妊娠期腸疾患の発症に関与する微生物叢の役割を解析。母体免疫と腸内代謝経路の関連を発見

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2025-12-12 ペンシルベニア州立大学(Penn State)

ペンシルベニア州立大学の研究チームは、発展途上国の妊婦に多く見られる環境性腸症候群(environmental enteropathy)の発症に腸内マイクロバイオームがどのように関与しているかを調査する国際研究を開始した。環境性腸症候群は慢性的な低レベル病原体曝露による小腸の炎症と栄養吸収障害を特徴とし、子どもの発育や認知に悪影響を及ぼす可能性があるため、公衆衛生上の重要課題となっている。研究では、バングラデシュ、パキスタン、セネガル、ザンビアの妊婦240名を対象に、新技術 CapScan カプセル を用いて小腸内の液体サンプルを非侵襲的に直接収集し、微生物やバイオマーカーを分析する。これにより、小腸で起きている炎症と腸内微生物の状態を詳細に把握し、治療法や介入策の開発につなげることを目指す。従来の血液や便の検査では小腸特異的な変化を捉えにくいが、この方法は消化中の環境を直接評価できる点が強みである。

<関連情報>

生理学的条件下でのヒト腸内環境のプロファイリング Profiling the human intestinal environment under physiological conditions

Dari Shalon,Rebecca Neal Culver,Jessica A. Grembi,Jacob Folz,Peter V. Treit,Handuo Shi,Florian A. Rosenberger,Les Dethlefsen,Xiandong Meng,Eitan Yaffe,Andrés Aranda-Díaz,Philipp E. Geyer,Johannes B. Mueller-Reif,Sean Spencer,Andrew D. Patterson,George Triadafilopoulos,Susan P. Holmes,Matthias Mann,Oliver Fiehn,David A. Relman & Kerwyn Casey Huang
Nature  Published:10 May 2023
DOI:https://doi.org/10.1038/s41586-023-05989-7

妊娠期腸疾患の発症に関与する微生物叢の役割を解析。母体免疫と腸内代謝経路の関連を発見

Abstract

The spatiotemporal structure of the human microbiome1,2, proteome3 and metabolome4,5 reflects and determines regional intestinal physiology and may have implications for disease6. Yet, little is known about the distribution of microorganisms, their environment and their biochemical activity in the gut because of reliance on stool samples and limited access to only some regions of the gut using endoscopy in fasting or sedated individuals7. To address these deficiencies, we developed an ingestible device that collects samples from multiple regions of the human intestinal tract during normal digestion. Collection of 240 intestinal samples from 15 healthy individuals using the device and subsequent multi-omics analyses identified significant differences between bacteria, phages, host proteins and metabolites in the intestines versus stool. Certain microbial taxa were differentially enriched and prophage induction was more prevalent in the intestines than in stool. The host proteome and bile acid profiles varied along the intestines and were highly distinct from those of stool. Correlations between gradients in bile acid concentrations and microbial abundance predicted species that altered the bile acid pool through deconjugation. Furthermore, microbially conjugated bile acid concentrations exhibited amino acid-dependent trends that were not apparent in stool. Overall, non-invasive, longitudinal profiling of microorganisms, proteins and bile acids along the intestinal tract under physiological conditions can help elucidate the roles of the gut microbiome and metabolome in human physiology and disease.

医療・健康
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