Pingkui Enema Alleviates TNBS‐Induced Ulcerative Colitis by Regulation of Inflammatory Factors, Gut Bifidobacterium, and Intestinal Mucosal Barrier in Rats
Abstract:Background. Ulcerative colitis (UC) is a chronic recurrent inflammation of the colon, and clinical outcome of UC is still unsatisfied. Pingkui enema, a traditional Chinese medicine prescription, has been safely applied for the treatment of diarrhea and dysentery in clinic for many years. However, its mechanism is still elusive. The present study is designed to investigate the effect of Pingkui enema on trinitrobenzene sulfonic acid- (TNBS-) induced ulcerative colitis (UC) and possible mechanism in rats. Method… Show more
“…We have shown that Bifidobacterium decreased in the UC group, suggesting that TNBS reduced the content and colonization ability of Bifidobacterium. The imbalance of the bacterial community in TNBS-induced UC is consistent with previous reports ( Becker et al, 2015 ; Yun et al, 2020 ). Bifidobacterium can repair the impaired intestinal epithelial barrier function and reduce IFN-γ secretion in the intestinal mucosa ( Pozo-Rubio et al, 2011 ).…”
Ulcerative colitis (UC) is a chronic non-specific inflammatory bowel disease with complex pathogenesis. The intestinal flora disturbance affects the homeostasis of the intestinal environment, leading to metabolic imbalance and immune abnormalities of the host, contributing to the perpetuation of intestinal inflammation. We suggest that the combination of anti-inflammatory therapy and the regulation of intestinal flora balance may help in the treatment process. Previously, we used a combination treatment consisting of Lactobacillus acidophilus (Lac) and Chinese medicine Huan Kui Le (HKL) suspension in a UC rat model, where the combined intervention was more effective than either treatment alone. Herein, the mechanism of action of this combined treatment has been investigated using 16S rRNA sequencing, immunohistochemistry, and ELISA methods in the colon, and untargeted metabolomics profiling in serum. Colon protein expression levels of IL-13 and TGF-β were upregulated, whereas those of TLR9 and TLR4 were downregulated, consistent with an anti-inflammatory effect. In addition, gut microbiota structure changed, shown by a decrease in opportunistic pathogens correlated with intestinal inflammation, such as Klebsiella and Escherichia-Shigella, and an increase in beneficial bacteria such as Bifidobacterium. The latter correlated positively with IL-13 and TGF-β and negatively with IFN-γ. Finally, this treatment alleviated the disruption of the metabolic profile observed in UC rats by increasing short-chain fatty acid (SCFA)–producing bacteria in the colonic epithelium. This combination treatment also affected the metabolism of lactic acid, creatine, and glycine and inhibited the growth of Klebsiella. Overall, we suggest that treatment combining probiotics and traditional Chinese medicine is a novel strategy beneficial in UC that acts by modulating gut microbiota and its metabolites, TLR9, and cytokines in different pathways.
“…We have shown that Bifidobacterium decreased in the UC group, suggesting that TNBS reduced the content and colonization ability of Bifidobacterium. The imbalance of the bacterial community in TNBS-induced UC is consistent with previous reports ( Becker et al, 2015 ; Yun et al, 2020 ). Bifidobacterium can repair the impaired intestinal epithelial barrier function and reduce IFN-γ secretion in the intestinal mucosa ( Pozo-Rubio et al, 2011 ).…”
Ulcerative colitis (UC) is a chronic non-specific inflammatory bowel disease with complex pathogenesis. The intestinal flora disturbance affects the homeostasis of the intestinal environment, leading to metabolic imbalance and immune abnormalities of the host, contributing to the perpetuation of intestinal inflammation. We suggest that the combination of anti-inflammatory therapy and the regulation of intestinal flora balance may help in the treatment process. Previously, we used a combination treatment consisting of Lactobacillus acidophilus (Lac) and Chinese medicine Huan Kui Le (HKL) suspension in a UC rat model, where the combined intervention was more effective than either treatment alone. Herein, the mechanism of action of this combined treatment has been investigated using 16S rRNA sequencing, immunohistochemistry, and ELISA methods in the colon, and untargeted metabolomics profiling in serum. Colon protein expression levels of IL-13 and TGF-β were upregulated, whereas those of TLR9 and TLR4 were downregulated, consistent with an anti-inflammatory effect. In addition, gut microbiota structure changed, shown by a decrease in opportunistic pathogens correlated with intestinal inflammation, such as Klebsiella and Escherichia-Shigella, and an increase in beneficial bacteria such as Bifidobacterium. The latter correlated positively with IL-13 and TGF-β and negatively with IFN-γ. Finally, this treatment alleviated the disruption of the metabolic profile observed in UC rats by increasing short-chain fatty acid (SCFA)–producing bacteria in the colonic epithelium. This combination treatment also affected the metabolism of lactic acid, creatine, and glycine and inhibited the growth of Klebsiella. Overall, we suggest that treatment combining probiotics and traditional Chinese medicine is a novel strategy beneficial in UC that acts by modulating gut microbiota and its metabolites, TLR9, and cytokines in different pathways.
“…Similarly, an increase in Lactobacillus was observed in UC mice after FMT treatment. Most of the current results prove that Lactobacillus is also the main genus used for the treatment of UC (Yun et al, 2020). For example, Liu et al reduced intestinal lining inflammation by rectal enemas of Lactobacillus.…”
Background and AimsUlcerative colitis (UC) has become a global public health concern, and is in urgent need of novel therapies. Fecal microbiota transplantation (FMT) targeting gut microbiota has recently been applied to the treatment of UC. Despite its recent successes, it is still largely unknown how FMT functionally modulates the gut microbiota and improves the disease.MethodsWe prospectively collected fecal samples from the 40 mice (30 mice for dextran sulfate sodium (DSS)-induced, 10 for controls), followed by Propidium monoazide treatment for 16S rRNA gene sequencing. These 30 mice were divided equally into 3 groups, which were transplanted with original donor microbiota (DO), inactivated donor microbiota (DI) and saline, respectively. Subsequently, we used 16S rRNA gene sequencing to analyze the viable gut bacteria of ulcerative colitis (UC) mice and histological analysis to evaluate the effects of fecal microbiota transplantation (FMT) with viable microbiota.ResultsWe demonstrated that the community structure of viable bacteria was significantly different from fecal bacteria based on total DNA. Furthermore, the intestinal viable microbiota and colonic mucosal structure of mice were significantly changed by DSS induction. The histological analysis showed that only the mice treated with original donor microbiota group (HF) achieved a significant improvement. Compared with inactivated donor microbiota group (IF) and saline (NF), Lactobacillus and Halomonas were significantly enriched in the HF group.ConclusionWe inferred that only live bacteria from human donor reversed the histopathology and symptoms of UC in mice and altered the gut microbiota. The activity of gut microbiota in donor samples should be considered in FMT and that detailed analysis of viable microbiota is essential to understand the mechanisms by which FMT produces therapeutic effects in the future.
“…and can induce autoimmune and inflammatory diseases. 32,33 The pro-inflammatory and profocal effects of IL-1β can induce autoimmune and inflammatory diseases. 34 As recently reported, GSDMD is present in nigericin-induced NLRP3 inflammasomes, which act at sites of inflammatory activation and participate in the inflammatory response and IL-1β secretion.…”
Inflammatory bowel disease is known to be associated
with alterations
in gut microbiota. The bioactive compound syringic acid has been shown
to alleviate inflammatory bowel disease, but its interaction with
gut microbiota and mechanism of action remain unclear. To address
this, we conducted a study in which we investigated the potential
benefits of syringic acid in a mouse model of dextran sulfate sodium-induced
colitis through gut microbiota modulation. Our results show that oral
administration of syringic acid effectively reduced symptoms of colitis,
as indicated by reduced disease activity index, and histopathology
scores. Moreover, syringic acid administration enriched the abundance
of Alistipes and norank_f__norank_o__Gastranaerophilales in mice, suggesting a restoration of impaired gut microbiota. Notably,
we found that the effects of syringic acid were similar to those of
fecal microbiota transplantation in dextran sulfate sodium-induced
mice. Further analysis revealed that syringic acid inhibited the NLRP3-Cas-1-GSDMD-IL-1β
inflammatory vesicle signaling pathway, leading to amelioration of
colonic inflammation in a gut microbiota-dependent manner. Our findings
demonstrate the potential of syringic acid as a preventive and therapeutic
agent for inflammatory bowel disease.
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