SCFAs, short-chain fatty acids

SCFA,短链脂肪酸
  • 文章类型: Journal Article
    未经证实:肠道微生物组和炎症性肠病(IBD)与抑郁症的发展有关,但它们的相互作用对抑郁风险的影响尚不清楚.我们旨在分析肠道微生物组和IBD之间的相互作用对抑郁症风险的影响。并探索涉及相互作用的候选基因。
    未经评估:使用来自英国生物库的个体基因型和抑郁特征数据,我们计算了114个肠道微生物组的多遗传风险评分(PRS),溃疡性结肠炎(UC),克罗恩病(CD),分别为总IBD(CD+UC)。通过线性回归模型评估肠道微生物组和IBD之间的相互作用对抑郁症的影响。此外,对于观察到的肠道微生物组PRS和IBDPRS之间的显著相互作用,PLINK软件用于测试相应肠道微生物组PRS和IBDPRS对抑郁症的配对单核苷酸多态性(SNP)相互作用。
    UNASSIGNED:我们在四种抑郁症表型上发现了肠道微生物组和IBD之间的64个候选相互作用,如F_Lachnospirosaceae(RNT)×(CD+UC)患者健康问卷-9(PHQ-9)评分(P=1.48×10-3),F_Veillonellaceae(HB)×UC用于自我报告的抑郁症(P=2.83×10-3)和P_Firmicutes(RNT)×CD用于首次抑郁症发作时的年龄(P=8.50×10-3)。我们观察到肠道微生物组相关SNP×IBD相关SNP的相互作用,例如G_Alloprevotella(HB)相关的rs147650986(GPM6A)×IBD相关的rs114471990(QRICH1)(P=2.26×10-4)。
    未经评估:我们的结果支持肠道微生物组和IBD之间的相互作用对抑郁风险的影响,并报道了几个新的抑郁症候选基因。
    UNASSIGNED: Gut microbiome and inflammatory bowel disease (IBD) are implicated in the development of depression, but the effect of their interactions on the risk of depression remains unclear. We aim to analyze the effect of interactions between gut microbiome and IBD on the risk of depression, and explore candidate genes involving the interactions.
    UNASSIGNED: Using the individual genotype and depression traits data from the UK Biobank, we calculated the polygenetic risk scores (PRS) of 114 gut microbiome, ulcerative colitis (UC), Crohn\'s disease (CD), and total IBD (CD + UC) respectively. The effects of interactions between gut microbiome and IBD on depression were assessed through a linear regression model. Moreover, for observed significant interactions between gut microbiome PRS and IBD PRS, PLINK software was used to test pair-wise single nucleotide polymorphisms (SNPs) interaction of corresponding gut microbiome PRS and IBD PRS on depression.
    UNASSIGNED: We found 64 candidate interactions between gut microbiome and IBD on four phenotypes of depression, such as F_Lachnospiraceae (RNT) × (CD + UC) for patient health questionnaire-9 (PHQ-9) score (P = 1.48 × 10-3), F_Veillonellaceae (HB) × UC for self-reported depression (P = 2.83 × 10-3) and P_Firmicutes (RNT) × CD for age at first episode of depression (P = 8.50 × 10-3). We observed interactions of gut-microbiome-associated SNPs × IBD-associated SNPs, such as G_Alloprevotella (HB)-associated rs147650986 (GPM6A) × IBD-associated rs114471990 (QRICH1) (P = 2.26 × 10-4).
    UNASSIGNED: Our results support the effects of interactions between gut microbiome and IBD on depression risk, and reported several novel candidate genes for depression.
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  • 文章类型: Journal Article
    本研究旨在确定富含多糖的李梅果汁浓缩物(PFC)对慢性肾病(CKD)小鼠尿酸(UA)排泄和肠道菌群的影响。将C57BL/6小鼠随机分为四组:两组饲喂AIN93M饮食,其中之一是500毫克/千克PFC,和两个喂食含有0.2%腺嘌呤的AIN93M饮食,其中之一是500mg/kg的PFC。PFC促进UA排泄,这可能是通过增加ATP结合盒转运蛋白G2(ABCG2)的蛋白质表达介导的,有机阴离子转运蛋白1(OAT1),有机肉碱转运蛋白2(OCTN2),CKD小鼠肾脏中葡萄糖转运蛋白9(GLUT9)和尿酸转运蛋白1(URAT1)的蛋白表达减少。通过PFC施用,肠中的ABCG2表达也增加。此外,PFC显着增加了大肠短链脂肪酸(SCFA)的浓度,以及肠道微生物种类的数量,减少了拟杆菌属的丰度,假黄酮,螺杆菌,梭状芽孢杆菌IV和Allobaculum,对UA排泄有负面影响。总之,PFC可能通过改变尿酸转运蛋白的表达和调节肠道菌群来促进CKD小鼠UA的排泄。
    The present study aimed to determine the effects of polysaccharides-riched Prunus mume fruit juice concentrate (PFC) on uric acid (UA) excretion and the gut microbiota in mice with chronic kidney disease (CKD). C57BL/6 mice were randomly allocated to four groups: two that were fed AIN93M diet, one of which was administered 500 mg/kg PFC, and two that were fed AIN93M diet containing 0.2% adenine, one of which was administered 500 mg/kg PFC. PFC promoted UA excretion, which may have been mediated through increases in the protein expression of ATP-binding cassette transporter G2 (ABCG2), organic anion transporter 1 (OAT1), organic carnitine transporter 2 (OCTN2), and reductions in the protein expression of glucose transporter 9 (GLUT9) and urate transporter 1 (URAT1) in kidneys of CKD mice. ABCG2 expression in the intestine was also increased by PFC administration. Additionally, PFC significantly increased large intestinal short-chain fatty acids (SCFAs) concentrations, and the number of gut microbial species, and reduced the abundance of the genera Bacteroides, Pseudoflavonifractor, Helicobacter, Clostridium_IV and Allobaculum, which have a negative effect on UA excretion. In conclusion, PFC may promote UA excretion in CKD mice by altering the expression of urate transporters and regulating the gut microbiota.
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  • 文章类型: Journal Article
    长双歧杆菌BB536补充剂可用于调节各种人群的排便,包括健康受试者和肠易激综合征(IBS)患者;然而,个体对长双歧杆菌BB536治疗的反应各不相同。一个推定的因素是肠道微生物群;最近的研究报道肠道微生物群介导饮食或药物对宿主的影响。这里,我们调查了肠道特征,比如微生物组和代谢组,与长芽孢杆菌BB536在增加排便频率方面的有效性有关。
    随机,对24名主要有便秘倾向的成年人进行了双盲对照交叉试验.受试者接受由耐酸无缝胶囊中的长双歧杆菌BB536或类似的包封淀粉粉末组成的两周饮食干预作为安慰剂对照。每天记录肠道运动频率,在几个时间点收集粪便样本,并通过代谢基因组学方法进行分析,该方法包括对使用质谱获得的代谢组数据和使用高通量测序获得的微生物组数据进行综合分析。受试者之间的长肠杆菌摄入引起的排便频率存在差异。通过机器学习基于在长双歧杆菌摄入之前收集的粪便样品的微生物组和代谢组特征来预测响应者。应答者和非应答者之间八个细菌属的丰度显着不同。
    肠道微生物组和代谢组谱可用作补充长双歧杆菌BB536后改善排便的潜在标志物。这些发现对个性化益生菌治疗的发展具有意义。
    UNASSIGNED: Bifidobacterium longum BB536 supplementation can be used to regulate bowel movements in various people, including healthy subjects and patients with irritable bowel syndrome (IBS); however, individuals vary in their responses to B. longum BB536 treatment. One putative factor is the gut microbiota; recent studies have reported that the gut microbiota mediates the effects of diet or drugs on the host. Here, we investigated intestinal features, such as the microbiome and metabolome, related to B. longum BB536 effectiveness in increasing bowel movement frequency.
    UNASSIGNED: A randomized, double-blind controlled crossover trial was conducted with 24 adults who mainly tended to be constipated. The subjects received a two-week dietary intervention consisting of B. longum BB536 in acid-resistant seamless capsules or similarly encapsulated starch powder as the placebo control. Bowel movement frequency was recorded daily, and fecal samples were collected at several time points, and analyzed by metabologenomic approach that consists of an integrated analysis of metabolome data obtained using mass spectrometry and microbiome data obtained using high-throughput sequencing. There were differences among subjects in B. longum intake-induced bowel movement frequency. The responders were predicted by machine learning based on the microbiome and metabolome features of the fecal samples collected before B. longum intake. The abundances of eight bacterial genera were significantly different between responders and nonresponders.
    UNASSIGNED: Intestinal microbiome and metabolome profiles might be utilized as potential markers of improved bowel movement after B. longum BB536 supplementation. These findings have implications for the development of personalized probiotic treatments.
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  • 文章类型: Journal Article
    没食子酸(GA)是具有许多健康益处的天然多酚化合物。为了评估长期食用GA对肠道健康的潜在风险,健康的狗饲喂补充有GA的基础饮食(0%,0.02%,0.04%,和0.08%)45天,和粪便微生物群和代谢组学进行了评估。这项研究表明,GA补充通过降低血清甘油三酯调节血清脂质代谢,脂肪消化率,和拟杆菌/厚壁菌比率。此外,Parasutterlla的相对丰度显着降低,在0.08%GA组中,产生SCFAs的细菌随着粪便乙酸盐和总SCFAs含量的积累而增加。代谢组学数据进一步阐明,0.08%GA通过下调脂肪酸中的琥珀酸显着影响碳水化合物代谢,从而减轻炎症和氧化应激。总的来说,这项研究证实了长期食用GA对脂质代谢和肠道健康的有益作用,GA的最佳补充水平为0.08%。
    Gallic acid (GA) is a natural polyphenolic compound with many health benefits. To assess the potential risk of long-term consumption of GA to gut health, healthy dogs were fed a basal diet supplemented with GA (0%, 0.02%, 0.04%, and 0.08%) for 45 d, and fecal microbiota and metabolomics were evaluated. This study demonstrated that GA supplementation regulated serum lipid metabolism by reducing serum triglyceride, fat digestibility, and Bacteroidetes/Firmicutes ratio. In addition, the relative abundance of Parasutterella was significantly lower, and the SCFAs-producing bacteria were increased along with fecal acetate and total SCFAs contents accumulation in the 0.08% GA group. Metabolomics data further elucidated that 0.08% GA significantly affected carbohydrate metabolism by downregulating succinic acid in fece, thereby alleviating inflammation and oxidative stress. Overall, this study confirmed the beneficial effects of long-term consumption of GA on lipid metabolism and gut health, and the optimal level of GA supplementation was 0.08%.
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  • 文章类型: Journal Article
    未经证实:肌肉减少症是一种与年龄相关的骨骼肌功能障碍综合征,缺乏有效的治疗方法。在年轻时最大限度地提高肌肉力量可能是预防老年人肌肉减少症的一种有希望的方法。植物分子葛根素已广泛用于临床实践,并有报道通过直接靶向骨骼肌纤维来增加骨骼肌的能量代谢。然而,葛根素的生物利用度很差,近93%的葛根素会留在肠道中直到排泄。因此,我们假设葛根素可能调节肠道菌群,从而改善成人骨骼肌的力量和/或质量.
    UNASSIGNED:将23个月大的雄性SpragueDawley大鼠按平均体重分为两组,葛根素组(葛根素溶于0.5%CMC-Na,150毫克/千克/天,N​=​10),和对照组(等体积0.5%CMC-Na,N​=​10)。治疗持续8周。肌肉重量,肌纤维类型和横截面积(CSA),测量离体肌肉收缩测试和握力。采用16SrDNA测序来评估盲肠内容物样品中的肠道微生物群组成。采用气相色谱-质谱法分析盲肠和血清中的短链脂肪酸(SCFAs)。还检测了骨骼肌中的三磷酸腺苷(ATP)浓度。采用皮尔逊相关性分析SCFA之间的关系,ATP浓度和肌肉功能。
    未经批准:葛根素治疗后,握力,特定的抽搐力,比目鱼肌(SOL)和趾长伸肌(EDL)的强直力明显高于对照组。葛根素组EDL中II型肌纤维的百分比和CSA高于对照组。葛根素处置明显转变了肠道微生物构成。两种SCFA生产微生物群,Peptococaceae和Closteridiales家族,葛根素组明显高于对照组,而Prevotellaceae/拟杆菌科的比率(P/B),肌肉萎缩指标,葛根素组较低。不出所料,SCFA的浓度之间存在显著的线性相关性,包括盲肠总SCFA,血清正丁酸和总SCFA,和骨骼肌的力量和功能,包括SOL和EDL的抽搐力和强直力,以及前肢的握力。
    未经批准:总而言之,葛根素改善了幼年大鼠前肢握力和肌肉收缩功能。潜在的机制可能包括葛根素通过调节肠道微生物群增加SCFAs的产生,增强ATP合成和骨骼肌力量。本文的翻译潜力:我们的研究发现,临床使用的植物分子葛根素具有改善年轻成年大鼠骨骼肌力量的潜力。由于葛根素具有长期的临床经验和良好的安全性,它可能是开发肌肉强化剂的潜在候选者。
    UNASSIGNED: Sarcopenia is an age-related skeletal muscle dysfunction syndrome that is lacking validated treatments. Maximizing muscle strength in young adulthood may be a promising way to prevent sarcopenia in the elderly. The phytomolecule puerarin has been extensively used in clinical practice and reported to increase energy metabolism in skeletal muscle by directly targeting the skeletal muscle fiber. However, the bioavailability of puerarin is very poor, and almost 93% of puerarin stays in the intestine until excretion. Therefore, we hypothesize that puerarin may regulate gut microbiota to improve skeletal muscle strength and/or mass in adults.
    UNASSIGNED: Twenty three-month old male Sprague Dawley rats were divided into two groups according to average weights, puerarin group (puerarin dissolved in 0.5% CMC-Na, 150 ​mg/kg/day, N ​= ​10), and control group (equal volume 0.5% CMC-Na, N ​= ​10). The treatment lasted for 8 weeks. Muscle weight, muscle fiber types and cross-sectional area (CSA), ex vivo muscle contraction test and grip strength were measured. 16S rDNA sequencing was employed to evaluate the gut microbiota composition in the sample of cecal content. Short-chain fatty acids (SCFAs) in cecal and serum were analyzed by gas chromatography-mass spectrometry. Adenosine triphosphate (ATP) concentration in skeletal muscle was also detected. Pearson\'s correlation was used to analyze the relations between SCFAs, ATP concentration and muscle function.
    UNASSIGNED: After puerarin treatment, grip strength, the specific twitch force, and the tetanic forces in the soleus (SOL) and extensor digitorum longus (EDL) muscle were significantly higher than those of the control group. The percentage and CSA of type II muscle fiber in EDL was higher in the puerarin group than those in the control group. Puerarin treatment significantly changed the gut microbial constitutes. Two SCFAs-productive microbiota, the families Peptococcaceae and Closteridiales, were significantly higher in the puerarin group than those in the control group, while the ratio of Prevotellaceae/Bacteroidaceae (P/B), a muscle atrophy indicator, was lower in the puerarin group. As expected, there were significant linear correlations between the concentrations of SCFAs, including cecal total SCFAs, serum n-butyric acid and total SCFAs, and skeletal muscle strength and function, including the twitch force and tetanic force of SOL and EDL, as well as the forelimb grip strength.
    UNASSIGNED: In conclusion, puerarin improved the forelimb grip strength and muscle contraction function in young adult rats. The underlying mechanism may include that puerarin increased SCFAs production by regulating gut microbiota, augmented ATP synthesis and skeletal muscle strength. The translational potential of this article : Our study finds that a clinical used phytomolecule puerarin has the potential of improving skeletal muscle strength in young adult rats. As puerarin has long-term clinical experience and shows good safety, it might be a potential candidate for developing muscle strengthening agents.
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  • 文章类型: Journal Article
    本研究阐明了植物乳杆菌ZJ316(ZJ316)作为发酵剂培养物在腌制芥菜发酵中质量改善和微生物群落调节的潜力。我们的结果表明,ZJ316可以阻止亚硝酸盐峰的发生,并将榨菜中的亚硝酸盐含量保持在较低水平(0.34mg/kg)。顶空固相微萃取(HS-SPME)和气相色谱-质谱结果表明,ZJ316为腌制芥末提供了良好的风味。根据16SrDNA的结果,接种ZJ316后,厚壁菌是主要的微生物群,柠檬酸杆菌的丰度,肠杆菌,变形杆菌同时减少。此外,抑菌活性分析表明,接种ZJ316的榨菜上清液对金黄色葡萄球菌D48、大肠杆菌DH5α、和单核细胞增生李斯特菌LM1。总之,植物乳杆菌ZJ316具有在蔬菜发酵过程中用作理想的发酵剂的潜力。
    The potential of Lactiplantibacillus plantarum ZJ316 (ZJ316) as a starter culture for quality improvement and microbial community regulation in pickled mustard fermentation was elucidated in this study. Our results show that ZJ316 can deter the occurrence of nitrite peaks and maintain the nitrite content of pickled mustard at a low level (0.34 mg/kg). The headspace solid-phase microextraction (HS-SPME) and gas chromatography-mass spectrometry results indicate that ZJ316 gives a good flavor to pickled mustard. According to the 16S rDNA results, Firmicutes were the predominant microbiota after inoculation with ZJ316, and the abundances of Citrobacter, Enterobacter, and Proteus decreased simultaneously. In addition, antibacterial activity analysis showed that the supernatant of pickled mustard inoculated with ZJ316 had a significant inhibitory effect on Staphylococcus aureus D48, Escherichia coli DH5α, and Listeria monocytogenes LM1. In conclusion, L. plantarum ZJ316 has potential for use as an ideal starter in the process of vegetable fermentation.
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  • 文章类型: Journal Article
    炎症性肠病(IBD),包括克罗恩病(CD)和溃疡性结肠炎(UC),是一组临床慢性,复发性胃肠道炎性疾病和缺乏绝对的治疗。虽然确切的病因尚不清楚,高通量微生物基因组测序的发展显着阐明了IBD患者肠道微生物结构和功能的变化。微生物代谢组学的应用表明,微生物群可以通过产生代谢产物来影响IBD的发病机制。它们被认为是宿主-微生物串扰的关键介质。这篇综述旨在阐述IBD中微生物组-代谢组界面扰动的最新知识,并描述肠道微生物群的组成和代谢谱的改变。我们强调并阐述了IBD中几种潜在保护性代谢物类别的最新发现,包括脂肪酸,氨基酸及其衍生物和胆汁酸。本文将通过应用基于代谢组的辅助治疗来促进对IBD的新治疗方法的更深入的理解。
    Inflammatory bowel disease (IBD), comprising Crohn\'s disease (CD) and ulcerative colitis (UC), is a set of clinically chronic, relapsing gastrointestinal inflammatory disease and lacks of an absolute cure. Although the precise etiology is unknown, developments in high-throughput microbial genomic sequencing significantly illuminate the changes in the intestinal microbial structure and functions in patients with IBD. The application of microbial metabolomics suggests that the microbiota can influence IBD pathogenesis by producing metabolites, which are implicated as crucial mediators of host-microbial crosstalk. This review aims to elaborate the current knowledge of perturbations of the microbiome-metabolome interface in IBD with description of altered composition and metabolite profiles of gut microbiota. We emphasized and elaborated recent findings of several potentially protective metabolite classes in IBD, including fatty acids, amino acids and derivatives and bile acids. This article will facilitate a deeper understanding of the new therapeutic approach for IBD by applying metabolome-based adjunctive treatment.
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  • 文章类型: Journal Article
    心脏代谢疾病(CMD),以代谢紊乱引发的心血管事件为特征,是导致死亡和残疾的主要原因。代谢紊乱引发慢性低度炎症,实际上,已经提出了一个新的元融合概念来定义与免疫适应有关的代谢状态。在免疫系统调节中不断增加的系统性代谢物列表中,胆汁酸(BA)代表了涉及CMD发育整个过程的一类独特的代谢产物,因为它在形成全身免疫代谢中具有多方面的作用。BA可以通过多种机制增强或抑制炎症反应来直接调节免疫系统。此外,BA是维持宿主和微生物群之间动态通信的关键决定因素。重要的是,BAs通过靶向法尼醇X受体(FXR)和不同的其他核受体在调节脂质的代谢稳态中起关键作用,葡萄糖,和氨基酸。此外,BAs轴本身易受炎症和代谢干预,因此,BAs轴可以构成元合成中的倒数调节环。因此,我们建议BAs轴代表整合CMD过程中涉及的全身免疫代谢的核心协调者。我们提供了一个更新的总结和密集的讨论关于如何BAs塑造先天和适应性免疫系统。以及BAs轴如何作为CMD条件下代谢紊乱与慢性炎症整合的核心协调器。
    Cardiometabolic disease (CMD), characterized with metabolic disorder triggered cardiovascular events, is a leading cause of death and disability. Metabolic disorders trigger chronic low-grade inflammation, and actually, a new concept of metaflammation has been proposed to define the state of metabolism connected with immunological adaptations. Amongst the continuously increased list of systemic metabolites in regulation of immune system, bile acids (BAs) represent a distinct class of metabolites implicated in the whole process of CMD development because of its multifaceted roles in shaping systemic immunometabolism. BAs can directly modulate the immune system by either boosting or inhibiting inflammatory responses via diverse mechanisms. Moreover, BAs are key determinants in maintaining the dynamic communication between the host and microbiota. Importantly, BAs via targeting Farnesoid X receptor (FXR) and diverse other nuclear receptors play key roles in regulating metabolic homeostasis of lipids, glucose, and amino acids. Moreover, BAs axis per se is susceptible to inflammatory and metabolic intervention, and thereby BAs axis may constitute a reciprocal regulatory loop in metaflammation. We thus propose that BAs axis represents a core coordinator in integrating systemic immunometabolism implicated in the process of CMD. We provide an updated summary and an intensive discussion about how BAs shape both the innate and adaptive immune system, and how BAs axis function as a core coordinator in integrating metabolic disorder to chronic inflammation in conditions of CMD.
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  • 文章类型: Journal Article
    辣木。(M.oleiferaLam)是一种多年生的热带落叶树,属于辣根科。多糖是油茶中主要的生物活性化合物之一,抗癌,抗氧化剂,肠道健康保护和抗糖尿病活性。目前,油茶多糖(MOPs)的结构和功能活性得到了广泛的研究,但是研究数据相对分散。此外,MOPs的结构与生物活性之间的关系尚未总结。在这次审查中,目前对提取的研究,净化,综述了不同来源油茶多糖的结构特征和生物活性,本文对纯化多糖的结构特征进行了综述。同时,介绍了MOPs的生物活性,并列举了一些分子机制。此外,讨论了MOPs的结构与生物活性之间的关系。此外,本文对油茶多糖的研究提出了新的观点和未来的研究方向。
    Moringa oleifera Lam. (M. oleifera Lam) is a perennial tropical deciduous tree that belongs to the Moringaceae family. Polysaccharides are one of the major bioactive compounds in M. oleifera Lam and show immunomodulatory, anticancer, antioxidant, intestinal health protection and antidiabetic activities. At present, the structure and functional activities of M. oleifera Lam polysaccharides (MOPs) have been widespread, but the research data are relatively scattered. Moreover, the relationship between the structure and biological activities of MOPs has not been summarized. In this review, the current research on the extraction, purification, structural characteristics and biological activities of polysaccharides from different sources of M. oleifera Lam were summarized, and the structural characteristics of purified polysaccharides were focused on this review. Meanwhile, the biological activities of MOPs were introduced, and some molecular mechanisms were listed. In addition, the relationship between the structure and biological activities of MOPs was discussed. Furthermore, new perspectives and some future research of M. oleifera Lam polysaccharides were proposed in this review.
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  • 文章类型: Journal Article
    肠道菌群与许多天然产物的药理活性有关。作为一种有效的降血脂药物,小檗碱(BBR)的临床应用受到明显的个体间反应差异的极大阻碍。迄今为止,关于肠道微生物与其治疗效果之间的因果关系的证据很少,以及细菌改变与个体间反应变异的联系。
    这项研究旨在确认肠道微生物群在BBR抗高脂血症作用中的因果作用,并确定可以预测其有效性的关键细菌。
    在高脂血症患者中研究了肠道菌群与BBR个体间反应变异之间的相关性。随后通过改变给药途径评估了肠道微生物在BBR抗高脂血症作用中的因果作用。与抗生素共同治疗,粪便微生物移植,和宏基因组分析。
    三个月的临床研究表明,BBR可有效降低血脂,但表现出明显的反应变化。BBR的降胆固醇而不是降甘油三酯的作用与其对肠道菌群的调节密切相关。有趣的是,Alistipes和Blautia的基线水平可以准确预测其在以下治疗中的抗高胆固醇血症疗效。小鼠的因果关系实验进一步证实,肠道微生物群对介导BBR的降脂作用既必要又足够。Blautia的缺失基本上消除了BBR降低胆固醇的功效。
    肠道菌群对于BBR的高脂血症改善作用是必要和充分的。肠道微生物的基线组成可以有效预测其药物治疗效果,为实现个性化治疗提供了新的途径。
    Gut microbiota has been implicated in the pharmacological activities of many natural products. As an effective hypolipidemic agent, berberine (BBR)\'s clinical application is greatly impeded by the obvious inter-individual response variation. To date, little evidence exists on the causality between gut microbes and its therapeutic effects, and the linkage of bacteria alterations to the inter-individual response variation.
    This study aims to confirm the causal role of the gut microbiota in BBR\'s anti-hyperlipidemic effect and identify key bacteria that can predict its effectiveness.
    The correlation between gut microbiota and BBR\'s inter-individual response variation was studied in hyperlipidemic patients. The causal role of gut microbes in BBR\'s anti-hyperlipidemic effects was subsequently assessed by altered administration routes, co-treatment with antibiotics, fecal microbiota transplantation, and metagenomic analysis.
    Three-month clinical study showed that BBR was effectively to decrease serum lipids but displayed an obvious response variation. The cholesterol-lowering but not triglyceride-decreasing effect of BBR was closely related to its modulation on gut microbiota. Interestingly, the baseline levels of Alistipes and Blautia could accurately predict its anti-hypercholesterolemic efficiency in the following treatment. Causality experiments in mice further confirmed that the gut microbiome is both necessary and sufficient to mediate the lipid-lowering effect of BBR. The absence of Blautia substantially abolished BBR\'s cholesterol-decreasing efficacy.
    The gut microbiota is necessary and sufficient for BBR\'s hyperlipidemia-ameliorating effect. The baseline composition of gut microbes can be an effective predictor for its pharmacotherapeutic efficacy, providing a novel way to achieve personalized therapy.
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