胆汁酸与肠道微生物群的相互作用促进了肠道肿瘤的发生。

Interplay between bile acids and the gut microbiota promotes intestinal carcinogenesis.

机构信息

Department of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University, Tianjin, China.

Department of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Mol Carcinog. 2019 Jul;58(7):1155-1167. doi: 10.1002/mc.22999. Epub 2019 Mar 3.

Abstract

The gut microbiota and the bile acid pool play pivotal roles in maintaining intestinal homeostasis. Bile acids are produced in the liver from cholesterol and metabolized in the intestine by the gut microbiota. Gut dysbiosis has been reported to be associated with colorectal cancer. However, the interplay between bile acid metabolism and the gut microbiota during intestinal carcinogenesis remains unclear. In the present study, we investigated the potential roles of bile acids and the gut microbiota in the cholic acid (CA; a primary bile acid)-induced intestinal adenoma-adenocarcinoma sequence. Apc mice, which spontaneously develop intestinal adenomas, were fed a diet supplemented with 0.4% CA for 12 weeks. Mice that were fed a normal diet were regarded as untreated controls. In CA-treated Apc mice, the composition of the gut microbiota was significantly altered, and CA was efficiently transformed into deoxycholic acid (a secondary bile acid) by the bacterial 7α-dehydroxylation reaction. The intestinal adenoma-adenocarcinoma sequence was observed in CA-treated Apc mice and was accompanied by an impaired intestinal barrier function and IL-6/STAT3-related low-grade inflammation. More importantly, microbiota depletion using an antibiotic cocktail globally compromised CA-induced intestinal carcinogenesis, suggesting a leading role for the microbiota during this process. Overall, our data suggested that the crosstalk between bile acids and the gut microbiota mediated intestinal carcinogenesis, which might provide novel therapeutic strategies against intestinal tumor development.

摘要

肠道微生物群和胆汁酸池在维持肠道内环境稳态方面发挥着关键作用。胆汁酸是由胆固醇在肝脏中产生,并由肠道微生物群在肠道中代谢。据报道,肠道菌群失调与结直肠癌有关。然而,胆汁酸代谢与肠道微生物群在肠道癌变过程中的相互作用尚不清楚。在本研究中,我们研究了胆汁酸和肠道微生物群在胆酸(CA;一种初级胆汁酸)诱导的肠道腺瘤-腺癌序列中的潜在作用。Apc 小鼠会自发发生肠道腺瘤,我们用含有 0.4%CA 的饮食喂养它们 12 周。用正常饮食喂养的小鼠被视为未处理对照。在 CA 处理的 Apc 小鼠中,肠道微生物群的组成发生了显著改变,CA 通过细菌 7α-脱羟反应有效地转化为脱氧胆酸(一种次级胆汁酸)。在 CA 处理的 Apc 小鼠中观察到了肠道腺瘤-腺癌序列,同时伴随着肠道屏障功能受损和 IL-6/STAT3 相关的低度炎症。更重要的是,使用抗生素鸡尾酒进行微生物群耗竭会全面损害 CA 诱导的肠道癌变,这表明微生物群在这一过程中起主导作用。总的来说,我们的数据表明,胆汁酸和肠道微生物群之间的相互作用介导了肠道癌变,这可能为针对肠道肿瘤发展提供新的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1576/6593857/27c24a09508b/MC-58-1155-g001.jpg

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