Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine and Medical Center, American University of Beirut, Bliss Street, 11-0236, Riad El-Solh, Beirut, 1107-2020, Lebanon.
AUB Diabetes, Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon.
Cell Mol Life Sci. 2022 Sep;79(9):502. doi: 10.1007/s00018-022-04485-x. Epub 2022 Aug 30.
Diabetes changes the host microbiota, a condition known as dysbiosis. Dysbiosis is an important factor for the pathogenesis of diabetes and colorectal cancer (CRC). We aimed at identifying the microbial signature associated with diabetes and CRC; and identifying the signaling mechanism altered by dysbiosis and leading to CRC progression in diabetes. MKR mice that can spontaneously develop type 2 diabetes were used. For CRC induction, another subset of mice was treated with azoxymethane and dextran sulfate sodium. To identify the role of microbiota, microbiota-depleted mice were inoculated with fecal microbial transplant from diabetic and CRC mice. Further, a mouse group was treated with probiotics. At the end of the treatment, 16S rRNA sequencing was performed to identify microbiota in the fecal samples. Blood was collected, and colons were harvested for molecular, anatomical, and histological analysis. Our results show that diabetes is associated with a microbial signature characterized by reduction of butyrate-forming bacteria. This dysbiosis is associated with gastrointestinal complications reflected by a reduction in colon lengths. These changes are reversed upon treatment with probiotics, which rectified the observed dysbiosis. Inoculation of control mice with diabetic or cancer microbiota resulted in the development of increased number of polyps. Our data also show that inflammatory cytokines (mainly interleukin (IL)-1β) and NADPH oxidase (NOX)4 are over-expressed in the colon tissues of diabetic mice. Collectively our data suggest that diabetes is associated with dysbiosis characterized by lower abundance of butyrate-forming bacteria leading to over-expression of IL-1β and NOX4 leading to gastrointestinal complications and CRC.
糖尿病会改变宿主微生物群,这种情况被称为菌群失调。菌群失调是糖尿病和结直肠癌(CRC)发病机制的重要因素。我们旨在确定与糖尿病和 CRC 相关的微生物特征,并确定由菌群失调改变的信号机制,从而导致糖尿病患者 CRC 的进展。我们使用了能够自发发展为 2 型糖尿病的 MKR 小鼠。为了诱导 CRC,另一组小鼠用氧化偶氮甲烷和葡聚糖硫酸钠处理。为了确定微生物群的作用,用糖尿病和 CRC 小鼠的粪便微生物移植物接种微生物群耗竭的小鼠。此外,一组小鼠用益生菌治疗。在治疗结束时,进行 16S rRNA 测序以鉴定粪便样本中的微生物群。采集血液,采集结肠进行分子、解剖和组织学分析。我们的结果表明,糖尿病与一种微生物特征有关,其特征是丁酸盐形成细菌减少。这种菌群失调与胃肠道并发症有关,表现为结肠长度减少。用益生菌治疗可逆转这些变化,纠正观察到的菌群失调。用糖尿病或癌症微生物群接种对照小鼠会导致息肉数量增加。我们的数据还表明,糖尿病小鼠结肠组织中炎症细胞因子(主要是白细胞介素 (IL)-1β)和 NADPH 氧化酶 (NOX)4 表达过度。总之,我们的数据表明,糖尿病与菌群失调有关,其特征是丁酸形成细菌丰度降低,导致 IL-1β 和 NOX4 过度表达,从而导致胃肠道并发症和 CRC。