Department of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University, Tianjin, China.
Institute of Digestive Diseases, Tianjin Key Laboratory of Digestive Diseases, Tianjin, China.
Front Immunol. 2021 Nov 3;12:700995. doi: 10.3389/fimmu.2021.700995. eCollection 2021.
The prevalence of inflammatory bowel disease (IBD) is increasing worldwide and correlates with dysregulated immune response because of gut microbiota dysbiosis. Some adverse early life events influence the establishment of the gut microbiota and act as risk factors for IBD. Prenatal maternal stress (PNMS) induces gut dysbiosis and perturbs the neuroimmune network of offspring. In this study, we aimed to investigate whether PNMS increases the susceptibility of offspring to colitis in adulthood. The related index was assessed during the weaning period and adulthood. We found that PNMS impaired the intestinal epithelial cell proliferation, goblet cell and Paneth cell differentiation, and mucosal barrier function in 3-week-old offspring. PNMS induced low-grade intestinal inflammation, but no signs of microscopic inflammatory changes were observed. Although there was no pronounced difference between the PNMS and control offspring in terms of their overall measures of alpha diversity for the gut microbiota, distinct microbial community changes characterized by increases in , , and and decreases in and were induced in the 3-week-old PNMS offspring. Notably, the overgrowth of persisted from the weaning period to adulthood, consistent with the results observed using fluorescence hybridization in the colon mucosa. Mechanistically, the fecal microbiota transplantation experiment showed that the gut microbiota from the PNMS group impaired the intestinal barrier function and induced low-grade inflammation. The fecal bacterial solution from the PNMS group was more potent than that from the control group in inducing inflammation and gut barrier disruption in CaCo-2 cells. After treatment with a TNF-α inhibitor (adalimumab), no statistical difference in the indicators of inflammation and intestinal barrier function was observed between the two groups. Finally, exposure to PNMS remarkably increased the values of the histopathological parameters and the inflammatory cytokine production in a mouse model of experimental colitis in adulthood. These findings suggest that PNMS can inhibit intestinal development, impair the barrier function, and cause gut dysbiosis characterized by the persistent overgrowth of in the offspring, resulting in exacerbated experimental colitis in adulthood.
炎症性肠病(IBD)的患病率在全球范围内呈上升趋势,这与肠道微生物失调导致的免疫反应失调有关。一些不良的早期生活事件会影响肠道微生物群的建立,并成为 IBD 的危险因素。产前母体应激(PNMS)会导致肠道微生物失调,并扰乱后代的神经免疫网络。在这项研究中,我们旨在研究产前母体应激是否会增加后代成年后患结肠炎的易感性。在断奶期和成年期评估相关指标。我们发现,PNMS 会损害 3 周龄后代的肠道上皮细胞增殖、杯状细胞和潘氏细胞分化以及黏膜屏障功能。PNMS 诱导了低水平的肠道炎症,但没有观察到微观炎症变化的迹象。尽管 PNMS 和对照组后代的肠道微生物群整体多样性的总体测量值没有明显差异,但在 3 周龄的 PNMS 后代中,肠道微生物群发生了明显的群落变化,表现为 、 、 和 的增加, 和 的减少。值得注意的是,从断奶期到成年期, 过度生长持续存在,这与在结肠黏膜中使用荧光原位杂交观察到的结果一致。从机制上讲,粪便微生物群移植实验表明,PNMS 组的肠道微生物群会损害肠道屏障功能并诱导低度炎症。与对照组相比,PNMS 组的粪便细菌溶液在诱导 CaCo-2 细胞炎症和肠道屏障破坏方面更为有效。在用 TNF-α 抑制剂(阿达木单抗)治疗后,两组的炎症和肠道屏障功能指标没有统计学差异。最后,PNMS 暴露显著增加了成年期实验性结肠炎小鼠模型中组织病理学参数和炎症细胞因子产生的数值。这些发现表明,PNMS 可抑制肠道发育,损害屏障功能,并导致以 持续过度生长为特征的肠道菌群失调,从而导致成年期实验性结肠炎加重。
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