并作为粪便微生物群移植的关键组成部分,以缓解结肠炎。
and served as key components of fecal microbiota transplantation to alleviate colitis.
机构信息
Shanghai Key Laboratory of Pancreatic Diseases, Shanghai JiaoTong University School of Medicine, Shanghai, People's Republic of China.
Department of Gastroenterology, Shanghai General Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, People's Republic of China.
出版信息
Am J Physiol Gastrointest Liver Physiol. 2024 May 1;326(5):G607-G621. doi: 10.1152/ajpgi.00303.2023. Epub 2024 Mar 19.
Fecal microbiota transplantation (FMT) is a promising therapy for inflammatory bowel disease (IBD) via rectifying gut microbiota. The aim of this study was to identify a mechanism of how specific bacteria-associated immune response contributes to alleviated colitis. Forty donors were divided into high () and low () groups according to the diversity and the abundance of and by 16S rRNA sequencing. FMT was performed on dextran sulfate sodium (DSS)-induced colitis in mice. Mice with colitis showed significant improvement in intestinal injury and immune imbalance after FMT with ( < 0.05). and were identified as targeted strains in donor feces by real-time PCR and droplet digital PCR. Mice with colitis were treated with mono- or dual-bacterial gavage therapy. Dual-bacterial therapy significantly ameliorated intestinal injury compared with mono-bacterial therapy ( < 0.05). Dual-bacterial therapy increased the M2/M1 macrophage polarization and improved the Th17/Treg imbalance and elevated IL-10 production by Tregs compared with the DSS group ( < 0.05). Metabolomics showed increased abundance of lecithin in the glycerophospholipid metabolism pathway. In conclusion, , as the key bacteria in donor feces, alleviate colitis in mice. The mechanism may involve increasing lecithin and regulating IL-10 production of intestinal Tregs. We demonstrate that donors with high abundance of and ameliorate dextran sulfate sodium (DSS)-induced colitis in mice by fecal microbiota transplantation (FMT). The combination therapy of and is superior to mono-bacterial therapy in ameliorating colitis in mice, of which mechanism may involve promoting lecithin and inducing IL-10 production of intestinal Tregs.
粪便微生物群移植(FMT)通过纠正肠道微生物群,是一种有前途的治疗炎症性肠病(IBD)的方法。本研究旨在确定特定细菌相关免疫反应如何缓解结肠炎的机制。根据 16S rRNA 测序,将 40 名供体分为高()和低()组,根据 和 的多样性和丰度进行分类。在葡聚糖硫酸钠(DSS)诱导的结肠炎小鼠中进行 FMT。FMT 后,结肠炎小鼠的肠道损伤和免疫失衡明显改善(<0.05)。通过实时 PCR 和液滴数字 PCR 鉴定出供体粪便中的靶向菌株 和 。用单菌或双菌灌胃治疗结肠炎小鼠。与单菌治疗相比,双菌治疗显著改善了肠道损伤(<0.05)。与 DSS 组相比,双菌治疗增加了 M2/M1 巨噬细胞极化,改善了 Th17/Treg 失衡,并增加了 Treg 产生的 IL-10(<0.05)。代谢组学显示甘油磷脂代谢途径中卵磷脂的丰度增加。总之,作为供体粪便中的关键细菌,可缓解结肠炎小鼠的病情。其机制可能涉及增加卵磷脂并调节肠道 Treg 产生的 IL-10。我们证明,供体中 的丰度较高,通过粪便微生物群移植(FMT)可改善葡聚糖硫酸钠(DSS)诱导的结肠炎小鼠的病情。与单菌治疗相比, 和 的联合治疗在改善结肠炎小鼠方面更具优势,其机制可能涉及促进卵磷脂和诱导肠道 Treg 产生 IL-10。