Department of Pediatric Gastroenterology and Nutrition, Mucosal Immunology and Biology Research Center, Massachusetts General Hospital, Boston, MA, United States.
Department of Pediatrics, Harvard Medical School, Harvard University, Boston, MA, United States.
Front Immunol. 2019 Sep 19;10:2233. doi: 10.3389/fimmu.2019.02233. eCollection 2019.
The balanced interplay between epithelial barrier, immune system, and microbiota maintains gut homeostasis, while disruption of this interplay may lead to inflammation. Paracellular permeability is governed by intercellular tight-junctions (TJs). Zonulin is, to date, the only known physiological regulator of intestinal TJs. We used a zonulin transgenic mouse (Ztm) model characterized by increased small intestinal permeability to elucidate the role of a primary impaired gut barrier on microbiome composition and/or immune profile. Ztm exhibit an altered gene expression profile of TJs in the gut compared to wild-type mice (WT): Claudin-15, Claudin-5, Jam-3, and Myosin-1C are decreased in the male duodenum whereas Claudin-15, Claudin-7, and ZO-2 are reduced in the female colon. These results are compatible with loss of gut barrier function and are paralleled by an altered microbiota composition with reduced abundance of the genus , known to have positive effects on gut barrier integrity and strengthening, and an increased abundance of the genus, associated to low-grade inflammatory conditions. Immune profile analysis shows a subtly skewed distribution of immune cell subsets toward a pro-inflammatory phenotype with more IL-17 producing adaptive and innate-like T cells in Ztm. Interestingly, microbiota "normalization" involving the transfer of WT microbiota into Ztm, did not rescue the altered immune profile. Our data suggest that a primary impaired gut barrier causing an uncontrolled trafficking of microbial products leads to a latent pro-inflammatory status, with a skewed microbiota composition and immune profile that, in the presence of an environmental trigger, as we have previously described (1), might promote the onset of overt inflammation and an increased risk of chronic disease.
上皮屏障、免疫系统和微生物群之间的平衡相互作用维持着肠道内环境的稳定,而这种相互作用的破坏可能导致炎症。细胞旁通透性由细胞间紧密连接(TJ)控制。到目前为止,zonulin 是唯一已知的肠道 TJ 的生理性调节剂。我们使用 zonulin 转基因小鼠(Ztm)模型,其小肠通透性增加,以阐明主要的肠道屏障受损对微生物组组成和/或免疫特征的作用。与野生型小鼠(WT)相比,Ztm 肠道中 TJ 的基因表达谱发生改变:雄性十二指肠中的 Claudin-15、Claudin-5、Jam-3 和 Myosin-1C 减少,而雌性结肠中的 Claudin-15、Claudin-7 和 ZO-2 减少。这些结果与肠道屏障功能的丧失一致,并伴有微生物组组成的改变,其中属的丰度降低,已知对肠道屏障完整性和增强有积极影响,而属的丰度增加与低度炎症状态有关。免疫特征分析显示,免疫细胞亚群向促炎表型的分布略有倾斜,Ztm 中产生更多 IL-17 的适应性和先天样 T 细胞增多。有趣的是,涉及将 WT 微生物群转移到 Ztm 中的微生物群“正常化”并没有挽救改变的免疫特征。我们的数据表明,主要的肠道屏障受损导致微生物产物的不受控制的运输,导致潜在的促炎状态,其微生物组组成和免疫特征发生倾斜,如果存在环境触发因素,如我们之前所描述的(1),可能会促进显性炎症的发生和慢性疾病风险的增加。
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