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肠道微生物色氨酸代谢紊乱与 SARS-CoV-2 的急性炎症反应和长新冠有关。

Dysrupted microbial tryptophan metabolism associates with SARS-CoV-2 acute inflammatory responses and long COVID.

机构信息

School of Microbiology, University College Cork, Cork, Ireland.

APC Microbiome Ireland, University College Cork, Cork, Ireland.

出版信息

Gut Microbes. 2024 Jan-Dec;16(1):2429754. doi: 10.1080/19490976.2024.2429754. Epub 2024 Nov 17.


DOI:10.1080/19490976.2024.2429754
PMID:39551951
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11581176/
Abstract

Protection against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and risk of long COVID has been associated with the depletion or over-abundance of specific taxa within the gut microbiome. However, the microbial mechanisms mediating these effects are not yet known. We hypothesized that altered microbial production of tryptophan and its downstream derivatives might contribute to inappropriate immune responses to viral infection. In patients hospitalized with COVID-19 ( = 172), serum levels of tryptophan and indole-3-propionate (IPA) negatively correlated with serum levels of many proinflammatory mediators (including C-reactive protein and Serum amyloid A), while C-glycosyltryptophan (C-Trp), indole-3-lactic acid (ILA) and indole-3-acetic acid (IAA) levels were positively correlated with levels of acute phase proteins, proinflammatory cytokines, alarmins and chemokines. A similar pattern was observed in long COVID patients ( = 20) where tryptophan and IPA were negatively associated with a large number of serum cytokines, while C-Trp and IAA were positively associated with circulating cytokine levels. Metagenomic analysis of the fecal microbiota showed the relative abundance of genes encoding the microbial enzymes required for tryptophan production (e.g. anthranilate synthase) and microbial tryptophan metabolism was significantly lower in patients hospitalized with COVID-19 ( = 380) compared to healthy controls ( = 270). Microbial tryptophan metabolites reduced innate cell proinflammatory responses to cytosolic DNA sensor Stimulator of interferon genes (STING), toll-like receptor (TLR)-3 and TLR-4 stimulation , while IL-10 secretion was enhanced. Microbial tryptophan metabolites also modified human lymphocyte responses by limiting the production of TH1 and TH17 associated cytokines, while enhancing secretion of IL-22. These data suggest that lower levels of tryptophan production and tryptophan metabolism by gut microbes may increase the risk of severe and chronic outcomes to SARS-CoV-2 infection due to impaired innate and adaptive responses to infection. Screening patients for lower-level microbiome capacity for tryptophan metabolism may help identify at-risk individuals.

摘要

针对严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 的感染防护和长新冠风险与肠道微生物组中特定分类群的耗竭或过多有关。然而,介导这些影响的微生物机制尚不清楚。我们假设,微生物色氨酸及其下游衍生物的产生改变可能导致对病毒感染的不当免疫反应。在因 COVID-19 住院的患者中( = 172),色氨酸和吲哚-3-丙酸 (IPA) 的血清水平与许多促炎介质(包括 C 反应蛋白和血清淀粉样蛋白 A)的血清水平呈负相关,而 C-糖基色氨酸 (C-Trp)、吲哚-3-乳酸 (ILA) 和吲哚-3-乙酸 (IAA) 的水平与急性期蛋白、促炎细胞因子、警报素和趋化因子的水平呈正相关。在长新冠患者中观察到类似的模式( = 20),其中色氨酸和 IPA 与大量血清细胞因子呈负相关,而 C-Trp 和 IAA 与循环细胞因子水平呈正相关。粪便微生物组的宏基因组分析显示,编码微生物色氨酸产生所需酶(如邻氨基苯甲酸合酶)的基因的相对丰度以及微生物色氨酸代谢在因 COVID-19 住院的患者( = 380)中明显低于健康对照组( = 270)。微生物色氨酸代谢物降低了先天细胞对细胞质 DNA 传感器干扰素基因刺激物 (STING)、 toll 样受体 (TLR)-3 和 TLR-4 刺激的促炎反应,同时增强了白细胞介素 10 的分泌。微生物色氨酸代谢物还通过限制 TH1 和 TH17 相关细胞因子的产生,同时增强白细胞介素 22 的分泌,从而改变人类淋巴细胞的反应。这些数据表明,肠道微生物产生和代谢色氨酸的水平降低可能会因对感染的先天和适应性反应受损而增加 SARS-CoV-2 感染的严重和慢性后果的风险。对患者进行色氨酸代谢的微生物组能力较低的筛查可能有助于识别高危个体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/bb63f4ef0bf1/KGMI_A_2429754_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/2f9da4be0b17/KGMI_A_2429754_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/d6ebf414285c/KGMI_A_2429754_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/9b8113ce05d8/KGMI_A_2429754_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/dab5ddeaec3c/KGMI_A_2429754_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/5479c9be6a29/KGMI_A_2429754_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/bb63f4ef0bf1/KGMI_A_2429754_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/2f9da4be0b17/KGMI_A_2429754_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/d6ebf414285c/KGMI_A_2429754_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/9b8113ce05d8/KGMI_A_2429754_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/dab5ddeaec3c/KGMI_A_2429754_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/5479c9be6a29/KGMI_A_2429754_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea7/11581176/bb63f4ef0bf1/KGMI_A_2429754_F0006_OC.jpg

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本文引用的文献

[1]
Shotgun metagenomics and systemic targeted metabolomics highlight indole-3-propionic acid as a protective gut microbial metabolite against influenza infection.

Gut Microbes. 2024

[2]
Association between gut microbiota development and allergy in infants born during pandemic-related social distancing restrictions.

Allergy. 2024-7

[3]
Systematic review of the association between short-chain fatty acids and allergic diseases.

Allergy. 2024-7

[4]
A cross talk between microbial metabolites and host immunity: Its relevance for allergic diseases.

Clin Transl Allergy. 2024-2

[5]
Immune Mechanisms Underpinning Long COVID: Collegium Internationale Allergologicum Update 2024.

Int Arch Allergy Immunol. 2024

[6]
Serotonin reduction in post-acute sequelae of viral infection.

Cell. 2023-10-26

[7]
Protective versus Pathogenic Type I Interferon Responses during Virus Infections.

Viruses. 2023-9-13

[8]
Robust cross-cohort gut microbiome associations with COVID-19 severity.

Gut Microbes. 2023

[9]
Tryptophan metabolism in health and disease.

Cell Metab. 2023-8-8

[10]
Extensive Summary of the Important Roles of Indole Propionic Acid, a Gut Microbial Metabolite in Host Health and Disease.

Nutrients. 2022-12-28

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