口服益生菌孢子幽灵可有效减轻辐射诱导的肠道损伤。

Oral administration of probiotic spore ghosts for efficient attenuation of radiation-induced intestinal injury.

机构信息

Translational medicine Center, Huaihe Hospital of Henan University, Kaifeng, 475000, China.

School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, 450001, China.

出版信息

J Nanobiotechnology. 2024 May 31;22(1):303. doi: 10.1186/s12951-024-02572-8.

Abstract

Radiation-induced intestinal injury is the most common side effect during radiotherapy of abdominal or pelvic solid tumors, significantly impacting patients' quality of life and even resulting in poor prognosis. Until now, oral application of conventional formulations for intestinal radioprotection remains challenging with no preferred method available to mitigate radiation toxicity in small intestine. Our previous study revealed that nanomaterials derived from spore coat of probiotics exhibit superior anti-inflammatory effect and even prevent the progression of cancer. The aim of this work is to determine the radioprotective effect of spore coat (denoted as spore ghosts, SGs) from three clinically approved probiotics (B.coagulans, B.subtilis and B.licheniformis). All the three SGs exhibit outstanding reactive oxygen species (ROS) scavenging ability and excellent anti-inflammatory effect. Moreover, these SGs can reverse the balance of intestinal flora by inhibiting harmful bacteria and increasing the abundance of Lactobacillus. Consequently, administration of SGs significantly reduce radiation-induced intestinal injury by alleviating diarrhea, preventing X-ray induced apoptosis of small intestinal epithelial cells and promoting restoration of barrier integrity in a prophylactic study. Notably, SGs markedly improve weight gain and survival of mice received total abdominal X-ray radiation. This work may provide promising radioprotectants for efficiently attenuating radiation-induced gastrointestinal syndrome and promote the development of new intestinal predilection.

摘要

辐射诱导的肠道损伤是腹部或骨盆实体肿瘤放射治疗中最常见的副作用,显著影响患者的生活质量,甚至导致预后不良。到目前为止,口服常规制剂进行肠道放射防护仍然具有挑战性,没有首选方法可以减轻小肠的辐射毒性。我们之前的研究表明,益生菌孢子衣衍生的纳米材料具有优异的抗炎作用,甚至可以预防癌症的进展。本工作旨在确定三种临床批准的益生菌(凝结芽孢杆菌、枯草芽孢杆菌和地衣芽孢杆菌)的孢子衣(表示为孢子幽灵,SGs)的放射防护作用。所有三种 SGs 都表现出出色的清除活性氧(ROS)的能力和优异的抗炎作用。此外,这些 SGs 可以通过抑制有害细菌和增加乳酸菌的丰度来逆转肠道菌群的平衡。因此,在预防性研究中,SGs 的给药可通过减轻腹泻、预防 X 射线诱导的小肠上皮细胞凋亡和促进屏障完整性的恢复,显著减轻辐射诱导的肠道损伤。值得注意的是,SGs 显著改善了接受全腹部 X 射线照射的小鼠的体重增加和存活率。这项工作可能为有效减轻辐射诱导的胃肠道综合征提供有前途的放射防护剂,并促进新的肠道偏好的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8469/11140926/36d3ea940661/12951_2024_2572_Figa_HTML.jpg

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