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实验性诱导溃疡性结肠炎小鼠中粪便微生物群移植的治疗和机制。

Treatment and mechanism of fecal microbiota transplantation in mice with experimentally induced ulcerative colitis.

机构信息

Department of Anorectal, The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, P.R. China.

Department of Anorectal, Department of Postgraduate Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, P.R. China.

出版信息

Exp Biol Med (Maywood). 2021 Jul;246(13):1563-1575. doi: 10.1177/15353702211006044. Epub 2021 Apr 29.

Abstract

Restoring intestinal microbiota dysbiosis with fecal microbiota transplantation is considered as a promising treatment for ulcerative colitis. However, the mechanisms underlying its relieving effects remain unclear. Ulcerative colitis pathogenesis is associated with the involvement of immune cells and inflammatory cytokines. Here, we aimed to investigate the effect of fecal microbiota transplantation on T cell cytokines in a dextran sulfate sodium-induced ulcerative colitis mouse model. Five-aminosalicylic acid (5-ASA) was used as the positive control. Male C57BL/6 mice were randomly assigned to control, model (UC), UC + FMT, and UC + 5-ASA groups. Each group consisted of five mice. The establishment of the mouse model was verified by fecal occult-blood screening and hematoxylin-eosin staining. Results showed that fecal microbiota transplantation reduced colonic inflammation, significantly decreased T helper (Th)1 and Th17 cells, interferon-gamma, interleukin-2 and interleukin-17, as well as significantly increased Th2 and regulatory T (Treg) cells, interleukin-4, interleukin-10, and transforming growth factor-beta, and improved routine blood count. Furthermore, 16S rRNA gene-sequencing analysis showed a significant increase in the relative abundance of genus and a significant decrease in the relative abundance of genus in the ulcerative colitis group. Fecal microbiota transplantation restored the profile of the intestinal microbiota to that of the control group. These findings demonstrated the capability of fecal microbiota transplantation in controlling experimentally induced ulcerative colitis by improving Th1/Th2 and Th17/Treg imbalance through the regulation of intestinal microbiota.

摘要

恢复肠道微生物失调的粪便微生物移植被认为是溃疡性结肠炎的一种有前途的治疗方法。然而,其缓解作用的机制尚不清楚。溃疡性结肠炎的发病机制与免疫细胞和炎症细胞因子的参与有关。在这里,我们旨在研究粪便微生物移植对葡聚糖硫酸钠诱导的溃疡性结肠炎小鼠模型中 T 细胞细胞因子的影响。5-氨基水杨酸(5-ASA)被用作阳性对照。雄性 C57BL/6 小鼠被随机分配到对照组、模型组(UC)、UC+FMT 组和 UC+5-ASA 组。每组包括五只小鼠。通过粪便潜血筛查和苏木精-伊红染色验证了小鼠模型的建立。结果表明,粪便微生物移植可减轻结肠炎症,显著减少辅助性 T 细胞(Th)1 和 Th17 细胞、干扰素-γ、白细胞介素-2 和白细胞介素-17,同时显著增加 Th2 和调节性 T(Treg)细胞、白细胞介素-4、白细胞介素-10 和转化生长因子-β,并改善常规血象。此外,16S rRNA 基因测序分析显示,在溃疡性结肠炎组中,属的相对丰度显著增加,属的相对丰度显著降低。粪便微生物移植将肠道微生物群的特征恢复到对照组。这些发现表明,粪便微生物移植通过调节肠道微生物群来控制实验性诱导的溃疡性结肠炎的能力,通过改善 Th1/Th2 和 Th17/Treg 失衡。

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