López-Agudelo Víctor A, Falk-Paulsen Maren, Bharti Richa, Rehman Ateequr, Sommer Felix, Wacker Eike Matthias, Ellinghaus David, Luzius Anne, Sievers Laura Katharina, Liebeke Manuel, Kaser Arthur, Rosenstiel Philip
Institute of Clinical Molecular Biology, Christian-Albrechts-University, and University Hospital Schleswig-Holstein, Kiel, Germany.
Boehringer Ingelheim, Biberach an der Riß, Germany.
Gut Microbes. 2024 Jan-Dec;16(1):2429267. doi: 10.1080/19490976.2024.2429267. Epub 2024 Dec 2.
Throughout gestation, the female body undergoes a series of transformations, including profound alterations in intestinal microbial communities. Changes gradually increase toward the end of pregnancy and comprise reduced α-diversity of microbial communities and an increased propensity for energy harvest. Despite the importance of the intestinal microbiota for the pathophysiology of inflammatory bowel diseases, very little is known about the relationship between these microbiota shifts and pregnancy-associated complications of the disease. Here, we explored the longitudinal dynamics of gut microbiota composition and functional potential during pregnancy and after lactation in mice carrying an intestinal epithelial deletion of the Crohn's disease risk gene . Using 16S rRNA amplicon and shotgun metagenomic sequencing, we demonstrated divergent temporal shifts in microbial composition between wildtype and pregnant mice in trimester 3, which was validated in an independent experiment. Observed differences included microbial genera implicated in IBD such as , , , and . Changes partially recovered after lactation. Additionally, metagenomic and metabolomic analyses suggest an increased capacity for chitin degradation, resulting in higher levels of free N-acetyl-glucosamine products in feces, alongside reduced glucose and myo-inositol levels in serum around the time of delivery. On the host side, we found that the immunological response of mice is characterized by higher colonic mRNA levels of TNFα and CXCL1 in trimester 3 and a lower weight of offspring at birth. Understanding pregnancy-dependent microbiome changes in the context of IBD may constitute the first step in the identification of fecal microbial biomarkers and microbiota-directed therapies that could help improve precision care for managing pregnancies in IBD patients.
在整个妊娠期,女性身体会经历一系列变化,包括肠道微生物群落的深刻改变。这些变化在妊娠末期逐渐加剧,表现为微生物群落的α多样性降低以及能量获取倾向增加。尽管肠道微生物群对炎症性肠病的病理生理学很重要,但对于这些微生物群变化与该疾病的妊娠相关并发症之间的关系却知之甚少。在这里,我们研究了携带克罗恩病风险基因肠道上皮缺失的小鼠在妊娠期间和哺乳期后的肠道微生物群组成和功能潜力的纵向动态变化。使用16S rRNA扩增子和鸟枪法宏基因组测序,我们证明了野生型和妊娠小鼠在妊娠晚期的微生物组成存在不同的时间变化,这在一项独立实验中得到了验证。观察到的差异包括与炎症性肠病相关的微生物属,如、、和。这些变化在哺乳期后部分恢复。此外,宏基因组和代谢组分析表明,几丁质降解能力增强,导致粪便中游离N-乙酰葡糖胺产物水平升高,同时在分娩前后血清中葡萄糖和肌醇水平降低。在宿主方面,我们发现小鼠的免疫反应特征是在妊娠晚期结肠中TNFα和CXCL1的mRNA水平较高,出生时后代体重较低。了解炎症性肠病背景下妊娠依赖性微生物组的变化可能是识别粪便微生物生物标志物和微生物群导向疗法的第一步,这些疗法有助于改善炎症性肠病患者妊娠管理的精准护理。