Dong Lin, Tang Yulei, Wen Silu, He Yan, Li Fen, Deng Yuqin, Tao Zezhang
Department of Otolaryngology-Head and Neck Surgery, Renmin Hospital of Wuhan University, 238 Jie-Fang Road, Wuhan, Hubei, 430060, People's Republic of China.
Department of Otolaryngology-Head and Neck Surgery, Central Laboratory, Renmin Hospital of Wuhan University, 238 Jie-Fang Road, Wuhan, Hubei, 430060, People's Republic of China.
Inflammation. 2024 Aug;47(4):1278-1297. doi: 10.1007/s10753-024-01975-x. Epub 2024 Jan 31.
Allergic rhinitis (AR) is an allergic condition of the upper respiratory tract with a complex pathogenesis, including epithelial barrier disruption, immune regulation, and gut microbiota, which is not yet fully understood. Gut microbiota is closely linked to allergic diseases, including AR. Fecal microbiota transplantation (FMT) has recently been recognized as a potentially effective therapy for allergic diseases. However, the efficacy and mechanism of action of FMT in AR remain unknown. Herein, we aimed to observe the implications of gut microbiota on epithelial barrier function and T cell homeostasis, as well as the effect of FMT in AR, using the ovalbumin (OVA)-induced AR mice. The intestinal microbiota of recipient mice was cleared using an antibiotic cocktail; thereafter, FMT was performed. Subsequently, the nasal symptom scores and histopathological features of colon and nasal mucosa tissues of mice were monitored, and serum OVA-sIgE and cytokines of IL-4, IFNγ, IL-17A, and IL-10 cytokine concentrations were examined. Thereafter, tight junction protein and CD4 T cell-related transcription factor and cytokine expressions were observed in the colon and nasal mucosa, and changes in the expression of PI3K/AKT/mTOR and NFκB signaling pathway were detected by WB assay in each group. Fecal DNA was extracted from the four mice groups for high-throughput 16S rRNA sequencing. FMT ameliorated nasal symptoms and reduced nasal mucosal inflammation in AR mice. Moreover, according to 16S rRNA sequencing, FMT restored the disordered gut microbiota in AR mice. Following FMT, ZO-1 and claudin-1 and Th1/Th2/Th17-related transcription factor and cytokine expressions were upregulated, whereas Treg cell-related Foxp3 and IL-10 expressions were downregulated. Mechanistic studies have revealed that FMT also inhibited PI3K/AKT/mTOR and NF-κB pathway protein phosphorylation in AR mouse tissues. FMT alleviates allergic inflammation in AR by repairing the epithelial barrier and modulating CD4 T cell balance and exerts anti-inflammatory effects through the PI3K/AKT/mTOR and NF-κB signaling pathways. Moreover, gut microbiota disorders are involved in AR pathogenesis. Disturbed gut microbiota causes an altered immune-inflammatory state in mice and increases susceptibility to AR. This study suggested the regulatory role of the gut-nose axis in the pathogenesis of AR is an emerging field, which provides novel directions and ideas for the treatment of AR.
变应性鼻炎(AR)是一种上呼吸道的过敏性疾病,其发病机制复杂,包括上皮屏障破坏、免疫调节和肠道微生物群,目前尚未完全明确。肠道微生物群与包括AR在内的过敏性疾病密切相关。粪便微生物群移植(FMT)最近被认为是一种治疗过敏性疾病的潜在有效疗法。然而,FMT在AR中的疗效和作用机制仍不清楚。在此,我们旨在利用卵清蛋白(OVA)诱导的AR小鼠,观察肠道微生物群对上皮屏障功能和T细胞稳态的影响,以及FMT在AR中的作用。使用抗生素鸡尾酒清除受体小鼠的肠道微生物群;此后,进行FMT。随后,监测小鼠的鼻症状评分以及结肠和鼻黏膜组织的组织病理学特征,并检测血清OVA-sIgE以及白细胞介素-4、干扰素γ、白细胞介素-17A和白细胞介素-10细胞因子浓度。此后,观察结肠和鼻黏膜中紧密连接蛋白、CD4 T细胞相关转录因子和细胞因子的表达,并通过蛋白质免疫印迹法检测每组中PI3K/AKT/mTOR和NFκB信号通路表达的变化。从四组小鼠中提取粪便DNA进行高通量16S rRNA测序。FMT改善了AR小鼠的鼻症状并减轻了鼻黏膜炎症。此外,根据16S rRNA测序,FMT恢复了AR小鼠中紊乱的肠道微生物群。FMT后,紧密连接蛋白ZO-1和claudin-1以及Th1/Th2/Th17相关转录因子和细胞因子表达上调,而调节性T细胞相关的叉头框蛋白3和白细胞介素-10表达下调。机制研究表明,FMT还抑制了AR小鼠组织中PI3K/AKT/mTOR和NF-κB通路蛋白的磷酸化。FMT通过修复上皮屏障和调节CD4 T细胞平衡减轻AR中的过敏性炎症,并通过PI3K/AKT/mTOR和NF-κB信号通路发挥抗炎作用。此外,肠道微生物群紊乱参与AR的发病机制。肠道微生物群紊乱导致小鼠免疫炎症状态改变,并增加对AR的易感性。本研究表明,肠-鼻轴在AR发病机制中的调节作用是一个新兴领域,为AR的治疗提供了新的方向和思路。
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