Ruminococcus

Ruminococus
  • 文章类型: Journal Article
    人类与我们的肠道微生物(微生物群)社区之间的共生相互作用在健康和疾病中起着许多作用。一些肠道细菌利用粘液作为营养来源,在某些条件下可以破坏其形成的保护屏障,增加疾病易感性。我们研究了Ruminococcus扭矩-一种已知的粘蛋白降解剂,与炎症性肠病(IBD)有关-如何降解粘蛋白糖蛋白或其成分O-连接的聚糖,以了解其对粘蛋白来源的营养物质对其他细菌的可用性的影响。我们发现R.torques利用粘蛋白糖蛋白和从胃和结肠粘蛋白释放的寡糖,降解这些底物,大部分组成型表达,分泌的酶。通过R.torques降解粘蛋白寡糖的研究揭示了强α-L-岩藻糖苷酶,唾液酸酶和β1,4-半乳糖苷酶活性。缺乏可检测的硫酸酯酶和弱的β1,3-半乳糖苷酶降解,导致含有这些结构的聚糖在粘蛋白多肽上的积累。而革兰氏阴性共生体,拟杆菌在粘蛋白糖蛋白上生长不良,我们证明了R扭矩从粘蛋白中释放产品的明确能力,使它们可以被B.thetaiotaomicron接近。这项工作强调了不同细菌物种中粘蛋白降解机制的多样性,以及某些物种依赖于其他物种更充分地获取粘蛋白来源营养素的可能性。R.torques直接降解各种粘蛋白和粘蛋白聚糖结构并解锁其他物种释放的聚糖的能力表明,它是一个关键的粘蛋白降解剂,这可能有助于其与IBD的联系。重要的是保持宿主和肠道微生物之间健康共生的一个重要方面是粘液层,保护上皮免受腔细菌的第一防御。一些肠道细菌降解肠道粘蛋白的各种成分,但是不同物种使用的详细机制仍在出现。必须了解这些机制,因为它们可能决定种间相互作用,并可能阐明与细菌粘液损伤和随后的疾病易感性相关的物种。在多项研究中,Ruminococcus扭矩与IBD呈正相关。我们在R.torques中鉴定了粘蛋白聚糖降解酶,并发现它与另一种肠道细菌共享粘蛋白降解产物,拟杆菌。我们的发现强调了了解不同肠道细菌中粘蛋白降解机制及其对种间相互作用的影响的重要性。这可能会识别出不成比例地影响粘液损伤的关键细菌,因此可能是粘液完整性降低导致的影响的关键参与者。
    Symbiotic interactions between humans and our communities of resident gut microbes (microbiota) play many roles in health and disease. Some gut bacteria utilize mucus as a nutrient source and can under certain conditions damage the protective barrier it forms, increasing disease susceptibility. We investigated how Ruminococcus torques-a known mucin degrader that has been implicated in inflammatory bowel diseases (IBDs)-degrades mucin glycoproteins or their component O-linked glycans to understand its effects on the availability of mucin-derived nutrients for other bacteria. We found that R. torques utilizes both mucin glycoproteins and released oligosaccharides from gastric and colonic mucins, degrading these substrates with a panoply of mostly constitutively expressed, secreted enzymes. Investigation of mucin oligosaccharide degradation by R. torques revealed strong α-L-fucosidase, sialidase and β1,4-galactosidase activities. There was a lack of detectable sulfatase and weak β1,3-galactosidase degradation, resulting in accumulation of glycans containing these structures on mucin polypeptides. While the Gram-negative symbiont, Bacteroides thetaiotaomicron grows poorly on mucin glycoproteins, we demonstrate a clear ability of R. torques to liberate products from mucins, making them accessible to B. thetaiotaomicron. This work underscores the diversity of mucin-degrading mechanisms in different bacterial species and the probability that some species are contingent on others for the ability to more fully access mucin-derived nutrients. The ability of R. torques to directly degrade a variety of mucin and mucin glycan structures and unlock released glycans for other species suggests that it is a keystone mucin degrader, which might contribute to its association with IBD.IMPORTANCEAn important facet of maintaining healthy symbiosis between host and intestinal microbes is the mucus layer, the first defense protecting the epithelium from lumenal bacteria. Some gut bacteria degrade the various components of intestinal mucins, but detailed mechanisms used by different species are still emerging. It is imperative to understand these mechanisms as they likely dictate interspecies interactions and may illuminate species associated with bacterial mucus damage and subsequent disease susceptibility. Ruminococcus torques is positively associated with IBD in multiple studies. We identified mucin glycan-degrading enzymes in R. torques and found that it shares mucin degradation products with another species of gut bacteria, Bacteroides thetaiotaomicron. Our findings underscore the importance of understanding mucin degradation mechanisms in different gut bacteria and their consequences on interspecies interactions, which may identify keystone bacteria that disproportionately affect mucus damage and could therefore be key players in effects that result from reductions in mucus integrity.
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  • 文章类型: Journal Article
    有证据表明,多发性硬化症(MS)会导致运动和认知功能下降,并引起患者肠道微生物组组成的变化。因此,该研究的目的是探讨舞蹈课对MS患者运动和认知功能以及肠道菌群组成的影响。在这项随机对照试验中,将36例患者随机分为实验组(n=18)和被动对照组(n=18)。有监督的摇滚和体育舞蹈课程以每周两次的频率进行了12周。干预前后,采集粪便样本,完成运动和认知功能评估.使用靶向16SrDNA的V3-V4区的引物对粪便微生物群进行分类。我们的结果揭示了移动性性能(T25-FWT)的显著差异,注意力和工作记忆(TMTB),实验组内手指灵巧度(9-HPT)。此外,我们报道了实验组内肠道微生物群落的有利变化(白丝菌的增加和反刍动物球菌扭矩的减少).总之,我们对MS患者12周舞蹈课效果的随机对照试验发现,运动和认知功能有显著改善,对肠道菌群组成有进一步的中等影响。
    Evidence suggests that multiple sclerosis (MS) induces a decline in motor and cognitive function and provokes a shift in gut microbiome composition in patients. Therefore, the aim of the study was to explore the effect of dance classes on the motor and cognitive functions and gut microbiota composition of MS patients. In this randomized controlled trial, 36 patients were randomly divided into two groups: the experimental group (n = 18) and the passive control group (n = 18). Supervised rock and roll and sports dance classes were performed for 12 weeks at a frequency of two times a week. Before and after the intervention, fecal samples were taken and the motor and cognitive function assessments were completed. Fecal microbiota were categorized using primers targeting the V3-V4 region of 16S rDNA. Our results revealed significant differences in mobility performance (T25-FWT), attention and working memory (TMT B), and finger dexterity (9-HPT) within the experimental group. Furthermore, we reported favorable shifts in gut microbial communities (an increase in Blautia stercoris and a decrease in Ruminococcus torques) within the experimental group. In conclusion, our randomized control trial on the effects of 12-week dance classes in MS patients found significant improvements in motor and cognitive functions, with further moderate influence on gut microbiota composition.
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  • 文章类型: Journal Article
    背景:基于肠道微生物群组成的个体差异的群体分层揭示了人类和各种动物物种中存在几种生态型,称为肠型。肠型通常与环境因素有关,包括饮食,但是关于宿主遗传学作用的知识仍然很少。此外,肠型具有可能与其宿主的不同能力和敏感性相关的功能。以前,我们证明了在受控条件下,60天大的猪种群始终分为两种肠型,其中Prevotella和Mitsuokella(PM肠型)或Ruminococus和密螺旋体(RT肠型)作为梯形分类群。这里,我们的目标是依靠猪作为模型来研究宿主遗传学对组装肠型的影响,并为肠型功能差异及其与生长性状的联系提供线索。
    结果:我们建立了两个猪品系,它们在60日龄时指定了每种肠型,并评估了它们在连续三代中的粪便微生物群组成和生长。对三代人的选择的反应显示,每行,所选肠型的患病率以及直接和间接选择的细菌属的平均相对丰度增加。发现PM肠型的多样性比RT肠型少,但在断奶后的仔猪生长效率更高。鸟枪宏基因组学揭示了两种肠型之间丰富的细菌种类。通过使用KEGGOrthology数据库,我们表明,与淀粉降解和多糖代谢相关的功能在PM肠型中富集,而与一般核苷转运和肽/镍转运相关的功能在RT肠型中富集。我们的结果还表明,PM和RT肠型在缬氨酸的代谢中可能存在差异,亮氨酸,和异亮氨酸,有利于它们的生物合成和降解,分别。
    结论:我们通过实验证明肠型是功能性生态系统,可以通过对宿主遗传学施加压力来整体选择。我们还强调,在育种计划中,应将全精子视为选择单位。这些结果为整体使用宿主遗传学铺平了道路,微生物群多样性,和肠型功能,以了解完整的塑造和适应。视频摘要。
    BACKGROUND: Population stratification based on interindividual variability in gut microbiota composition has revealed the existence of several ecotypes named enterotypes in humans and various animal species. Enterotypes are often associated with environmental factors including diet, but knowledge of the role of host genetics remains scarce. Moreover, enterotypes harbor functionalities likely associated with varying abilities and susceptibilities of their host. Previously, we showed that under controlled conditions, 60-day-old pig populations consistently split into two enterotypes with either Prevotella and Mitsuokella (PM enterotype) or Ruminococcus and Treponema (RT enterotype) as keystone taxa. Here, our aim was to rely on pig as a model to study the influence of host genetics to assemble enterotypes, and to provide clues on enterotype functional differences and their links with growth traits.
    RESULTS: We established two pig lines contrasted for abundances of the genera pairs specifying each enterotype at 60 days of age and assessed them for fecal microbiota composition and growth throughout three consecutive generations. Response to selection across three generations revealed, per line, an increase in the prevalence of the selected enterotype and in the average relative abundances of directly and indirectly selected bacterial genera. The PM enterotype was found less diverse than the RT enterotype but more efficient for piglet growth during the post-weaning period. Shotgun metagenomics revealed differentially abundant bacterial species between the two enterotypes. By using the KEGG Orthology database, we show that functions related to starch degradation and polysaccharide metabolism are enriched in the PM enterotype, whereas functions related to general nucleoside transport and peptide/nickel transport are enriched in the RT enterotype. Our results also suggest that the PM and RT enterotypes might differ in the metabolism of valine, leucin, and isoleucine, favoring their biosynthesis and degradation, respectively.
    CONCLUSIONS: We experimentally demonstrated that enterotypes are functional ecosystems that can be selected as a whole by exerting pressure on the host genetics. We also highlight that holobionts should be considered as units of selection in breeding programs. These results pave the way for a holistic use of host genetics, microbiota diversity, and enterotype functionalities to understand holobiont shaping and adaptation. Video Abstract.
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  • 文章类型: Journal Article
    背景:格林-巴利综合征(GBS)是一种自身免疫性疾病,通常在先前的胃肠道(GI)感染后发展。然而,由于各种挑战,肠道菌群(GM)和GBS之间的确切关联仍然未知.本研究旨在通过双样本孟德尔随机化(TSMR)分析来调查GM和GBS之间的潜在因果关系。
    方法:利用MiBioGen联盟(n=13,266)提供的最大的全基因组关联研究(GWAS)荟萃分析作为基础,我们进行了TSMR来破译GM和GBS之间的因果关系。采用了各种分析方法,包括逆方差加权(IVW),MR-PRESSO,MR-Egger,和加权中位数。工具变量(IVs)的异质性使用Cochran的Q统计进行评估。
    结果:分析确定了三个微生物类群与GBS的风险关联显著增加,包括牙本质反乳球菌组(OR=1.40,95%CI:1.07-1.83),ruminococusgaovreauii组(OR=1.51,95%CI:1.02-2.25),和反刍动物科UCG009(OR=1.42,95%CI:1.02-1.97),而Eubacteriumbrachy组(OR=1.44,95%CI:1.10-1.87)和Romboutsia(OR=1.67,95%CI:1.12-2.47)显示出暗示性因果关系。另一方面,RuminocycaceaeUCG004(OR=0.61,95%CI:0.41-0.91)对GBS具有保护作用,而芽孢杆菌(OR=0.60,95%CI:0.38-0.96),γ蛋白细菌(OR=0.63,95%CI:0.41-0.98)和LachnoshispileaceaeUCG001(OR=0.69,95%CI:0.49-0.96)显示出对GBS的暗示性保护性关联。
    结论:MR分析表明特定GM分类群与GBS风险之间存在潜在的因果关系。然而,为了验证这些发现,必须进行涉及多元化人群的进一步广泛研究。
    BACKGROUND: Guillain-Barré Syndrome (GBS) is an autoimmune disease that typically develops after a previous gastrointestinal (GI) infection. However, the exact association between Gut Microbiota (GM) and GBS still remains unknown due to various challenges. This study aimed to investigate the potential causal association between GM and GBS by using a two-sample Mendelian Randomization (TSMR) analysis.
    METHODS: Utilizing the largest available genome-wide association study (GWAS) meta-analysis from the MiBioGen consortium (n = 13,266) as a foundation, we conducted a TSMR to decipher the causal relationship between GM and GBS. Various analytical methods were employed, including the inverse variance weighted (IVW), MR-PRESSO, MR-Egger, and weighted median. The heterogeneity of instrumental variables (IVs) was assessed using Cochran\'s Q statistics.
    RESULTS: The analysis identified three microbial taxa with a significantly increased risk association for GBS, including Ruminococcus gnavus group (OR = 1.40, 95 % CI: 1.07-1.83), Ruminococcus gauvreauii group (OR = 1.51, 95 % CI: 1.02-2.25), and Ruminococcaceae UCG009 (OR = 1.42, 95 % CI: 1.02-1.97), while Eubacterium brachy group (OR = 1.44, 95 % CI: 1.10-1.87) and Romboutsia (OR = 1.67, 95 % CI: 1.12-2.47) showed a suggestively causal association. On the other hand, Ruminococcaceae UCG004 (OR = 0.61, 95 % CI: 0.41-0.91) had a protective effect on GBS, while Bacilli (OR = 0.60, 95 % CI: 0.38-0.96), Gamma proteobacteria (OR = 0.63, 95 % CI: 0.41-0.98) and Lachnospiraceae UCG001 (OR = 0.69, 95 % CI: 0.49-0.96) showed a suggestively protective association for GBS.
    CONCLUSIONS: The MR analysis suggests a potential causal relationship between specific GM taxa and the risk of GBS. However, further extensive research involving diversified populations is imperative to validate these findings.
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  • 文章类型: Journal Article
    D-阿洛酮糖,一种非常理想的糖替代品,主要使用D-阿洛酮糖3-差向异构酶(DAE)产生。然而,可用的DAE酶的可用性是有限的。在这项研究中,我们发现并改造了一种新的DAERum55,它来自人类肠道细菌Ruminococussp。CAG55.Rum55的活性严格依赖于Co2+的存在,在50℃下,平衡转化率为30.6%,半衰期为4.5h。为了提高其性能,我们设计了Rum55的界面相互作用来稳定它的四聚体结构,然后将最佳变体E268R与自组装肽连接以形成活性酶聚集体作为无载体固定化。最佳变体E268R-EKL16在50°C的半衰期急剧增加30倍,达到135.3小时,在连续13个反应循环后,它保持了90%的活性。此外,我们发现金属离子在稳定Rum55的四聚体结构中起着关键作用,并且E268R-EKL16对金属离子的依赖性显着降低。本研究为提高DAEs的热稳定性提供了一条有用的途径。为D-阿洛酮糖的工业生产开辟了新的可能性。
    D-allulose, a highly desirable sugar substitute, is primarily produced using the D-allulose 3-epimerase (DAE). However, the availability of usable DAE enzymes is limited. In this study, we discovered and engineered a novel DAE Rum55, derived from a human gut bacterium Ruminococcus sp. CAG55. The activity of Rum55 was strictly dependent on the presence of Co2+, and it exhibited an equilibrium conversion rate of 30.6 % and a half-life of 4.5 h at 50 °C. To enhance its performance, we engineered the interface interaction of Rum55 to stabilize its tetramer structure, and the best variant E268R was then attached with a self-assembling peptide to form active enzyme aggregates as carrier-free immobilization. The half-life of the best variant E268R-EKL16 at 50 °C was dramatically increased 30-fold to 135.3 h, and it maintained 90 % of its activity after 13 consecutive reaction cycles. Additionally, we identified that metal ions played a key role in stabilizing the tetramer structure of Rum55, and the dependence on metal ions for E268R-EKL16 was significantly reduced. This study provides a useful route for improving the thermostability of DAEs, opening up new possibilities for the industrial production of D-allulose.
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  • 文章类型: Journal Article
    尽管肠道微生物组对COVID-19具有潜在的保护作用,但尚未发现赋予COVID-19抗性的特定微生物。在这项工作中,我们的目的是在物种水平上鉴定和验证提供抗SARS-CoV-2感染保护的肠道微生物.为了鉴定对COVID-19具有保护作用的肠道微生物,我们将一名没有COVID-19感染或免疫史的个体的粪便微生物群移植(FMT)到致命的COVID-19仓鼠模型中。来自该COVID-19抗性供体的FMT导致仓鼠中与COVID-19敏感性相关的显着表型变化。宏基因组分析显示,仓鼠组之间的肠道微生物组组成存在明显差异,导致鉴定出两种以前未知的细菌物种:Oribacteriumsp。GMB0313和Ruminococcussp。GMB0270均与COVID-19耐药相关。随后,我们遵循Koch的假设进行了概念验证动物实验。口服这种肠道微生物对,Oribacteriumsp.GMB0313和Ruminococcussp。通过激活CD8+T细胞介导的免疫,GMB0270对仓鼠提供了针对SARS-CoV-2感染的完全保护。肠道微生物对对SARS-CoV-2感染的预防功效与,甚至优于,目前的mRNA疫苗。这种强大的预防功效表明,肠道微生物对可以被开发为针对所有β冠状病毒的宿主导向通用疫苗,包括潜在的未来新兴病毒。
    Despite the potential protective role of the gut microbiome against COVID-19, specific microbes conferring resistance to COVID-19 have not yet been identified. In this work, we aimed to identify and validate gut microbes at the species level that provide protection against SARS-CoV-2 infection. To identify gut microbes conferring protection against COVID-19, we conducted a fecal microbiota transplantation (FMT) from an individual with no history of COVID-19 infection or immunization into a lethal COVID-19 hamster model. FMT from this COVID-19-resistant donor resulted in significant phenotypic changes related to COVID-19 sensitivity in the hamsters. Metagenomic analysis revealed distinct differences in the gut microbiome composition among the hamster groups, leading to the identification of two previously unknown bacterial species: Oribacterium sp. GMB0313 and Ruminococcus sp. GMB0270, both associated with COVID-19 resistance. Subsequently, we conducted a proof-of-concept confirmation animal experiment adhering to Koch\'s postulates. Oral administration of this gut microbe pair, Oribacterium sp. GMB0313 and Ruminococcus sp. GMB0270, to the hamsters provided complete protection against SARS-CoV-2 infection through the activation of CD8+ T cell mediated immunity. The prophylactic efficacy of the gut microbe pair against SARS-CoV-2 infection was comparable to, or even superior to, current mRNA vaccines. This strong prophylactic efficacy suggests that the gut microbe pair could be developed as a host-directed universal vaccine for all betacoronaviruses, including potential future emerging viruses.
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  • 文章类型: Journal Article
    人类,像所有哺乳动物一样,依赖于肠道微生物组消化纤维素,植物纤维的主要成分。然而,人体肠道中纤维素发酵的证据很少。我们已经在人群的肠道微生物群中鉴定了反刍动物物种,这些物种组装了能够降解植物细胞壁多糖的功能性多酶纤维素体结构。其中一个物种,与人类密切相关,可能起源于反刍动物的肠道,随后被转移到人类的肠道,可能在驯化过程中,通过从其他肠道微生物中获取基因,它经历了多样化和与饮食相关的适应。总的来说,这些物种在古代人类中丰富和广泛存在,狩猎采集者,和农村人口,但在工业化社会的人口中很少见,因此表明西化生活方式可能会消失。
    Humans, like all mammals, depend on the gut microbiome for digestion of cellulose, the main component of plant fiber. However, evidence for cellulose fermentation in the human gut is scarce. We have identified ruminococcal species in the gut microbiota of human populations that assemble functional multienzymatic cellulosome structures capable of degrading plant cell wall polysaccharides. One of these species, which is strongly associated with humans, likely originated in the ruminant gut and was subsequently transferred to the human gut, potentially during domestication where it underwent diversification and diet-related adaptation through the acquisition of genes from other gut microbes. Collectively, these species are abundant and widespread among ancient humans, hunter-gatherers, and rural populations but are rare in populations from industrialized societies thus indicating potential disappearance in response to the westernized lifestyle.
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  • 文章类型: Journal Article
    关于肠道微生物群在全氟烷基和多氟烷基物质(PFAS)暴露与不良神经发育之间的关联中的作用的研究有限。收集儿童的脐带血清和粪便样本,并进行了优势和困难问卷(SDQ)。广义线性模型,线性混合效应模型,通过线性模型的多变量分析和基于微生物组回归的核关联测试用于评估PFAS暴露之间的关联,肠道微生物群,和神经行为发育。全氟己烷磺酸(PFHxS)暴露与行为问题和外部问题的得分增加有关,以及改变的肠道微生物群α和β多样性。PFHxS浓度与较高的肠球菌属相对丰度相关。但几个短链脂肪酸产生属的相对丰度较低(例如,卷毛反肠球菌属。).PFHxS暴露也与氧化磷酸化增加有关。发现α和β多样性与行为问题和外部化问题显着相关。卷毛反肠球菌属。丰度与亲社会行为得分呈正相关。增加的α多样性在PFHxS暴露与行为问题的关联中起中介作用。我们的结果表明,肠道菌群可能在PFAS神经毒性中起重要作用。这可能对PFAS控制产生影响。
    Studies on the role of the gut microbiota in the associations between per- and polyfluoroalkyl substance (PFAS) exposure and adverse neurodevelopment are limited. Umbilical cord serum and faeces samples were collected from children, and the Strengths and Difficulties Questionnaire (SDQ) was conducted. Generalized linear models, linear mixed-effects models, multivariate analysis by linear models and microbiome regression-based kernel association tests were used to evaluate the associations among PFAS exposure, the gut microbiota, and neurobehavioural development. Perfluorohexane sulfonic acid (PFHxS) exposure was associated with increased scores for conduct problems and externalizing problems, as well as altered gut microbiota alpha and beta diversity. PFHxS concentrations were associated with higher relative abundances of Enterococcus spp. but lower relative abundances of several short-chain fatty acid-producing genera (e.g., Ruminococcus gauvreauii group spp.). PFHxS exposure was also associated with increased oxidative phosphorylation. Alpha and beta diversity were found significantly associated with conduct problems and externalizing problems. Ruminococcus gauvreauii group spp. abundance was positively correlated with prosocial behavior scores. Increased alpha diversity played a mediating role in the associations of PFHxS exposure with conduct problems. Our results suggest that the gut microbiota might play an important role in PFAS neurotoxicity, which may have implications for PFAS control.
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  • 文章类型: Journal Article
    在这项研究中,我们的目的是研究糖尿病肾病(DN)发作和发展过程中肠道微生物群的精确变化,并研究了小牛反刍动物的影响(R。gnavus)在DN上。八周大的雄性KK-Ay小鼠服用抗生素鸡尾酒,持续两周,然后口服R.gnavus再给药8周。我们的研究揭示了在DN的开始和进展过程中肠道微生物区系的显著变化。具体来说,我们观察到在班级水平上梭菌的丰度显着增加,在订单水平上更高水平的蛇形螺旋和蛇形螺旋,DN组Clostridia_UCG-014明显下降。此外,蛇床子科的丰度显着增加,螺旋藻科,和Ruminocycaceae在家庭层面。此外,口服R.gnavus可有效加重DN小鼠的肾脏病理,伴随着尿素氮(UN)水平升高,肌酐(Cr),和尿蛋白。此外,R.gnavus给药导致紧密连接蛋白如Claudin-1,Occludin,和ZO-1,以及尿液和血清样品中尿毒症毒素水平的增加。此外,我们的研究表明,口服R.gnavus可以上调炎症因子的表达,包括核苷酸结合寡聚化结构域样受体含Pyrin结构域的蛋白3(NLRP3)和白细胞介素(IL)-6。这些变化表明肠-肾轴参与DN,gnavus可能通过影响尿毒症毒素水平和促进DN的炎症而使糖尿病肾病恶化。
    In this study, we aim to investigate the precise alterations in the gut microbiota during the onset and advancement of diabetic nephropathy (DN) and examine the impact of Ruminococcus gnavus (R. gnavus) on DN. Eight-week-old male KK-Ay mice were administered antibiotic cocktails for a duration of two weeks, followed by oral administration of R. gnavus for an additional eight weeks. Our study revealed significant changes in the gut microbiota during both the initiation and progression of DN. Specifically, we observed a notable increase in the abundance of Clostridia at the class level, higher levels of Lachnospirales and Oscillospirales at the order level, and a marked decrease in Clostridia_UCG-014 in DN group. Additionally, there was a significant increase in the abundance of Lachnospiraceae, Oscillospiraceae, and Ruminococcaceae at the family level. Moreover, oral administration of R. gnavus effectively aggravated kidney pathology in DN mice, accompanied by elevated levels of urea nitrogen (UN), creatinine (Cr), and urine protein. Furthermore, R. gnavus administration resulted in down-regulation of tight junction proteins such as Claudin-1, Occludin, and ZO-1, as well as increased levels of uremic toxins in urine and serum samples. Additionally, our study demonstrated that orally administered R. gnavus up-regulated the expression of inflammatory factors, including nucleotide-binding oligomerization domain-like receptor pyrin domain-containing protein 3 (NLRP3) and Interleukin (IL)-6. These changes indicated the involvement of the gut-kidney axis in DN, and R. gnavus may worsen diabetic nephropathy by affecting uremic toxin levels and promoting inflammation in DN.
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  • 文章类型: Journal Article
    目的:小牛反刍动物是一种罕见的人类病原菌,而关于r.gnavus感染的临床数据不足。本回顾性研究旨在探讨小鸡感染的临床特点。
    方法:本研究包括13例菌血症和3例由gnavus引起的非菌血症感染。我们评估了病人的数据,感染源,临床结果,以及这些病例中R.gnavus分离株的抗菌敏感性。
    结果:患者的中位年龄为75岁(范围47-95),八名患者为女性。12例推测为腹腔内感染源,其余4例感染源不明。最常见的潜在疾病是免疫抑制(7例),实体瘤(7例),胃肠道手术史(5例)。13例患者表现出胃肠道问题(功能障碍,出血,腹腔感染,或炎症)。6例患者观察到多种病原体,并记录了3例患者的致死结局.有8个分离株的抗生素敏感性数据,所有这些对青霉素的最低抑制浓度都很低(≤0.03μg/mL),氨苄西林-舒巴坦(≤0.5μg/mL),哌拉西林他唑巴坦(≤4μg/mL),和甲硝唑(≤0.5-1μg/mL)。
    结论:小牛反乳球菌常与腹腔感染源有关,治疗策略应考虑多种病原体的可能性。
    OBJECTIVE: Ruminococcus gnavus is a rare human pathogen, and clinical data on R. gnavus infection are insufficient. This retrospective study aimed to investigate the clinical characteristics of R. gnavus infections.
    METHODS: This study included 13 cases of bacteremia and three cases of non-bacteremia infections caused by R. gnavus. We evaluated the patient data, infection source, clinical outcomes, and antimicrobial susceptibility of R. gnavus isolates for these cases.
    RESULTS: The median age of patients was 75 years (range 47-95), and eight patients were female. Twelve cases were presumed to have an intra-abdominal infection source, and the remaining four cases had an unknown infection source. The most common underlying conditions were immunosuppression (seven cases), solid tumors (seven cases), and history of gastrointestinal surgery (five cases). Thirteen patients exhibited gastrointestinal problems (dysfunction, bleeding, intra-abdominal infection, or inflammation). Multiple pathogens were observed in six cases, and fatal outcomes were recorded in three cases. Antimicrobial susceptibility data were available for eight isolates, all of which exhibited low minimum inhibitory concentrations to penicillin (≤0.03 μg/mL), ampicillin-sulbactam (≤0.5 μg/mL), piperacillin-tazobactam (≤4 μg/mL), and metronidazole (≤0.5-1 μg/mL).
    CONCLUSIONS: Ruminococcus gnavus is frequently associated with an intra-abdominal infection source, and treatment strategies should consider the possibility of multiple pathogens.
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