.
Probiotics are widely prescribed for prevention of antibiotics-associated dysbiosis and related adverse effects. However, probiotic impact on post-antibiotic reconstitution of the gut mucosal host-microbiome niche remains elusive. We invasively examined the effects of multi-strain probiotics or autologous fecal microbiome transplantation (aFMT) on post-antibiotic reconstitution of the murine and human mucosal microbiome niche. Contrary to homeostasis, antibiotic perturbation enhanced probiotics colonization in the human mucosa but only mildly improved colonization in mice. Compared to spontaneous post-antibiotic recovery, probiotics induced a markedly delayed and persistently incomplete indigenous stool/mucosal microbiome reconstitution and host transcriptome recovery toward homeostatic configuration, while aFMT induced a rapid and near-complete recovery within days of administration. In vitro, Lactobacillus-secreted soluble factors contributed to probiotics-induced microbiome inhibition. Collectively, potential post-antibiotic probiotic benefits may be offset by a compromised gut mucosal recovery, highlighting a need of developing aFMT or personalized probiotic approaches achieving mucosal protection without compromising microbiome recolonization in the antibiotics-perturbed host.
益生菌被广泛用于预防抗生素相关性菌群失调及其相关不良反应。然而,益生菌对肠道黏膜定植体微生物组的定植后恢复的影响仍不清楚。我们采用侵袭性方法研究了多菌株益生菌或自体粪菌移植(aFMT)对肠道黏膜定植体微生物组的定植后恢复的影响。与内稳态相反,抗生素的干扰增强了益生菌在人类黏膜中的定植,但在小鼠中仅轻度改善了定植。与抗生素治疗后的自发恢复相比,益生菌诱导了明显延迟且持续不完全的土著粪便/黏膜定植体微生物组恢复和向稳态配置的宿主转录组恢复,而 aFMT 在给药后几天内诱导了快速且几乎完全的恢复。在体外,乳杆菌分泌的可溶性因子有助于益生菌诱导的微生物组抑制。总的来说,潜在的抗生素治疗后益生菌的益处可能会被受损的肠道黏膜恢复所抵消,这凸显了需要开发 aFMT 或个体化益生菌方法,在不损害抗生素干扰宿主中微生物组再定植的情况下实现黏膜保护。
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