Background:Mesenteric adipose tissue (MAT) in Crohn's disease (CD) is associated with transmural in ammation. Extended mesenteric excision can reduce surgical recurrence and improve long-term outcomes. These ndings indicate that MAT plays an important role in the pathogenesis of CD. Bacterial translocation has been reported to occur in CD-MAT, but the mechanisms by which translocated bacteria lead to intestinal colitis remain unclear. This study aimed to characterize CD-MAT-speci c bacteria and explore their roles in promoting intestinal in ammation.
MethodsWe utilized 16S rRNA gene sequencing and culture-omics to characterize the translocated viable bacteria in MAT from CD. The pro-in ammatory role of the identi ed candidate bacteria was examined using a coculture assay in vitro and in a colitis mouse model in vivo. The type VI secretion system (T6SS) is thought to promote the pro-in ammatory effect, and a CRISPR interference system was employed to knockdown a core gene expression in T6SS.
ResultsWe report that members of Enterobacteriaceae were enriched in CD-MAT compared with non-CD controls.Viable Klebsiella variicola in Enterobacteriaceae was identi ed exclusively in CD-MAT, which induces a pro-in ammatory response in vitro and exacerbates colitis in mice. This is the rst evidence that colitogenic K. variicola exists in the mesenteric tissue. Active T6SS was found in the K. variicola genome, which could impair the intestinal barrier by inhibiting the ZO-1 expression. Dysfunction of T6SS alleviated the inhibitory effect of K. variicola on ZO-1 expression and attenuated colitis in mice. Importantly, we validated that K. variicola and T6SS were enriched in the gut microbiome of patients with CD, further con rming that they are closely related to the occurrence of CD.
ConclusionsCD mesenteric adipose tissue-derived K. variicola can disrupt the intestinal barrier and promote intestinal colitis induced by T6SS.