National Institute of Gastroenterology "S. de Bellis," Institute of Research, Castellana Grotte (BA), Italy.
Department of Pharmacy, School of Pharmacy, University of Salerno, Fisciano (SA), Italy.
Inflamm Bowel Dis. 2020 Mar 4;26(4):546-556. doi: 10.1093/ibd/izz279.
Inflammatory bowel disease (IBD), including Crohn disease (CD) and ulcerative colitis (UC), is a multifactorial disorder characterized by chronic inflammation and altered gut barrier function. Dysbiosis, a condition defined by dysregulation of the gut microbiome, has been reported in patients with IBD and in experimental models of colitis. Although several factors have been implicated in directly affecting gut microbial composition, the genetic determinants impacting intestinal dysbiosis in IBD remain relatively unknown.
We compared the microbiome of normal, uninflamed wild-type (WT) mice with that of a murine model of UC (ie, Winnie strain). Winnie mice possess a missense mutation in Muc2 that manifests in altered mucus production as early as 4 weeks of age, with ensuing colonic inflammation. To better address the potential role of mutant Muc2 in promoting dysbiosis in Winnie mice, we evaluated homozygous mutant mice (Winnie-/-) with their WT littermates that, after weaning from common mothers, were caged separately according to genotype. Histologic and inflammatory status were assessed over time, along with changes in their respective microbiome compositions.
Dysbiosis in Winnie mice was already established at 4 weeks of age, before histologic evidence of gut inflammatory changes, in which microbial communities diverged from that derived from their mothers. Furthermore, dysbiosis persisted until 12 weeks of age, with peak differences in microbiome composition observed between Winnie and WT mice at 8 weeks of age. The relative abundance of Bacteroidetes was greater in Winnie compared with WT mice. Verrucomicrobia was detected at the highest relative levels in 4-week-old Winnie mice; in particular, Akkermansia muciniphila was among the most abundant species found at 4 weeks of age.
Our results demonstrate that mutant genetic determinants involved in the complex regulation of intestinal homeostasis, such as that observed in Winnie mice, are able to promote early gut dysbiosis that is independent from maternal microbial transfer, including breastfeeding. Our data provide evidence for intestinal dysbiosis attributed to a Muc2-driven mucus defect that leads to colonic inflammation and may represent an important target for the design of future interventional studies.
炎症性肠病(IBD),包括克罗恩病(CD)和溃疡性结肠炎(UC),是一种以慢性炎症和肠道屏障功能改变为特征的多因素疾病。肠道微生物组失调,即肠道微生物群落失调,已在 IBD 患者和结肠炎实验模型中报道过。尽管有几个因素被认为会直接影响肠道微生物组成,但影响 IBD 肠道微生物失调的遗传决定因素仍知之甚少。
我们比较了正常、非炎症野生型(WT)小鼠与 UC 鼠模型(即 Winnie 株)的微生物组。Winnie 小鼠在 4 周龄时就表现出 Muc2 的错义突变,导致粘液产生改变,随后出现结肠炎症。为了更好地研究突变 Muc2 在促进 Winnie 小鼠发生肠道微生物失调中的作用,我们评估了纯合突变小鼠(Winnie-/-)及其 WT 同窝仔鼠。在断奶后,仔鼠从共同的母亲那里分开,根据基因型分别单独饲养。随着时间的推移,我们评估了它们的组织学和炎症状态,以及各自微生物组组成的变化。
在出现肠道炎症改变的组织学证据之前,即 4 周龄时,Winnie 小鼠就已经出现了肠道微生物失调,其微生物群落与来自其母亲的微生物群落不同。此外,肠道微生物失调一直持续到 12 周龄,Winnie 和 WT 小鼠之间的微生物组组成差异在 8 周龄时达到峰值。与 WT 小鼠相比,Winnie 小鼠的厚壁菌门丰度更高。在 4 周龄的 Winnie 小鼠中,疣微菌门的丰度最高;特别是阿克曼氏菌属在 4 周龄时是最丰富的物种之一。
我们的结果表明,参与肠道内稳态复杂调节的突变遗传决定因素,如 Winnie 小鼠中观察到的那样,能够促进独立于母体微生物转移(包括母乳喂养)的早期肠道微生物失调。我们的数据为肠道微生物失调提供了证据,这种失调归因于 Muc2 驱动的粘液缺陷,导致结肠炎症,可能代表了未来干预性研究的重要目标。