U1286-INFINITE-Institute for Translational Research in Inflammation, CHU Lille, Inserm, Univ. Lille, F-59000 Lille, France.
Department of Hepato-Gastroenterology, Lille University Hospital, 59037 Lille, France.
Int J Mol Sci. 2024 Feb 10;25(4):2164. doi: 10.3390/ijms25042164.
The therapeutic management of Crohn's disease (CD), a chronic relapsing-remitting inflammatory bowel disease (IBD), is highly challenging. Surgical resection is sometimes a necessary procedure even though it is often associated with postoperative recurrences (PORs). Tofacitinib, an orally active small molecule Janus kinase inhibitor, is an anti-inflammatory drug meant to limit PORs in CD. Whereas bidirectional interactions between the gut microbiota and the relevant IBD drug are crucial, little is known about the impact of tofacitinib on the gut microbiota. The HLA-B27 transgenic rat is a good preclinical model used in IBD research, including for PORs after ileocecal resection (ICR). In the present study, we used shotgun metagenomics to first delineate the baseline composition and determinants of the fecal microbiome of HLA-B27 rats and then to evaluate the distinct impact of either tofacitinib treatment, ileocecal resection or the cumulative effect of both interventions on the gut microbiota in these HLA-B27 rats. The results confirmed that the microbiome of the HLA-B27 rats was fairly different from their wild-type littermates. We demonstrated here that oral treatment with tofacitinib does not affect the gut microbial composition of HLA-B27 rats. Of note, we showed that ICR induced an intense loss of bacterial diversity together with dramatic changes in taxa relative abundances. However, the oral treatment with tofacitinib neither modified the alpha-diversity nor exacerbated significant modifications in bacterial taxa induced by ICR. Collectively, these preclinical data are rather favorable for the use of tofacitinib in combination with ICR to address Crohn's disease management when considering microbiota.
克罗恩病(CD)是一种慢性复发缓解性炎症性肠病(IBD),其治疗管理极具挑战性。手术切除有时是必要的程序,尽管它通常与术后复发(PORs)有关。托法替尼是一种口服活性小分子 Janus 激酶抑制剂,是一种抗炎药物,旨在限制 CD 中的 PORs。尽管肠道微生物群与相关 IBD 药物之间的双向相互作用至关重要,但对于托法替尼对肠道微生物群的影响知之甚少。HLA-B27 转基因大鼠是一种用于 IBD 研究的良好临床前模型,包括回盲切除(ICR)后的 PORs。在本研究中,我们使用 shotgun 宏基因组学首先描绘 HLA-B27 大鼠粪便微生物组的基线组成和决定因素,然后评估托法替尼治疗、回盲切除或两者的累积效应对这些 HLA-B27 大鼠肠道微生物组的独特影响。结果证实,HLA-B27 大鼠的微生物组与它们的野生型同窝仔鼠相当不同。我们在这里证明,口服托法替尼治疗不会影响 HLA-B27 大鼠的肠道微生物组成。值得注意的是,我们表明 ICR 诱导细菌多样性的强烈丧失以及分类群相对丰度的剧烈变化。然而,口服托法替尼治疗既没有改变 alpha 多样性,也没有加剧 ICR 引起的细菌分类群的显著变化。总之,这些临床前数据对于在考虑微生物群时将托法替尼与 ICR 联合用于克罗恩病管理是相当有利的。