
浏览全部资源
扫码关注微信
陆军军医大学(第三军医大学)第二附属医院临床医学研究中心,重庆
周吉银,E-mail:zhoujiyin@gmail.com
收稿:2025-08-07,
修回:2025-10-07,
录用:2025-10-08,
纸质出版:2025-10-30
移动端阅览
涂奠基,周吉银.小檗碱调节肠道菌群改善小鼠药物性肝损伤[J].陆军军医大学学报,2025,47(20):2495-2505.DOI:10.16016/j.2097-0927.202508007.
TU D J,ZHOU J Y.Berberine improves drug-induced liver injury in mice by modulating gut microbiota[J].J Army Med Univ,2025,47(20):2495-2505.DOI:10.16016/j.2097-0927.202508007.
目的
2
探究小檗碱(berberine,BBR)缓解药物性肝损伤(drug-induced liver injury, DILI)小鼠的作用及小鼠肠道菌群的变化特征,明确BBR通过肠道菌群对DILI的改善机制。
方法
2
构建对乙酰氨基酚(acetaminophen, APAP)DILI动物模型,将12只C57BL/6J小鼠按体质量采用随机区组法分为2组(即APAP组和APAP-BBR组),每组6只,收集2组小鼠的血清及肝脏组织,检测灌胃BBR对DILI小鼠的血清酶学、炎症相关指标及肝脏病理的作用;收集2组小鼠的新鲜粪便,对粪便菌群进行16S测序,比较2组小鼠肠道微生物的α和β多样性和肠道菌群结构特征,运用Pearson法分析2组之间的差异菌与小鼠血清学指标之间的相关性。
结果
2
灌胃BBR显著降低了APAP诱导的血清丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)水平,改善了APAP诱导的肝细胞坏死比例。16S测序分析结果显示,APAP-BBR组相比于APAP组小鼠,α多样性的Chao1和Shanon指数无统计学差异,而β多样性有统计学差异(
P
<
0.05);与APAP-BBR组比较,APAP组中
Alloprevotella
和
Ruminococcaceae_UCG_014
相对丰度明显升高(
P
<
0.05);与APAP组比较,
Parabacteroides
在APAP-BBR组中相对丰度升高,且具有统计学差异(
P
<
0.05)。Pearson相关性分析表明,
Alloprevotella
与AST(
P
<
0.05)强相关,
Ruminococcaceae
与ALT、AST强相关(
P
<
0.05),
Parabacteroides
与ALT、AST强相关(
P
<
0.05)。
结论
2
灌胃BBR能够通过肠道菌群改变减缓DILI小鼠疾病的进展。
Objective
2
To investigate the protective effects of berberine (BBR) against drug-induced liver injury (DILI) in mice and the change profiles in gut microbiota
and to elucidate the underlying mechanism by which BBR alleviates DILI through modulation of the gut microbiota.
Methods
2
Acetaminophen (APAP) administration was performed on C57BL/6J mice with or without pre-treatment of ampicillin-neomycin-metronidazole-vancomycin (ABX
depletion of gut microbiota) to establish a DILI model. Based on body weight
12 mice were randomly divided into an APAP group and a BBR group
with 6 animals in per group. Serum and liver tissue samples were collected from both groups to determine the effects of intragastrical administration of BBR on serum transaminase levels
inflammatory indicators
and liver histopathology. Fresh fecal samples were also collected to profile the gut microbiota using 16S rRNA gene sequencing. Then the alpha and beta diversity
as well as the overall microbial community structure
were compared between the 2 groups. Pearson correlation analysis was employed to analyze the relationships between differentially abundant bacteria and the serological indicators.
Results
2
Intragastrical administration of BBR significantly reduced APAP-induced serum levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
and ameliorated the proportion of hepatocellular necrosis caused by APAP. The results of 16S rRNA gene sequencing revealed that there were no statistical differences in the alpha diversity indices (Chao1 and Shannon) between the APAP-BBR and APAP groups
but a significant difference was observed in beta diversity (
P
<
0.05). Compared to the APAP-BBR group
the relative abundances of
Alloprevotella
and
Ruminococcaceae_UCG_014
were significantly increased in the APAP group (
P
<
0.05). Conversely
the relative abundance of
Parabacteroides
was significantly higher in the APAP-BBR group than the APAP group (
P
<
0.05). Pearson correlation analysis demonstrated that
Alloprevotella
was strongly correlated with AST level (
P
<
0.05)
while both
Ruminococcaceae
and
Parabacteroides
showed strong correlations with ALT and AST levels (
P
<
0.05).
Conclusion
2
Intragastric administration of BBR can mitigate the progression of DILI in mice
potentially through modulating the gut microbiota.
MAIWALL R , KULKARNI A V , ARAB J P , et al . Acute liver failure [J]. Lancet , 2024 , 404 ( 10454 ): 789 - 802 . DOI: 10.1016/S0140-6736(24)00693-7 http://dx.doi.org/10.1016/S0140-6736(24)00693-7 .
REUBEN A , TILLMAN H , FONTANA R J , et al . Outcomes in adults with acute liver failure between 1998 and 2013: an observational cohort study [J]. Ann Intern Med , 2016 , 164 ( 11 ): 724 - 732 . DOI: 10.7326/M15-2211 http://dx.doi.org/10.7326/M15-2211 .
WANG S J , REN H H , ZHONG H Z , et al . Combined berberine and probiotic treatment as an effective regimen for improving postprandial hyperlipidemia in type 2 diabetes patients: a double blinded placebo controlled randomized study [J]. Gut Microbes , 2022 , 14 ( 1 ): 2003176 . DOI: 10.1080/19490976.2021.2003176 http://dx.doi.org/10.1080/19490976.2021.2003176 .
KOPERSKA A , WESOŁEK A , MOSZAK M , et al . Berberine in non-alcoholic fatty liver disease—a review [J]. Nutrients , 2022 , 14 ( 17 ): 3459 . DOI: 10.3390/nu14173459 http://dx.doi.org/10.3390/nu14173459 .
KUNATH B J , DE RUDDER C , LACZNY C C , et al . The oral-gut microbiome axis in health and disease [J]. Nat Rev Microbiol , 2024 , 22 ( 12 ): 791 - 805 . DOI: 10.1038/s41579-024-01075-5 http://dx.doi.org/10.1038/s41579-024-01075-5 .
DO H , LI Z R , TRIPATHI P K , et al . Engineered probiotic overcomes pathogen defences using signal interference and antibiotic production to treat infection in mice [J]. Nat Microbiol , 2024 , 9 ( 2 ): 502 - 513 . DOI: 10.1038/s41564-023-01583-9 http://dx.doi.org/10.1038/s41564-023-01583-9 .
CHEN K , WANG H , YANG Y , et al . Common mechanisms of Gut microbe-based strategies for the treatment of intestine-related diseases: based on multi-target interactions with the intestinal barrier [J]. Cell Commun Signal , 2025 , 23 ( 1 ): 288 . DOI: 10.1186/s12964-025-02299-5 http://dx.doi.org/10.1186/s12964-025-02299-5 .
LUO X Y , HU C M , YIN Q , et al . Dual-mechanism peptide SR25 has broad antimicrobial activity and potential application for healing bacteria-infected diabetic wounds [J]. Adv Sci (Weinh) , 2024 , 11 ( 30 ): e2401793 . DOI: 10.1002/advs.202401793 http://dx.doi.org/10.1002/advs.202401793 .
DE VOS W M , TILG H , VAN HUL M , et al . Gut microbiome and health: mechanistic insights [J]. Gut , 2022 , 71 ( 5 ): 1020 - 1032 . DOI: 10.1136/gutjnl-2021-326789 http://dx.doi.org/10.1136/gutjnl-2021-326789 .
WANG G , FAN Y X , ZHANG G L , et al . Microbiota-derived indoles alleviate intestinal inflammation and modulate microbiome by microbial cross-feeding [J]. Microbiome , 2024 , 12 ( 1 ): 59 . DOI: 10.1186/s40168-024-01750-y http://dx.doi.org/10.1186/s40168-024-01750-y .
VICO-OTON E , VOLET C , JACQUEMIN N , et al . Strain-dependent induction of primary bile acid 7-dehydroxylation by cholic acid [J]. BMC Microbiol , 2024 , 24 ( 1 ): 286 . DOI: 10.1186/s12866-024-03433-y http://dx.doi.org/10.1186/s12866-024-03433-y .
CAI J W , RIMAL B , JIANG C T , et al . Bile acid metabolism and signaling, the microbiota, and metabolic disease [J]. Pharmacol Ther , 2022 , 237 : 108238 . DOI: 10.1016/j.pharmthera.2022.108238 http://dx.doi.org/10.1016/j.pharmthera.2022.108238 .
WAHLSTRÖM A , BRUMBAUGH A , SJÖLAND W , et al . Production of deoxycholic acid by low-abundant microbial species is associated with impaired glucose metabolism [J]. Nat Commun , 2024 , 15 ( 1 ): 4276 . DOI: 10.1038/s41467-024-48543-3 http://dx.doi.org/10.1038/s41467-024-48543-3 .
JIN J L , YANG Y Q , YANG J , et al . Macrophage metabolic reprogramming-based diabetic infected bone defect/bone reconstruction though multi-function silk hydrogel with exosome release [J]. Int J Biol Macromol , 2024 , 278 : 134830 . DOI: 10.1016/j.ijbiomac.2024.134830 http://dx.doi.org/10.1016/j.ijbiomac.2024.134830 .
FOLDI C J , GRIFFITHS K R . Examining the biological causes of eating disorders to inform treatment strategies [J]. Nat Rev Neurosci , 2025 , 26 ( 9 ): 554 - 570 . DOI: 10.1038/s41583-025-00940-3 http://dx.doi.org/10.1038/s41583-025-00940-3 .
HE X L , HU M Y , XU Y , et al . The gut-brain axis underlying hepatic encephalopathy in liver cirrhosis [J]. Nat Med , 2025 , 31 ( 2 ): 627 - 638 . DOI: 10.1038/s41591-024-03405-9 http://dx.doi.org/10.1038/s41591-024-03405-9 .
BATEMAN R M , SHARPE M D , JAGGER J E , et al . 36th international symposium on intensive care and emergency medicine [J]. Crit Care , 2016 , 20 ( 2 ): 94 . DOI: 10.1186/s13054-016-1208-6 http://dx.doi.org/10.1186/s13054-016-1208-6 .
MA Z S , LI W . How and why men and women differ in their microbiomes: medical ecology and network analyses of the microgenderome [J]. Adv Sci (Weinh) , 2019 , 6 ( 23 ): 1902054 . DOI: 10.1002/advs.201902054 http://dx.doi.org/10.1002/advs.201902054 .
BURKHART COLORADO A S , LAZZARO A , NEFF C P , et al . Differential effects of antiretroviral treatment on immunity and gut microbiome composition in people living with HIV in rural versus urban Zimbabwe [J]. Microbiome , 2024 , 12 ( 1 ): 18 . DOI: 10.1186/s40168-023-01718-4 http://dx.doi.org/10.1186/s40168-023-01718-4 .
YU J , YANG Z Q , SUN S D , et al . The effect of weighted blankets on sleep and related disorders: a brief review [J]. Front Psychiatry , 2024 , 15 : 1333015 . DOI: 10.3389/fpsyt.2024.1333015 http://dx.doi.org/10.3389/fpsyt.2024.1333015 .
SHANAHAN E R , KANG S , STAUDACHER H , et al . Alterations to the duodenal microbiota are linked to gastric emptying and symptoms in functional dyspepsia [J]. Gut , 2023 , 72 ( 5 ): 929 - 938 . DOI: 10.1136/gutjnl-2021-326158 http://dx.doi.org/10.1136/gutjnl-2021-326158 .
MANZOOR R , AHMED W , AFIFY N , et al . Trust your gut: the association of gut microbiota and liver disease [J]. Microorganisms , 2022 , 10 ( 5 ): 1045 . DOI: 10.3390/microorganisms10051045 http://dx.doi.org/10.3390/microorganisms10051045 .
YU J X , WU J , CHEN X , et al . Gut microbiota in liver diseases: initiation, development and therapy [J]. Front Med (Lausanne) , 2025 , 12 : 1615839 . DOI: 10.3389/fmed.2025.1615839 http://dx.doi.org/10.3389/fmed.2025.1615839 .
MA C , YANG J , FU X N , et al . Microbial characteristics of gut microbiome dysbiosis in patients with chronic liver disease [J]. World J Hepatol , 2025 , 17 ( 5 ): 106124 . DOI: 10.4254/wjh.v17.i5.106124 http://dx.doi.org/10.4254/wjh.v17.i5.106124 .
WEI W C , WONG C C , JIA Z J , et al . Parabacteroides distasonis uses dietary inulin to suppress NASH via its metabolite pentadecanoic acid [J]. Nat Microbiol , 2023 , 8 ( 8 ): 1534 - 1548 . DOI: 10.1038/s41564-023-01418-7 http://dx.doi.org/10.1038/s41564-023-01418-7 .
ZHAO Q , DAI M Y , HUANG R Y , et al . Parabacteroides distasonis ameliorates hepatic fibrosis potentially via modulating intestinal bile acid metabolism and hepatocyte pyroptosis in male mice [J]. Nat Commun , 2023 , 14 ( 1 ): 1829 . DOI: 10.1038/s41467-023-37459-z http://dx.doi.org/10.1038/s41467-023-37459-z .
SU D D , LI M C , XIE Y D , et al . Gut commensal bacteria Parabacteroides goldsteinii -derived outer membrane vesicles suppress skin inflammation in psoriasis [J]. J Control Release , 2025 , 377 : 127 - 145 . DOI: 10.1016/j.jconrel.2024.11.014 http://dx.doi.org/10.1016/j.jconrel.2024.11.014 .
WU Y H , LIU Z Y , ZHANG H Y , et al . Unraveling the obesity-combating potential of Parabacteroides goldsteinii and Bacteroides sartorii : a dual-probiotic approach [J]. Probiotics Antimicrob Proteins , 2025 . DOI: 10.1007/s12602-025-10537-y http://dx.doi.org/10.1007/s12602-025-10537-y .
DEHAU T , CHERLET M , CROUBELS S , et al . Berberine-microbiota interplay: orchestrating gut health through modulation of the gut microbiota and metabolic transformation into bioactive metabolites [J]. Front Pharmacol , 2023 , 14 : 1281090 . DOI: 10.3389/fphar.2023.1281090 http://dx.doi.org/10.3389/fphar.2023.1281090 .
ZHU L R , LI S S , ZHENG W Q , et al . Targeted modulation of gut microbiota by traditional Chinese medicine and natural products for liver disease therapy [J]. Front Immunol , 2023 , 14 : 1086078 . DOI: 10.3389/fimmu.2023.1086078 http://dx.doi.org/10.3389/fimmu.2023.1086078 .
LIU X Z , WANG L F , TAN S W , et al . Therapeutic effects of berberine on liver fibrosis are associated with lipid metabolism and intestinal flora [J]. Front Pharmacol , 2022 , 13 : 814871 . DOI: 10.3389/fphar.2022.814871 http://dx.doi.org/10.3389/fphar.2022.814871 .
FU J , HUANG Q H , SUN C F , et al . IL-37 ameliorates acetaminophen-induced acute liver injury by limiting MAPK/NFκB signaling-mediated liver inflammation [J]. Sci Rep , 2025 , 15 ( 1 ): 26395 . DOI: 10.1038/s41598-025-10764-x http://dx.doi.org/10.1038/s41598-025-10764-x .
JAESCHKE H , RAMACHANDRAN A . Acetaminophen hepatotoxicity: paradigm for understanding mechanisms of drug-induced liver injury [J]. Annu Rev Pathol , 2024 , 19 : 453 - 478 . DOI: 10.1146/annurev-pathmechdis-051122-094016 http://dx.doi.org/10.1146/annurev-pathmechdis-051122-094016 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621