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在炎症性肠病小鼠模型中,慢性肠道炎症和微生物失调与雌性生殖结局相关。

Chronic Intestinal Inflammation and Microbial Dysbiosis Are Associated With Female Reproductive Outcomes in a Mouse Model of Inflammatory Bowel Disease.

作者信息

Martell Maria, Quarnstrom Clare F, Khoruts Alexander, Vezys Vaiva, Staley Christopher, Shmidt Eugenia

机构信息

Division of Basic and Translational Research, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.

BioTechnology Institute, University of Minnesota, Saint Paul, Minnesota.

出版信息

Gastro Hep Adv. 2025 Apr 3;4(7):100670. doi: 10.1016/j.gastha.2025.100670. eCollection 2025.


DOI:10.1016/j.gastha.2025.100670
PMID:40520922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12166456/
Abstract

BACKGROUND AND AIMS: The mechanism for increased infertility and adverse pregnancy outcomes in women with active inflammatory bowel disease is unknown. We aimed to create a murine model of chronic gut inflammation to study the pathogenesis of reproductive outcomes in inflammatory bowel disease. METHODS: Chronic intestinal inflammation was induced with dextran sodium sulfate (DSS) in specific-pathogen-free (SPF) female mice. SPF mice not treated with DSS served as controls. Daily estrous cycle monitoring was performed. Age-matched groups were cohabitated with SPF males for mating purposes. Pup weights, litter sizes, reproductive hormone serologies, peripheral and mucosal immune changes, and 16S rRNA gene taxonomic profiling of the fecal microbiome were measured and characterized. RESULTS: DSS treatment led to weight loss, increased disease activity index scores, and reduced colon lengths. Compared to SPF controls, DSS mice spent less time in the estrus phase of the reproductive cycle ( < .05) and had decreased litter sizes and pup weights ( < .05). DSS-treated mice had lower anti-müllerian hormone and luteinizing hormone ( < .05) concentrations and higher estradiol ( < .05) concentrations. Among DSS mice, abundance correlated positively with the proportion of circulating neutrophils and proinflammatory cytokines and serum estradiol (Spearman ρ = 0.538-0.650, < .001-.002). and positively correlated with pup weights, litter size, estrus phase duration, luteinizing hormone, and immune cell changes from the colon and peripheral blood (ρ = 0.475-0.695, < .01). CONCLUSION: Chronic bowel inflammation induces gut dysbiosis and likely contributes to adverse reproductive outcomes through endocrine imbalances. Further investigation with human studies is needed.

摘要

背景与目的:活动性炎症性肠病女性不孕率增加及不良妊娠结局的机制尚不清楚。我们旨在建立一种慢性肠道炎症的小鼠模型,以研究炎症性肠病中生殖结局的发病机制。 方法:用葡聚糖硫酸钠(DSS)诱导无特定病原体(SPF)雌性小鼠发生慢性肠道炎症。未用DSS处理的SPF小鼠作为对照。每天进行发情周期监测。将年龄匹配的组与SPF雄性小鼠合笼以进行交配。测量并表征幼崽体重、窝仔数、生殖激素血清学、外周和黏膜免疫变化以及粪便微生物群的16S rRNA基因分类分析。 结果:DSS处理导致体重减轻、疾病活动指数评分增加和结肠长度缩短。与SPF对照组相比,DSS小鼠在生殖周期的发情期花费的时间更少(P<0.05),窝仔数和幼崽体重降低(P<0.05)。DSS处理的小鼠抗苗勒管激素和促黄体生成素浓度较低(P<0.05),雌二醇浓度较高(P<0.05)。在DSS小鼠中,[具体微生物名称1]丰度与循环中性粒细胞和促炎细胞因子的比例以及血清雌二醇呈正相关(斯皮尔曼ρ=0.538 - 0.650,P<0.001 - 0.002)。[具体微生物名称2]和[具体微生物名称3]与幼崽体重、窝仔数、发情期持续时间、促黄体生成素以及结肠和外周血中的免疫细胞变化呈正相关(ρ=0.475 - 0.695,P<0.01)。 结论:慢性肠道炎症诱导肠道菌群失调,并可能通过内分泌失衡导致不良生殖结局。需要进一步开展人体研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/677ea262890a/figs3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/8436644e1820/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/1066889aad55/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/41dbc91dbf99/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/06f851538845/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/3ef579b7583d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/df0b421b890a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/edc63bcf4b92/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/f2aad81e5f0a/figs2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/677ea262890a/figs3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/8436644e1820/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/1066889aad55/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/41dbc91dbf99/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/06f851538845/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/3ef579b7583d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/df0b421b890a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/edc63bcf4b92/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/f2aad81e5f0a/figs2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a1/12166456/677ea262890a/figs3.jpg

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引用本文的文献

[1]
Macrophage Metabolic Reprogramming in Inflammatory Bowel Diseases: From Pathogenesis to Therapy.

J Inflamm Res. 2025-8-27

本文引用的文献

[1]
Updates on the management of inflammatory bowel disease from periconception to pregnancy and lactation.

Lancet. 2024-3-30

[2]
Gut microbial beta-glucuronidase: a vital regulator in female estrogen metabolism.

Gut Microbes. 2023

[3]
Searching for a Consensus Among Inflammatory Bowel Disease Studies: A Systematic Meta-Analysis.

Inflamm Bowel Dis. 2023-1-5

[4]
Estimates of infertility in the United States: 1995-2019.

Fertil Steril. 2022-9

[5]
Pregnancy and Neonatal Outcomes After Fetal Exposure to Biologics and Thiopurines Among Women With Inflammatory Bowel Disease.

Gastroenterology. 2021-3

[6]
Impaired Fertility in Women With Inflammatory Bowel Disease: A National Cohort Study From Sweden.

J Crohns Colitis. 2021-3-5

[7]
Risk Factors Associated with Impaired Ovarian Reserve in Young Women of Reproductive Age with Crohn's Disease.

Intest Res. 2020-4

[8]
Gut microbial β-glucuronidases reactivate estrogens as components of the estrobolome that reactivate estrogens.

J Biol Chem. 2019-10-21

[9]
Modulation of cytokine patterns and microbiome during pregnancy in IBD.

Gut. 2019-6-5

[10]
Infants born to mothers with IBD present with altered gut microbiome that transfers abnormalities of the adaptive immune system to germ-free mice.

Gut. 2019-4-29

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