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新生儿易患脑膜炎,这是由于上皮屏障和肠道微生物菌群尚未成熟。

Neonatal susceptibility to meningitis results from the immaturity of epithelial barriers and gut microbiota.

机构信息

Institut Pasteur, Biology of Infection Unit, Paris, France; Institut National de la Santé et de la Recherche Médicale U1117, Paris, France.

Laboratory for Perception and Memory, Institut Pasteur, Paris, France; Centre National de la Recherche Scientifique, Unité Mixte de Recherche 3571, Paris, France.

出版信息

Cell Rep. 2021 Jun 29;35(13):109319. doi: 10.1016/j.celrep.2021.109319.

Abstract

Neonates are highly susceptible to bacterial meningitis as compared to children and adults. Group B streptococcus (GBS) is a major cause of neonatal meningitis. Neonatal meningitis can result from GBS intestinal colonization and translocation across the intestinal barrier (IB). Here, we show that the immaturity of the neonatal intestinal microbiota leads to low resistance to GBS intestinal colonization and permissiveness of the gut-vascular barrier. Moreover, the age-dependent but microbiota-independent Wnt activity in intestinal and choroid plexus (CP) epithelia results in a lower degree of cell-cell junctions' polarization, which favors bacterial translocation. This study thus reveals that neonatal susceptibility to GBS meningitis results from the age-dependent immaturity of the intestinal microbiota and developmental pathways associated with neonatal tissue growth, which both concur to GBS gut colonization, systemic dissemination, and neuroinvasion. Whereas the activation of developmental pathways is intrinsic to neonates, interventions aimed at maturing the microbiota may help prevent neonatal meningitis.

摘要

与儿童和成人相比,新生儿极易受到细菌性脑膜炎的影响。B 型链球菌(GBS)是新生儿脑膜炎的主要病因。新生儿脑膜炎可由 GBS 肠道定植和穿过肠屏障(IB)转移引起。在这里,我们表明,新生儿肠道微生物组的不成熟导致对 GBS 肠道定植的抵抗力低,并且肠道-血管屏障允许细菌易位。此外,肠道和脉络丛(CP)上皮中年龄依赖性但与微生物组无关的 Wnt 活性导致细胞-细胞连接的极化程度降低,有利于细菌易位。因此,这项研究表明,新生儿对 GBS 脑膜炎的易感性源于与新生儿组织生长相关的肠道微生物组和发育途径的年龄依赖性不成熟,这两者都有利于 GBS 肠道定植、全身扩散和神经侵袭。虽然发育途径的激活是新生儿固有的,但旨在使微生物组成熟的干预措施可能有助于预防新生儿脑膜炎。

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