Sangfuang Nannapat, McCoubrey Laura E, Awad Atheer, Marzorati Massimo, Ghyselinck Jonas, Verstrepen Lynn, Munck Julie De, Medts Jelle De, Gaisford Simon, Basit Abdul W
UCL School of Pharmacy, 29-39 Brunswick Square, London, WC1N 1AX, UK.
UCL School of Pharmacy, 29-39 Brunswick Square, London, WC1N 1AX, UK; Now at Drug Product Development, GSK R&D, Ware SG12 0GX, UK.
Transl Res. 2025 Apr;278:36-47. doi: 10.1016/j.trsl.2025.02.004. Epub 2025 Feb 20.
Inflammatory Bowel Disease (IBD) is characterized by chronic inflammation in the gastrointestinal tract, and is usually accompanied by dysbiosis in the gut microbiome, a factor that contributes to disease progression. Excessive production of reactive oxygen species (ROS) because of gut microbiome dysbiosis-one of the hallmark features of IBD-promotes chronic inflammation and facilitates the transformation of normal cells into senescent cells. Cellular senescence is associated with the development of various chronic and age-related diseases. We hypothesise that senolytic agents, specifically dasatinib (D) and quercetin (Q), could have a beneficial effect on both the gut microbiome and intestinal cells in IBD. The modulatory effects of a combination of D + Q was assessed in the M-SHIME model with faecal microbiota sourced from Crohn's disease patients. D + Q significantly modulated butyrate and lactate levels in the samples from specific patients. In addition, metabolomic analysis showed that D + Q positively impacted the abundance of anti-inflammatory bacteria while also significantly reducing the several species of pathogenic bacteria. Findings from a Caco-2 cell/THP1 co-culture model of IBD demonstrated that D + Q exerted strong immunomodulatory effects on the gut epithelium, evidenced by reduced NF-kB activity, and lower levels of the pro-inflammatory markers TNF-α, CXCL-10, and MCP-1. Furthermore, D + Q induced the secretion of anti-inflammatory cytokines, including IL-6 and IL-10. However, it should be noted that D + Q also led to the secretion of the pro-inflammatory cytokines IL-8. These findings suggest that D + Q could offer a novel therapeutic approach for advanced IBD management by modulating both the gut microbiome and inflammatory pathways. The results support the potential repurposing of senotherapeutic agents as a strategy for addressing the chronic inflammation central to IBD pathogenesis.
炎症性肠病(IBD)的特征是胃肠道慢性炎症,通常伴有肠道微生物群失调,这是导致疾病进展的一个因素。由于肠道微生物群失调(IBD的标志性特征之一)导致的活性氧(ROS)过度产生会促进慢性炎症,并促使正常细胞转变为衰老细胞。细胞衰老与各种慢性和年龄相关疾病的发展有关。我们假设,衰老细胞裂解剂,特别是达沙替尼(D)和槲皮素(Q),可能对IBD的肠道微生物群和肠道细胞都有有益作用。在来自克罗恩病患者粪便微生物群的M-SHIME模型中评估了D+Q组合的调节作用。D+Q显著调节了特定患者样本中的丁酸盐和乳酸盐水平。此外,代谢组学分析表明,D+Q对抗炎细菌的丰度有积极影响,同时也显著减少了几种病原菌的数量。IBD的Caco-2细胞/THP1共培养模型的研究结果表明,D+Q对肠道上皮细胞具有强大的免疫调节作用,表现为NF-κB活性降低,促炎标志物TNF-α、CXCL-10和MCP-1水平降低。此外,D+Q诱导了抗炎细胞因子的分泌,包括IL-6和IL-10。然而,应该注意的是,D+Q也导致了促炎细胞因子IL-8的分泌。这些发现表明,D+Q可能通过调节肠道微生物群和炎症途径为晚期IBD的治疗提供一种新的治疗方法。结果支持将衰老治疗药物重新用于治疗IBD发病机制核心的慢性炎症。