多発性硬化症の腸内細菌による誘発メカニズム(Multiple sclerosis: Triggers in the gut flora)

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2025-05-07 ミュンヘン大学(LMU)

多発性硬化症の腸内細菌による誘発メカニズム(Multiple sclerosis: Triggers in the gut flora)
In the twin study, researchers successfully characterized gut bacteria involved in multiple sclerosis and provided evidence of their pathogenicity. | © MPI für biologische Intelligenz / Julia Kuhl

ミュンヘン大学(LMU)とマックス・プランク生物知能研究所の研究チームは、MS患者とその一卵性双生児を対象に腸内細菌叢を比較し、MS発症に関与する可能性のある腸内細菌を特定しました。81組の双子の便サンプルから51種の細菌群がMS患者と健常者で異なることが判明し、さらに4組の小腸サンプルを無菌マウスに移植したところ、MS患者由来のサンプルを移植されたマウスにMS様の症状が現れました。この結果から、Lachnoclostridium属とEisenbergiella tayiという2種の細菌がMS発症に関与している可能性が示唆されました。この研究は、腸内細菌叢と自己免疫疾患との関連性を明らかにし、新たな治療法の開発に寄与する可能性があります。

<関連情報>

多発性硬化症と腸内細菌叢:MS双生児の回腸由来のラクノスピラ科細菌が無菌トランスジェニックマウスにMS様疾患を引き起こす ― 偏りのない機能研究 Multiple sclerosis and gut microbiota: Lachnospiraceae from the ileum of MS twins trigger MS-like disease in germfree transgenic mice—An unbiased functional study

Hongsup Yoon, Lisa Ann Gerdes, Florian Beigel, +9 , and Anneli Peters
Proceedings of the National Academy of Sciences  Published:April 21, 2025
DOI:https://doi.org/10.1073/pnas.2419689122

Significance

We developed a strategy to identify gut bacteria functionally linked to the development of multiple sclerosis (MS). To minimize confounders, we analyzed microbiota composition in a large cohort of monozygotic twins discordant for MS and identified over 50 differently abundant taxa. We then sampled microbiota from the ileum of selected twins, and, in order to functionally characterize them, we introduced them into germfree TCR-transgenic mice prone to develop MS-like disease upon bacterial colonization. We found that MS-derived ileal microbiota induced disease at higher rates than analogous material from healthy twin donors. Our results implicate two Lachnospiraceae members, namely Eisenbergiella tayi and Lachnoclostridium, as likely responsible for an increased incidence of disease.

Abstract

We developed a two-tiered strategy aiming to identify gut bacteria functionally linked to the development of multiple sclerosis (MS). First, we compared gut microbial profiles in a cohort of 81 monozygotic twins discordant for MS. This approach allowed to minimize confounding effects by genetic and early environmental factors and identified over 50 differently abundant taxa with the majority of increased taxa within the Firmicutes. These included taxa previously described to be associated with MS (Anaerotruncus colihominis and Eisenbergiella tayi), along with newly identified taxa, such as Copromonas and Acutalibacter. Second, we interrogated the intestinal habitat and functional impact of individual taxa on the development of MS-like disease. In an exploratory approach, we enteroscopically sampled microbiota from different gut segments of selected twin pairs and compared their compositional profiles. To assess their functional potential, samples were orally transferred into germfree transgenic mice prone to develop spontaneous MS-like experimental autoimmune encephalomyelitis (EAE) upon bacterial colonization. We found that MS-derived ileal microbiota induced EAE at substantially higher rates than analogous material from healthy twin donors. Furthermore, female mice were more susceptible to disease development than males. The likely active organisms were identified as Eisenbergiella tayi and Lachnoclostridium, members of the Lachnospiraceae family. Our results identify potentially disease-facilitating bacteria sampled from the ileum of MS affected twins. The experimental strategy may pave the way to functionally understand the role of gut microbiota in initiation of MS.

医療・健康
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