Department of Gastroenterology, Xinqiao Hospital, Army Medical University, Chongqing 400037, China; Department of Gastroenterology, No.983 Hospital of PLA Joint Logistics Support Force, Tianjin 300142, China.
Department of Gastroenterology, Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Pharmacol Res. 2024 Aug;206:107275. doi: 10.1016/j.phrs.2024.107275. Epub 2024 Jun 20.
Triptolide (TP) is the principal bioactive compound of Tripterygium wilfordii with significant anti-tumor, anti-inflammatory and immunosuppressive activities. However, its severe hepatotoxicity greatly limits its clinical use. The underlying mechanism of TP-induced liver damage is still poorly understood. Here, we estimate the role of the gut microbiota in TP hepatotoxicity and investigate the bile acid metabolism mechanisms involved. The results of the antibiotic cocktail (ABX) and fecal microbiota transplantation (FMT) experiment demonstrate the involvement of intestinal flora in TP hepatotoxicity. Moreover, TP treatment significantly perturbed gut microbial composition and reduced the relative abundances of Lactobacillus rhamnosus GG (LGG). Supplementation with LGG reversed TP-induced hepatotoxicity by increasing bile salt hydrolase (BSH) activity and reducing the increased conjugated bile acids (BA). LGG supplementation upregulates hepatic FXR expression and inhibits NLRP3 inflammasome activation in TP-treated mice. In summary, this study found that gut microbiota is involved in TP hepatotoxicity. LGG supplementation protects mice against TP-induced liver damage. The underlying mechanism was associated with the gut microbiota-BA-FXR axis. Therefore, LGG holds the potential to prevent and treat TP hepatotoxicity in the clinic.
雷公藤红素(TP)是雷公藤的主要生物活性化合物,具有显著的抗肿瘤、抗炎和免疫抑制活性。然而,其严重的肝毒性极大地限制了它的临床应用。TP 诱导肝损伤的潜在机制仍知之甚少。在这里,我们评估了肠道微生物群在 TP 肝毒性中的作用,并研究了涉及的胆汁酸代谢机制。抗生素鸡尾酒(ABX)和粪便微生物群移植(FMT)实验的结果表明肠道菌群参与了 TP 肝毒性。此外,TP 处理显著改变了肠道微生物组成,降低了鼠李糖乳杆菌 GG(LGG)的相对丰度。LGG 的补充通过增加胆汁盐水解酶(BSH)活性和减少增加的结合胆汁酸(BA)来逆转 TP 诱导的肝毒性。LGG 补充上调了 TP 处理小鼠肝 FXR 的表达并抑制了 NLRP3 炎性小体的激活。总之,这项研究发现肠道微生物群参与了 TP 肝毒性。LGG 补充可保护小鼠免受 TP 诱导的肝损伤。潜在机制与肠道微生物群-BA-FXR 轴有关。因此,LGG 有可能预防和治疗临床上的 TP 肝毒性。
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