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通过调节法尼醇X受体(FXR)表达和肠道微生物群预防非酒精性脂肪性肝病(NAFLD)

and Prevent NAFLD by Regulating FXR Expression and Gut Microbiota.

作者信息

Nian Fulin, Wu Longyun, Xia Qiaoyun, Tian Peiying, Ding Chunmei, Lu Xiaolan

机构信息

Department of Gastroenterology, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.

出版信息

J Clin Transl Hepatol. 2023 Aug 28;11(4):763-776. doi: 10.14218/JCTH.2022.00415. Epub 2023 Feb 22.

DOI:10.14218/JCTH.2022.00415
PMID:37408808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10318293/
Abstract

BACKGROUND AND AIMS

Non-alcoholic fatty liver disease (NAFLD) is closely associated with gut microbiota and has become the most common chronic liver disease worldwide, but the relationship between specific strains and NAFLD has not been fully elucidated. We aimed to investigate whether and could prevent NAFLD, the effects of their action alone or in combination, possible mechanisms, and modulation of the gut microbiota.

METHODS

Mice were fed with high-fat diets (HFD) for 20 weeks, in which experimental groups were pretreated with quadruple antibiotics and then given the corresponding bacterial solution or PBS. The expression of the glycolipid metabolism indicators, liver, and intestinal farnesol X receptors (FXR), and intestinal mucosal tight junction proteins were detected. We also analyzed the alterations of inflammatory and immune status and the gut microbiota of mice.

RESULTS

Both strains were able to attenuate mass gain (<0.001), insulin resistance (<0.001), and liver lipid deposition (<0.001). They also reduced the levels of the pro-inflammatory factors (<0.05) and the proportion of Th17 (<0.001), while elevating the proportion of Treg (<0.01). Both strains activated hepatic FXR while suppressing intestinal FXR (<0.05), and elevating tight junction protein expression (<0.05). We also perceived changes in the gut microbiota and found both strains were able to synergize beneficial microbiota to function.

CONCLUSIONS

Administration of or alone or in combination was protective against HFD-induced NAFLD formation and could be used as alternative treatment strategy for NAFLD after further exploration.

摘要

背景与目的

非酒精性脂肪性肝病(NAFLD)与肠道微生物群密切相关,已成为全球最常见的慢性肝病,但特定菌株与NAFLD之间的关系尚未完全阐明。我们旨在研究[具体菌株1]和[具体菌株2]是否能预防NAFLD,它们单独或联合作用的效果、可能的机制以及对肠道微生物群的调节作用。

方法

给小鼠喂食高脂饮食(HFD)20周,其中实验组先用四联抗生素预处理,然后给予相应的菌液或PBS。检测糖脂代谢指标[此处原文可能有遗漏,未明确具体指标]、肝脏和肠道法尼醇X受体(FXR)以及肠道黏膜紧密连接蛋白的表达。我们还分析了小鼠炎症和免疫状态以及肠道微生物群的变化。

结果

两种菌株均能减轻体重增加(<0.001)、胰岛素抵抗(<0.001)和肝脏脂质沉积(<0.001)。它们还降低了促炎因子水平(<0.05)和Th17比例(<0.001),同时提高了Treg比例(<0.01)。两种菌株均激活肝脏FXR,同时抑制肠道FXR(<0.05),并提高紧密连接蛋白表达(<0.05)。我们还观察到肠道微生物群的变化,发现两种菌株均能协同有益微生物群发挥作用。

结论

单独或联合给予[具体菌株1]或[具体菌株2]对HFD诱导的NAFLD形成具有保护作用,经过进一步探索后可作为NAFLD的替代治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/502101ff52c6/JCTH-11-763-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/115725abbc83/JCTH-11-763-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/58da17434ed4/JCTH-11-763-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/e8461092f66b/JCTH-11-763-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/502101ff52c6/JCTH-11-763-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/115725abbc83/JCTH-11-763-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/b2312c2bdf8a/JCTH-11-763-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/1acc6002b73b/JCTH-11-763-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b12/10318293/502101ff52c6/JCTH-11-763-g007.jpg

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