Xie Shihao, Li Jiaxin, Lyu Fengyuan, Xiong Qingming, Gu Peng, Chen Yuqi, Chen Meiling, Bao Jingna, Zhang Xianglong, Wei Rongjuan, Deng Youpeng, Wang Hongzheng, Zeng Zhenhua, Chen Zhongqing, Deng Yongqiang, Lian Zhuoshi, Zhao Jie, Gong Wei, Chen Ye, Liu Ke-Xuan, Duan Yi, Jiang Yong, Zhou Hong-Wei, Chen Peng
Department of Pathophysiology, Guangdong Provincial Key Laboratory of Proteomics, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.
Department of Critical Care Medicine, Southern Medical University Nanfang Hospital, Guangzhou, Guangdong, China.
Gut. 2023 Dec 7;73(1):78-91. doi: 10.1136/gutjnl-2023-329996.
OBJECTIVE: The pathogenesis of sepsis is complex, and the sepsis-induced systemic proinflammatory phase is one of the key drivers of organ failure and consequent mortality. (AKK) is recognised as a functional probiotic strain that exerts beneficial effects on the progression of many diseases; however, whether AKK participates in sepsis pathogenesis is still unclear. Here, we evaluated the potential contribution of AKK to lethal sepsis development. DESIGN: Relative abundance of gut microbial AKK in septic patients was evaluated. Cecal ligation and puncture (CLP) surgery and lipopolysaccharide (LPS) injection were employed to establish sepsis in mice. Non-targeted and targeted metabolomics analysis were used for metabolites analysis. RESULTS: We first found that the relative abundance of gut microbial AKK in septic patients was significantly reduced compared with that in non-septic controls. Live AKK supplementation, as well as supplementation with its culture supernatant, remarkably reduced sepsis-induced mortality in sepsis models. Metabolomics analysis and germ-free mouse validation experiments revealed that live AKK was able to generate a novel tripeptide Arg-Lys-His (RKH). RKH exerted protective effects against sepsis-induced death and organ damage. Furthermore, RKH markedly reduced sepsis-induced inflammatory cell activation and proinflammatory factor overproduction. A mechanistic study revealed that RKH could directly bind to Toll-like receptor 4 (TLR4) and block TLR4 signal transduction in immune cells. Finally, we validated the preventive effects of RKH against sepsis-induced systemic inflammation and organ damage in a piglet model. CONCLUSION: We revealed that a novel tripeptide, RKH, derived from live AKK, may act as a novel endogenous antagonist for TLR4. RKH may serve as a novel potential therapeutic approach to combat lethal sepsis after successfully translating its efficacy into clinical practice.
Metabolites. 2023-1-28
J Neuroimmune Pharmacol. 2024-8-14
Aging (Albany NY). 2021-3-2
Food Funct. 2021-10-19
Probiotics Antimicrob Proteins. 2024-8
Int J Gen Med. 2025-8-25
Front Microbiol. 2025-7-30
Microorganisms. 2025-5-27
Front Pharmacol. 2025-5-19
Microorganisms. 2025-4-29
Virulence. 2025-12