Department of Physiology, Institute of Health Sciences, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Department of Microbiology, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Neurogastroenterol Motil. 2024 Mar;36(3):e14745. doi: 10.1111/nmo.14745. Epub 2024 Jan 23.
BACKGROUND: Inflammatory bowel diseases (IBD) are chronic diseases that are not fully understood. Drugs in use can only be applied for a short time due to their side effects. Therefore, research is needed to develop new treatment approaches. In addition, it has been proven that IBD causes degeneration in the enteric nervous system (ENS). In recent years, it has been discussed that probiotics may have positive effects in the prevention and treatment of inflammatory enteric degeneration. Akkermansia muciniphila (A. muciniphila) is an anaerobic bacterium found in the mucin layer of the intestinal microbiota. It has been found that the population of A. muciniphila decreases in the case of different diseases. In light of this information, the curative effect of A. muciniphila application on colitis-induced inflammation and enteric degeneration was investigated. METHODS: In this study, 5 weeks of A. muciniphila treatment in Trinitro-benzene-sulfonic acid (TNBS)-induced chronic colitis model was investigated. Colon samples were examined at microscopic, biochemical, and molecular levels. Fecal samples were collected before, during, and after treatment to evaluate the population changes in the microbiota. Specific proteins secreted from the ENS were evaluated, and enteric degeneration was examined. RESULTS: As a result of the research, the ameliorative effects of A. muciniphila were shown in the TNBS colitis model-induced inflammation and ENS damage. DISCUSSION: In light of these results, A. muciniphila can potentially be evaluated as a microbiome-based treatment for IBD with further clinical and experimental studies.
背景:炎症性肠病(IBD)是一种尚未完全了解的慢性疾病。由于其副作用,目前使用的药物只能应用于短期。因此,需要研究新的治疗方法。此外,已经证明 IBD 会导致肠神经(ENS)退化。近年来,人们讨论了益生菌可能对炎症性肠退化的预防和治疗具有积极作用。黏蛋白阿克曼菌(A. muciniphila)是一种在肠道微生物群的黏液层中发现的厌氧细菌。已经发现,在不同疾病的情况下,A. muciniphila 的种群数量会减少。有鉴于此,研究了 A. muciniphila 应用于结肠炎诱导的炎症和肠退化的治疗效果。
方法:在这项研究中,研究了 5 周的 A. muciniphila 治疗在三硝基苯磺酸(TNBS)诱导的慢性结肠炎模型中的作用。在显微镜、生化和分子水平上检查结肠样本。在治疗前、治疗中和治疗后收集粪便样本,以评估微生物群中种群变化。评估从 ENS 分泌的特定蛋白质,并检查肠退化。
结果:研究结果表明,A. muciniphila 在 TNBS 结肠炎模型诱导的炎症和 ENS 损伤中具有改善作用。
讨论:鉴于这些结果,A. muciniphila 可以在进一步的临床和实验研究中作为基于微生物组的 IBD 治疗方法进行评估。
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