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急性睡眠剥夺通过肠道微生物群失调和昼夜节律紊乱加剧全身炎症和精神疾病。

Acute sleep deprivation exacerbates systemic inflammation and psychiatry disorders through gut microbiota dysbiosis and disruption of circadian rhythms.

作者信息

Yang Deng-Fa, Huang Wen-Ching, Wu Changwei W, Huang Ching-Ying, Yang Yu-Chen S H, Tung Yu-Tang

机构信息

Graduate Institute of Metabolism and Obesity Sciences, Taipei Medical University, Taipei 110, Taiwan.

Department of Exercise and Health Science, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan.

出版信息

Microbiol Res. 2023 Mar;268:127292. doi: 10.1016/j.micres.2022.127292. Epub 2022 Dec 23.

Abstract

Acute sleep deprivation (ASD) is often observed in shift workers and characterized by drowsiness and unrelenting exhaustion. The physiological and psychological effects of ASD include anxiety, depression, cognitive impairment, systemic inflammation, stress responses, and disruptions of gut microbiota. However, the mechanisms involved in the ASD-associated circadian dysregulations with regard to gut dysbiosis, systemic inflammation, physiological modulation, and psychiatry disorders remain unclear. The aim of this study was to investigate whether central nervous system disorders induced by ASD are related to inflammation, barrier dysfunction, and circadian dysregulation. We also assessed impacts on microbiota succession. Male C57BL/6 mice were randomly allocated to the control and sleep deprivation (SD) groups. Mice in the SD group were subjected to 72 h of paradoxical SD using the modified multiple-platform method for ASD induction (72 h rapid eye movement-SD). The effects of ASD on dietary consumption, behaviors, cytokines, microbiota, and functional genes were determined. The appetite of the SD group was significantly higher than that of the control group, but the body weight was significantly lower than that of the control group. The anxiety-like behaviors were found in the SD group. Alpha and beta diversity of microbiota showed significant decrease after ASD induction; the relative abundance of Candidatus_Arthromitus and Enterobacter was increased, whereas that abundance of Lactobacillus, Muribaculum, Monoglobus, Parasutterella, and others was decreased in the SD group. These effects were accompanied by reduction in fecal propionic acid. In the proximal colon, the SD group exhibited significantly higher inflammation (tumor necrosis factor-α [TNF-α]) and dysregulation of the circadian rhythms (brain and muscle ARNT-like 1 [BMAL1] and cryptochrome circadian regulator 1 [CRY1]) and tight junction genes (occludin [OCLN]) than the control group. Gut barrier dysfunction slightly increased the plasma concentration of lipopolysaccharide and significantly elevated TNF-α. Inflammatory signals might be transduced through the brain via TNF receptor superfamily member 1 A (TNFRSF1A), which significantly increased the levels of microglia activation marker (ionized calcium-binding adapter molecule 1 [IBA1]) and chemokine (intercellular adhesion molecule 1 [ICAM1]) in the cerebral cortex. The serotonin receptor (5-hydroxytryptamine 1A receptor [5-HTR]) was significantly downregulated in the hippocampus. In summary, 72 h of rapid eye movement-SD induced physiological and psychological stress, which led to disruption of the circadian rhythms and gut microbiota dysbiosis; these effects were related to decrement of short chain fatty acids, gut inflammation, and hyperpermeability. The microbiota may be utilized as preventive and therapeutic strategies for ASD from the perspectives of medicine and nutrition.

摘要

急性睡眠剥夺(ASD)在轮班工作者中很常见,其特征为嗜睡和持续疲劳。ASD的生理和心理影响包括焦虑、抑郁、认知障碍、全身炎症、应激反应以及肠道微生物群紊乱。然而,关于肠道微生物群失调、全身炎症、生理调节和精神疾病,ASD相关的昼夜节律失调所涉及的机制仍不清楚。本研究的目的是调查ASD诱导的中枢神经系统疾病是否与炎症、屏障功能障碍和昼夜节律失调有关。我们还评估了对微生物群演替的影响。将雄性C57BL/6小鼠随机分为对照组和睡眠剥夺(SD)组。使用改良的多平台方法对SD组小鼠进行72小时的矛盾性睡眠剥夺以诱导ASD(72小时快速眼动睡眠剥夺)。测定了ASD对饮食消耗、行为、细胞因子、微生物群和功能基因的影响。SD组的食欲显著高于对照组,但体重显著低于对照组。在SD组中发现了类似焦虑的行为。ASD诱导后,微生物群的α和β多样性显著降低;SD组中,候选节杆菌属和肠杆菌的相对丰度增加,而乳酸杆菌属、穆里杆菌属、单球杆菌属、副萨特氏菌属等的丰度降低。这些影响伴随着粪便丙酸的减少。在近端结肠中,SD组的炎症(肿瘤坏死因子-α [TNF-α])、昼夜节律失调(脑和肌肉芳香烃受体核转运蛋白样蛋白1 [BMAL1]和隐花色素昼夜调节蛋白1 [CRY1])以及紧密连接基因(闭合蛋白 [OCLN])的失调均显著高于对照组。肠道屏障功能障碍使血浆脂多糖浓度略有升高,并显著升高TNF-α。炎症信号可能通过肿瘤坏死因子受体超家族成员1A(TNFRSF1A)传入大脑,这显著增加了大脑皮层中小胶质细胞激活标志物(离子钙结合衔接分子1 [IBA1])和趋化因子(细胞间黏附分子1 [ICAM1])的水平。海马体中的5-羟色胺受体(5-羟色胺1A受体 [5-HTR])显著下调。总之,72小时的快速眼动睡眠剥夺诱导了生理和心理应激,导致昼夜节律紊乱和肠道微生物群失调;这些影响与短链脂肪酸减少、肠道炎症和通透性增加有关。从医学和营养的角度来看,微生物群可作为ASD的预防和治疗策略。

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