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The gut microbiota and host immunity synergistically orchestrate colonization resistance. 肠道菌群和宿主免疫协同协调定植抗性。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-01-03 DOI: 10.1080/19490976.2025.2611545
Na Li, Xiaohuan Guo

Colonization resistance is a fundamental host defense mechanism that relies on the synergistic interaction between the gut microbiota and the host immune system to prevent enteric pathogen colonization and infection. This review synthesizes current knowledge of the multifaceted mechanisms governing colonization resistance against intestinal pathogens. We examine how commensal microbes directly suppress pathogens through niche and nutrient competition, contact-dependent inhibition, and the production of antimicrobial compounds and metabolites. From the host perspective, we outline the essential roles of gut barriers, innate and adaptive immunity, and antimicrobial peptides in maintaining microbiota homeostasis while selectively restricting pathogen expansion. We also emphasize the role of IL-22 signaling and its regulation of epithelial glycosylation, which modulates nutrient availability and shapes microbial competitiveness. Finally, we discuss key challenges and future research directions in colonization resistance and related translational research, with the goal of informing novel strategies to prevent and treat intestinal infections and inflammatory diseases.

定植抗性是宿主的一种基本防御机制,它依赖于肠道微生物群与宿主免疫系统之间的协同相互作用来阻止肠道病原体的定植和感染。这篇综述综合了目前对肠道病原体定植耐药的多方面机制的了解。我们研究了共生微生物如何通过生态位和营养竞争、接触依赖性抑制以及抗菌化合物和代谢物的产生直接抑制病原体。从宿主的角度来看,我们概述了肠道屏障、先天免疫和适应性免疫以及抗菌肽在维持微生物群稳态和选择性限制病原体扩张方面的重要作用。我们还强调了IL-22信号的作用及其对上皮糖基化的调节,这调节了营养物质的可用性和形成了微生物的竞争力。最后,我们讨论了定植抵抗和相关转化研究的关键挑战和未来研究方向,目的是为预防和治疗肠道感染和炎症性疾病提供新的策略。
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引用次数: 0
Sialic acid-responsive Parabacteroides is linked to gut barrier integrity in older adults. 唾液酸反应类副杆菌与老年人肠道屏障完整性有关。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-02-10 DOI: 10.1080/19490976.2026.2627093
Shin Fujiwara, Jonguk Park, Mariko Takeda, Takumi Miyatake, Yoshie Saito, Seiya Makino, Yun-Gi Kim

Aging is frequently accompanied by inflammaging-a chronic, low-grade inflammatory state that contributes to functional decline and disease risk. Disruption of the intestinal barrier is increasingly being recognized as a key driver of inflammaging; however, its relationship with the gut microbiota in older adults remains poorly understood. Here, we demonstrate a significant association of intestinal barrier dysfunction markers with systemic inflammatory markers using a cross-sectional study in this population. Notably, the genus Parabacteroides showed a strong negative association with barrier dysfunction. In vitro assays showed that three Parabacteroides lineages predominant in older adults, including P. merdae, enhanced the intestinal barrier integrity in a viability-dependent manner. Fecal sialic acid (Neu5Ac) levels were positively correlated with the abundance of Parabacteroides. Mediation analysis further indicated that Parabacteroides significantly mediated the association between fecal sialic acid and intestinal barrier markers. Culture experiments showed that both sialic acid and mucin, which is rich in terminal sialyl residues, promoted Parabacteroides growth. Transcriptomic analysis of P. merdae cultured with sialic acid revealed upregulation of genes for sialidases, transporters, and enzymes, consistent with sialic acid catabolism and transport, suggesting utilization of mucin-derived sialic acid. Together, these findings indicate that in older adults, Parabacteroides is linked to the intestinal barrier integrity and responds to mucin-associated sialic acid, supporting a model wherein host-derived glycans foster barrier-protective microbes to promote healthy aging. The study findings provide avenues for devising strategies for maintaining the intestinal barrier integrity and reducing age-related inflammation, which may ultimately contribute to the prevention of inflammaging.

衰老通常伴随着炎症——一种慢性的、低度的炎症状态,会导致功能下降和疾病风险。肠道屏障的破坏越来越被认为是炎症的关键驱动因素;然而,它与老年人肠道微生物群的关系仍然知之甚少。在这里,我们在该人群中通过横断面研究证明了肠屏障功能障碍标志物与全身性炎症标志物的显著关联。值得注意的是,Parabacteroides属与屏障功能障碍表现出强烈的负相关。体外实验表明,在老年人中占主导地位的三种副芽孢杆菌谱系,包括merdae,以生存依赖的方式增强了肠道屏障的完整性。粪唾液酸(Neu5Ac)水平与拟副杆菌丰度呈正相关。中介分析进一步表明,副芽孢杆菌显著介导粪唾液酸与肠道屏障标志物之间的关联。培养实验表明,唾液酸和富含末端唾液残基的粘蛋白均能促进副芽孢杆菌的生长。用唾液酸培养的merdae转录组学分析显示,唾液酸酶、转运蛋白和酶的基因上调,与唾液酸的分解代谢和运输一致,表明利用黏液来源的唾液酸。总之,这些发现表明,在老年人中,拟副杆菌与肠道屏障完整性有关,并对黏液相关唾液酸作出反应,支持宿主衍生聚糖培养屏障保护微生物以促进健康衰老的模型。研究结果为制定维持肠道屏障完整性和减少年龄相关炎症的策略提供了途径,这可能最终有助于预防炎症。
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引用次数: 0
The gut microbiome in graft-versus-host disease: mechanisms of immune modulation and therapeutic approaches. 移植物抗宿主病中的肠道微生物组:免疫调节机制和治疗方法。
IF 11 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-12-31 Epub Date: 2026-02-18 DOI: 10.1080/19490976.2026.2631224
Adonai Blessington Moses, Albert C Yeh

Graft-versus-host disease (GvHD) remains a major complication of allogeneic hematopoietic stem cell transplantation and occurs when T cells from the donor graft target recipient-derived antigen on host tissue. The involvement of the gastrointestinal (GI) tract drives morbidity and mortality-not coincidentally, the GI tract also harbors the most complex and abundant human microbial reservoir. In this review, we first revisit how the microbiota initiates, propagates, and protects against GvHD in the context of both innate and adaptive immunity. Historically, the impact of the microbiota on GvHD has been ascribed primarily to the activation of innate immunity, setting the stage for donor alloreactivity. Although established models of GvHD focus on donor-host genetic disparity as the principal driver of donor T-cell activation, commensal microbes in the GI tract, whose collective gene content exceeds that of the human genome by more than two orders of magnitude, constitutes an immense and poorly understood source of potential T-cell antigens. We next discuss the evolution of therapeutic approaches aimed at modifying the microbiota to improve GvHD outcomes, incorporating over 40 clinical studies spanning the last 40 years, from broad decontamination strategies to pre/probiotic approaches and targeted ecosystem replacement, including fecal microbiota transplantation.

移植物抗宿主病(GvHD)仍然是异体造血干细胞移植的主要并发症,当来自供体移植物的T细胞靶向宿主组织上的受体衍生抗原时发生。胃肠道的参与导致发病率和死亡率——并非巧合的是,胃肠道也是最复杂和最丰富的人类微生物储存库。在这篇综述中,我们首先回顾了在先天免疫和适应性免疫的背景下,微生物群是如何启动、繁殖和保护GvHD的。从历史上看,微生物群对GvHD的影响主要归因于先天免疫的激活,为供体同种异体反应奠定了基础。虽然已建立的GvHD模型将供体-宿主遗传差异作为供体t细胞激活的主要驱动因素,但胃肠道中的共生微生物,其总基因含量超过人类基因组两个数量级以上,构成了潜在t细胞抗原的巨大而鲜为人知的来源。接下来,我们将讨论旨在改变微生物群以改善GvHD结果的治疗方法的发展,结合过去40年的40多项临床研究,从广泛的去污染策略到益生菌预处理方法和有针对性的生态系统替代,包括粪便微生物群移植。
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引用次数: 0
The role of gut microbes in production of aromatic carboxaldehydes 肠道微生物在芳香羧醛生产中的作用
IF 12.2 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-22 DOI: 10.1080/19490976.2026.2632979
Manish Kumar, Rachel Son, Sarah M. Preston, Robert W. P. Glowacki, Kelley M. Carr, Jiyeon Kim, Jin Z. Ma, Philip P. Ahern, Jan Claesen, Naseer Sangwan, Florian Rieder, Ina Nemet
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引用次数: 0
Aging-caused the changes of the gut microbiota drive intestinal barrier dysfunction and increase sepsis susceptibility 衰老引起的肠道菌群变化导致肠道屏障功能障碍,增加脓毒症易感性
IF 12.2 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-22 DOI: 10.1080/19490976.2026.2630475
Huoyan Liang, Xianfei Ding, Shaohua Liu, Shuai Tong, Xu Wang, Zihao Zhang, Wei Wang, Xiaojuan Zhang, Yangyang Yuan, Yong Jiang, Tongwen Sun
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引用次数: 0
Alcohol consumption in metabolic dysfunction-associated steatotic liver disease (MASLD): understanding the gut–liver crosstalk for clinical translation 酒精消耗与代谢功能障碍相关的脂肪变性肝病(MASLD):了解肠-肝串扰的临床翻译
IF 12.2 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-02-22 DOI: 10.1080/19490976.2026.2631834
Raquel Benedé-Ubieto, Olga Estévez-Vázquez, Rana Acar, Hector Leal-Lassalle, Alejandro H. Gutierrez, Ana Redondo-Urzainqui, Salvador Iborra, Vera E. Odintsova, Alexander Tyakht, José María Herranz, Zehra Firat, Merve Basol, Busra Korkmaz, Carlos Sanz-García, Oriol Juanola, Esther Caparrós, Rubén Francés, Andreea Ciudin, Juan M. Pericàs, Beatriz Gómez-Santos, Patricia Aspichueta, Nicole Treichel, Thomas Clavel, Johanna Reißing, Tony Bruns, Matthias Bartneck, Marina S. Mazariegos, Justina Clarinda Wolters, Gonzalo Jorquera, Christian Liedtke, Javier Vaquero, Rafael Bañares, Gulcin Cakan-Akdogan, Matías A. Ávila, Ozlen Konu, Francisco Javier Cubero, Yulia A. Nevzorova
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引用次数: 0
Dynamic involvement of the core gut microbiome XNP_Guild1 in the evolution of gestational diabetes mellitus. 核心肠道微生物群XNP_Guild1在妊娠期糖尿病演变中的动态参与。
IF 12.2 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-31 DOI: 10.1080/19490976.2026.2623353
Hualongyue Du,Qiaoxi Lin,Xiaojing He,Bin Yang,Yiyao Huang,Qianbei Li,Yudi Wang,Ruijing Wen,Wenlong Lin,Shenghui Li,Lei Zheng,Zihao Ou
Integrated large-scale maternal microbiome cohort analyses are critical for understanding the development of gestational diabetes mellitus (GDM) and its impact on maternal and offspring health. Here, we analyzed the microbiomes of 2,717 mothers and infants from 9 global cohorts, including both public datasets and a prospective cohort in China, using high-throughput sequencing and multilayer network modeling. We systematically identified and characterized a group of "predicted grey zone" individuals whose gut microbial network features fell between those of healthy and GDM subjects, which represent dynamic ecological transition states in disease development. Notably, we identified and validated across cohorts a core gut microbial guild (XNP_Guild1) that remained highly stable and functionally cohesive across healthy, grey zone, and GDM states, and was significantly associated with both disease progression and early pregnancy risk. In an exploratory intergenerational network analysis, we estimated the vertical transmission effect of the core guild and its potential influence on neonatal growth outcomes. These findings highlight the tight interconnection among core functional gut microbes, transitional ecological states, disease evolution, and maternal-infant health, providing a foundation for future targeted interventions and mechanistic studies of the maternal-offspring microecosystem in GDM.
综合大规模母体微生物组队列分析对于了解妊娠期糖尿病(GDM)的发展及其对母体和后代健康的影响至关重要。在这里,我们使用高通量测序和多层网络建模分析了来自9个全球队列(包括公共数据集和中国的前瞻性队列)的2,717名母亲和婴儿的微生物组。我们系统地识别并描述了一组“预测灰色地带”个体,他们的肠道微生物网络特征介于健康和GDM受试者之间,这代表了疾病发展中的动态生态过渡状态。值得注意的是,我们确定并验证了一个核心肠道微生物协会(XNP_Guild1),该协会在健康、灰色地带和GDM状态下保持高度稳定和功能内聚,并与疾病进展和早期妊娠风险显著相关。在一项探索性代际网络分析中,我们估计了核心行会的垂直传递效应及其对新生儿生长结果的潜在影响。这些发现强调了核心功能肠道微生物、过渡生态状态、疾病演变和母婴健康之间的紧密联系,为未来GDM母-子微生态系统的靶向干预和机制研究奠定了基础。
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引用次数: 0
Socioeconomic position and the gut microbiota: a narrative synthesis of the association and recommendations. 社会经济地位和肠道微生物群:关联和建议的叙述综合。
IF 12.2 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-31 DOI: 10.1080/19490976.2026.2623356
Jasmine Samantha Ratcliff,Meena Kumari,Patrick Varga-Weisz,Rick O'Gorman
Evidence suggests that socioeconomic position (SEP) may shape the gut microbiota (GM), representing a mechanism through which social and environmental factors may drive health inequalities, yet no systematic review has examined this association. In this narrative systematic review, we searched PubMed, Web of Science, and Scopus up to 30 November 2024 for observational studies examining associations between measures of SEP and GM diversity, composition, or function in participants of any age, ethnicity, or location. We identified 1,479 unique studies, of which 26 met the inclusion criteria for this review. Associations were observed between SEP indicators and GM features, including alpha (α) and beta (β) diversity, taxonomic composition, and functional pathways. Notably, socioeconomic patterns in α-diversity differed by context, with greater diversity observed in advantaged groups in high-income countries (HICs) but in disadvantaged groups in low- and middle-income countries (LMICs). Differences in β-diversity suggest that advantaged and disadvantaged groups have distinct GM profiles. Furthermore, considerable heterogeneity was evident across studies, particularly in sampling, sequencing, and analytical methods. Overall, socioeconomic-related differences in the GM are evident globally, highlighting the microbiota as a potential target for interventions aimed at reducing health disparities. Further research employing larger and more diverse cohorts, longitudinal designs, metagenomic sequencing approaches, and comprehensive measurement and adjustment of key covariates is needed to deepen understanding of this relationship.
有证据表明,社会经济地位(SEP)可能会影响肠道微生物群(GM),这是社会和环境因素可能导致健康不平等的一种机制,但尚未有系统的综述研究这种关联。在这篇叙叙性系统综述中,我们检索了PubMed、Web of Science和Scopus,检索了截至2024年11月30日的观察性研究,研究了任何年龄、种族或地点的参与者中SEP和转基因多样性、组成或功能之间的关系。我们确定了1479项独特的研究,其中26项符合本综述的纳入标准。SEP指标与转基因特征(α (α)和β (β)多样性、分类组成和功能通路)之间存在相关性。值得注意的是,α-多样性的社会经济模式因环境而异,在高收入国家(HICs)的优势群体中观察到更大的多样性,而在低收入和中等收入国家(LMICs)的弱势群体中观察到更大的多样性。β多样性的差异表明,优势群体和弱势群体具有不同的转基因概况。此外,相当大的异质性在研究中是明显的,特别是在采样,测序和分析方法。总体而言,基因改造中与社会经济相关的差异在全球范围内是明显的,这突出表明微生物群是旨在减少健康差距的干预措施的潜在目标。进一步的研究需要采用更大、更多样化的队列、纵向设计、宏基因组测序方法以及对关键协变量的综合测量和调整来加深对这种关系的理解。
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引用次数: 0
Precise probiotic therapy: Advances, bottlenecks, and the road to microbiome-informed nutrition. 精确的益生菌治疗:进展,瓶颈,以及通往微生物营养的道路。
IF 12.2 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-30 DOI: 10.1080/19490976.2026.2623359
Yuesong Jiang,Shuaiming Jiang,Zhengting Wang,Pengfei Zhu,Jiachao Zhang,Fei Teng,Shi Huang
The human gut microbiome is a cornerstone of health, yet conventional probiotic therapies often exhibit limited efficacy owing to heterogeneity in host-microbe-environment dynamics. This review dissects the biological and environmental drivers of such variability and highlights emerging frameworks that integrate cross-sectional and longitudinal multi-omics data to predict probiotic treatment outcomes and host metabolic responses. We further spotlight breakthroughs in methodological development in efficient mining and engineering of probiotic strains, which enable the rational design of functionally enhanced, personalized probiotics. By synthesizing these advances, the review underscores the transformative potential of combining data-driven models with precision-engineered microbial therapeutics to address current limitations and usher in a new era of future microbiome-informed nutrition and personalized interventions.
人类肠道微生物群是健康的基石,但由于宿主-微生物-环境动力学的异质性,传统的益生菌疗法往往表现出有限的疗效。这篇综述剖析了这种变异的生物学和环境驱动因素,并强调了整合横向和纵向多组学数据来预测益生菌治疗结果和宿主代谢反应的新兴框架。我们进一步关注益生菌菌株高效开采和工程方法发展的突破,这使得合理设计功能增强的个性化益生菌成为可能。通过综合这些进展,该综述强调了将数据驱动模型与精确工程微生物疗法相结合的变革潜力,以解决当前的局限性,并开创未来微生物组信息营养和个性化干预的新时代。
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引用次数: 0
Muribaculum intestinale negatively impacts glioma growth in mice through the toll-like receptor 2. 肠道Muribaculum通过toll样受体2对小鼠神经胶质瘤生长产生负面影响。
IF 12.2 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-30 DOI: 10.1080/19490976.2026.2623349
Francesco Marrocco,Germana Cocozza,Fabrizio Antonangeli,Rizwan Khan,Giuseppe Pietropaolo,Abdechakour Elkihel,Gabriele Favaretto,Xingzi Lin,Romina Mancinelli,Ludovica Maria Busdraghi,Alice Reccagni,Gianluca Scarno,Giuseppe Sciumè,Mattia Laffranchi,Ling Peng,Valerio Iebba,Silvano Sozzani,Giuseppina D'Alessandro,Cristina Limatola
Glioblastoma (GBM) is the most common and malignant brain tumor in adult humans. Recent studies have demonstrated a link between the composition of the gut microbiota and glioma progression. Here, we describe that the growth of glioma in mice is inversely correlated with the relative abundance of the anaerobic bacterium Muribaculum intestinale in the feces. We found that M. intestinale administration: 1) induced an inflammatory environment in the gut; 2) reduced glioma growth; 3) increased the pro-inflammatory profile of tumor-associated microglial cells and the frequency of CD8+ T cells; and 4) increased the peripheral TNF-α levels. The effects induced by M. intestinale administration were significantly attenuated upon toll-like receptor 2 (TLR2) silencing using TLR2-targeting siRNA. As a pattern-recognition receptor, TLR2 detects microbial-associated molecular patterns and orchestrates host immune responses to infection. Collectively, these data demonstrate that M. intestinale induces a pro-inflammatory response in glioma bearing mice, inhibiting tumor growth via TLR2-dependent signaling.
胶质母细胞瘤(GBM)是成人最常见的恶性脑肿瘤。最近的研究表明,肠道微生物群的组成与胶质瘤的进展之间存在联系。在这里,我们描述了胶质瘤在小鼠体内的生长与粪便中厌氧细菌Muribaculum ininale的相对丰度呈负相关。我们发现:1)在肠道中诱导炎症环境;2)神经胶质瘤生长减少;3)增加肿瘤相关小胶质细胞的促炎谱和CD8+ T细胞的频率;4)外周血TNF-α水平升高。使用靶向TLR2的siRNA对toll样受体2 (toll-like receptor 2, TLR2)进行沉默处理后,大肠杆菌对TLR2的影响明显减弱。作为一种模式识别受体,TLR2检测微生物相关的分子模式并协调宿主对感染的免疫反应。总的来说,这些数据表明,m.n testinale在胶质瘤小鼠中诱导促炎反应,通过tlr2依赖性信号抑制肿瘤生长。
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