给用葡聚糖硫酸钠溶液处理的小鼠施用白色念珠菌会导致肠道菌群失调、肠道铜绿假单胞菌的出现和传播以及致命性败血症。

Administration of Candida Albicans to Dextran Sulfate Solution Treated Mice Causes Intestinal Dysbiosis, Emergence and Dissemination of Intestinal Pseudomonas Aeruginosa and Lethal Sepsis.

机构信息

Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Genome Technology Research Unit, National Center for Genetic Engineering and Biotechnology, Khlong Luang, Pathum Thani, Thailand.

出版信息

Shock. 2020 Feb;53(2):189-198. doi: 10.1097/SHK.0000000000001339.

Abstract

The influence of gut fungi in chronic colitis was investigated by repeated oral administration of Candida albicans in a 3% dextran sulfate solution (DSS) induced-colitis mouse model. Candida administration in the DSS (DSS+Candida) model enhanced the mortality rate and induced bacteremia (without candidemia) resulting from a gut perm-selectivity defect despite similar diarrheal severity in mice treated with DSS alone. The dominant fecal bacteria in DSS+Candida and DSS alone mice were Pseudomonas spp. and Enterobacter spp., respectively, implying that Candida induced gut dysbiosis. Interestingly, chloramphenicol-resistant bacterial colonies, predominantly Pseudomonas spp., appeared in the feces and blood of DSS+Candida mice (not the DSS alone group) during fungal culture. These antibiotic-resistant bacteria were also isolated, ex vivo, by incubating mouse feces with DSS and heat-killed Candida or (1→3)-β-D-glucan, suggesting bacterial fermentation on fungi. Administration of Pseudomonas aeruginosa isolated from chloramphenicol-resistant bacteria in the DSS+Candida model enhanced the severity of disease, and increased growth of isolated P aeruginosa in blood agar containing heat-killed Candida was demonstrated. These data suggested the selection of a highly virulent bacterial strain following fecal Candida presentation in the gut. Additionally, reduction of fecal fungi with fluconazole decreased the burden of chloramphenicol-resistant bacteria, attenuating the severity of DSS+Candida. In conclusion, gut Candida induced bacteremia in the DSS model through an inflammation-induced gut perm-selectivity defect and facilitated the growth of some gut bacteria. Treatment strategies aimed at reducing gut fungi could attenuate disease severity. Further investigation of gut fungi in inflammatory bowel disease is warranted.

摘要

研究人员通过在 3%葡聚糖硫酸钠(DSS)诱导的结肠炎小鼠模型中反复口服白色念珠菌,研究了肠道真菌对慢性结肠炎的影响。在 DSS(DSS+白色念珠菌)模型中给予白色念珠菌会增加死亡率,并导致菌血症(无念珠菌血症),这是由于肠道选择性缺陷所致,而单独用 DSS 治疗的小鼠腹泻严重程度相似。DSS+白色念珠菌和单独用 DSS 治疗的小鼠的主要粪便细菌分别为假单胞菌属和肠杆菌属,这表明白色念珠菌诱导了肠道菌群失调。有趣的是,在真菌培养过程中,DSS+白色念珠菌组的粪便和血液中出现了氯霉素耐药的细菌菌落,主要是假单胞菌属(而单独用 DSS 组则没有)。在体外,通过用 DSS 和热灭活的白色念珠菌或(1→3)-β-D-葡聚糖孵育小鼠粪便,也分离出了这些抗生素耐药菌,这表明细菌对真菌进行了发酵。在 DSS+白色念珠菌模型中,给予从氯霉素耐药菌中分离出的铜绿假单胞菌可增强疾病的严重程度,并证明了在含有热灭活白色念珠菌的血琼脂中分离出的铜绿假单胞菌的生长增加。这些数据表明,在肠道中出现粪便白色念珠菌后,选择了一种高毒力的细菌株。此外,用氟康唑减少粪便真菌可降低氯霉素耐药菌的负担,从而减轻 DSS+白色念珠菌的严重程度。总之,肠道白色念珠菌通过炎症诱导的肠道选择性缺陷引起 DSS 模型中的菌血症,并促进了一些肠道细菌的生长。旨在减少肠道真菌的治疗策略可能会减轻疾病的严重程度。有必要进一步研究肠道真菌在炎症性肠病中的作用。

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