Department of Allergy and Rheumatology, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Hospital for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, China.
Department of Bioinformatics, 01life Institute, Shenzhen, China.
Front Immunol. 2021 Nov 16;12:775018. doi: 10.3389/fimmu.2021.775018. eCollection 2021.
Atopic dermatitis (AD) is a recurrent chronic inflammatory skin disease affecting up to 30% of the children population, and immuno-regulatory therapy that could modify the course of disease is urgently needed. Probiotics have demonstrated therapeutic effects on AD and could potentially regulate the disease process. However, the efficacy of probiotics for AD is inconsistent among different studies, which is mainly due to the elusive mechanism and different species and (or) strains used. In this study, we designed a mixture of five strains of probiotics (named IW5) and analyzed the effect and mechanism of IW5 on calcipotriol (MC903)-induced AD-like dermatitis. We found that IW5 significantly alleviated skin inflammation of the MC903-induced AD in mice. Administration with IW5 induced increased production of regulatory T cells and regulatory dendritic cells (DCregs) in the mesenteric lymph nodes. We also found that the diversity of the gut microbiota in the mice with MC903-induced dermatitis was increased after IW5 administration, and the level of butyrate in the gut was elevated. In cell culture, butyrate induced the production of DCregs. Our study revealed the therapeutic effects of a newly designed probiotics mixture and uncovered a possible mechanism, providing a foundation for future clinical studies.
特应性皮炎(AD)是一种反复发作的慢性炎症性皮肤病,影响多达 30%的儿童人群,迫切需要免疫调节治疗来改变疾病进程。益生菌已被证明对 AD 具有治疗作用,并可能调节疾病过程。然而,益生菌治疗 AD 的疗效在不同研究中并不一致,这主要是由于其作用机制难以捉摸,以及使用的益生菌种类和(或)菌株不同。在这项研究中,我们设计了一种由五种益生菌菌株组成的混合物(命名为 IW5),并分析了 IW5 对他卡西醇(MC903)诱导的 AD 样皮炎的作用和机制。我们发现 IW5 可显著缓解 MC903 诱导的 AD 小鼠的皮肤炎症。给予 IW5 可诱导肠系膜淋巴结中调节性 T 细胞和调节性树突状细胞(DCregs)的产生增加。我们还发现,MC903 诱导皮炎后,小鼠肠道微生物组的多样性增加,肠道中丁酸盐的水平升高。在细胞培养中,丁酸盐诱导 DCregs 的产生。我们的研究揭示了一种新设计的益生菌混合物的治疗效果,并揭示了一种可能的机制,为未来的临床研究提供了基础。