流感期间肠道菌群失调通过改变短链脂肪酸产生导致肺部肺炎链球菌再感染。
Gut Dysbiosis during Influenza Contributes to Pulmonary Pneumococcal Superinfection through Altered Short-Chain Fatty Acid Production.
机构信息
Université de Lille, U1019 UMR 9017, Centre d'Infection et d'Immunité de Lille (CIIL), 59000 Lille, France; Centre National de la Recherche Scientifique, UMR 9017, 59000 Lille, France; Institut National de la Santé et de la Recherche Médicale, U1019, 59000 Lille, France; Centre Hospitalier Universitaire de Lille, 59000 Lille, France; Institut Pasteur de Lille, 59000 Lille, France.
Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
出版信息
Cell Rep. 2020 Mar 3;30(9):2934-2947.e6. doi: 10.1016/j.celrep.2020.02.013.
Secondary bacterial infections often complicate viral respiratory infections. We hypothesize that perturbation of the gut microbiota during influenza A virus (IAV) infection might favor respiratory bacterial superinfection. Sublethal infection with influenza transiently alters the composition and fermentative activity of the gut microbiota in mice. These changes are attributed in part to reduced food consumption. Fecal transfer experiments demonstrate that the IAV-conditioned microbiota compromises lung defenses against pneumococcal infection. In mechanistic terms, reduced production of the predominant short-chain fatty acid (SCFA) acetate affects the bactericidal activity of alveolar macrophages. Following treatment with acetate, mice colonized with the IAV-conditioned microbiota display reduced bacterial loads. In the context of influenza infection, acetate supplementation reduces, in a free fatty acid receptor 2 (FFAR2)-dependent manner, local and systemic bacterial loads. This translates into reduced lung pathology and improved survival rates of double-infected mice. Lastly, pharmacological activation of the SCFA receptor FFAR2 during influenza reduces bacterial superinfection.
继发细菌性感染常使病毒性呼吸道感染复杂化。我们假设流感病毒 (IAV) 感染期间肠道微生物群的紊乱可能有利于呼吸道细菌的继发感染。亚致死性流感感染会使小鼠的肠道微生物群的组成和发酵活性短暂改变。这些变化部分归因于食物消耗减少。粪便转移实验表明,IAV 调理的微生物群会损害肺部对肺炎球菌感染的防御能力。从机制上讲,主要短链脂肪酸 (SCFA) 乙酸盐的产生减少会影响肺泡巨噬细胞的杀菌活性。在用乙酸盐处理后,定植有 IAV 调理微生物群的小鼠的细菌负荷减少。在流感感染的情况下,以游离脂肪酸受体 2 (FFAR2) 依赖性方式补充乙酸盐会降低局部和全身的细菌负荷。这转化为减少肺部病理和提高双重感染小鼠的存活率。最后,在流感期间,SCFA 受体 FFAR2 的药理学激活可减少细菌的继发感染。