Wang Zihao, Wang Zi-Xi, Xu Ke-Fei, An Yaolong, Cui Macheng, Zhang Xinping, Tian Linan, Li Chengcheng, Wu Fu-Gen
State Key Laboratory of Digital Medical Engineering, Jiangsu Key Laboratory for Biomaterials and Devices, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 211189, P. R. China.
International Innovation Center for Forest Chemicals and Materials and Jiangsu Co-Innovation Center for Efficient Processing and Utilization of Forest Resources, Nanjing Forestry University, Nanjing, 211189, P. R. China.
Adv Mater. 2025 Jan;37(3):e2410993. doi: 10.1002/adma.202410993. Epub 2024 Dec 2.
Emerging evidence suggests that patients with inflammatory bowel diseases (IBDs) are predisposed to psychosocial disturbances, such as depression and anxiety. Regrettably, clinical antidepressants exhibit unsatisfactory therapeutic efficacy in IBD-associated psychosocial disturbances, primarily attributed to the inherent intestinal disorders and intricate bidirectional relationship between the gut and the brain. Herein, we report a metal-polyphenol-based antidepressant to alleviate mental disorders in dextran sulfate sodium-induced experimental acute colitis mice via modulating the microbiota-gut-brain axis. The antidepressant, termed CSMTC, comprises a core of melittin-encapsulated natural antioxidant enzymes (i.e., catalase and superoxide dismutase) and a protective shell composed of tannic acid-cerium ion network. Upon oral administration to colitis mice, CSMTC can effectively restore colonic redox balance, reinforce the intestinal barrier, modulate gut microbiota composition, maintain the blood-brain barrier integrity, and regulate systemic immune responses. Notably, behavioral test results reveal that CSMTC significantly alleviates the colitis-associated mental disorder (e.g., depression-like behavior) via the microbiota-gut-brain axis by reducing neuroinflammation, enhancing hippocampal neural plasticity, modulating hippocampal immune responses, and restoring neurotransmitter homeostasis. This work may have implications for the development of new nanodrugs for treating inflammation-associated complications.
新出现的证据表明,炎症性肠病(IBD)患者易患心理社会障碍,如抑郁和焦虑。遗憾的是,临床抗抑郁药在IBD相关心理社会障碍中的治疗效果不尽人意,这主要归因于内在的肠道疾病以及肠道与大脑之间复杂的双向关系。在此,我们报告一种基于金属多酚的抗抑郁药,通过调节微生物群-肠道-大脑轴来缓解葡聚糖硫酸钠诱导的实验性急性结肠炎小鼠的精神障碍。这种抗抑郁药称为CSMTC,其核心是包裹蜂毒肽的天然抗氧化酶(即过氧化氢酶和超氧化物歧化酶),外壳由单宁酸-铈离子网络组成。给结肠炎小鼠口服后,CSMTC可有效恢复结肠氧化还原平衡,加强肠道屏障,调节肠道微生物群组成,维持血脑屏障完整性,并调节全身免疫反应。值得注意的是,行为测试结果表明,CSMTC通过减少神经炎症、增强海马神经可塑性、调节海马免疫反应和恢复神经递质稳态,通过微生物群-肠道-大脑轴显著减轻结肠炎相关的精神障碍(如抑郁样行为)。这项工作可能对开发治疗炎症相关并发症的新型纳米药物具有启示意义。