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口服 1917 号奈瑟氏菌对慢性结肠炎模型的有益作用。

Beneficial effects resulting from oral administration of Nissle 1917 on a chronic colitis model.

机构信息

Department of Microbiology, Federal University of Minas Gerais, Belo Horizonte, CEP 31270-901, MG, Brazil.

Department of General Pathology, Federal University of Minas Gerais, Presidente Antônio Carlos 6627, Belo Horizonte, CEP 31270-901, MG, Brazil.

出版信息

Benef Microbes. 2020 Dec 2;11(8):779-790. doi: 10.3920/BM2020.0045. Epub 2020 Nov 16.

Abstract

Inflammatory bowel diseases (IBD) are chronic processes involving a deregulated immune response against intestinal microbiota in genetically susceptible individuals. Ulcerative colitis (UC) is an IBD restricted to colonic mucosa and its chronicity is a predisposing factor for colorectal cancer (CRC). Probiotics have been investigated as an adjuvant treatment for UC, and Nissle 1917 (EcN) was the focus of our investigation. The aim of this study was to investigate the preventive effect of the EcN probiotic in an experimental model of chronic colitis in germ-free (GF) and conventional (CV) mice. CV female mice were used for clinical, immunological and permeability experiments. GF mice were used for a faecal microbiota transplantation assay. To induce colitis, three cycles of 3.0% dextran sulphate sodium (DSS) were administered to the animals. For probiotic treatment, the mice received a daily intragastric gavage of 9.0 log cfu of EcN, beginning 10 days before colitis induction and continuing until the end of the experiment. EcN presented beneficial effects when administered preventively. Daily Disease Activity Index (DAI) evolution demonstrated significant difference in remission periods after the first two DSS cycles and during the third one. Reduction in bacterial translocation after probiotic treatment indicated protection of the intestinal barrier. Associated with mucosal preservation, restoration of secretory immunoglobulin A levels and reduction of interleukin (IL)-5, IL-13, tumour necrosis factor and interferon-γ levels were observed in EcN treatment. Finally, when microbiota modification was verified, 16S rRNA-based compositional analysis showed variation of intestinal microbiota between the control and colitis groups. After faecal transplantation using GF mice, it was observed that EcN treatment in CV mice might result in modulated intestinal microbiota. This was observed indirectly in the reduced daily DAI, when colitis was compared with treated group. In conclusion, EcN presented beneficial effects in this model, suggesting its usefulness for treating UC.

摘要

炎症性肠病(IBD)是一种慢性过程,涉及遗传易感个体对肠道微生物群的免疫反应失调。溃疡性结肠炎(UC)是一种局限于结肠黏膜的 IBD,其慢性过程是结直肠癌(CRC)的一个诱发因素。益生菌已被研究作为 UC 的辅助治疗方法,而 Nissle 1917(EcN)是我们研究的重点。本研究旨在研究 EcN 益生菌在无菌(GF)和常规(CV)小鼠慢性结肠炎实验模型中的预防作用。CV 雌性小鼠用于临床、免疫和通透性实验。GF 小鼠用于粪便微生物群移植实验。为了诱导结肠炎,给动物施用 3.0%葡聚糖硫酸钠(DSS)三个周期。对于益生菌治疗,小鼠每天接受 9.0 log cfu 的 EcN 胃内灌胃,在结肠炎诱导前 10 天开始,并持续到实验结束。预防性给予 EcN 具有有益作用。每日疾病活动指数(DAI)的演变表明,在第一个 DSS 周期后的缓解期和第三个周期中有显著差异。益生菌治疗后细菌易位减少表明肠道屏障得到保护。与粘膜保存相关,观察到分泌型免疫球蛋白 A 水平的恢复和白细胞介素(IL)-5、IL-13、肿瘤坏死因子和干扰素-γ水平的降低。最后,当验证微生物群修饰时,基于 16S rRNA 的组成分析显示对照组和结肠炎组之间肠道微生物群的变化。使用 GF 小鼠进行粪便移植后,观察到 CV 小鼠中 EcN 治疗可能导致肠道微生物群的调节。当将结肠炎与治疗组进行比较时,可以通过减少每日 DAI 间接观察到这一点。总之,EcN 在该模型中表现出有益的作用,表明其对治疗 UC 的有用性。

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