In this study, mice were induced acute ulcerative colitis by DSS, while Lacidophilin was administered for 7 days. We observed that Lacidophilin can prevent the changes of the body weight, colonic length, serum inflammatory factor levels, and histopathological damage in colitis mice effectively. In addition, tight junctions and mucin showed enhanced expression following Lacidophilin treatment compared to controls.
Then we further investigated the action mechanism of Lacidophilin in alleviating colitis. Patients with IBD suffer from dysbacteriosis which are defined as decreased diversity and abundance of gut microbial, with an imbalance between commensal and potentially pathogenic microorganisms [24]. We performed 16S ribosomal RNA tagged sequencing to identify alterations of intestinal microflora. At the phylum level, compared with the control group, the abundance of Bacteroidetes and Proteobacteria was decreased in the model group, whereas that Actinobacteriota of increased. However, Lacidophilin administration reversed this trend, aligning with the research of Zhu[25] and Zhou[26]. In addition, we revealed that Lactobacillus、Dubosiella、Lachnospiraceae_NK4A136_group、Bifidobacterium、norank-f-norank-o-RF39、norank-f-Lachnospiraceae and norank_f_norank_o_Gastranaerophilales was significantly increased in UC mice with treatment of Lacidophilin. Lactobacillus、Bifidobacterium and Lachnospiraceae_NK4A136_group have potential benefits in improving IBD due to their ability to produce SCFA[26, 27]. Moreover, it had been reported that Lachnospiraceae_NK4A136_group were capable of maintaining epithelial health and immune balance of the intestine[27].
Toll-like receptors (TLRs) activate inflammatory cells and release pro-inflammatory cytokines, which are the key mediators of inflammatory routes in the intestine [28, 29]. It has been shown that norank-f-norank-o-RF39 were negatively correlated with TLR2 receptor expression and proinflammatory factors IL-4 and IL-17 levels, but positively correlated with anti-inflammatory factors IL-10 levels[30], which means these intestinal flora might be beneficial to attenuate intestinal inflammation of DSS colitis. Dubosiella thought to be improved colitis symptoms have been explored in several studies[31–33]. Nevertheless, some contrary research was also observed with more prominent relative abundance in colitis mice than the normal ones [34, 35], which is inconsistent with our results. Hence a further study of Dubosiella function on colitis in vivo will be required in vivo. Conversely, the abundance of Escherchia-Shigella and Parvibacter was significantly decreased in the LPH group than in UC mice. An increase in the abundance of Escherchia-Shigella was observed in the mice accompanied with aggravating DSS-induced colitis[36, 37]. Moreover, it is demonstrated that Parvibacter might have potential benefit effects on colitis cause its positive correlation with IL-10[38], whereas, some research had demonstrated that DSS induced a significant reduction of Parvibacter in mice with colitis [39]. Therefore, whether it is beneficial for colitis remains further evidence. Taken together, Lacidophilin might restrain the growth of potentially harmful bacteria and enrich potentially beneficial bacteria to improve DSS-induced ulcerative colitis.
To deeply investigate the molecular mechanism of Lacidophilin to UC, transcriptome of mice colon was performed after high-dose Lacidophilin treatment. In the present study, 50 significantly changed genes were observed in Control versus Model and Model versus LPH groups. It is worth mentioning that immune system dominated KEGG pathway, suggesting its mechanism was mainly correlated with immunity. The IL-17 signaling pathway which could mediate the promotion of immune response and activation of various inflammatory pathways[40], was originally described in the autoimmune disease, and it has been a drug target for many autoimmune and chronic inflammatory diseases. There is evidence for IL-17 signaling pathway in promoting inflammation that damages the gut mucosa, while it also plays protective roles in regulating intestinal flora[41]. The B cell receptor (BCR) signaling pathway is a key signaling pathway for the development and maturation of B cells[42]. Most studies in the field of B cell receptor signaling pathway have only focused on lymphoma[43, 44], but there was little research on B-cell receptor pathways and UC. Thus, our experiment might provide more evidence for the relationship between the B-cell receptor pathway and UC. Moreover, following our research, Toll-like receptor signaling pathway and TNF signaling pathway which were involved in driving inflammation might be valuable for the molecular mechanisms of Lacidophilin improving UC.
PPI network have demonstrated that the protein, Lcn2, Ccl3, Mmp8, Slc11a1, Spp1 and Serpine1, are involved in mediating multiple pathways to improve DSS-induced intestinal injury. Lipocalin 2 (Lcn2), a multifunctional immune protein, was closely related to the intestinal inflammation. Reports are rather controversial, and there is no general agreement about whether Lcn2 mediate anti-inflammatory or pro-inflammatory functions. Researchers reported that Lcn2 released in a partial MyD88-dependent manner, and UC would be aggravated significantly in Lcn2 knockout mice[45]. Lcn2 deletion could augment pro-inflammatory response in the model challenged with LPS[46]. However, other authors question the function of Lcn2, who suggested that Lcn2 with the activation of NF-κB pathway while enhancing inflammasome assembly and IL-1β secretion, could lead to more severe inflammation[47]. Our results show that an elevated level of Lcn2 in colon tissue of mice with UC, while it declined in mice administrated with Lacidophilin, consistent with increase of intestinal mucosal Lcn2 in patients with IBD[48].
Notably, Ccl3, belongs to chemokines family, which could induce macrophages and granulocytes migration to sites of acute inflammation[49], has up-regulated during intestinal inflammation, while oral administration of Lacidophilin could significantly reverse its increase. Consistent with our findings, several studies have shown a strongly up-regulation of Ccl3 expression was observed in IL-10-/- mice [50], TNBS model[51], as well as DSS model[52], all of which are known as common animal models for IBD. It would seem to suggest that Ccl3 was a possible biomarkers and potential therapeutic target for IBD, and our results might provide a rationale for further studies.
It has been accepted that regulated expression of matrix metalloproteinases (MMPs) plays multifaced roles in the pathogenesis of IBD. Previous findings showing that MMP8, which is predominantly expressed by macrophages, led to increased inflammatory cells infiltration after mice exposure to DSS[53], are compatible with our results. The latest research pointed to a significant role of the Slc11a1 gene (formerly NRAMP1) on the DSS-induced colitis phenotype[54]. In addition, a strong relationship between the secreted phosphoprotein 1 (Spp1) and CD susceptibility was observed[55]. The Serpine1 encoding a protein called plasminogen activator inhibitor-1 (PAI-1) which can promote peripheral angiogenesis[56], was elevated during the disease activity cycle in the inflamed colon, contributing to an aggravation of mucosal damage in colitis [57].
Taken together, our findings suggest the role of Lacidophilin in alleviating DSS-induced colitis, identifying the enhancement of colon barrier integrity and improvement of intestinal microflora as a possible action mechanism. Lacidophilin could drive the immune system, reduce the expression of inflammatory cytokines, and decrease the protein expression of Lcn2, Ccl3, Mmp8, Slc11a1, Spp1 and Serpine1, which were associated with immune response or neo-angiogenesis. However, this study was limited by the absence the experimental methods of polymerase chain reaction (PCR) and western blot (WB) to verify its changes at molecular and protein levels, and a more precise mechanism how Lacidophilin mediate immune system in colitis remains to be elucidated. In spite of its limitations, this work offers guidance on future research and clinical application of postbiotics to improve acute ulcerative colitis.