鱼油改善肠道菌群与宿主互作失调并维持缓解小鼠肠炎

n-3多不饱和脂肪酸(polyunsaturated fatty acids, PUFAs)在控制溃疡性结肠炎(ulcerative colitis, UC)发生、发展中发挥积极作用,但其作用机制尚不十分明确。本研究利用葡聚糖硫酸钠(dextran sulfate sodium, DSS)诱导的急慢性肠炎小鼠模型,比较鱼油(主要成分为n-3 PUFAs)对急慢性期肠炎小鼠的影响。将60只8周龄的C57BL/6J随机分为6组,每组10只。与模型组相比,鱼油能有效恢复维持缓解鱼油组(400 mg/kg·bw)小鼠体重(P<0.05),降低疾病活动指数(P<0.05)。结肠组织脂肪酸谱分析发现,鱼油干预可显著提高小鼠结肠中n-3 PUFAs含量(P<0.01),特别是EPA含量(P<0.01)。组织病理学评分显示,鱼油能有效改善慢性期肠炎小鼠结肠长度(P<0.01)、结肠水肿程度及组织病理学病变(P<0.05)。血清中炎症因子检测发现,促炎因子IL-1β、TNF-α和IL-6水平显著降低(P<0.01),抗炎因子IL-10水平显著提高(P<0.05)。粪便16S rRNA测序发现,鱼油能显著提高维持缓解期肠炎小鼠粪便中产丁酸盐菌群(Clostridiales)(P<0.05)和益生菌(Bifidobacteriales)的相对丰度(P<0.01),下调需氧菌、兼性厌氧菌和致病菌比例,改善菌群糖苷生物合成与代谢和氧化磷酸化代谢障碍。与诱导缓解鱼油组(400 mg/kg·bw)相比,维持缓解鱼油组结肠中机械屏障和能量代谢相关通路蛋白质表达水平显著上调(P<0.05)。本研究明确了鱼油对维持缓解肠炎小鼠具有更强的抗炎作用,这与其有效加强慢性期肠炎小鼠机械屏障,提高粪便菌群功能与丁酸含量,进而改善肠道菌群与宿主互作失调有关。     

Fungal Trans-kingdom Dynamics Linked to Responsiveness to Fecal Microbiota Transplantation (FMT) Therapy in Ulcerative Colitis

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LED照射对溃疡性结肠炎大鼠结肠粘膜组织的修复作用

研究发光二极管（1ight-emittingdiode,Um）直肠内照射对大鼠实验性溃疡性结肠炎（ulcerative colitis,UC）的抗过氧化损伤以及促进结肠粘膜组织的修复作用。34只大鼠随机分成3组：正常对照组10只、病理模型组12只与病理模型＋LED照射治疗组12只．研究中采用乙酸局部刺激复制大鼠UC模型,其中LED治疗组应用LED结肠内照射,1日1次,共10d。其后观察各组的病理变化,血清过氧化损伤水平。结果显示,LED结肠内照射能够促使实验性溃疡性结肠炎的组织修复;显著降低溃疡性结肠炎大鼠血清MDA水平、升高SOD活性。实验表明LED结肠内照射实验性溃疡性结肠炎大鼠具有抗过氧化损伤作用以及促进结肠粘膜组织的修复作用。     

中药治疗溃疡性结肠炎所涉信号通路研究进展

溃疡性结肠炎是一种非特异性、病因未明的结肠黏膜慢性炎症性疾病,由遗传易感性、环境因素、异常免疫应答等多种因素所致。 目前治疗溃疡性结肠炎的药物以氨基水杨酸类、皮质类固醇、免疫抑制剂等为主,但其长期使用存在药物毒性、过敏反应等副作用,而 我国传统中药治疗溃疡性结肠炎表现出疗效显著、复发率低、毒副作用小等明显优势。综述中药治疗溃疡性结肠炎涉及6 种关键信号通 路（NF-κB、TLR4-MyD88-NF-κB、MAPK、JAK/STAT、PI3K-AKT-mTOR 以及Wnt 和Notch）及相关新信号通路的研究进展,为 中药治疗溃疡性结肠炎作用机制的深入研究提供新的思路。     

Auraptene Decreases the Activity of Matrix Metalloproteinases in Dextran Sulfate Sodium-Induced Ulcerative Colitis in ICR Mice

Previously we reported that auraptene was a potent suppressant for matrix metalloproteinase (MMP)-7 expression in HT-29 human colon cancer cells. In the present study, we examined the effects of auraptene on MMP-2, -7, and -9 expression in colonic mucosa from dextran sulfate sodium (DSS)-induced ulcerative colitis mice. Auraptene remarkably suppressed the DSS-induced gelatinolytic activity of MMP-7 as well as the expression of MMP-2 and -9, suggesting that it might be useful in anti-metastatic therapies via the targeting of MMPs.     

Focus: Microbiome: Distinct Ecological Niche of Anal,Oral, and Cervical Mucosal Microbiomes in Adolescent Women

Human body sites represent ecological niches for microorganisms, each providing variations in microbial exposure, nutrient availability, microbial competition, and host immunological responses. In this study, we investigated the oral, anal, and cervical microbiomes from the same 20 sexually active adolescent females, using culture-independent, next-generation sequencing. DNA from each sample was amplified for the bacterial 16S rRNA gene and sequenced on an Illumina platform using paired-end reads. Across the three anatomical niches, we found significant differences in bacterial community composition and diversity. Overall anal samples were dominated with Prevotella and Bacteriodes, oral samples with Streptococcus and Prevotella, and cervical samples with Lactobacillus. The microbiomes of a few cervical samples clustered with anal samples in weighted principal coordinate analyses, due in part to a higher proportion of Prevotella in those samples. Additionally, cervical samples had the lowest alpha diversity. Our results demonstrate the occurrence of distinct microbial communities across body sites within the same individual.     

黄芪多糖对三硝基苯磺酸诱导溃疡性结肠炎大鼠的保护作用

本研究探讨黄芪多糖(APS)对2,4,6-三硝基苯磺酸(TNBS)诱导溃疡性结肠炎(UC)大鼠的保护作用。将72只SD大鼠随机分为正常组、模型组、柳氮磺胺吡啶(SASP)阳性组、APS低、中、高剂量组(100、200、400mg·kg-1),每组12只,除正常组外,每组以150mg·kg-1 TNBS乙醇溶液灌肠制备大鼠结肠炎模型。造模24h后,SASP阳性组及黄芪多糖组分别给予相应的药物进行灌胃干预,每日1次,连续给药14d。研究过程中观察大鼠体重、评价其活动指数(DAI)及结肠黏膜损伤(CMDI),并于给药结束后检测大鼠血清和组织中的炎症因子及生化指标。结果表明,黄芪多糖可以显著改善UC大鼠活动指数,减轻大鼠黏膜损伤,且APS高剂量组大鼠组织中丙二醛(MDA)、髓过氧化物酶(MPO)水平相比模型对照组显著降低,超氧化物歧化酶(SOD)水平显著增加(p<0.05);同时血清中炎症因子TNF-α、IL-6含量相比模型对照组显著降低,IL-10含量显著增加(p<0.05)。因此,黄芪多糖对TNBS诱导的大鼠溃疡性结肠炎具有一定的保护作用。     

重组人乳铁蛋白和重组人溶菌酶对小鼠溃疡性结肠炎的改善作用研究

溃疡性结肠炎（ulcerative colitis,UC）是一种发生于直肠和结肠的慢性非特异性炎症疾病,近年来发病率明显上升。为探究转基因牛乳中提取的重组人乳铁蛋白和重组人溶菌酶对改善UC的作用,采用葡聚糖硫酸钠（dextran sulfate sodium salt,DSS）构建小鼠UC模型,30只雄性C57BL/6N小鼠随机分为空白对照组（CON组）、模型对照组（DSS组）、低浓度乳铁蛋白组（L-rLF组,50 mg·kg^-1·BW^-1）、高浓度乳铁蛋白组（H-rLF组,100 mg·kg^-1·BW^-1）、低浓度溶菌酶组（L-rLZM组,50 mg·kg^-1·BW^-1）和高浓度溶菌酶组（H-rLZM组,100 mg·kg^-1·BW^-1）。造模后用重组乳铁蛋白和溶菌酶分别灌胃1周,取小鼠血清及结肠,观察器官病理变化,测定炎症因子以及肠道菌群等相关指标。研究结果显示,与模型组相比,低浓度乳铁蛋白组和低浓度溶菌酶组小鼠疾病活动指数（disease activity index,DAI）、结肠缩短量、组织病理学评分均显著降低,且结肠组织中促炎因子（IL-6、lL-1β、TNF-α）表达量、血清和肝脏中脂多糖（lipopolysaccharide,LPS）浓度显著降低,高浓度乳铁蛋白处理组小鼠肠道菌群结构显著改善。表明重组人乳铁蛋白和重组人溶菌酶均可以不同程度地改善小鼠UC,为重组人乳铁蛋白和重组人溶菌酶的未来应用提供了新的思路和理论支持。     

Pulmonary Toxocariasis Mimicking Invasive Aspergillosis in a Patient with Ulcerative Colitis

A 45-year-old-male who had underlying ulcerative colitis and presented with fever and dry cough. Initially, the patient was considered to have invasive aspergillosis due to a positive galactomannan assay. He was treated with amphotericin B followed by voriconazole. Nevertheless, the patient deteriorated clinically and radiographically. The lung biopsy revealed eosinophilic pneumonia, and ELISA for Toxocara antigen was positive, leading to a diagnosis of pulmonary toxocariasis. After a 10-day treatment course with albendazole and adjunctive steroids, the patient recovered completely without any sequelae. Pulmonary toxocariasis may be considered in patients with subacute or chronic pneumonia unresponsive to antibiotic agents, particularly in cases with eosinophilia.     

Over 50,000 Metagenomically Assembled Draft Genomes for the Human Oral Microbiome Reveal New Taxa

The oral cavity of each person is home to hundreds of bacterial species. While taxa for oral diseases have been studied using culture-based characterization as well as amplicon sequencing,metagenomic and genomic information remains scarce compared to the fecal microbiome. Here,using metagenomic shotgun data for 3346 oral metagenomic samples together with 808 published samples, we obtain 56,213 metagenome-assembled genomes(MAGs), and more than 64% of the3589 species-level genome bins(SGBs) contai...     

芍药甘草汤通过调节NDUFS1表达抑制巨噬细胞向M1极化缓解小鼠溃疡性结肠炎

目的 本研究旨在探索并阐明芍药甘草汤（Shakuyakukanzoto,SKT）通过调节巨噬细胞的能量代谢和极化来改善小鼠溃疡性结肠炎（ulcerative colitis,UC）的可能作用机制。方法 通过给予3%葡聚糖硫酸钠盐（dextran sulfate sodium salt,DSS）构建小鼠UC模型并通过灌胃SKT进行治疗。首先,对两个数据集GSE21157和GSE210415进行单细胞测序分析和代谢通路富集。其次,对UC小鼠腹腔巨噬细胞的提取和代谢组学验证。然后,根据标准逆方差加权两样本的单变量孟德尔随机化分析差异代谢物富集的通路和UC风险相关性。接着,分析在GSE128682和GSE102746数据集转录水平差异。最后,使用定量反转录PCR（qRT-PCR）、蛋白质印迹法（Western blot）和流式细胞术验证结果。结果 苏木精-伊红（HE）染色结果显示,SKT可以显著缓解DSS引起的结肠损伤。单细胞测序分析在肠壁中发现了巨噬细胞、NK细胞、T细胞等10多种不同类型的细胞。在疾病组中,通过比较这两组数据发现,有49条主要涉及能量代谢的巨噬细胞代谢途径的活性显著上调。能量代谢组学中,治疗组与模型组,模型组与空白组分别鉴定了10种和18种显著上调和下调的差异表达代谢物,这些差异表达的代谢物主要与糖酵解和氧化磷酸化有关。根据标准逆方差加权两样本的单变量孟德尔随机化分析,预测糖酵解和氧化磷酸化相关基因泛醌NADH脱氢酶Fe-S蛋白1（recombinant NADH dehydrogenase ubiquinone Fe-S protein 1,NDUFS1）（OR：0.56,95% CI：0.48~0.98,P=0.000 068）与UC风险降低相关。通过对两组数据集转录水平差异分析,与正常组相比,UC中NDUFS1的转录水平降低。qRT-PCR、Western blot和流式细胞术验证结果显示,SKT可以促进NDUFS1蛋白的表达,抑制巨噬细胞向M1型极化。此外,敲低/过表达NDUFS1可以影响SKT对巨噬细胞M1型极化的影响。结论 SKT通过调节NDUFS1蛋白水平,抑制巨噬细胞向M1型极化,从而缓解小鼠UC。这些发现不仅揭示了SKT对UC的治疗机制,也为临床应用提供了新的理论基础。     

Construction of a Model Culture System of Human Colonic Microbiota to Detect Decreased Lachnospiraceae Abundance and Butyrogenesis in the Feces of Ulcerative Colitis Patients

Compositional alteration of the gut microbiota is associated with ulcerative colitis (UC). Here, a model culture system is established for the in vitro human colonic microbiota of UC, which will be helpful for determining medical interventions. 16S ribosomal RNA sequencing confirms that UC models are successfully developed from fecal inoculum and retain the bacterial species biodiversity of UC feces. The UC models closely reproduce the microbial components and successfully preserve distinct clusters from the healthy subjects (HS), as observed in the feces. The relative abundance of bacteria belonging to the family Lachnospiraceae significantly decreases in the UC models compared to that in HS, as observed in the feces. The system detects significantly lower butyrogenesis in the UC models than that in HS, correlating with the decreased abundance of Lachnospiraceae. Interestingly, the relative abundance of Lachnospiraceae does not correlate with disease activity (defined as partial Mayo score), suggesting that Lachnospiraceae persists in UC patients at a decreased level, irrespective of the alteration in disease activity. Moreover, the system shows that administration of Clostridium butyricum MIYAIRI restores butyrogenesis in the UC model. Hence, the model detects deregulation in the intestinal environment in UC patients and may be useful for simulating the effect of probiotics.     

A Role of a Lymphocyte Tryptase,Granzyme A,in Experimental Ulcerative Colitis

In the large-intestinal mucosae of rats orally administered dextran sulfate sodium, which induces an enteritis resembling ulcerative colitis (UC), the activity for granzyme A, a lymphocyte tryptase, increased at an earlier stage than that at which UC markers (growth-regulated gene product/cytokine-induced neutrophil chemoattractant-1 and caspase-3) increased. This suggests involvement of the enzyme in the exacerbation and perpetuation of enteritis.     

Immunoglobulin A Targets a Unique Subset of the Microbiota in Inflammatory Bowel Disease

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Dysbiosis of Salivary Microbiota in Inflammatory Bowel Disease and Its Association With Oral Immunological Biomarkers

Analysis of microbiota in various biological and environmental samples under a variety of conditions has recently become more practical due to remarkable advances in next-generation sequencing. Changes leading to specific biological states including some of the more complex diseases can now be characterized with relative ease. It is known that gut microbiota is involved in the pathogenesis of inflammatory bowel disease (IBD), mainly Crohn''s disease and ulcerative colitis, exhibiting symptoms in the gastrointestinal tract. Recent studies also showed increased frequency of oral manifestations among IBD patients, indicating aberrations in the oral microbiota. Based on these observations, we analyzed the composition of salivary microbiota of 35 IBD patients by 454 pyrosequencing of the bacterial 16S rRNA gene and compared it with that of 24 healthy controls (HCs). The results showed that Bacteroidetes was significantly increased with a concurrent decrease in Proteobacteria in the salivary microbiota of IBD patients. The dominant genera, Streptococcus, Prevotella, Neisseria, Haemophilus, Veillonella, and Gemella, were found to largely contribute to dysbiosis (dysbacteriosis) observed in the salivary microbiota of IBD patients. Analysis of immunological biomarkers in the saliva of IBD patients showed elevated levels of many inflammatory cytokines and immunoglobulin A, and a lower lysozyme level. A strong correlation was shown between lysozyme and IL-1β levels and the relative abundance of Streptococcus, Prevotella, Haemophilus and Veillonella. Our data demonstrate that dysbiosis of salivary microbiota is associated with inflammatory responses in IBD patients, suggesting that it is possibly linked to dysbiosis of their gut microbiota.     

HIF-1alpha和COX-2在溃疡性结肠炎患者外周血及黏膜组织中表达及意义

目的：探讨HIF-1琢和COX-2 在溃疡性结肠炎（UC）患者外周血及黏膜组织中表达及意义。方法：87 例UC患者根据临床病 情分为活动期（n=63）和缓解期（n=24）,同期选取行结肠镜检查无异常健康者40 名作为对照组,利用qRT-PCR 对外周血及黏膜 组织标本中HIF-1alpha和COX-2 表达进行检测。结果：活动期UC 患者外周血和黏膜组织中HIF-1alpha mRNA和COX-2 mRNA相对表 达量均高于缓解期患者,且均高于对照组,差异均有统计学意义（P<0.05）;活动期UC 患者中,临床病情重型患者外周血及黏膜组 织中HIF-1-alpha mRNA 和COX-2 mRNA 相对表达量高于中型及轻型患者,差异均有统计学意义（P<0.05）,内镜表现分级Ⅲ 级患者 外周血及黏膜组织中HIF-1-alpha mRNA和COX-2 mRNA相对表达量高于Ⅱ级及Ⅰ级患者,差异均有统计学意义（P<0.05）;Pearson 相关分析显示,活动期UC患者外周血及黏膜组织中HIF-1alphamRNA和COX-2 mRNA相对表达量均与Mayo 评分呈正相关（r=0. 592、0.722 和0.694、0.456,P<0.05）;Spearman 相关分析显示,活动期UC 患者外周血及黏膜组织中HIF-1-mRNA 和COX-2 mRNA 相对表达量均与临床病情呈正相关（r=0.804、0.826 和0.752、0.763,P<0.05）,且与内镜表现分级呈正相关（r=0.803、0.749和 0.858、0.793,P<0.05）。结论：HIF-1-alpha 和COX-2 在UC患者外周血及黏膜组织中呈高表达,且与患者病情严重程度有关。     

Intestinal Epithelial Cell Autophagy Is Required to Protect against TNF-Induced Apoptosis during Chronic Colitis in Mice

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利用表达谱基因芯片筛选溃疡性结肠炎差异表达基因

目的:利用人类全基因组表达谱芯片技术,分析溃疡性结肠炎患者和健康者基因表达谱差异,筛选出溃疡性结肠炎相关基因。方法:采用Trizol法提取8例溃疡性结肠炎患者和8例健康对照者结肠粘膜组织总RNA并纯化,逆转录合成c DNA,利用荧光染料Cy3标记aa UTP,转录合成标记的c RNA,并与Agilent人类全基因组表达谱芯片杂交,扫描荧光信号图像,对芯片原始数据进行归一化处理,利用倍数差异和t检验计算筛选出相关差异表达基因,采用DAVID在线分析系统进行基因的功能注释和关联分析,明确差异基因的生物学功能,并对部分差异表达基因进行实时荧光定量PCR验证。结果:筛查出溃疡性结肠炎结肠粘膜组织差异表达基因4132个,其中上调基因2004个,下调基因2128个。选取6条差异表达基因进行PCR验证,结果有3条基因表达上调,3条基因表达下调,表达趋势与芯片结果一致。结论:溃疡性结肠炎患者与健康对照者基因表达存在明显差异,分析这些差异表达基因有助于我们探索溃疡性结肠炎的发病机制,为疾病的治疗提供理论依据。     

Exploring the Potential Mechanism of Guchang Zhixie Wan for Treating Ulcerative Colitis by Comprehensive Network Pharmacological Approaches and Molecular Docking Validation as Well as Cell Experiments

Guchang Zhixie Wan (GZW) is a commonly used Chinese medicine for the treatment of ulcerative colitis (UC). This research explored the potential pharmacological mechanism of GZW in UC. The active ingredients, potential targets, and UC-related genes of GZW were retrieved from public databases. The pharmacological mechanisms including key components, potential targets and signal pathways were determined through bioinformatics analysis. The results of this study were verified through virtual molecular docking and cell experiments. Network analysis revealed that 26 active GZW compounds and 148 potential GZW target proteins were associated with UC. Quercetin, kaempferol and β-sitosterol were identified as the core active ingredients of GZW. IFNG, IL-1A, IL-1B, JUN, RELA, and STAT1 were indicated as key targets of GZW. These key targets have a strong affinity for quercetin, kaempferol, and β-sitosterol. GO and KEGG enrichment analysis showed that GZW target proteins are highly enriched in inflammatory, immune, and oxidative stress-related pathways. This study confirmed the therapeutic effect and revealed potential molecular mechanism of GZW on UC. And the protective effects of GZW on inflammatory bowel disease pathway were also revealed through STAT3/NF-κB/IL-6 pathway. The findings of this study enhanced our understanding of GZW in the treatment of UC and provided a feasible method for discovering potential drugs from traditional Chinese medicine formulations.     

Quantitative Metaproteomics and Activity-based Protein Profiling of Patient Fecal Microbiome Identifies Host and Microbial Serine-type Endopeptidase Activity Associated With Ulcerative Colitis

The gut microbiota plays an important yet incompletely understood role in the induction and propagation of ulcerative colitis (UC). Organism-level efforts to identify UC-associated microbes have revealed the importance of community structure, but less is known about the molecular effectors of disease. We performed 16S rRNA gene sequencing in parallel with label-free data-dependent LC-MS/MS proteomics to characterize the stool microbiomes of healthy (n = 8) and UC (n = 10) patients. Comparisons of taxonomic composition between techniques revealed major differences in community structure partially attributable to the additional detection of host, fungal, viral, and food peptides by metaproteomics. Differential expression analysis of metaproteomic data identified 176 significantly enriched protein groups between healthy and UC patients. Gene ontology analysis revealed several enriched functions with serine-type endopeptidase activity overrepresented in UC patients. Using a biotinylated fluorophosphonate probe and streptavidin-based enrichment, we show that serine endopeptidases are active in patient fecal samples and that additional putative serine hydrolases are detectable by this approach compared with unenriched profiling. Finally, as metaproteomic databases expand, they are expected to asymptotically approach completeness. Using ComPIL and de novo peptide sequencing, we estimate the size of the probable peptide space unidentified (“dark peptidome”) by our large database approach to establish a rough benchmark for database sufficiency. Despite high variability inherent in patient samples, our analysis yielded a catalog of differentially enriched proteins between healthy and UC fecal proteomes. This catalog provides a clinically relevant jumping-off point for further molecular-level studies aimed at identifying the microbial underpinnings of UC.