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REGγ 通过维持黏蛋白分泌和微生物组稳态减轻辐射诱导的肠炎。

REGγ Mitigates Radiation-Induced Enteritis by Preserving Mucin Secretion and Sustaining Microbiome Homeostasis.

机构信息

Institute of Pediatric Medicine, Henan Children's Hospital, Zhengzhou Children's Hospital, Children's Hospital Affiliated of Zhengzhou University, Zhengzhou, China; School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, China.

Henan Key Laboratory of Rehabilitation Medicine, Henan Joint International Research Laboratory of Chronic Liver Injury, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

Am J Pathol. 2024 Jun;194(6):975-988. doi: 10.1016/j.ajpath.2024.02.008. Epub 2024 Feb 27.

Abstract

Radiation-induced enteritis, a significant concern in abdominal radiation therapy, is associated closely with gut microbiota dysbiosis. The mucus layer plays a pivotal role in preventing the translocation of commensal and pathogenic microbes. Although significant expression of REGγ in intestinal epithelial cells is well established, its role in modulating the mucus layer and gut microbiota remains unknown. The current study revealed notable changes in gut microorganisms and metabolites in irradiated mice lacking REGγ, as compared to wild-type mice. Concomitant with gut microbiota dysbiosis, REGγ deficiency facilitated the infiltration of neutrophils and macrophages, thereby exacerbating intestinal inflammation after irradiation. Furthermore, fluorescence in situ hybridization assays unveiled an augmented proximity of bacteria to intestinal epithelial cells in REGγ knockout mice after irradiation. Mechanistically, deficiency of REGγ led to diminished goblet cell populations and reduced expression of key goblet cell markers, Muc2 and Tff3, observed in both murine models, minigut organoid systems and human intestinal goblet cells, indicating the intrinsic role of REGγ within goblet cells. Interestingly, although administration of broad-spectrum antibiotics did not alter the goblet cell numbers or mucin 2 (MUC2) secretion, it effectively attenuated inflammation levels in the ileum of irradiated REGγ absent mice, bringing them down to the wild-type levels. Collectively, these findings highlight the contribution of REGγ in counteracting radiation-triggered microbial imbalances and cell-autonomous regulation of mucin secretion.

摘要

辐射诱导性肠炎是腹部放射治疗中一个重要的关注点,它与肠道微生物失调密切相关。黏液层在防止共生菌和致病菌移位方面起着关键作用。尽管 REGγ 在肠上皮细胞中的显著表达已得到充分证实,但它在调节黏液层和肠道微生物群中的作用仍不清楚。本研究揭示了缺乏 REGγ 的辐射小鼠的肠道微生物群和代谢物发生了显著变化,与野生型小鼠相比。伴随着肠道微生物失调,REGγ 缺乏促进了中性粒细胞和巨噬细胞的浸润,从而加剧了照射后的肠道炎症。此外,荧光原位杂交检测显示,照射后 REGγ 敲除小鼠的细菌与肠上皮细胞之间的接近程度增加。从机制上讲,在两种小鼠模型、迷你肠道类器官系统和人肠道杯状细胞中,REGγ 缺乏导致杯状细胞数量减少和关键杯状细胞标志物 Muc2 和 Tff3 的表达降低,这表明 REGγ 在杯状细胞中具有内在作用。有趣的是,尽管使用广谱抗生素不会改变杯状细胞数量或粘蛋白 2(MUC2)的分泌,但它可以有效减轻照射后 REGγ 缺失小鼠回肠中的炎症水平,使其降至野生型水平。总之,这些发现强调了 REGγ 在对抗辐射触发的微生物失衡和粘蛋白分泌的细胞自主调节中的作用。

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