母体芳烃受体激活可保护新生儿免受坏死性小肠结肠炎的侵害。

Maternal aryl hydrocarbon receptor activation protects newborns against necrotizing enterocolitis.

机构信息

Division of Pediatric Surgery, Johns Hopkins University School of Medicine and the Johns Hopkins Children's Center, Baltimore, MD, USA.

Department of Chemistry, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

Nat Commun. 2021 Feb 15;12(1):1042. doi: 10.1038/s41467-021-21356-4.

Abstract

Necrotizing enterocolitis (NEC) is a disease of premature infants characterized by acute intestinal necrosis. Current dogma suggests that NEC develops in response to post-natal dietary and bacterial factors, and so a potential role for in utero factors in NEC remains unexplored. We now show that during pregnancy, administration of a diet rich in the aryl hydrocarbon receptor (AHR) ligand indole-3-carbinole (I3C), or of breast milk, activates AHR and prevents NEC in newborn mice by reducing Toll-like receptor 4 (TLR4) signaling in the newborn gut. Protection from NEC requires activation of AHR in the intestinal epithelium which is reduced in mouse and human NEC, and is independent of leukocyte activation. Finally, we identify an AHR ligand ("A18") that limits TLR4 signaling in mouse and human intestine, and prevents NEC in mice when administered during pregnancy. In summary, AHR signaling is critical in NEC development, and maternally-delivered, AHR-based therapies may alleviate NEC.

摘要

坏死性小肠结肠炎(NEC)是一种以急性肠坏死为特征的早产儿疾病。目前的理论认为,NEC 是对产后饮食和细菌因素的反应,因此,胎儿因素在 NEC 中的潜在作用仍未得到探索。我们现在表明,在怀孕期间,给予富含芳香烃受体(AHR)配体吲哚-3-甲醇(I3C)的饮食或母乳,可通过减少新生肠道中的 Toll 样受体 4(TLR4)信号来激活 AHR 并预防新生小鼠的 NEC。预防 NEC 需要肠道上皮细胞中 AHR 的激活,而在小鼠和人类 NEC 中这种激活减少,并且与白细胞激活无关。最后,我们确定了一种 AHR 配体(“A18”),它可以限制小鼠和人类肠道中的 TLR4 信号,并且在怀孕期间给药时可以预防小鼠的 NEC。总之,AHR 信号在 NEC 的发展中至关重要,并且来自母体的、基于 AHR 的治疗方法可能会缓解 NEC。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5568/7884836/9940dc42f866/41467_2021_21356_Fig1_HTML.jpg

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