Department of Anesthesiology, Tianjin Union Medical Center, Tianjin, China.
Department of Anesthesiology, Tianjin Children's Hospital, Tianjin, China.
Shock. 2024 Jan 1;61(1):120-131. doi: 10.1097/SHK.0000000000002262. Epub 2023 Oct 28.
M1 macrophage-mediated inflammation is critical in sepsis. We previously found the protective role of astragaloside intravenous (AS-IV) in sepsis-associated gut impairment, whose specific mechanism remains unknown. Gut microbiota modulates gut homeostatic balance to avoid excessive inflammation. Here, we aimed to investigate effects of AS-IV on gut macrophages polarization and potential roles of gut microbiota and short chain fatty acids (SCFAs) in septic gut damage. Mice were pretreated by AS-IV gavage for 7 days before cecal ligation and puncture. M1 polarization of gut lamina propria macrophages (LpMs) was promoted by cecal ligation and puncture, accompanied by abnormal cytokines release and intestinal barrier dysfunction. NLRP3 inflammasome was activated in M1 LpMs. 16S rRNA sequencing demonstrated gut microbiota imbalance. The levels of acetate, propionate, and butyrate in fecal samples decreased. Notably, AS-IV reversed LpMs M1/M2 polarization, lightened gut inflammation and barrier injury, reduced NLRP3 inflammasome expression in LpMs, restored the diversity of gut microbiome, and increased butyrate levels. Similarly, these benefits were mimicked by fecal microbiota transplantation or exogenous butyrate supplementation. In Caco-2 and THP-1 cocultured model, LPS and interferon γ caused THP-1 M1 polarization, Caco-2 barrier impairment, abnormal cytokines release, and high NLRP3 inflammasome expression in THP-1 cells, all of which were mitigated by butyrate administration. However, these protective effects of butyrate were abrogated by NLRP3 gene overexpression in THP-1. In conclusion, AS-IV can ameliorate sepsis-induced gut inflammation and barrier dysfunction by modulating M1/M2 polarization of gut macrophages, whose underlying mechanism may be restoring gut microbiome and SCFA to restrain NLRP3 inflammasome activation.
M1 巨噬细胞介导的炎症在脓毒症中至关重要。我们之前发现黄芪甲苷静脉注射(AS-IV)在与脓毒症相关的肠道损伤中有保护作用,但其具体机制尚不清楚。肠道微生物群调节肠道内稳态平衡,避免过度炎症。在这里,我们旨在研究 AS-IV 对肠道巨噬细胞极化的影响,以及肠道微生物群和短链脂肪酸(SCFAs)在脓毒症肠道损伤中的潜在作用。在盲肠结扎和穿刺前,小鼠用 AS-IV 灌胃预处理 7 天。盲肠结扎和穿刺促进了肠道固有层巨噬细胞(LpMs)的 M1 极化,伴随着异常细胞因子释放和肠道屏障功能障碍。NLRP3 炎性体在 M1 LpMs 中被激活。16S rRNA 测序显示肠道微生物群失衡。粪便样本中乙酸盐、丙酸盐和丁酸盐的水平降低。值得注意的是,AS-IV 逆转了 LpMs 的 M1/M2 极化,减轻了肠道炎症和屏障损伤,降低了 LpMs 中 NLRP3 炎性体的表达,恢复了肠道微生物群的多样性,并增加了丁酸盐水平。同样,粪便微生物群移植或外源性丁酸盐补充也模拟了这些益处。在 Caco-2 和 THP-1 共培养模型中,LPS 和干扰素 γ 导致 THP-1 M1 极化,Caco-2 屏障损伤,异常细胞因子释放,以及 THP-1 细胞中 NLRP3 炎性体的高表达,所有这些都被丁酸盐的给药减轻。然而,THP-1 中 NLRP3 基因的过表达使丁酸盐的这些保护作用丧失。总之,AS-IV 通过调节肠道巨噬细胞的 M1/M2 极化来改善脓毒症引起的肠道炎症和屏障功能障碍,其潜在机制可能是恢复肠道微生物群和 SCFA 以抑制 NLRP3 炎性体的激活。
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