Gastroenterology:应激显著改变胃肠道菌群组成方式

2013-03-20 小哲 编译 医学论坛网

  近日,来自中国山东大学、美国密歇根大学、中国台湾阳明大学和郑州妇幼医院的一项研究表明,应激抑制结合核苷酸的寡聚结构域蛋白样受体含热蛋白结构域(NLRP)-6炎性体,改变肠道微生物群的组成,导致肠道炎症。这些发现可能解释益生菌在与应激相关的胃肠道功能紊乱患者中的益处。该研究在线发表在2013年3月7日《胃肠病学》(Gastroenterology)杂志上。   压力改变脑-胃肠交互作用(bra

  近日,来自中国山东大学、美国密歇根大学、中国台湾阳明大学和郑州妇幼医院的一项研究表明,应激抑制结合核苷酸的寡聚结构域蛋白样受体含热蛋白结构域(NLRP)-6炎性体,改变肠道微生物群的组成,导致肠道炎症。这些发现可能解释益生菌在与应激相关的胃肠道功能紊乱患者中的益处。该研究在线发表在2013年3月7日《胃肠病学》(Gastroenterology)杂志上。

  压力改变脑-胃肠交互作用(brain–gut interactions),并可能加重包括肠易激综合征(IBS)在内的肠道疾病。肠道菌群的变化与肠易激综合征相关,需要的NLRP6作用。但是在小鼠实验中研究人员发现应激时可产生阻止炎性体发挥作用的促肾上腺皮质激素释放激素(CRH)。研究者指出,应激显著改变消化道细菌组成的方式以及益生菌的作用。益生菌通过逆转对炎性体的抑制而阻止应激所造成的影响。


Stress-Induced Corticotropin-Releasing Hormone-Mediated NLRP6 Inflammasome Inhibition and Transmissible Enteritis in Mice

Background & Aims
Stress alters brain–gut interactions and could exacerbate intestinal disorders, including irritable bowel syndrome (IBS). Alterations in the intestinal microbiota have been associated with IBS. Maintenance of healthy microbiota requires nucleotide-binding oligomerization domain protein-like receptors, pyrin-domain containing (NLRP)-6 inflammasomes. We investigated the involvement of NLRP6 in water-avoidance stress (WAS)-induced intestinal disorders in mice.
Methods
B57BL6 mice were subjected to WAS for 1 hour each day for 10 days; body weights and intestinal inflammation and permeability were analyzed. We investigated signaling via the NLRP3 and NLRP6 inflammasomes, and the role of corticotropin-releasing hormone (CRH) in WAS-associated inflammation and NLRP6 inhibition. Mice that were not exposed to stress were cohoused with mice subjected to WAS to determine the effects of WAS-induced dysbiosis, measured by sequencing bacterial 16S rRNA. We also assessed the effects of a peroxisome proliferator-activated receptor (PPAR)-γ agonist and probiotics.
Results
WAS-induced small bowel inflammation (enteritis) was associated with inhibition of NLRP6, but not NLRP3, and was prevented by a PPAR-γ agonist, which induced epithelial expression of NLRP6. CRH was released during WAS and inhibited NLRP6 expression. WAS induced alterations in the gut microbiota of mice; cohoused, non-stressed mice developed enteritis associated with increased CRH and decreased levels of NLRP6. Probiotic therapy reduced intestinal inflammation in mice with WAS-induced enteritis.
Conclusions
Exposure of mice to stress inhibits NLRP6 and alters the composition of the gut microbiota, leading to intestinal inflammation. These findings might explain the benefits of probiotics for patients with stress-associated gastrointestinal disorders.

    

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    2013-10-13 许安
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