Alteration of Gut Microbiota and Inflammatory Cytokine/Chemokine Profiles in 5-Fluorouracil Induced Intestinal Mucositis.

Alteration of Gut Microbiota and Inflammatory Cytokine/Chemokine Profiles in 5-Fluorouracil Induced Intestinal Mucositis.
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DOI:
10.3389/fcimb.2017.00455
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发表时间:
2017
影响因子:
5.7
通讯作者:
Wu XJ
Wu XJ
中科院分区:
医学2区
文献类型:
--
作者:
Li HL;Lu L;Wang XS;Qin LY;Wang P;Qiu SP;Wu H;Huang F;Zhang BB;Shi HL;Wu XJ

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肠道微生物群的稳态失调与5-氟尿嘧啶(5-Fu)诱导的粘膜炎密切相关。然而,目前对5-Fu干扰的肠道微生物群的总体概况的了解是有限的,到目前为止,还没有直接令人信服的证据证明5-Fu干扰的微生物群和结肠粘膜炎之间的因果关系。在小鼠中,与以前的报道一致,5-Fu导致严重的结肠粘膜炎,表现为体重减轻、腹泻、血便、结肠缩短和炎性细胞浸润。它显著改变了血清和结肠中炎性细胞因子/趋化因子的谱。粘附分子如血管细胞粘附分子-1(VCAM-1)、细胞间粘附分子-1(ICAM-1)和VE-钙粘蛋白增加。5-Fu处理组小鼠结肠组织紧密连接蛋白occludin表达减少,而紧密连接蛋白ZO-1和连接粘附分子A表达增加。同时,炎症相关信号通路NF-κB和丝裂原活化蛋白激酶(MAPK)也被激活。进一步的研究发现,5-Fu降低了肠道细菌群落的丰富度和多样性,导致粪便和盲肠内容物中厚壁菌门的丰度相对较低,厚壁菌门/拟杆菌门(F/B)比值降低。5-Fu还降低了粪便和/或盲肠内容物中变形菌门、Tenericutes门、蓝细菌门和候选菌门TM 7的比例,但增加了疣微菌门和放线菌门的比例。从健康小鼠的粪便移植防止体重减轻和结肠缩短的5-Fu治疗的小鼠。此外,5-Fu处理小鼠的粪便移植减少了万古霉素预处理小鼠的体重和结肠长度。总之,我们的研究表明,肠道微生物群积极参与了5-Fu诱导的肠粘膜炎的病理过程,表明通过操纵肠道微生物群稳态可能减轻5-Fu诱导的肠粘膜炎。
Disturbed homeostasis of gut microbiota has been suggested to be closely associated with 5-fluorouracil (5-Fu) induced mucositis. However, current knowledge of the overall profiles of 5-Fu-disturbed gut microbiota is limited, and so far there is no direct convincing evidence proving the causality between 5-Fu-disturbed microbiota and colonic mucositis. In mice, in agreement with previous reports, 5-Fu resulted in severe colonic mucositis indicated by weight loss, diarrhea, bloody stool, shortened colon, and infiltration of inflammatory cells. It significantly changed the profiles of inflammatory cytokines/chemokines in serum and colon. Adhesion molecules such as vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule-1 (ICAM-1), and VE-Cadherin were increased. While tight junction protein occludin was reduced, however, zonula occludens-1 (ZO-1) and junctional adhesion molecule-A (JAM-A) were increased in colonic tissues of 5-Fu treated mice. Meanwhile, inflammation related signaling pathways including NF-κB and mitogen activated protein kinase (MAPKs) in the colon were activated. Further study disclosed that 5-Fu diminished bacterial community richness and diversity, leading to the relative lower abundance of Firmicutes and decreased Firmicutes/Bacteroidetes (F/B) ratio in feces and cecum contents. 5-Fu also reduced the proportion of Proteobacteria, Tenericutes, Cyanobacteria, and Candidate division TM7, but increased that of Verrucomicrobia and Actinobacteria in feces and/or cecum contents. The fecal transplant from healthy mice prevented body weight loss and colon shortening of 5-Fu treated mice. In addition, the fecal transplant from 5-Fu treated mice reduced body weight and colon length of vancomycin-pretreated mice. Taken together, our study demonstrated that gut microbiota was actively involved in the pathological process of 5-Fu induced intestinal mucositis, suggesting potential attenuation of 5-Fu induced intestinal mucositis by manipulating gut microbiota homeostasis.
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