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肠道微生物 DL-内肽酶通过 NOD2 途径缓解克罗恩病。

Gut microbial DL-endopeptidase alleviates Crohn's disease via the NOD2 pathway.

机构信息

Microbiome Medicine Center, Department of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510655, China.

Guangdong Provincial Key Laboratory of Gastroenterology, Institute of Gastroenterology of Guangdong Province, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China.

出版信息

Cell Host Microbe. 2022 Oct 12;30(10):1435-1449.e9. doi: 10.1016/j.chom.2022.08.002. Epub 2022 Aug 31.

Abstract

The pattern-recognition receptor NOD2 senses bacterial muropeptides to regulate host immunity and maintain homeostasis. Loss-of-function mutations in NOD2 are associated with Crohn's disease (CD), but how the variations in microbial factors influence NOD2 signaling and host pathology is elusive. We demonstrate that the Firmicutes peptidoglycan remodeling enzyme, DL-endopeptidase, increased the NOD2 ligand level in the gut and impacted colitis outcomes. Metagenomic analyses of global cohorts (n = 857) revealed that DL-endopeptidase gene abundance decreased globally in CD patients and negatively correlated with colitis. Fecal microbiota from CD patients with low DL-endopeptidase activity predisposed mice to colitis. Administering DL-endopeptidase, but not an active site mutant, alleviated colitis via the NOD2 pathway. Therapeutically restoring NOD2 ligands with a DL-endopeptidase-producing Lactobacillus salivarius strain or mifamurtide, a clinical analog of muramyl dipeptide, exerted potent anti-colitis effects. Our study suggests that the depletion of DL-endopeptidase contributes to CD pathogenesis through NOD2 signaling, providing a therapeutically modifiable target.

摘要

模式识别受体 NOD2 可识别细菌肽聚糖以调节宿主免疫和维持体内平衡。NOD2 功能丧失性突变与克罗恩病(CD)相关,但微生物因素的变异如何影响 NOD2 信号和宿主病理仍不清楚。我们证明了厚壁菌门肽聚糖重塑酶 DL-内肽酶增加了肠道中 NOD2 配体的水平,并影响了结肠炎的结果。对全球队列(n=857)的宏基因组分析显示,CD 患者的 DL-内肽酶基因丰度普遍降低,与结肠炎呈负相关。来自 CD 患者的 DL-内肽酶活性低的粪便微生物群使小鼠易患结肠炎。通过 NOD2 途径,给予 DL-内肽酶而非活性位点突变可缓解结肠炎。用产生 DL-内肽酶的唾液乳杆菌菌株或米福莫肽(一种二肽基二磷酸的临床类似物)恢复 NOD2 配体可发挥强大的抗结肠炎作用。我们的研究表明,DL-内肽酶的耗竭通过 NOD2 信号通路导致 CD 的发病机制,为治疗提供了一个可修饰的靶点。

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