Guo Hui-Hui, Han Yan-Xing, Rong Xiao-Juan, Shen Zhen, Shen Hao-Ran, Kong Ling-Fei, Guo Yun-Dan, Li Ji-Zhou, Xu Bo, Gao Tian-Le, Wang Lu-Lu, Tie Cai, Jiang Jian-Dong
Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, PR China.
Xinjiang Institute of Material Medica, Urumqi, PR China.
Phytomedicine. 2024 Apr;126:155470. doi: 10.1016/j.phymed.2024.155470. Epub 2024 Feb 20.
BACKGROUND: Asthma affects 3% of the global population, leading to over 0.25 million deaths. Due to its complexity, asthma is difficult to cure or prevent, and current therapies have limitations. This has led to a growing demand for alternative asthma treatments. We found rosmarinic acid (RosA) as a potential new drug candidate from natural medicine. However, RosA has poor bioavailability and remains mainly in the gastrointestinal tract after oral administration, suggesting the involvement of gut microbiota in its bioactivity. PURPOSE: To investigate the mechanism of RosA in alleviating allergic asthma by gut-lung axis. METHODS: We used 16S rRNA gene sequencing and metabolites analysis to investigate RosA's modulation of gut microbiota. Techniques of molecular biology and metabolomics were employed to study the pharmacological mechanism of RosA. Cohousing was used to confirm the involvement of gut microbiota in RosA-induced improvement of allergic asthma. RESULTS: RosA decreased cholate levels from spore-forming bacteria, leading to reduced 5-hydroxytryptamine (5-HT) synthesis, bronchoconstriction, vasodilation, and inflammatory cell infiltration. It also increased short-chain fatty acids (SCFAs) levels, facilitating the expression of intestinal tight junction proteins to promote intestinal integrity. SCFAs upregulated intestinal monocarboxylate transporters (MCTs), thereby improving their systemic delivery to reduce Th2/ILC2 mediated inflammatory response and suppress eosinophil influx and mucus production in lung. Additionally, RosA inhibited lipopolysaccharide (LPS) production and translocation, leading to reduced TLR4-NFκB mediated pulmonary inflammation and oxidative stress. CONCLUSIONS: The anti-asthmatic mechanism of oral RosA is primarily driven by modulation of gut microbiota-derived 5-HT, SCFAs, and LPS, achieving a combined synergistic effect. RosA is a safe, effective, and reliable drug candidate that could potentially replace glucocorticoids for asthma treatment.
背景:哮喘影响全球3%的人口,导致超过25万人死亡。由于其复杂性,哮喘难以治愈或预防,且目前的治疗方法存在局限性。这导致对哮喘替代治疗的需求不断增加。我们从天然药物中发现迷迭香酸(RosA)是一种潜在的新药候选物。然而,RosA的生物利用度较差,口服给药后主要留在胃肠道,提示肠道微生物群参与了其生物活性。 目的:研究RosA通过肠-肺轴缓解过敏性哮喘的机制。 方法:我们使用16S rRNA基因测序和代谢物分析来研究RosA对肠道微生物群的调节作用。采用分子生物学和代谢组学技术研究RosA的药理机制。通过同笼饲养来确认肠道微生物群参与RosA诱导的过敏性哮喘改善。 结果:RosA降低了产芽孢细菌的胆酸盐水平,导致5-羟色胺(5-HT)合成减少、支气管收缩、血管舒张和炎症细胞浸润。它还增加了短链脂肪酸(SCFAs)水平,促进肠紧密连接蛋白的表达以促进肠道完整性。SCFAs上调肠道单羧酸转运体(MCTs),从而改善它们的全身递送,以减少Th2/ILC2介导的炎症反应,并抑制嗜酸性粒细胞流入和肺内黏液产生。此外,RosA抑制脂多糖(LPS)的产生和易位,导致TLR4-NFκB介导的肺部炎症和氧化应激减少。 结论:口服RosA的抗哮喘机制主要由肠道微生物群衍生的5-HT、SCFAs和LPS的调节驱动,实现联合协同效应。RosA是一种安全、有效且可靠的药物候选物,有可能替代糖皮质激素用于哮喘治疗。
Phytomedicine. 2024-4
Chem Biol Interact. 2022-12-1