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A novel exopolysaccharide from Lactiplantibacillus plantarum H6 improves cholesterol metabolism via Muribaculum-mediated activation of the enterohepatic FXR-FGF15 axis. 一种来自植物乳杆菌H6的新型外多糖通过muribaculum介导的肠肝FXR-FGF15轴的激活来改善胆固醇代谢。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-02-02 DOI: 10.1080/19490976.2026.2623578
Yue Li, Jialin Wang, Hailing Wang, Xin Ma, Dayong Ren, Binghua Wang

Hypercholesterolemia is a major risk factor for atherosclerotic cardiovascular disease; however, current therapeutic options such as statins are limited by issues including hepatotoxicity and patient intolerance. Probiotics and their metabolites show promise in modulating cholesterol metabolism through the gut‒liver axis, yet the specific commensal bacteria and molecular mechanisms underlying these effects remain poorly understood. In this study, we isolated and characterized EPS-D1, a novel exopolysaccharide (15.003 kDa) derived from Lactiplantibacillus plantarum H6, which is composed primarily of mannose (46.10%) and glucose (33.98%) and features a highly branched structure (branching degree of 29.5%). The administration of EPS-D1 significantly reduced the serum total cholesterol (TC), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C) by 40.31%, 37.55%, and 43.15%, respectively, in high-cholesterol diet (HCD) mice. Additionally, it improved hepatic steatosis and reduced markers of liver injury. Through 16S rRNA sequencing and fecal microbiota transplantation (FMT), we identified Muribaculum as the key commensal bacterium enriched by EPS-D1. Direct administration of Muribaculum (Muribaculum intestinale) replicated the cholesterol-lowering effects, decreasing ileal and fecal cholesterol levels by 74.79% and 53.16%, respectively. Mechanistically, both EPS-D1 and M. intestinale activated the enterohepatic FXR‒FGF15 axis, which resulted in the upregulation of hepatic cholesterol 7α-hydroxylase (CYP7A1) expression and the downregulation of ileal ASBT and NPC1L1, thereby promoting bile acid synthesis and inhibiting cholesterol absorption. Furthermore, M. intestinale increased intestinal short-chain fatty acids (SCFAs), particularly acetic acid and caproic acid, by 37.88% while also modulating the composition of the bile acid pool. These findings establish M. intestinale as a precise microbial target for cholesterol management and demonstrate that EPS-D1 from L. plantarum H6 enhances cholesterol metabolism through microbiota-mediated activation of the enterohepatic FXR‒FGF15 axis, providing a novel therapeutic strategy for managing hypercholesterolemia.

高胆固醇血症是动脉粥样硬化性心血管疾病的主要危险因素;然而,目前的治疗选择,如他汀类药物,受到肝毒性和患者不耐受等问题的限制。益生菌及其代谢物有望通过肠-肝轴调节胆固醇代谢,但具体的共生细菌和这些作用背后的分子机制仍然知之甚少。本研究从植物乳杆菌H6中分离得到一种新的外多糖EPS-D1,其分子量为15.003 kDa,主要由甘露糖(46.10%)和葡萄糖(33.98%)组成,具有高度分支结构(分支度为29.5%)。EPS-D1可显著降低高胆固醇饮食(HCD)小鼠血清总胆固醇(TC)、甘油三酯(TG)和低密度脂蛋白胆固醇(LDL-C),分别降低40.31%、37.55%和43.15%。此外,它还能改善肝脂肪变性,减少肝损伤标志物。通过16S rRNA测序和粪便微生物群移植(FMT),我们确定了Muribaculum是EPS-D1富集的关键共生菌。直接给药Muribaculum (Muribaculum in肠子)具有相同的降胆固醇效果,可使回肠和粪便胆固醇水平分别降低74.79%和53.16%。从机制上讲,EPS-D1和M. in肠都激活了肠肝FXR-FGF15轴,导致肝脏胆固醇7α-羟化酶(CYP7A1)表达上调,回肠ASBT和NPC1L1表达下调,从而促进胆汁酸合成,抑制胆固醇吸收。此外,肠道短链脂肪酸(SCFAs)增加了37.88%,尤其是乙酸和己酸,同时还调节了胆汁酸池的组成。这些发现证实了m.e ninteinale是胆固醇管理的精确微生物靶点,并证明了L. plantarum H6的ps - d1通过微生物介导的肠肝FXR-FGF15轴的激活来增强胆固醇代谢,为管理高胆固醇血症提供了一种新的治疗策略。
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引用次数: 0
Novel bacterium Enterocloster sp. M3 promotes colorectal tumorigenesis via the production of the carcinogen styrene. 新型细菌entercloster sp. M3通过产生致癌物苯乙烯促进结直肠肿瘤的发生。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-02-16 DOI: 10.1080/19490976.2026.2630481
Yao Zeng, Yao Huang, Silin Ye, Effie Yin Tung Lau, Man Chun Chiu, Linda Fenske, Yuting Sun, Liting Jiang, Jiangying Chen, Yanqing Huang, Tingyu Zhou, Jiawei Lu, Jie Zhou, Shu Zheng, Francis Ka Leung Chan, Jessie Qiaoyi Liang
<p><strong>Background: </strong>The bacterial marker 'm3' shows promise for the non-invasive diagnosis of colorectal cancer (CRC) and adenomas. However, the m3-harboring bacterium (M3) had not been successfully cultured.</p><p><strong>Objective: </strong>This study aims to elucidate the functional mechanisms of M3 in CRC.</p><p><strong>Design: </strong>M3 was isolated using a targeted enrichment strategy. Its functional roles were investigated <i>in vitro</i> and <i>in vivo</i>. Bacterial and fecal metabolites were analyzed by untargeted LC-MS and targeted LC/GC-MS. RNA-seq profiled host gene expression altered by M3. Key enzymes were identified through whole-genome sequencing and proteomics.</p><p><strong>Results: </strong>M3 is phylogenetically related to <i>Enterocloster aldenensis</i> but exhibits distinct genetic and phenotypic characteristics. M3 significantly promoted colon tumor development in both <i>Apc</i><sup>Min/+</sup> mice and azoxymethane-treated mice. M3 culture supernatant enhanced colon cancer cell proliferation, migration, and cell cycle progression, accelerated xenograft tumor growth, stimulated intestinal organoid expansion, and disrupted DNA damage repair pathways. M3 produced styrene-a recognized human carcinogen-in both <i>in vitro</i> cultures and mouse models, a function not previously reported in bacteria. Importantly, styrene levels were significantly elevated in feces of CRC patients and exceeded WHO safety limit in mouse gut (12.5 vs. 7.7 μg/kg/d). Moreover, we identified novel bacterial enzymes-aspartate ammonia-lyase and uroporphyrinogen decarboxylase-that convert phenylalanine to styrene.</p><p><strong>Conclusions: </strong>This study identifies M3 as a novel pro-tumorigenic bacterium in CRC, capable of direct biosynthesis of the carcinogenic metabolite styrene. We provide the first evidence of bacterial styrene biosynthesis, unveiling a previously unrecognized mechanism by which gut bacteria may promote colorectal tumorigenesis.<b>WHAT IS ALREADY KNOWN ON THIS TOPIC</b>The bacterial marker m3 has been associated with colorectal cancer, but the bacterium carrying it had not been cultured.Styrene is a recognized environmental carcinogen linked to cancers, and its bacterial biosynthesis had not been reported.<b>WHAT THIS STUDY ADDS</b>We isolated and characterized the novel bacterium M3, which carries the m3 marker. It is phylogenetically related to <i>Enterocloster aldenensis</i> but possesses distinct genetic and phenotypic features.M3 promotes colorectal tumorigenesis through the production of tumor-promoting metabolites, including styrene.Fecal styrene levels are significantly elevated in colorectal cancer patients.We elucidated the mechanism of direct styrene biosynthesis in M3, identifying two novel enzymes-aspartate ammonia-lyase and uroporphyrinogen decarboxylase-that catalyze this process.<b>HOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE OR POLICY</b><i>M3 and bacterially derived styrene may serve as novel
背景:细菌标记物“m3”有望用于结直肠癌和腺瘤的非侵入性诊断。然而,携带M3的细菌(M3)尚未成功培养。目的:本研究旨在阐明M3在结直肠癌中的作用机制。设计:使用靶向富集策略分离M3。对其在体外和体内的功能作用进行了研究。采用非靶向LC- ms和靶向LC/GC-MS分析细菌和粪便代谢物。RNA-seq分析M3改变宿主基因表达。通过全基因组测序和蛋白质组学鉴定关键酶。结果:M3在系统发育上与aldenensis有亲缘关系,但表现出不同的遗传和表型特征。M3在ApcMin/+小鼠和氮氧甲烷处理小鼠中均显著促进结肠肿瘤的发展。M3培养上清液增强结肠癌细胞增殖、迁移和细胞周期进程,加速异种移植肿瘤生长,刺激肠道类器官扩张,破坏DNA损伤修复途径。在体外培养和小鼠模型中,M3都产生了苯乙烯——一种公认的人类致癌物,这是以前在细菌中没有报道过的功能。重要的是,结直肠癌患者粪便中的苯乙烯含量显著升高,超过了小鼠肠道中的WHO安全限值(12.5对7.7 μg/kg/d)。此外,我们发现了新的细菌酶-天冬氨酸解氨酶和尿卟啉原脱羧酶-将苯丙氨酸转化为苯乙烯。结论:本研究确定M3是结直肠癌中一种新的促肿瘤细菌,能够直接生物合成致癌代谢物苯乙烯。我们提供了细菌苯乙烯生物合成的第一个证据,揭示了肠道细菌可能促进结直肠肿瘤发生的一个以前未被认识的机制。细菌标记物m3与结直肠癌有关,但携带该标记物的细菌尚未培养。苯乙烯是一种公认的与癌症有关的环境致癌物,其细菌生物合成尚未有报道。本研究的目的:我们分离并鉴定了一种携带M3标记的新型细菌M3。它在系统发育上与阿尔登肠群集有关,但具有明显的遗传和表型特征。M3通过产生促肿瘤代谢物(包括苯乙烯)促进结直肠肿瘤的发生。结直肠癌患者粪便中苯乙烯含量显著升高。我们阐明了在M3中直接合成苯乙烯的机理,鉴定了两种催化这一过程的新酶——天冬氨酸解氨酶和尿卟啉原脱羧酶。该研究对研究、实践或政策的影响3和细菌衍生苯乙烯可能作为结直肠癌预防和治疗策略的新靶点。
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引用次数: 0
Gut-lung axis and microbiome alterations in mycobacterial infections: from pathogenesis to therapeutic potential. 分枝杆菌感染的肠-肺轴和微生物组改变:从发病机制到治疗潜力。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-01-07 DOI: 10.1080/19490976.2025.2612428
Kimin Kang, Joong-Yub Kim, Jae-Joon Yim, Donghyun Kim

Mycobacterial lung diseases, including tuberculosis (TB) and nontuberculous mycobacterial pulmonary disease (NTM-PD), are increasingly recognized as disorders influenced not only by host immunity but also by microbiota. Emerging evidence identifies the gut-lung axis (GLA) as a key bidirectional communication network linking intestinal and pulmonary homeostasis. Mycobacterial infection itself induces airway and gut dysbiosis through immune and metabolic disturbances, which is further exacerbated by prolonged antibiotic therapy. Dysbiosis within either site reciprocally affects the other via GLA, leading to reduced microbial diversity, impaired epithelial integrity, and systemic inflammation. These alterations disrupt metabolite-mediated immunoregulation and attenuate IL-22-driven epithelial defense, thereby weakening bacterial clearance and promoting chronic inflammation. Distinct microbial features, such as the depletion of beneficial SCFA-producing taxa and enrichment of pro-inflammatory anaerobes, are observed in both TB and NTM-PD. Moreover, therapy-induced microbiome remodeling influences treatment response and disease relapse. Restoring microbial balance through probiotics, prebiotics, postbiotics, dietary modulation, or fecal microbiota transplantation offers a promising adjunctive strategy. This review integrates current evidence linking microbiome dysbiosis to mycobacterial pathogenesis and highlights microbiome-targeted interventions as an emerging therapeutic frontier in pulmonary mycobacterial diseases.

分枝杆菌肺病,包括结核病(TB)和非结核性分枝杆菌肺病(NTM-PD),越来越多地被认为是不仅受宿主免疫影响,而且受微生物群影响的疾病。新出现的证据表明,肠-肺轴(GLA)是连接肠道和肺部稳态的关键双向通信网络。分枝杆菌感染本身通过免疫和代谢紊乱引起气道和肠道生态失调,而长期抗生素治疗会进一步加剧这种失调。任何一个部位的生态失调都会通过GLA相互影响另一个部位,导致微生物多样性减少,上皮完整性受损和全身炎症。这些改变破坏了代谢物介导的免疫调节,减弱了il -22驱动的上皮防御,从而削弱了细菌清除,促进了慢性炎症。在TB和NTM-PD中都观察到不同的微生物特征,例如有益的scfa生产分类群的消耗和促炎厌氧菌的富集。此外,治疗诱导的微生物组重塑影响治疗反应和疾病复发。通过益生菌、益生元、后益生菌、饮食调节或粪便微生物群移植恢复微生物平衡提供了一种很有前途的辅助策略。这篇综述整合了目前将微生物组失调与分枝杆菌发病机制联系起来的证据,并强调了微生物组靶向干预是肺分枝杆菌疾病的新兴治疗前沿。
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引用次数: 0
Peptidoglycan from Bifidobacterium adolescentis enhances IL-10 production in regulatory B cells to alleviate gut inflammation. 来自青少年双歧杆菌的肽聚糖增强调节性B细胞中IL-10的产生以减轻肠道炎症。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-01-09 DOI: 10.1080/19490976.2025.2611603
Sohyeon Lee, Yoonho Lee, Ho-Su Lee, Jiyoung Yu, Kyunggon Kim, Tae-Young Kim, Su-Hyun Lee, Yuan Qiao, Seungil Kim, Mi-Na Kweon

The mechanisms by which gut microbiota modulate host immune responses remain incompletely understood. Here, we screened Lactobacillus and Bifidobacterium strains isolated from healthy individuals to identify symbionts capable of suppressing gut inflammation. Among them, Bifidobacterium adolescentis (Bifi-94) induced IL-10 production in mononuclear cells in vitro. Oral administration of Bifi-94 to mice treated with dextran sulfate sodium attenuated weight loss and reduced colonic inflammation scores. In wild-type C57BL/6 mice, Bifi-94 increased IL-10 levels in colonic tissue homogenates without altering the frequency of regulatory T cells. Instead, CD19+CD11b+ regulatory B (Breg) cells emerged as the primary source of IL-10, with their numbers significantly increasing in the peritoneal cavity (PEC) after treatment. IL-10 secretion by PEC cells was robustly activated by live, heat-killed, and formalin-fixed Bifi-94. Bifi-94-derived peptidoglycan (PG) selectively stimulated IL-10 production in CD19⁺CD11b⁺ Breg cells, and multi-omics analyses showed that Bifi-94 exhibits increased expression of PG biosynthetic enzymes (MurE, MurD, Alr, UppP) relative to the type strain. Mechanistically, Bifi-94-derived PG promoted TLR2-dependent activation of ERK and p38 MAPK signaling in Breg cells. Notably, PG similarly enhanced IL-10 production in CD19+ B cells from human colonic tissue. These findings demonstrate that Bifi-94-derived PG promotes IL-10 production in Breg cells via TLR2-mediated signaling, thereby contributing to the attenuation of gut inflammation.

肠道菌群调节宿主免疫反应的机制尚不完全清楚。在这里,我们筛选从健康个体分离的乳杆菌和双歧杆菌菌株,以确定能够抑制肠道炎症的共生体。其中,双歧杆菌(Bifidobacterium adolescence, Bifi-94)在体外诱导单核细胞产生IL-10。经葡聚糖硫酸钠治疗的小鼠口服Bifi-94可减轻体重减轻并降低结肠炎症评分。在野生型C57BL/6小鼠中,Bifi-94在不改变调节性T细胞频率的情况下增加了结肠组织匀浆中IL-10的水平。相反,CD19+CD11b+调节性B (Breg)细胞成为IL-10的主要来源,治疗后其在腹腔(PEC)中的数量显著增加。活的、热灭活的、福尔马林固定的Bifi-94能强烈激活PEC细胞分泌IL-10。Bifi-94衍生的肽聚糖(PG)选择性地刺激了CD19 + CD11b + Breg细胞中IL-10的产生,多组学分析显示,Bifi-94中PG生物合成酶(MurE、MurD、Alr、UppP)的表达比该型菌株增加。在机制上,bifi -94衍生的PG促进了Breg细胞中依赖tlr2的ERK和p38 MAPK信号的激活。值得注意的是,PG同样增强了人结肠组织CD19+ B细胞中IL-10的产生。这些发现表明,bifi -94衍生的PG通过tlr2介导的信号传导促进Breg细胞中IL-10的产生,从而有助于肠道炎症的衰减。
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引用次数: 0
Gut microbiome-derived propionate reprograms alveolar macrophages metabolically and regulates lung injury responses in mice. 肠道微生物源性丙酸盐对小鼠肺泡巨噬细胞进行代谢重组并调节肺损伤反应。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2025-12-30 DOI: 10.1080/19490976.2025.2606486
Daisuke Maruyama, Xiaoli Tian, Thien N M Doan, Wen-I Liao, Tomohiro Chaki, Hiroki Taenaka, Mazharul Maishan, Michael A Matthay, Arun Prakash

Responses to lung injury can vary between individuals with the diet and gut microbiome representing two underappreciated sources for this variability. The gut microbiome can influence lung injury outcomes through the gut‒lung axis, but exactly how diet and its effects on the microbiota are involved remains unclear. We hypothesized that dietary fiber interventions would favor the presence of short-chain fatty acid (SCFA)-producing fermentative bacteria presence in the gut microbiome, thereby influencing the resting lung immunometabolic tone as well as influencing downstream responses to lung injury and infection. To test this hypothesis, we fed mice fiber-rich (FR) and fiber-free (FF) diets, and observed changes in the steady-state transcriptional programming of alveolar macrophages (AM). Next, we examined the effects of the FR and FF diets on murine responses to sterile and infectious lung injury in vivo while simultaneously profiling the gut microbiota and SCFA levels transmitted along the gut‒lung axis. Finally, we validated our in vivo observations with mechanistic studies of the metabolic, signaling, and chromatin-modifying effects of specific SCFAs on lung AM ex vivo and in vitro. Overall, our fiber-rich diet reprogrammed AMs and attenuated lung inflammation after sterile injury while exacerbating lung infection. This effect of FR diets could be transferred to germ-free (GF) mice by fecal microbiome transplantation (FMT) and depended on the ability of the microbiota to produce propionate. Mechanistically, SCFAs altered the metabolic programming of AMs and lung tissue ex vivo without a clear role for free fatty acid receptors (FFAR) or chromatin remodeling. These findings demonstrate that the gut‒lung axis can regulate resting lung metabolic tone through dietary fiber intake and the enrichment of SCFA-producing gut bacteria, as well as influence sterile and non-sterile lung injury responses. These results provide evidence to support the development of therapeutic dietary interventions to preserve or enhance specific aspects of host pulmonary immunity.

个体对肺损伤的反应可能不同,饮食和肠道微生物组代表了这种差异的两个未被充分认识的来源。肠道微生物群可以通过肠-肺轴影响肺损伤的结果,但饮食及其对微生物群的影响究竟是如何参与的尚不清楚。我们假设膳食纤维干预将有利于肠道微生物群中产生短链脂肪酸(SCFA)的发酵菌的存在,从而影响静息肺免疫代谢调节以及对肺损伤和感染的下游反应。为了验证这一假设,我们给小鼠喂食富含纤维(FR)和无纤维(FF)的饮食,观察肺泡巨噬细胞(AM)稳态转录编程的变化。接下来,我们研究了FR和FF饮食对小鼠体内无菌和感染性肺损伤反应的影响,同时分析了肠道微生物群和沿肠-肺轴传播的SCFA水平。最后,我们在体内和体外验证了我们的体内观察结果,研究了特异性SCFAs对肺AM的代谢、信号传导和染色质修饰作用的机制。总的来说,我们的富含纤维的饮食重新编程了AMs,减轻了无菌损伤后的肺部炎症,同时加剧了肺部感染。FR饲料的这种效果可以通过粪便微生物组移植(FMT)转移到无菌(GF)小鼠身上,并取决于微生物群产生丙酸的能力。在机制上,SCFAs改变了AMs和肺组织的体外代谢程序,但对游离脂肪酸受体(FFAR)或染色质重塑没有明确的作用。这些结果表明,肠-肺轴可以通过膳食纤维摄入和产生scfa的肠道细菌的富集来调节静息肺代谢张力,并影响无菌和非无菌肺损伤反应。这些结果为支持治疗性饮食干预的发展提供了证据,以保持或增强宿主肺免疫的特定方面。
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引用次数: 0
The role of gut microbiota in chronic intestinal pseudo-obstruction: exploring fecal microbiota transplantation as a treatment option. 肠道菌群在慢性假性肠梗阻中的作用:探索粪便菌群移植作为一种治疗选择。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-01-07 DOI: 10.1080/19490976.2025.2610597
Giada De Palma, Anna Costanzini, Vidhyalakshmi Mohan, Sacha Sidani, Zarwa Saqib, Marc Pigrau, Jun Lu, Natalia Causada Calo, Ines Pinto-Sanchez, Elena F Verdu, Margaret Marcon, Giovanni Barbara, Vincenzo Stanghellini, Roberto De Giorgio, Stephen M Collins, Premysl Bercik

Chronic intestinal pseudo-obstruction (CIPO) is characterized by bowel dilation and obstructive symptoms without any structural blockage. Although the microbiota is known to affect gastrointestinal function, its role in CIPO is poorly understood. We aimed to characterize the CIPO microbiota, investigate its role in disease expression and explore the therapeutic role of fecal microbiota transplantation (FMT). CIPO patients (n = 14) and healthy controls (HC, n = 12) were recruited from Italy and Canada. Microbiota profiles and functions were assessed by 16S rRNA sequencing and PICRUSt. Germ-free NIH Swiss mice were colonized with HC and CIPO microbiota, their intestinal transit and bowel distension were assessed by videofluoroscopy and computed tomography (CT), and the expression of host genes by NanoString®. The CIPO microbiota exhibited reduced microbial diversity with dominance of Proteobacteria and altered metabolic function. Mice with CIPO microbiota developed marked bowel distension and slow intestinal transit associated with altered expression of multiple genes related to immunity, the intestinal barrier and neuromuscular function. FMT from a HC improved the microbiota profile, intestinal transit and bowel distension in both CIPO mice and a selected CIPO patient, in whom a marked clinical improvement was sustained for 8 y. Thus, our findings support the use of microbiota-directed therapies to induce clinical improvement in CIPO patients.

慢性假性肠梗阻(CIPO)以肠扩张和梗阻症状为特征,无任何结构性阻塞。虽然已知微生物群影响胃肠道功能,但其在CIPO中的作用尚不清楚。我们的目的是表征CIPO微生物群,研究其在疾病表达中的作用,并探讨粪便微生物群移植(FMT)的治疗作用。CIPO患者(n = 14)和健康对照(HC, n = 12)来自意大利和加拿大。通过16S rRNA测序和PICRUSt评估微生物群特征和功能。用HC和CIPO菌群定植无菌NIH瑞士小鼠,通过显像透视和计算机断层扫描(CT)评估其肠道运输和肠道膨胀,并通过NanoString®检测宿主基因的表达。CIPO微生物群表现出微生物多样性降低,变形菌群占主导地位,代谢功能改变。携带CIPO菌群的小鼠出现明显的肠道膨胀和肠道运输缓慢,这与免疫、肠屏障和神经肌肉功能相关的多种基因表达改变有关。来自HC的FMT改善了CIPO小鼠和选定的CIPO患者的微生物群特征,肠道运输和肠道膨胀,其中显着的临床改善持续了8年。因此,我们的研究结果支持使用微生物群导向疗法来诱导CIPO患者的临床改善。
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引用次数: 0
Clostridium butyricum alleviates multiple myeloma by remodeling the bone marrow microenvironment and inhibiting PI3K/AKT pathway through the gut‒bone axis. 丁酸梭菌通过重塑骨髓微环境和通过肠-骨轴抑制PI3K/AKT通路来缓解多发性骨髓瘤。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-01-02 DOI: 10.1080/19490976.2025.2609455
Jingyu Wang, Fuming Zi, Wu Liu, Chengrui Liu, Zhengfeng Zhang, Leilei Kong, Xuan Xu, Jing Wei, Tingtao Chen, Jian Li

Emerging evidence reveals a strong connection between the gut microbiota and cancer. However, the exact role of gut microbiota dysbiosis in multiple myeloma (MM) is poorly understood, and the therapeutic potential of microbiota-targeted interventions represents a promising strategy that demands urgent mechanistic and translational investigation. First, we conducted a comprehensive microbiome-metabolite analysis between MM patients and healthy individuals. The result revealed a marked compositional difference characterized by reduced abundances of butyrate-producing bacteria and diminished butyrate levels in the MM cohort. Subsequent fecal microbiota transplantation demonstrated that the gut microbiota critically modulates MM progression, with healthy donor-derived microbiota reducing the tumor burden and concomitantly elevating serum butyrate. Furthermore, through function-based culturomics screening, Clostridium butyricum (C. butyricum) was identified as a key butyrate-producing specialist. C. butyricum or its metabolite butyrate significantly reduced the systemic tumor burden in 5TGM1 mice. Notably, C. butyricum and butyrate alleviated bone marrow inflammation and osteolytic lesions by suppressing Th17 cells and IL-17 levels in the bone marrow. Moreover, cellular assays and transcriptome sequencing further revealed that butyrate could induce MM cells' apoptosis via HDAC inhibition-mediated upregulation of PPARγ, leading to sequential suppression of the PI3K/AKT pathway and antiapoptotic BCL-2 expression. This apoptotic signaling cascade was reversed by PPARγ antagonism. The direct antitumor effect was further confirmed in M-NSG mice. Our research systematically verifies the specific role of the gut microbiota in MM and provides the first evidence of the immune and molecular mechanisms by which C. butyricum alleviates MM progression, offering preclinical support for probiotic-based therapies against MM.

越来越多的证据表明,肠道微生物群与癌症之间存在着密切的联系。然而,肠道微生物群失调在多发性骨髓瘤(MM)中的确切作用尚不清楚,微生物群靶向干预的治疗潜力代表了一种有希望的策略,需要紧急的机制和转化研究。首先,我们在MM患者和健康个体之间进行了全面的微生物组代谢物分析。结果显示,在MM队列中,丁酸盐产生细菌的丰度降低,丁酸盐水平降低,这是显著的组成差异。随后的粪便微生物群移植表明,肠道微生物群对MM的进展起着关键的调节作用,健康的供体来源的微生物群减少了肿瘤负担,同时提高了血清丁酸盐。此外,通过基于功能的培养组学筛选,丁酸梭菌(C. butyricum)被确定为生产丁酸盐的关键专家。C.丁酸盐或其代谢物丁酸盐显著降低5TGM1小鼠的全身肿瘤负荷。值得注意的是,丁酸梭菌和丁酸盐通过抑制骨髓中Th17细胞和IL-17水平减轻骨髓炎症和溶骨病变。此外,细胞实验和转录组测序进一步显示,丁酸盐可通过HDAC抑制介导的PPARγ上调诱导MM细胞凋亡,从而抑制PI3K/AKT通路和抗凋亡BCL-2的表达。这种凋亡信号级联被PPARγ拮抗逆转。在M-NSG小鼠中进一步证实了其直接抗肿瘤作用。我们的研究系统地验证了肠道微生物群在MM中的特定作用,并首次提供了丁酸梭菌缓解MM进展的免疫和分子机制的证据,为基于益生菌的MM治疗提供了临床前支持。
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引用次数: 0
Akkermansia muciniphila modulates intestinal mucus composition to counteract high-fat diet-induced obesity in mice. 嗜粘杆菌调节肠道粘液成分以对抗小鼠高脂肪饮食引起的肥胖。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-01-09 DOI: 10.1080/19490976.2025.2612580
Paola Paone, Camille Petitfils, Anthony Puel, Dimitris Latousakis, Willem M de Vos, Nathalie M Delzenne, Nathalie Juge, Matthias Van Hul, Patrice D Cani

Objective: This study investigates whether live Akkermansia muciniphila MucT supplementation can counteract obesity and metabolic dysfunctions induced by a high-fat diet (HFD) by modulating intestinal mucus production, secretion and composition.

Design: C57BL/6J mice were fed an HFD with or without live A. muciniphila MucT (2 × 108 CFU per day) supplementation or a control diet for 6 weeks. Body weight, fat mass gain and metabolic markers were measured. Intestinal mucus characteristics were assessed via gene expression analysis of mucins and analysed mucin glycosylation by tandem mass spectrometry (MS/MS).

Results: Mice receiving live A. muciniphila MucT exhibited reduced body weight gain and fat mass accumulation compared to HFD controls, without changes in muscle mass. A. muciniphila improved gut barrier integrity by increasing antimicrobial peptide expression in the jejunum and in the colon of HFD-fed mice. Furthermore, live A. muciniphila MucT influenced markers of goblet cell differentiation and restored the expression of mucin markers altered by HFD. Specifically, live A. muciniphila MucT counteracted HFD-induced mucin 3 (Muc3) expression depletion in the colon. Although the overall mucus thickness was not affected by live A. muciniphila MucT, the bacteria significantly modulated mucin glycans composition. Live A. muciniphila MucT did not change the gut microbiota composition.

Conclusion: These findings highlight the protective effects of live A. muciniphila MucT against diet-induced metabolic dysfunctions by modulating adiposity, mucus layer composition, and glycan profiles. This reinforces its potential as a therapeutic strategy for metabolic disorders associated with gut microbiota alterations.

目的:本研究探讨添加活的嗜粘阿克曼氏菌MucT是否可以通过调节肠道粘液的产生、分泌和组成来对抗高脂肪饮食(HFD)诱导的肥胖和代谢功能障碍。设计:C57BL/6J小鼠分别饲喂添加或不添加嗜粘杆菌活菌MucT(每天2 × 108 CFU)或对照饲料6周。测量体重、脂肪量增加和代谢指标。通过粘蛋白基因表达分析评估肠道粘液特征,并通过串联质谱(MS/MS)分析粘蛋白糖基化。结果:与HFD对照组相比,接受活的嗜粘液芽胞杆菌MucT治疗的小鼠体重增加和脂肪积累减少,肌肉质量没有变化。A. muciniphila通过增加hfd喂养小鼠空肠和结肠中抗菌肽的表达来改善肠道屏障的完整性。此外,活的嗜粘杆菌MucT影响杯状细胞分化标记物,恢复了HFD改变的粘蛋白标记物的表达。具体来说,活的嗜粘杆菌MucT抵消了hfd诱导的结肠中mucin 3 (Muc3)的表达缺失。虽然总的黏液厚度不受活的嗜粘杆菌MucT的影响,但细菌显著调节了黏液蛋白聚糖的组成。活的嗜粘杆菌MucT没有改变肠道菌群组成。结论:这些发现强调了活的嗜粘单胞杆菌MucT通过调节肥胖、黏液层组成和聚糖谱对饮食诱导的代谢功能障碍的保护作用。这加强了其作为与肠道菌群改变相关的代谢紊乱的治疗策略的潜力。
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引用次数: 0
GutMIND: A multi-cohort machine learning framework for integrative characteristics of the microbiota-gut-brain axis in neuropsychiatric disorders. GutMIND:神经精神疾病中微生物-肠道-脑轴综合特征的多队列机器学习框架。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-02-16 DOI: 10.1080/19490976.2026.2630563
Yanmei Ju, Shutian Lin, Shaohua Hu, Xin Jin, Liang Xiao, Tao Zhang, Yudan Zhang, Liping Zhang, Xiancang Ma, Feng Zhu, Ruijin Guo

Emerging evidence underscores bidirectional communication along the microbiota-gut-brain axis in neuropsychiatric disorders. However, the field lacks dedicated metagenomic resources with standardized phenotyping for these conditions. Existing single-cohort studies face inherent limitations due to restricted sample sizes, confounding heterogeneity, and methodological fragmentation, compromising reproducibility and mechanistic insights. To overcome these challenges, we constructed the Gut Microbiome in Multinational Integrated Neuropsychiatric Disorders (GutMIND) database, a comprehensive resource integrating shotgun metagenomic data with harmonized metadata. Adhering to a standardized preprocessing protocol and rigorous quality control workflow, this dataset represents the largest gut-brain microbiome repository to date, encompassing 31 studies across 12 countries (n = 3,492) spanning 14 neuropsychiatric conditions. Utilizing this dataset, we characterized microbial community heterogeneity, which was significantly elevated in patients compared to healthy controls. Subsequently, we developed a computational framework, MetaClassifier, enabling the diagnosis of neuropsychiatric disorders and the identification of microbial biomarkers. Employing a comprehensive two-stage validation strategy, we first assessed the model utilizing taxonomic abundance profiles via nested cross-validation in the high-quality discovery cohort (n = 2,734), achieving a mean AUROC of 0.69 (range: 0.55-0.78) across 8 disorders. Its robustness was further confirmed in an independent platform-extended validation cohort (n = 400), yielding a mean AUROC of 0.71 (range: 0.60-0.76). We also developed the Microbial Gut-Brain Axis Health Index (MGBA-HI), which effectively distinguished neuropsychiatric status in both the high-quality cohort and the platform-extended cohort. Furthermore, integrative analysis of health-abundant species, index-derived biomarkers, and ecological prevalence, we identified 9 core neuropsychiatric-protective microbiota. These species predominantly exhibited metabolic capacities linked to glutamate synthesis and acetate production. Building upon this, the GutMIND framework ensures robust cross-cohort comparability while minimizing technical heterogeneity, thereby enhancing inferential rigor in gut microbiome-neuropsychiatry research. Notably, the MetaClassifier, MGBA-HI, and core microbiota hold translational potential for developing microbiome-based prognostic tools and personalized therapeutic strategies in neuropsychiatric disorders. The source code and usage instructions for MetaClassifier are accessible at https://github.com/juyanmei/MetaClassifier.

新出现的证据强调了神经精神疾病中沿微生物-肠道-脑轴的双向交流。然而,该领域缺乏针对这些疾病的标准化表型的专用宏基因组资源。现有的单队列研究由于样本量有限、混杂异质性、方法学碎片化、影响再现性和机制见解而面临固有的局限性。为了克服这些挑战,我们在多国综合神经精神疾病(GutMIND)数据库中构建了肠道微生物组,这是一个综合了霰弹枪宏基因组数据和统一元数据的综合资源。该数据集遵循标准化的预处理协议和严格的质量控制工作流程,代表了迄今为止最大的肠-脑微生物组库,包括12个国家(n = 3,492)的31项研究,涵盖14种神经精神疾病。利用该数据集,我们表征了微生物群落的异质性,与健康对照组相比,患者的微生物群落异质性显著升高。随后,我们开发了一个计算框架,MetaClassifier,使神经精神疾病的诊断和微生物生物标志物的鉴定成为可能。采用全面的两阶段验证策略,我们首先在高质量的发现队列(n = 2734)中通过嵌套交叉验证利用分类丰度概况评估模型,在8种疾病中获得平均AUROC为0.69(范围:0.55-0.78)。在独立的平台扩展验证队列(n = 400)中进一步证实了其稳健性,平均AUROC为0.71(范围:0.60-0.76)。我们还开发了微生物肠-脑轴健康指数(MGBA-HI),该指数可有效区分高质量队列和平台扩展队列的神经精神状态。此外,通过对健康丰富的物种、指数衍生的生物标志物和生态流行度的综合分析,我们确定了9个核心的神经精神保护微生物群。这些物种主要表现出与谷氨酸合成和醋酸盐生产有关的代谢能力。在此基础上,GutMIND框架确保了强大的跨队列可比性,同时最大限度地减少了技术异质性,从而增强了肠道微生物组-神经精神病学研究的推理严谨性。值得注意的是,metacclassifier、MGBA-HI和核心微生物群在开发基于微生物组的神经精神疾病预后工具和个性化治疗策略方面具有转化潜力。metacclassifier的源代码和使用说明可在https://github.com/juyanmei/MetaClassifier上访问。
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引用次数: 0
Microbial extracellular vesicles from min pigs remodel macrophage polarization via STING to sustain intestinal immune homeostasis. 猪的微生物细胞外囊泡通过STING重塑巨噬细胞极化,维持肠道免疫稳态。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-01-27 DOI: 10.1080/19490976.2026.2620126
Zhendong Sun, Zichuan An, Weichen Hong, Chenpeng He, Jiaxin Liu, Yupu Wang, Chenyu Xue, Na Dong

Intestinal immune homeostasis is crucial for intestinal function and health. Increasing evidence suggests that certain gut microbiota can enhance the host's intestinal immune regulatory capacity. However, the mechanisms by which the microbiota confers beneficial traits and robust immunity to the host, as well as the cross-species reproducibility of these effects, remain unclear. This study, through multi-omics integration comparison and functional validation, revealed that Streptococcus hyointestinalis from Min pigs regulates macrophage polarization homeostasis by targeting and inhibiting the excessive activation of the STING signaling pathway and its downstream pro-inflammatory cascade reactions through its extracellular vesicles (EVs), thereby shifting them toward the M2 phenotype. This process ensures the integrity of the intestinal barrier and alleviates colitis induced by the combined effects of low temperature and sodium sulfate-induced colitis (DSS). Notably, in Sting-/- mice, the EV-mediated intestinal protective effect was eliminated, confirming its targeted efficacy. Our data reveal a microbial EV‒STING‒macrophage axis in which symbiotic bacterial exosomes promote reparative macrophage programs by regulating STING signaling and maintaining intestinal integrity under environmental stress. These findings reveal a novel host-microbiota communication pathway with therapeutic potential for the treatment of inflammation-driven intestinal diseases.

肠道免疫稳态对肠道功能和健康至关重要。越来越多的证据表明,某些肠道微生物群可以增强宿主的肠道免疫调节能力。然而,微生物群赋予宿主有益特性和强大免疫力的机制,以及这些效应的跨物种可重复性,仍不清楚。本研究通过多组学整合比较和功能验证,发现Min猪的水肠链球菌通过其细胞外囊泡(EVs)靶向并抑制STING信号通路的过度激活及其下游促炎级联反应,从而使其向M2表型转移,从而调节巨噬细胞极化稳态。这一过程保证了肠道屏障的完整性,减轻了低温和硫酸钠诱导结肠炎(DSS)共同作用引起的结肠炎。值得注意的是,在Sting-/-小鼠中,ev介导的肠道保护作用被消除,证实了其靶向作用。我们的数据揭示了微生物ev - STING -巨噬细胞轴,其中共生细菌外泌体通过调节STING信号和维持环境应激下的肠道完整性来促进巨噬细胞修复程序。这些发现揭示了一种新的宿主-微生物群通讯途径,具有治疗炎症驱动的肠道疾病的治疗潜力。
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