Department of Cardiovascular Medicine, First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China; Key Laboratory of Molecular Cardiology, Xi'an, Shaanxi, China; Key Laboratory of Environment and Genes Related to Diseases, Ministry of Education, Xi'an, Shaanxi, China.
Department of Gastroenterology, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Cell Host Microbe. 2024 Feb 14;32(2):191-208.e9. doi: 10.1016/j.chom.2023.12.015. Epub 2024 Jan 17.
Aspirin-related gastrointestinal damage is of growing concern. Aspirin use modulates the gut microbiota and associated metabolites, such as bile acids (BAs), but how this impacts intestinal homeostasis remains unclear. Herein, using clinical cohorts and aspirin-treated mice, we identified an intestinal microbe, Parabacteroides goldsteinii, whose growth is suppressed by aspirin. Mice supplemented with P. goldsteinii or its BA metabolite, 7-keto-lithocholic acid (7-keto-LCA), showed reduced aspirin-mediated damage of the intestinal niche and gut barrier, effects that were lost with a P. goldsteinii hdhA mutant unable to generate 7-keto-LCA. Specifically, 7-keto-LCA promotes repair of the intestinal epithelium by suppressing signaling by the intestinal BA receptor, farnesoid X receptor (FXR). 7-Keto-LCA was confirmed to be an FXR antagonist that facilitates Wnt signaling and thus self-renewal of intestinal stem cells. These results reveal the impact of oral aspirin on the gut microbiota and intestinal BA metabolism that in turn modulates gastrointestinal homeostasis.
阿司匹林相关的胃肠道损伤越来越受到关注。阿司匹林的使用会调节肠道微生物群及其相关代谢物,如胆汁酸(BAs),但这如何影响肠道内稳态尚不清楚。在此,我们通过临床队列和阿司匹林处理的小鼠发现了一种肠道微生物,即拟杆菌属的黄金双歧杆菌,其生长受到阿司匹林的抑制。用 P. goldsteinii 或其胆汁酸代谢物 7-酮石胆酸(7-keto-LCA)补充的小鼠表现出阿司匹林介导的肠道生态位和肠道屏障损伤减少,而不能产生 7-酮石胆酸的 P. goldsteinii hdhA 突变体则丧失了这些作用。具体而言,7-酮石胆酸通过抑制肠道胆汁酸受体法尼醇 X 受体(FXR)的信号转导,促进肠道上皮的修复。7-酮石胆酸被确认为 FXR 拮抗剂,可促进 Wnt 信号通路,从而促进肠道干细胞的自我更新。这些结果揭示了口服阿司匹林对肠道微生物群和肠道胆汁酸代谢的影响,进而调节胃肠道内稳态。
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