肠道微生物群失调不可避免,但耐受性并非如此:维持其丁酸盐产生能力的小鼠微生物群的时间反应与对慢性吗啡的持续抗伤害感受相关。

Gut dysbiosis was inevitable, but tolerance was not: temporal responses of the murine microbiota that maintain its capacity for butyrate production correlate with sustained antinociception to chronic morphine.

作者信息

Sall Izabella, Foxall Randi, Felth Lindsey, Maret Soren, Rosa Zachary, Gaur Anirudh, Calawa Jennifer, Pavlik Nadia, Whistler Jennifer L, Whistler Cheryl A

机构信息

Department of Molecular, Cellular, & Biomedical Sciences, University of New Hampshire, Durham, NH, USA.

Graduate program in Molecular and Evolutionary Systems Biology, University of New Hampshire, Durham, NH, USA.

出版信息

bioRxiv. 2024 Nov 27:2024.04.15.589671. doi: 10.1101/2024.04.15.589671.

Abstract

The therapeutic benefits of opioids are compromised by the development of analgesic tolerance, which necessitates higher dosing for pain management thereby increasing the liability for drug dependence and addiction. Rodent models indicate opposing roles of the gut microbiota in tolerance: morphine-induced gut dysbiosis exacerbates tolerance, whereas probiotics ameliorate tolerance. Not all individuals develop tolerance which could be influenced by differences in microbiota, and yet no study design has capitalized upon this natural variation. We leveraged natural behavioral variation in a murine model of voluntary oral morphine self-administration to elucidate the mechanisms by which microbiota influences tolerance. Although all mice shared similar morphine-driven microbiota changes that largely masked informative associations with variability in tolerance, our high-resolution temporal analyses revealed a divergence in the progression of dysbiosis that best explained sustained antinociception. Mice that did not develop tolerance maintained a higher capacity for production of the short-chain fatty acid (SCFA) butyrate known to bolster intestinal barriers and promote neuronal homeostasis. Both fecal microbial transplantation (FMT) from donor mice that did not develop tolerance and dietary butyrate supplementation significantly reduced the development of tolerance independently of suppression of systemic inflammation. These findings could inform immediate therapies to extend the analgesic efficacy of opioids.

摘要

阿片类药物的治疗益处因镇痛耐受性的产生而受损,这就需要更高的剂量来进行疼痛管理,从而增加了药物依赖和成瘾的风险。啮齿动物模型表明肠道微生物群在耐受性方面具有相反的作用:吗啡诱导的肠道生态失调会加剧耐受性,而益生菌则可改善耐受性。并非所有个体都会产生耐受性,这可能受微生物群差异的影响,但尚无研究设计利用这种自然变异。我们利用自愿口服吗啡自我给药小鼠模型中的自然行为变异,来阐明微生物群影响耐受性的机制。尽管所有小鼠都有相似的吗啡驱动的微生物群变化,这在很大程度上掩盖了与耐受性变异性的信息关联,但我们的高分辨率时间分析揭示了生态失调进展的差异,这最能解释持续的抗伤害感受。未产生耐受性的小鼠维持了较高的短链脂肪酸(SCFA)丁酸盐生成能力,已知丁酸盐可增强肠道屏障并促进神经元稳态。来自未产生耐受性的供体小鼠的粪便微生物移植(FMT)和饮食中补充丁酸盐,均能显著降低耐受性的产生,且与全身炎症的抑制无关。这些发现可为延长阿片类药物镇痛疗效的即时治疗提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db3/11664942/deda42bda81e/nihpp-2024.04.15.589671v2-f0001.jpg

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