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子痫前期中的肠道微生物群失调:机制、生物标志物及基于益生菌的干预措施

Gut Microbiota Dysbiosis in Preeclampsia: Mechanisms, Biomarkers, and Probiotic-Based Interventions.

作者信息

Zhao Yefang, Wang Bingjie, Wei Xujing, Liu Dengxiang, Wang Ruiping, Ma Huashu, Qiao Zongxu, Kong Nana, Feng Jinhui, Cui Dan, Hou Shaoke, Zhang Hongzhen

机构信息

Department of Obstetrics, Xingtai People's Hospital, Affiliated Hospital of Hebei Medical University, Xingtai, Hebei, China.

Department of Proctology, Xingtai People's Hospital, Affiliated Hospital of Hebei Medical University, Xingtai, Hebei, China.

出版信息

Mediators Inflamm. 2025 Aug 11;2025:3010379. doi: 10.1155/mi/3010379. eCollection 2025.

DOI:10.1155/mi/3010379
PMID:40832058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12360886/
Abstract

This study aimed to investigate the impact of fecal microbiota transplantation (FMT) on gut microbiota composition and serum inflammatory factors in a murine model. Female C57BL/6J mice ( = 60) were divided into four groups: control (Con), negative (Neg), normal transplantation (NT), and preeclampsia transplantation (PET). The Con group received no treatment, while the Neg, NT, and PET groups were administered a triple antibiotic regimen (ampicillin, neomycin sulfate, and metronidazole) for 14 days to deplete gut microbiota. Following antibiotic treatment, FMT was performed: the NT group received fecal microbiota from healthy pregnant women and the PET group received microbiota from severe preeclampsia patients. Fecal samples and serum were collected for 16S rRNA sequencing and inflammatory factor analysis, respectively. Significant differences in gut microbial composition were observed between the PET group and other groups, with enriched taxa such as , , and in the PET group. Conversely, taxa such as and were more abundant in the fecal microbiota of mice in the NT group. Furthermore, serum levels of lipopolysaccharide (LPS), tumor necrosis factor-alpha (TNF-α), and interleukin-6 (IL-6) were markedly elevated in the PET group compared to the control, negative, and NT groups. Transplantation with fecal bacteria from preeclampsia patients leads to significant alterations in gut microbiota composition and increased serum inflammatory factors levels in mice. These findings provide insights into the relationship between gut microbiota and inflammatory processes in preeclampsia and underscore the potential therapeutic implications of FMT in modulating gut microbiota dysbiosis and inflammatory responses.

摘要

本研究旨在探讨粪便微生物群移植(FMT)对小鼠模型肠道微生物群组成和血清炎症因子的影响。将60只雌性C57BL/6J小鼠分为四组:对照组(Con)、阴性组(Neg)、正常移植组(NT)和子痫前期移植组(PET)。Con组不接受任何治疗,而Neg、NT和PET组接受三联抗生素方案(氨苄青霉素、硫酸新霉素和甲硝唑)治疗14天以耗尽肠道微生物群。抗生素治疗后,进行FMT:NT组接受来自健康孕妇的粪便微生物群,PET组接受来自重度子痫前期患者的微生物群。分别收集粪便样本和血清进行16S rRNA测序和炎症因子分析。PET组与其他组之间观察到肠道微生物组成存在显著差异,PET组中 、 和 等分类群富集。相反,NT组小鼠粪便微生物群中 和 等分类群更为丰富。此外,与对照组、阴性组和NT组相比,PET组血清中脂多糖(LPS)、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平明显升高。移植子痫前期患者的粪便细菌会导致小鼠肠道微生物群组成发生显著改变,并增加血清炎症因子水平。这些发现为子痫前期肠道微生物群与炎症过程之间的关系提供了见解,并强调了FMT在调节肠道微生物群失调和炎症反应方面的潜在治疗意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa6/12360886/0565c1d9684c/MI2025-3010379.006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa6/12360886/c8962c2f898f/MI2025-3010379.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa6/12360886/33b087b75786/MI2025-3010379.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afa6/12360886/790a98843b04/MI2025-3010379.003.jpg
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本文引用的文献

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Microbiota Dysbiosis: A Key Modulator in Preeclampsia Pathogenesis and Its Therapeutic Potential.微生物群失调:子痫前期发病机制中的关键调节因子及其治疗潜力
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Scoping Review of Microbiota Dysbiosis and Risk of Preeclampsia.微生态失调与子痫前期风险的范围性综述。
Am J Reprod Immunol. 2024 Oct;92(4):e70003. doi: 10.1111/aji.70003.
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Possible immune mechanisms of gut microbiota and its metabolites in the occurrence and development of immune thrombocytopenia.
肠道微生物群及其代谢产物在免疫性血小板减少症发生发展中的可能免疫机制。
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Ring1a protects against colitis through regulating mucosal immune system and colonic microbial ecology.Ring1a 通过调节黏膜免疫系统和结肠微生物生态来预防结肠炎。
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The effect of gut microbiota dysbiosis on patients with preeclampsia.肠道微生物菌群失调对先兆子痫患者的影响。
Front Cell Infect Microbiol. 2023 Jan 4;12:1022857. doi: 10.3389/fcimb.2022.1022857. eCollection 2022.
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Association between gut microbiota and preeclampsia-eclampsia: a two-sample Mendelian randomization study.肠道微生物群与子痫前期-子痫关联的双样本 Mendelian 随机研究。
BMC Med. 2022 Nov 15;20(1):443. doi: 10.1186/s12916-022-02657-x.
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Intestinal Bacterial Translocation Contributes to Diabetic Kidney Disease.肠道细菌易位导致糖尿病肾病。
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