腸から脳へ:重度の肝性脳症を治療するために細菌を工学的に設計(From gut to brain: NUS scientists engineer bacteria to treat severe liver-related brain dysfunction)

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2026-04-28 シンガポール国立大学(NUS)

National University of Singaporeの研究チームは、重度の肝疾患に伴う脳機能障害(肝性脳症)を治療するため、遺伝子工学により改変した細菌を開発した。腸内で有害物質(アンモニアなど)を分解・除去する機能を持たせることで、血中毒素の蓄積を抑え、脳への悪影響を軽減する仕組みである。動物実験では症状改善が確認され、安全性や有効性の可能性が示された。従来治療の限界を補う新たな生物学的アプローチとして、慢性肝疾患患者への応用が期待される。

腸から脳へ:重度の肝性脳症を治療するために細菌を工学的に設計(From gut to brain: NUS scientists engineer bacteria to treat severe liver-related brain dysfunction)
Engineered Lactobacillus plantarum shown as a liquid culture (in tube on rack), colonies on an agar plate (extreme left), and in lyophilised powder and capsule forms.

<関連情報>

腸肝脳軸の代謝調節を目的とした遺伝子操作された共生微生物 Engineered commensals for metabolic modulation of the gut-liver-brain axis

Nikhil Aggarwal ∙ Haosheng Shen ∙ Li Ting Lee ∙ … ∙ Yung Seng Lee ∙ Yock Young Dan ∙ Matthew Wook Chang
Cell  Published:April 24, 2026
DOI:https://doi.org/10.1016/j.cell.2026.03.048

Highlights

  • Engineered Lactobacillus plantarum rebalances metabolites in hepatic encephalopathy mice
  • Oral dosing lowers blood and brain ammonia and improves anxiety-like behavior
  • Brain transcriptomics shows restored neuronal signaling and reduced inflammation
  • Engineered strains preserve gut microbiota diversity and are cleared after dosing stops

Summary

The gut-liver-brain axis is central to metabolic and neurological homeostasis and is mediated by host- and microbiota-derived metabolites. Disruptions in this axis contribute to complex disorders, underscoring the need for targeted, multi-metabolite interventions. Here, we engineered commensal Lactobacillus plantarum WCFS1 strains to specifically modulate metabolites dysregulated in hepatic encephalopathy (HE), a disorder driven by hyperammonemia and amino acid imbalance. One strain couples ammonia assimilation with branched-chain amino acid (BCAA) biosynthesis, whereas the other enhances L-glutamine utilization to suppress ammonia generation. In two preclinical HE models, these strains reduced systemic ammonia by up to 10-fold, restored BCAA and L-glutamine balance, and improved anxiety-like and cognitive behaviors. Notably, they outperformed rifaximin, a clinically used HE therapy, while preserving gut microbiota diversity. These findings establish engineered commensals as a modular, responsive platform for multi-metabolite modulation of host-microbiota metabolism, offering a programmable strategy to restore metabolic homeostasis in disorders of the gut-liver-brain axis.

細胞遺伝子工学
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