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重新审视戊酸在溃疡性结肠炎中的作用。

Revisiting the Role of Valeric Acid in Manipulating Ulcerative Colitis.

机构信息

Laboratory of Anti-inflammation and Immunopharmacology, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.

School of Pharmacy, University of Chinese Academy of Sciences, Beijing 100049, China.

出版信息

Inflamm Bowel Dis. 2024 Apr 3;30(4):617-628. doi: 10.1093/ibd/izad187.

Abstract

BACKGROUND

Ulcerative colitis (UC) is characterized by a complicated interaction between mucosal inflammation, epithelial dysfunction, abnormal activation of innate immune responses, and gut microbiota dysbiosis. Though valeric acid (VA), one type of short-chain fatty acids (SCFAs), has been identified in other inflammatory disorders and cancer development, the pathological role of VA and underlying mechanism of VA in UC remain under further investigation.

METHODS

Studies of human clinical specimens and experimental colitis models were conducted to confirm the pathological manifestations of the level of SCFAs from human fecal samples and murine colonic homogenates. Valeric acid-intervened murine colitis and a macrophage adoptive transfer were applied to identify the underlying mechanisms.

RESULTS

In line with gut microbiota dysfunction in UC, alteration of SCFAs from gut microbes were identified in human UC patients and dextran sodium sulfate -induced murine colitis models. Notably, VA was consistently negatively related to the disease severity of UC, the population of monocytes, and the level of interluekin-6. Moreover, VA treatment showed direct suppressive effects on lipopolysaccharides (LPS)-activated human peripheral blood mononuclear cells and murine macrophages in the dependent manner of upregulation of GPR41 and GPR43. Therapeutically, replenishment of VA or adoptive transfer with VA-modulated macrophages showed resistance to dextran sodium sulfate-driven murine colitis though modulating the production of inflammatory cytokine interleukin-6.

CONCLUSIONS

In summary, the research uncovered the pathological role of VA in modulating the activation of macrophages in UC and suggested that VA might be a potential effective agent for UC patients.

摘要

背景

溃疡性结肠炎(UC)的特征是黏膜炎症、上皮功能障碍、固有免疫反应异常激活和肠道微生物失调之间的复杂相互作用。虽然短链脂肪酸(SCFAs)中的缬草酸(VA)已在其他炎症性疾病和癌症发展中得到鉴定,但 VA 的病理作用及其在 UC 中的潜在机制仍需进一步研究。

方法

通过对人类临床标本和实验性结肠炎模型的研究,证实了从人类粪便样本和鼠结肠匀浆中 SCFAs 水平的病理表现。通过缬草酸干预的鼠结肠炎和巨噬细胞过继转移实验,确定了潜在的机制。

结果

与 UC 中的肠道微生物群功能障碍一致,在人类 UC 患者和葡聚糖硫酸钠诱导的鼠结肠炎模型中,鉴定出了 SCFAs 的改变。值得注意的是,VA 与 UC 的疾病严重程度、单核细胞群体和白细胞介素-6 水平呈负相关。此外,VA 治疗对脂多糖(LPS)激活的人外周血单核细胞和鼠巨噬细胞具有直接的抑制作用,这种作用依赖于 GPR41 和 GPR43 的上调。在治疗方面,VA 的补充或经 VA 调节的巨噬细胞过继转移,通过调节促炎细胞因子白细胞介素-6 的产生,对葡聚糖硫酸钠驱动的鼠结肠炎具有抵抗作用。

结论

综上所述,本研究揭示了 VA 在调节 UC 中巨噬细胞激活中的病理作用,并表明 VA 可能是 UC 患者的一种潜在有效治疗药物。

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