Zou Xiaohui, Cao Hongyun, Hong Lizhe, Suo Lijun, Wang Chun, Chang Kang, Ni Yawen, Liu Bo, Cao Bin
National Center for Respiratory Medicine; State Key Laboratory of Respiratory Health and Multimorbidity; National Clinical Research Center for Respiratory Diseases; Institute of Respiratory Medicine, Chinese Academy of Medical Sciences; Beijing Key Laboratory of Surveillance, Early Warning and Pathogen Research on Emerging Infectious Diseases; Laboratory of Clinical Microbiology and Infectious Diseases, Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
Department of Clinical Microbiology, Pulmonary and Critical Care Medicine, Zibo City Key Laboratory of Respiratory Infection and Clinical Microbiology, Zibo City Engineering Technology Research Center of Etiology Molecular Diagnosis, Zibo Municipal Hospital, Zibo, China.
Signal Transduct Target Ther. 2025 Aug 27;10(1):272. doi: 10.1038/s41392-025-02365-x.
Respiratory microbial dysbiosis has been implicated in the occurrence and progression of community-acquired pneumonia (CAP). However, the dynamic variation in the respiratory microbiota and its interaction with the host response remain poorly understood. Here, we performed metagenomic analysis of respiratory and gut microbiota, along with blood transcriptomics, using longitudinally collected samples from 38 CAP patients. CAP patients presented disrupted sputum microbiota at the early, middle, and late stages of hospitalization. Microbial pathways involved in peptidoglycan biosynthesis and immune evasion, particularly contributed by the Streptococcus genus, were enriched in CAP patients. Additionally, several Streptococcus strains demonstrated correlation between respiratory and gut microbiota in CAP patients. By incorporating host response data, we revealed that Streptococcus oralis (SOR) was associated with host pathways involved in the innate immune response to infection, and this microbe‒host interaction was reproduced in a newly enrolled CAP cohort consisting of 22 patients with influenza infection. The host-SOR interaction was validated in a mouse model, where SOR demonstrated protective efficacy against influenza virus infection comparable to that of the well-established respiratory probiotic Lactobacillus rhamnosus GG. Preaspiration of SOR in mice significantly mitigated body weight loss, reduced lung inflammation, and lowered viral loads following influenza virus challenge. Host response profiling indicated that SOR priming activated a greater innate immune response at the early stage of infection and that this response resolved timely as the host began to recover. These findings suggest that respiratory commensals play an immune-protective role by inducing a timely innate immune response to prevent CAP progression.
呼吸道微生物群落失调与社区获得性肺炎(CAP)的发生和发展有关。然而,呼吸道微生物群的动态变化及其与宿主反应的相互作用仍知之甚少。在此,我们对38例CAP患者纵向收集的样本进行了呼吸道和肠道微生物群的宏基因组分析以及血液转录组学分析。CAP患者在住院早期、中期和晚期均出现痰液微生物群紊乱。参与肽聚糖生物合成和免疫逃逸的微生物途径,特别是由链球菌属所促成的,在CAP患者中富集。此外,几种链球菌菌株在CAP患者的呼吸道和肠道微生物群之间显示出相关性。通过纳入宿主反应数据,我们发现口腔链球菌(SOR)与参与感染先天免疫反应的宿主途径相关,并且这种微生物与宿主的相互作用在一个由22例流感感染患者组成的新入组CAP队列中得到重现。宿主与SOR的相互作用在小鼠模型中得到验证,在该模型中,SOR对流感病毒感染显示出与成熟的呼吸道益生菌鼠李糖乳杆菌GG相当的保护功效。在小鼠中预先吸入SOR可显著减轻体重减轻、减轻肺部炎症并降低流感病毒攻击后的病毒载量。宿主反应分析表明,SOR预处理在感染早期激活了更强的先天免疫反应,并且随着宿主开始恢复,这种反应及时消退。这些发现表明,呼吸道共生菌通过诱导及时的先天免疫反应来预防CAP进展,从而发挥免疫保护作用。