School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.
The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Front Immunol. 2022 Aug 24;13:944591. doi: 10.3389/fimmu.2022.944591. eCollection 2022.
Several gastrointestinal phenotypes and impairment of duodenal mucosal barrier have been reported in clinical studies in patients with functional dyspepsia (FD). Due to the preferential colonization of the mucosa, intestinal microbes and their metabolites are commonly involved in host metabolism and immune responses. However, there are no studies on the intertwined correlation among multi-level data. For more comprehensive illustrating, a multi-omics analysis focusing on the duodenum was performed in the FD rat model. We found that differential microbiomes in the duodenum were significantly correlated with the biosynthesis of lipopolysaccharide and peptidoglycan. The innate immune response-related genes, which were upregulated in the duodenum, were associated with the TLR2/TLR4-NFκB signaling pathway. More importantly, arachidonyl ethanolamide (anandamide, AEA) and endocannabinoid analogues showed linear relationships with the FD phenotypes. Taken together, multi-level data from microbiome, transcriptome and metabolome reveal that AEA may regulate duodenal low-grade inflammation in FD. These results suggest an important cue of gut microbiome-endocannabinoid system axis in the pathogenesis of FD.
在功能性消化不良 (FD) 患者的临床研究中,已经报道了几种胃肠道表型和十二指肠黏膜屏障损伤。由于肠道微生物及其代谢物优先定植在黏膜上,因此它们通常参与宿主代谢和免疫反应。然而,目前还没有关于多层次数据之间相互关联的研究。为了更全面地说明问题,我们在 FD 大鼠模型中进行了一项专注于十二指肠的多组学分析。我们发现,十二指肠中差异的微生物组与脂多糖和肽聚糖的生物合成显著相关。在十二指肠中上调的固有免疫反应相关基因与 TLR2/TLR4-NFκB 信号通路有关。更重要的是,花生四烯酸乙醇胺(大麻素,AEA)和内源性大麻素类似物与 FD 表型呈线性关系。总之,来自微生物组、转录组和代谢组的多层次数据表明,AEA 可能调节 FD 中的十二指肠低度炎症。这些结果提示了肠道微生物组-内源性大麻素系统轴在 FD 发病机制中的重要作用。
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