刘冬冬, 方玉宝, 魏萌, 谢华, 孙莹宝, 严文锐, 郭艳丽, 金义光. 防治放射性肠损伤的菊粉凝胶载丁酸梭菌的合生制剂J. 药学学报, 2025, 60(5): 1228-1235. DOI: 10.16438/j.0513-4870.2025-0183
引用本文: 刘冬冬, 方玉宝, 魏萌, 谢华, 孙莹宝, 严文锐, 郭艳丽, 金义光. 防治放射性肠损伤的菊粉凝胶载丁酸梭菌的合生制剂J. 药学学报, 2025, 60(5): 1228-1235. DOI: 10.16438/j.0513-4870.2025-0183
LIU Dong-dong, FANG Yu-bao, WEI Meng, XIE Hua, SUN Ying-bao, YAN Wen-rui, GUO Yan-li, JIN Yi-guang. Inulin gel/Clostridium butyricum synbiotic for prevention and treatment radiation-induced intestinal injuryJ. Acta Pharmaceutica Sinica, 2025, 60(5): 1228-1235. DOI: 10.16438/j.0513-4870.2025-0183
Citation: LIU Dong-dong, FANG Yu-bao, WEI Meng, XIE Hua, SUN Ying-bao, YAN Wen-rui, GUO Yan-li, JIN Yi-guang. Inulin gel/Clostridium butyricum synbiotic for prevention and treatment radiation-induced intestinal injuryJ. Acta Pharmaceutica Sinica, 2025, 60(5): 1228-1235. DOI: 10.16438/j.0513-4870.2025-0183

防治放射性肠损伤的菊粉凝胶载丁酸梭菌的合生制剂

Inulin gel/Clostridium butyricum synbiotic for prevention and treatment radiation-induced intestinal injury

  • 摘要: 放射性肠损伤(radiation-induced intestinal injury, RIII) 是腹盆腔恶性肿瘤患者放疗常见并发症, 严重影响生活质量, 临床无专门防治药物。菊粉是一种天然水溶性膳食纤维。丁酸梭菌(Clostridium butyricum, Cb) 属严格厌氧革兰阳性芽孢杆菌, 能分泌大量丁酸, 改善肠道屏障功能, 减少条件致病菌生长与定植。菊粉凝胶(inulin gel, IG) 载Cb合生制剂发挥益生元肠道滞留与益生菌的协同作用。本文将口服IG载Cb的合生制剂用于RIII防治并探讨机制。所有动物实验经军事医学研究院伦理委员会批准且实验均按照相关指导原则和规定进行(批准号: IACUC-DWZX-2022-525)。小鼠腹部经13 Gy γ射线照射, 成功建立RIII模型。照前1 h给小鼠灌胃合生制剂, 与模型组比较, 照后第3.5日合生制剂组小肠新生隐窝数量明显增多, 小肠绒毛更长; 结肠长度更长, 紧密连接蛋白表达提升。照后第7日肠道菌群相对丰度显著增加, 特别是多种益生菌数量, 粪便中短链脂肪酸含量增加。照后第14日, 荧光标记法证明合生制剂组小鼠肠黏膜渗透性明显减小, 达到健康水平; 合生制剂组小肠组织中促炎因子包括肿瘤坏死因子-α和白介素-6水平显著降低, 接近正常水平。合生制剂可减轻RIII症状, 促进小肠和结肠损伤组织修复, 效果优于IG与Cb。口服合生制剂是一种安全有效的抗RIII活体生物药。

     

    Abstract: Radiation-induced intestinal injury (RIII) is a common syndrome in the radiotherapy of abdominal and pelvic malignant tumors, heavily influencing the living quality, but no specific clinical regimens are available. Inulin is a naturally soluble dietary fiber. Clostridium butyricum (Cb) is a strict Gram-positive anaerobic bacillus, which can secrete and produce a large number of butyric acid, improving the intestinal barrier function and reducing the growth and colonization of opportunistic bacteria. A synbiotic of inulin gels (IG) and Cb exerts the synergistic effect of prebiotic intestinal retention and probiotics. In this study, an oral synbiotic of IG and Cb was applied for the prevention and treatment of RIII and the mechanisms were explored. Animal experiments were approved by the Ethics Committee of the Academy of Military Medical Sciences and the experiments were conducted in accordance with relevant guidelines and regulations (authorizing number: IACUC-DWZX-2022-525). An RIII mouse model was established after whole abdominal γ-ray radiation of 13 Gy. The synbiotic was intragastrically administered to the mice 1 h pre-radiation. Compared to the models, the mice of the synbiotic group had more regenerated intestinal crypts, longer villus and colon, and more tight junction protein on day 3.5. Moreover, the mice of the synbiotic group had an obvious increase in the relative abundance of gut microbiota on day 7, especially the amounts of multiple probiotics and short-chain fatty acid metabolites. On day 14, the mice of the synbiotic group had highly low permeability of intestinal mucosa according to the fluorescence labeling experiment, which was close to the normal level. Moreover, the mice of the synbiotic group showed a high decrease of proinflammatory factors including tumor necrosis factor-α and interleukin-6, close to the normal levels. Therefore, the oral synbiotic can alleviate the syndromes of RIII and improve the repair of damaged intestinal and colon tissues, and its protective effect is better than IG and Cb. The oral synbiotic is a safe and effective biological drug against RIII.

     

/

返回文章
返回