炎症性肠病和抑郁症患者的粪便微生物群移植改变了受体小鼠的免疫反应和行为。

Transplantation of fecal microbiota from patients with inflammatory bowel disease and depression alters immune response and behavior in recipient mice.

机构信息

Neurobiota Research Center, College of Pharmacy, Kyung Hee University, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, Korea.

Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, 02447, Korea.

出版信息

Sci Rep. 2021 Oct 14;11(1):20406. doi: 10.1038/s41598-021-00088-x.

Abstract

Gut dysbiosis is closely associated with the occurrence of inflammatory bowel disease (IBD) and psychiatric disorder. Here, to understand the difference of gut microbiota composition and physiological effect between IBD patients with (IBD/D) or without depression (IBD/D), we analyzed the fecal microbiota composition of patients with IBD with (/D) or without depression (/D) and healthy volunteers (HVs) and examined the effects of these fecal microbiota transplantations (FMTs) on the occurrence of systemic inflammation and anxiety/depression in mice. FMTs from patients with IBD/D or IBD/D caused IBD-like colitis in the transplanted mice: they increased the myeloperoxidase activity, IL-1β and IL-6 expression, and NF-κB/CD11c cell population in the colon. Transplantation of the IBD/D patient feces (IBD/D-F) caused IBD-like colitis more strongly than that of IBD/D-F. FMTs from patients with IBD/D also caused anxiety-/depression-like behaviors, increased the NF-κB/Iba1 and lipopolysaccharide (LPS)/Iba1 cell populations, and decreased the BDNF/NeuN cell population in the hippocampus. They increased LPS levels in the blood. FMTs from patients with IBD/D caused anxiety-like, but not depression-like, behaviors. α-/β-diversities and composition of gut microbiota in IBD-F were different from those of HV feces (HV-F). The Enterobacteriaceae and Enterococcaceae populations and LPS levels were higher in the IBD-F than in the HV-F. The Enterococcaceae population was higher in IBD/D-F vs. IBD/D-F. However, the transplantation of HV-F into mice previously transplanted with IBD/D-F significantly reduced depression-like behaviors, NF-κB/Iba1 and LPS/Iba1 cell populations in the hippocampus, LPS levels in the feces and blood, and IL-1β expression in the colon. These findings suggest that the outbreak of depression/anxiety may be dependent on the systemic inflammation with a leaky gut through the gut dysbiosis-attributable overproduction of bacterial LPS and suppression of tight junction protein expression in patients with IBD.

摘要

肠道菌群失调与炎症性肠病(IBD)和精神障碍的发生密切相关。在这里,为了了解伴有(IBD/D)或不伴抑郁(IBD/D)的 IBD 患者肠道微生物群落组成和生理效应的差异,我们分析了 IBD 患者(IBD/D)或不伴抑郁(IBD/D)和健康志愿者(HVs)的粪便微生物群落组成,并检查了这些粪便微生物移植(FMTs)对小鼠全身炎症和焦虑/抑郁发生的影响。来自 IBD/D 或 IBD/D 患者的 FMT 在移植小鼠中引起 IBD 样结肠炎:它们增加了结肠中的髓过氧化物酶活性、IL-1β 和 IL-6 表达以及 NF-κB/CD11c 细胞群。IBD/D 患者粪便(IBD/D-F)的移植比 IBD/D-F 引起的 IBD 样结肠炎更强。来自 IBD/D 患者的 FMT 还引起焦虑/抑郁样行为,增加了 NF-κB/Iba1 和脂多糖(LPS)/Iba1 细胞群,并减少了海马中的 BDNF/NeuN 细胞群。它们增加了血液中的 LPS 水平。来自 IBD/D 患者的 FMT 引起焦虑样行为,但不引起抑郁样行为。IBD-F 的 α-/β-多样性和肠道微生物群落组成与 HV 粪便(HV-F)不同。IBD-F 中的肠杆菌科和肠球菌科种群和 LPS 水平高于 HV-F。IBD/D-F 中的肠球菌科种群高于 IBD/D-F。然而,将 HV-F 移植到先前移植了 IBD/D-F 的小鼠中,可显著减少抑郁样行为、海马中的 NF-κB/Iba1 和 LPS/Iba1 细胞群、粪便和血液中的 LPS 水平以及结肠中的 IL-1β 表达。这些发现表明,IBD 患者中细菌 LPS 的过度产生和紧密连接蛋白表达的抑制引起的肠道菌群失调导致的全身炎症可能是焦虑/抑郁发作的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390b/8516877/ec19d3aa36a3/41598_2021_88_Fig1_HTML.jpg

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