Pradana Andika, Sari Dina K, Rusda Muhammad, Tarigan Amira P, Wiyono Wiwien H, Soeroso Noni N, Eyanoer Putri C, Amin Mustafa M
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.
Department of Nutrition, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.
Narra J. 2025 Apr;5(1):e1332. doi: 10.52225/narra.v5i1.1332. Epub 2025 Feb 24.
Systemic inflammation in chronic obstructive pulmonary disease (COPD) contributes to multimorbidity and a diminished quality of life. Probiotics, through the gut-lung axis, have shown potential to mitigate systemic inflammation; however, their specific role in COPD- related inflammation remains unclear. The aim of this study was to evaluate the efficacy of probiotics in reducing serum interleukin-6 (IL-6) levels by enhancing butyric acid production in a murine model of COPD. An in vivo experimental study with a post-test- only control group design was conducted using 30 C57BL/6 mice randomized into five groups: non-COPD healthy control, untreated COPD, COPD treated with bronchodilator, COPD treated with probiotics, and COPD treated with a combination of bronchodilator and probiotics. COPD was induced by six weeks of cigarette smoke exposure, followed by six weeks of treatment while continuing the smoke exposure. Caecal butyric acid and serum IL-6 levels were measured using enzyme-linked immunosorbent assay (ELISA) and gas chromatography, respectively. Caecal butyric acid levels were lowest in untreated COPD mice (1.2±0.28 mmol/L) and significantly increased with probiotic administration (6.6±4.43 mmol/L, =0.010), exceeding levels observed in healthy controls (3.9±2.05 mmol/L). Serum IL-6 levels were highest in COPD-induced mice (19.4±6.71 pg/mL) and significantly reduced with administration of probiotics (13.5±0.43 pg/mL, =0.035), approaching levels of healthy controls (13.0±2.24 pg/mL, =0.847). A negative correlation was observed between butyric acid and serum IL-6 levels (=-0.420; =0.021), suggesting that higher butyric acid levels were associated with reduced systemic inflammation. These findings demonstrated that probiotics, via their metabolite butyric acid, effectively reduced systemic inflammation in a COPD mouse model, highlighting their potential as a therapeutic approach for managing COPD-related inflammation.
慢性阻塞性肺疾病(COPD)中的全身炎症会导致多种疾病并降低生活质量。益生菌通过肠-肺轴已显示出减轻全身炎症的潜力;然而,它们在COPD相关炎症中的具体作用仍不清楚。本研究的目的是在COPD小鼠模型中评估益生菌通过增强丁酸生成来降低血清白细胞介素-6(IL-6)水平的疗效。采用仅设后测对照组设计进行了一项体内实验研究,使用30只C57BL/6小鼠随机分为五组:非COPD健康对照组、未治疗的COPD组、用支气管扩张剂治疗的COPD组、用益生菌治疗的COPD组以及用支气管扩张剂和益生菌联合治疗的COPD组。通过六周的香烟烟雾暴露诱导COPD,随后进行六周的治疗,同时继续烟雾暴露。分别使用酶联免疫吸附测定(ELISA)和气相色谱法测量盲肠丁酸和血清IL-6水平。未治疗的COPD小鼠盲肠丁酸水平最低(1.2±0.28 mmol/L),给予益生菌后显著升高(6.6±4.43 mmol/L,P=0.010),超过健康对照组观察到的水平(3.9±2.05 mmol/L)。COPD诱导小鼠的血清IL-6水平最高(19.4±6.71 pg/mL),给予益生菌后显著降低(13.5±0.43 pg/mL,P=0.035),接近健康对照组水平(13.0±2.24 pg/mL,P=0.847)。观察到丁酸与血清IL-6水平之间呈负相关(r=-0.420;P=0.021),表明较高的丁酸水平与全身炎症减轻有关。这些发现表明,益生菌通过其代谢产物丁酸有效地降低了COPD小鼠模型中的全身炎症,突出了它们作为管理COPD相关炎症的治疗方法的潜力。