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非结核分枝杆菌增强色氨酸-犬尿氨酸途径诱导免疫抑制,促进肺部定植。

Non-tuberculous enhance the tryptophan-kynurenine pathway to induce immunosuppression and facilitate pulmonary colonization.

机构信息

Department of Respiratory and Critical Care Medicine, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing Medical University, Nanjing, China.

School of Biomedical Engineering and Informatics, Nanjing Medical University, Nanjing, China.

出版信息

Front Cell Infect Microbiol. 2024 Oct 21;14:1455605. doi: 10.3389/fcimb.2024.1455605. eCollection 2024.

Abstract

The increasing prevalence of non-tuberculous mycobacterium (NTM) infections alongside tuberculosis (TB) underscores a pressing public health challenge. Yet, the mechanisms governing their infection within the lung remain poorly understood. Here, we integrate metagenomic sequencing, metabolomic sequencing, machine learning classifiers, SparCC, and MetOrigin methods to profile bronchoalveolar lavage fluid (BALF) samples from NTM/TB patients. Our aim is to unravel the intricate interplay between lung microbial communities and NTM/ infections. Our investigation reveals a discernible reduction in the compositional diversity of the lung microbiota and a diminished degree of mutual interaction concomitant with NTM/TB infections. Notably, NTM patients exhibit a distinct microbial community characterized by marked specialization and notable enrichment of and , driving pronounced niche specialization for NTM infection. Simultaneously, these microbial shifts significantly disrupt tryptophan metabolism in NTM infection, leading to an elevation of kynurenine. , , , and have been implicated in the metabolic pathways associated with the conversion of indole to tryptophan via tryptophan synthase within NTM patients. Additionally, indoleamine-2,3-dioxygenase converts tryptophan into kynurenine, fostering an immunosuppressive milieu during NTM infection. This strategic modulation supports microbial persistence, enabling evasion from immune surveillance and perpetuating a protracted state of NTM infection. The elucidation of these nuanced microbial and metabolic dynamics provides a profound understanding of the intricate processes underlying NTM and TB infections, offering potential avenues for therapeutic intervention and management.

摘要

非结核分枝杆菌(NTM)感染与结核病(TB)的发病率不断上升,突显了一个紧迫的公共卫生挑战。然而,它们在肺部感染的机制仍知之甚少。在这里,我们整合宏基因组测序、代谢组学测序、机器学习分类器、SparCC 和 MetOrigin 方法来分析 NTM/TB 患者的支气管肺泡灌洗液(BALF)样本。我们的目的是揭示肺部微生物群落与 NTM/感染之间的复杂相互作用。我们的研究揭示了肺部微生物群落的组成多样性明显降低,与 NTM/TB 感染同时发生的相互作用程度降低。值得注意的是,NTM 患者表现出独特的微生物群落,其特征是明显的专业化和显著的富集,为 NTM 感染驱动明显的生态位专业化。同时,这些微生物变化显著扰乱了 NTM 感染中的色氨酸代谢,导致犬尿氨酸升高。、、、和 已被牵连到与 NTM 患者中色氨酸合酶相关的吲哚转化为色氨酸的代谢途径中。此外,吲哚胺 2,3-双加氧酶将色氨酸转化为犬尿氨酸,在 NTM 感染期间营造出免疫抑制环境。这种策略性的调节支持微生物的持续存在,使其能够逃避免疫监视并使 NTM 感染持续存在。这些微妙的微生物和代谢动态的阐明提供了对 NTM 和 TB 感染背后复杂过程的深刻理解,为治疗干预和管理提供了潜在途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3949/11532197/4074d38090f8/fcimb-14-1455605-g001.jpg

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