Zhao Shidong, Zheng Xianjing, Yang Changjiang, Shen Weisong, Shen Zhanlong
Department of Gastroenterological Surgery, Laboratory of Surgical Oncology, Beijing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research, Peking University People's Hospital, Beijing, PR China.
Department of Pathology, Third Hospital, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, PR China.
Medicine (Baltimore). 2025 Jun 27;104(26):e42791. doi: 10.1097/MD.0000000000042791.
Ulcerative colitis (UC) is a chronic inflammatory bowel disease with a multifactorial etiology, including genetic, immunological, and environmental factors, as well as alterations in the gut microbiome and plasma metabolites. The interplay between these factors is complex and not fully elucidated, particularly regarding the potential mediation of metabolites in the relationship between gut microbiota and UC. We performed a Mendelian randomization (MR) study to investigate the causal associations between gut microbiota, plasma metabolites, and UC. The study utilized a two-sample MR approach to discern causal relationships among these factors. Genetic variants from genome-wide association studies served as instrumental variables in the MR analyses, conducted using the "TwoSampleMR" package in R software. We adhered to the fundamental assumptions of MR analyses, ensuring the validity of our causal inferences. Additionally, we incorporated a mediation analysis to assess the potential mediating role of plasma metabolites in the relationship between gut microbiota and UC. Our current study found the substantial relationship between certain gut microbial taxa and the development of UC. Indeed, we have identified 6 microbial taxa, including Genus Dorea, Phylum Proteobacteria, Species Streptococcus parasanguinis, Species Ruminococcus obeum, Species Roseburia intestinalis, and Order Lactobacillales, which were found to be causally related to UC. Seventy-three metabolites and metabolite ratios of were also causally associated with UC, and a mediation analysis revealed that metabolites such as stearoylcarnitine, 3-hydroxyoctanoylcarnitine, 1-arachidonoyl-GPE (20:4n6), 3-(3-hydroxyphenyl)propionate sulfate, and thioproline mediated the effects of gut microbiota on UC and hence might play roles in disease pathogenesis. This microbiota-UC-specific MR study provides evidence for causal associations between specific gut microbiota and UC, potentially mediated through plasma metabolites. The findings give new perspectives on the causal nexus of the gut microbiota and plasma metabolites with UC, highlighting potential intervention targets for the disease. These findings call for confirmation in further research, together with investigation of the underlying mechanisms.
溃疡性结肠炎(UC)是一种病因多因素的慢性炎症性肠病,包括遗传、免疫和环境因素,以及肠道微生物群和血浆代谢物的改变。这些因素之间的相互作用很复杂,尚未完全阐明,特别是关于代谢物在肠道微生物群与UC关系中的潜在介导作用。我们进行了一项孟德尔随机化(MR)研究,以调查肠道微生物群、血浆代谢物与UC之间的因果关系。该研究采用两样本MR方法来识别这些因素之间的因果关系。全基因组关联研究中的基因变异在使用R软件中的“TwoSampleMR”包进行的MR分析中用作工具变量。我们遵循MR分析的基本假设,确保因果推断的有效性。此外,我们纳入了中介分析,以评估血浆代谢物在肠道微生物群与UC关系中的潜在中介作用。我们目前的研究发现某些肠道微生物分类群与UC的发生之间存在密切关系。事实上,我们已经确定了6个微生物分类群,包括多雷亚属、变形菌门、副血链球菌、欧氏瘤胃球菌、肠道罗斯拜瑞氏菌和乳杆菌目,它们被发现与UC存在因果关系。73种代谢物及其代谢物比率也与UC存在因果关联,中介分析表明,硬脂酰肉碱、3-羟基辛酰肉碱、1-花生四烯酰-GPE(20:4n6)、3-(3-羟基苯基)丙酸硫酸盐和硫代脯氨酸等代谢物介导了肠道微生物群对UC的影响,因此可能在疾病发病机制中发挥作用。这项针对微生物群与UC的特异性MR研究为特定肠道微生物群与UC之间的因果关联提供了证据,这种关联可能是通过血浆代谢物介导的。这些发现为肠道微生物群和血浆代谢物与UC的因果关系提供了新的视角,突出了该疾病潜在的干预靶点。这些发现需要在进一步的研究中得到证实,并对潜在机制进行研究。
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