支链氨基酸通过降低结肠富马酸水平而加剧结肠炎的进展。

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Ana Mendes-Frias, Maria C Vieira, Marta Araújo, Cláudio Duarte-Oliveira, Simon Feys, Consuelo Micheli, Joana Gaifem, Luís Gafeira Gonçalves, Nuno S Osório, Adhemar Longatto-Filho, António Gil Castro, Egídio Torrado, Cristina Cunha, Agostinho Carvalho, Iola F Duarte, Nuno A Silva, Fernando Rodrigues, Ricardo Silvestre
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引用次数: 0

摘要

背景:溃疡性结肠炎(UC)是一种病因不明的胃肠道炎症。最近的研究结果表明,代谢物在促进肠道健康方面起着关键作用。我们之前观察到结肠炎耐药小鼠结肠支链氨基酸(BCAAs)显著富集,提示这些代谢物在UC发展中的潜在作用。方法:C57BL6/J小鼠进行为期20天的BCAA补充方案,随后使用葡聚糖硫酸钠(DSS)诱导结肠炎。疾病活动性指数(DAI)、免疫细胞谱、组织学和转录组学分析进行了评估。对粪便提取物进行16S rRNA测序和代谢组学分析。此外,小鼠在补充后用富马酸二甲酯(DMF)治疗,以探索治疗干预措施。结果:BCAA的补充加重了小鼠结肠炎的严重程度,证明了DAI恶化,组织学损伤增加,免疫细胞群显著改变,包括3型先天淋巴样细胞减少,Th17和调节性T细胞增加。微生物群分析显示,乳酸菌丰度下降,致病菌增加。代谢组学分析显示结肠富马酸水平显著降低,促炎代谢物增加。DMF治疗减轻了bcaa诱导的促炎表型,改善了疾病结局,并以微生物组依赖的方式调节了免疫反应。结论:补充BCAA会加重dss诱导的小鼠结肠炎。这种影响是由肠道微生物群组成和代谢组的有害变化介导的。DMF治疗有望减轻这些不良反应,提示潜在的治疗途径来管理bcaa诱导的结肠炎恶化和加强微生物组在UC中的作用。这些发现强调在炎症条件下使用支链氨基酸需要谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Branched-Chain Amino Acids Exacerbate Colitis Progression by Lowering Colonic Fumarate Levels.

Background: Ulcerative colitis (UC) is a gastrointestinal inflammatory condition with an unclear etiology. Recent findings suggest that metabolites play a pivotal role in promoting intestinal health. We have previously observed a significant enrichment in colonic branched-chain amino acids (BCAAs) in resistant mice to colitis suggesting the potential role of these metabolites in UC development.

Methods: C57BL6/J mice underwent a 20-day BCAA supplementation regimen, followed by induction of colitis using dextran sulfate sodium (DSS). Disease activity index (DAI), immune cell profiling, and histological and transcriptomic analysis were evaluated. 16S rRNA sequencing and metabolomic profiling of stool extracts were performed. Additionally, mice were treated with dimethyl fumarate (DMF) post-supplementation to explore therapeutic interventions.

Results: BCAA supplementation exacerbated colitis severity in mice, as evidenced by worsened DAI, increased histological damage, and significant alterations in immune cell populations, including decreased type 3 innate lymphoid cells and increased Th17 and regulatory T cells. Microbiota analysis showed a shift toward a decreased abundance of Lactobacillus spp. and an increase in pathobionts. Metabolomic profiling indicated significantly reduced colonic fumarate levels and increased pro-inflammatory metabolites. DMF treatment attenuated BCAA-induced pro-inflammatory phenotype, improved disease outcomes, and modulated the immune response in a microbiome-dependent manner.

Conclusions: BCAA supplementation exacerbates DSS-induced colitis in mice. This effect is mediated by detrimental changes in gut microbiota composition and metabolome. DMF treatment shows promise to mitigate these adverse effects, suggesting potential therapeutic avenues to manage BCAA-induced colitis exacerbation and reinforcing the role of microbiome in UC. These findings underscore the caution needed with the use of BCAAs during inflammatory conditions.

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来源期刊
Inflammatory Bowel Diseases
Inflammatory Bowel Diseases 医学-胃肠肝病学
CiteScore
9.70
自引率
6.10%
发文量
462
审稿时长
1 months
期刊介绍: Inflammatory Bowel Diseases® supports the mission of the Crohn''s & Colitis Foundation by bringing the most impactful and cutting edge clinical topics and research findings related to inflammatory bowel diseases to clinicians and researchers working in IBD and related fields. The Journal is committed to publishing on innovative topics that influence the future of clinical care, treatment, and research.
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