Department of Internal Medicine II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu, Shizuoka, 431-3192, Japan.
Joint Research Center and Division of Gastroenterology and Hepatology, Tokyo Medical University Ibaraki Medical Center, 3-20-1Chuo, Ami-machi, Inashiki-gun, Ibaraki, 300-0395, Japan.
J Autoimmun. 2024 Sep;148:103287. doi: 10.1016/j.jaut.2024.103287. Epub 2024 Jul 20.
Increasing evidence suggests that, in addition to a loss of tolerance, bile acid (BA) modulates the natural history of primary biliary cholangitis (PBC). We focused on the impacts of dietary changes on the immunopathology of PBC, along with alterations in BA composition and gut microbiota. In this study, we have taken advantage of our unique PBC model, a Cyp2c70/Cyp2a12 double knockout (DKO), which includes a human-like BA composition, and develops progressive cholangitis following immunization with the PDC-E2 mimic, 2-octynoic acid (2OA). We compared the effects of a ten-week high-fat diet (HFD) (60 % kcal from fat) and a normal diet (ND) on 2OA-treated DKO mice. Importantly, we report that 2OA-treated DKO mice fed HFD had significantly exacerbated cholangitis, leading to cirrhosis, with increased hepatic expression of Th1 cytokines/chemokines and hepatic fibrotic markers. Serum lithocholic acid (LCA) levels and the ratio of chenodeoxycholic acid (CDCA)-derived BAs to cholic acid-derived BAs were significantly increased by HFD. This was also associated with downregulated expression of key regulators of BA synthesis, including Cyp8b1, Cyp3a11, and Sult2a1. In addition, there were increases in the relative abundances of Acetatifactor and Lactococcus and decreases in Desulfovibrio and Lachnospiraceae_NK4A136_group, which corresponded to the abundances of CDCA and LCA. In conclusion, HFD and HFD-induced alterations in the gut microbiota modulate BA composition and nuclear receptor activation, leading to cirrhotic change in this murine PBC model. These findings have significant implications for understanding the progression of human PBC.
越来越多的证据表明,除了耐受性丧失外,胆汁酸(BA)还调节原发性胆汁性胆管炎(PBC)的自然病程。我们专注于饮食变化对 PBC 免疫病理学的影响,以及 BA 组成和肠道微生物群的改变。在这项研究中,我们利用了我们独特的 PBC 模型,即 Cyp2c70/Cyp2a12 双敲除(DKO),该模型具有类似人类的 BA 组成,并在免疫接种 PDC-E2 类似物 2-辛烯酸(2OA)后发展为进行性胆管炎。我们比较了高脂肪饮食(HFD)(脂肪热量的 60%)和正常饮食(ND)对 2OA 处理的 DKO 小鼠的影响。重要的是,我们报告说,用 HFD 喂养的 2OA 处理的 DKO 小鼠的胆管炎明显加重,导致肝硬化,肝内 Th1 细胞因子/趋化因子和肝纤维化标志物的表达增加。HFD 显著增加了血清石胆酸(LCA)水平和胆酸衍生胆汁酸与鹅脱氧胆酸衍生胆汁酸的比值。这也与 BA 合成关键调节剂的表达下调有关,包括 Cyp8b1、Cyp3a11 和 Sult2a1。此外,Acetatifactor 和 Lactococcus 的相对丰度增加,Desulfovibrio 和 Lachnospiraceae_NK4A136_group 的相对丰度减少,这与 CDCA 和 LCA 的丰度相对应。总之,HFD 和 HFD 引起的肠道微生物群改变调节了 BA 组成和核受体激活,导致这种小鼠 PBC 模型发生肝硬化变化。这些发现对理解人类 PBC 的进展具有重要意义。
Cell Mol Gastroenterol Hepatol. 2021
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