Volume 36 Issue 2
Mar.  2020
Turn off MathJax
Article Contents
SHI Chen, LIN Li-li, XIE Tong, SHEN Cun-si, JI Jian-jian, ZHAO Xia, WANG Shou-chuan, SHAN Jin-jun. The Role of the Lung-Gut Axis and the Lung and Gut Microorganism in Pulmonary Disease[J]. Journal of Nanjing University of traditional Chinese Medicine, 2020, 36(2): 168-173.
Citation: SHI Chen, LIN Li-li, XIE Tong, SHEN Cun-si, JI Jian-jian, ZHAO Xia, WANG Shou-chuan, SHAN Jin-jun. The Role of the Lung-Gut Axis and the Lung and Gut Microorganism in Pulmonary Disease[J]. Journal of Nanjing University of traditional Chinese Medicine, 2020, 36(2): 168-173.

The Role of the Lung-Gut Axis and the Lung and Gut Microorganism in Pulmonary Disease

  • Publish Date: 2020-03-10
  • In recent years, with the breakthrough of life science and emerging developments in microbiome research, a new concept has been referred to as the "lung-gut axis". To some extent, it coincides with TCM theory of "lung being connected with large intestine". For the COVID-19, the diagnosis and treatment plan issued by the National Health Commission clearly proposed the use of intestinal microecological regulator to maintain intestinal microecological balance and prevent secondary bacterial infection. A growing number of studies have shown that lung and intestinal microbial homeostasis plays an important role in pulmonary diseases, termed as specific bacteria and their metabolites are involved in the course of pulmonary diseases. However, the composition of pulmonary and intestinal microorganisms is complex and the mechanism of immune regulation, anti-inflammatory and anti-infection has not been fully declared. In this paper, the research progress of "gut-lung axis", the lung and gut microbiota in pulmonary diseases combined with the preliminary research of our working group were reviewed and prospected.

     

  • loading
  • [1]
    新型冠状病毒感染的肺炎诊疗方案(试行第五版)[EB/OL].(2020-02-04)[2020-02-12].http://www.gov.cn/zhengce/zhengceku/2020-02/05/5474791/files/de44557832ad4be1929091dcbcfca891.pdf
    [2]
    莫芳芳, 马师雷, 李鸿涛, 等. 基于中医古籍研究的“肺与大肠相表里”理论源流及其内涵探讨[J]. 环球中医药, 2015, 8(2): 165-168.
    [3]
    RUTTEN EPA, LENAERTS K, BUURMAN WA, et al. Disturbed intestinal integrity in patients with COPD: Effects of activities of daily living[J]. Eur Respir J,2014, 145(2): 245-252.
    [4]
    ROUSSOS A, KOURSARAKOS P, PATSOPOULOS D, et al. Increased prevalence of irritable bowel syndrome in patients with bronchial asthma[J]. Respir Med, 2003, 97(1): 75-79.
    [5]
    〖JP2〗LLOYD-PRICE J, ABU-ALI G, HUTTENHOWER C, et al. The healthy human microbiome[J]. Genome Med, 2016, 8(1): 1-11.〖JP〗
    [6]
    MORGAN XC, SEGATA N, HUTTENHOWER C, et al. Biodiversity and functional genomics in the human microbiome[J]. Trends Genet, 2013, 29(1): 51-58.
    [7]
    HARTSTRA AV, BOUTER KE, BACKHED F, et al. Insights into the role of the microbiome in obesity and type 2 diabetes[J]. Diabetes Care, 2015, 38(1): 159-165.
    [8]
    SUBRAMANIAN S, BLANTON LV, FRESE SA, et al. Cultivating healthy growth and nutrition through the gut microbiota[J]. Cell, 2015, 161(1): 36-48.
    [9]
    RAUTAVA S, LUOTO R, SALMINEN S, et al. Microbial contact during pregnancy, intestinal colonization and human disease[J]. Nat Rev Gastroenterol Hepatol, 2012, 9(10): 565.
    [10]
    GILL SR, POP M, DEBOY RT, et al. Metagenomic analysis of the human distal gut microbiome[J]. Science, 2006, 312(5778): 1355-1359.
    [11]
    TREMAROLI V, BACKHED F. Functional interactions between the gut microbiota and host metabolism[J]. Nature, 2012, 489(7415): 242-249.
    [12]
    WILSON I, NICHOLSON J. The role of gut microbiota in drug response[J]. Curr Pharm Des, 2009, 15(13): 1519-1523.
    [13]
    EKMEKCIU I, VON KLITZING E, FIEBIGER U, et al. Immune responses to broad-spectrum antibiotic treatment and fecal microbiota transplantation in mice[J]. Front Immunol, 2017, 8:397.
    [14]
    ABRAHAMSSON T, JAKOBSSON H, ANDERSSON AF, et al. Low gut microbiota diversity in early infancy precedes asthma at school age[J]. Clin Exp Allergy, 2014, 44(6): 842-850.
    [15]
    METSALA J, LUNDQVIST A, VIRTA L, et al. Prenatal and post-natal exposure to antibiotics and risk of asthma in childhood[J]. Clin Exp Allergy, 2015, 45(1): 137-145.
    [16]
    GREENHALGH K, MEYER KM, AAGAARD KM, et al. The human gut microbiome in health: establishment and resilience of microbiota over a lifetime[J]. Environ Microbiol, 2016, 18(7): 2103-2116.
    [17]
    DICKSON RP, ERB-DOWNWARD JR, MARTINEZ FJ, et al. The microbiome and the respiratory tract[J]. Annu Rev Physiol, 2016, 78:481-504.
    [18]
    PATTARONI C, WATZENBOECK ML, SCHNEIDEGGER S, et al. Early-life formation of the microbial and immunological environment of the human airways[J]. Cell Host Microb, 2018, 24(6): 857-865.
    [19]
    GOLLWITZER ES, MARSLAND BJ. Impact of early-life exposures on immune maturation and susceptibility to disease[J]. Trends Immunol, 2015, 36(11): 684-696.
    [20]
    UBAGS ND, MARSLAND BJ. Mechanistic insight into the function of the microbiome in lung diseases[J]. Eur Respir J, 2017, 50(3): 1602467.
    [21]
    〖JP2〗YANG X, LI H, MA Q, et al. Neutrophilic asthma is associated with increased airway bacterial burden and disordered community composition[J]. BioMed Res Inter, 2018, 2018:1-11.〖JP〗
    [22]
    GREEN BJ, WIRIYACHAIPORN S, GRAINGE C, et al. Potentially pathogenic airway bacteria and neutrophilic inflammation in treatment resistant severe asthma[J]. PLoS ONE, 2014, 9(6):e100645.
    [23]
    SIMPSON JL, DALY J, BAINES KJ, et al. Airway dysbiosis: Haemophilus influenzae and Tropheryma in poorly controlled asthma[J]. Eur Respir J, 2016, 47(3): 792-800.
    [24]
    PROCTOR DM, RELMAN DAJ. The landscape ecology and microbiota of the human nose, mouth, and throat[J]. Cell Host Microbe, 2017, 21(4): 421-432.
    [25]
    PABST O. New concepts in the generation and functions of IgA[J]. Nat Rev Immunol, 2012, 12(12): 821-832.
    [26]
    BUNKER JJ, ERICKSON SA, FLYNN TM, et al. Natural polyreactive IgA antibodies coat the intestinal microbiota[J]. Science, 2017, 358(6361): 6619.
    [27]
    SALZMAN NH, HUNG K, HARIBHAI D, et al. Enteric defensins are essential regulators of intestinal microbial ecology[J]. Nat Immunol, 2010, 11(1): 76.
    [28]
    MAMANTOPOULOS M, RONCHI F, VAN HAUWERMEIREN F, et al. Nlrp6-and ASC-dependent inflammasomes do not shape the commensal gut microbiota composition[J]. Immunity, 2017, 47(2): 339-348.
    [29]
    ZMORA N, ZILBERMAN-SCHAPIRA G, SUEZ J, et al. Personalized gut mucosal colonization resistance to empiric probiotics is associated with unique host and microbiome features[J]. Cell, 2018, 174(6): 1388-1405.
    [30]
    GROVES HT, CUTHBERTSON L, JAMES P, et al. Respiratory disease following viral lung infection alters the murine gut microbiota[J]. Front Immunol, 2018, 9:182.
    [31]
    WYPYCH TP, MARSLAND BJ. Antibiotics as instigators of microbial dysbiosis: Implications for asthma and allergy[J]. Trends Immunol, 2018, 39(9): 697-711.
    [32]
    〖JP2〗HANSKI I, VON HERTZEN L, FYHRQUIST N, et al. Environmental biodiversity, human microbiota, and allergy are interrelated[J]. P Natl Acad Sci USA, 2012, 109(21): 8334-8339.〖JP〗
    [33]
    〖JP2〗FUJIMURA KE, SITARIK AR, HAVSTAD S, et al. Neonatal gut microbiota associates with childhood multisensitized atopy and T cell differentiation[J]. Nat Med, 2016, 22(10): 1187.〖JP〗
    [34]
    WANG J, LI F, WEI H, et al. Respiratory influenza virus infection induces intestinal immune injury via microbiota-mediated Th17 cell-dependent inflammation[J]. J Exp Med, 2014, 211(12): 2397-2410.
    [35]
    WANG H, LIU JS, PENG SH, et al. Gut-lung crosstalk in pulmonary involvement with inflammatory bowel diseases[J]. World J Gastroenterol, 2013, 19(40): 6794.
    [36]
    ZHANG H, KANG ZJ, GONG HY, et al. The digestive system is a potential route of 2019-nCov infection: A bioinformatics analysis based on single-cell transcriptomes[J/OL]. BioRxiv.https://doi.org/10.1101/2020.01.30.927806.
    [37]
    NEISH AS, GEWIRTZ AT, ZENG H, et al. Prokaryotic regulation of epithelial responses by inhibition of IκB-α ubiquitination[J]. Science, 2000, 289(5484): 1560-1563.
    [38]
    RATNER AJ, LYSENKO ES, PAUL MN, et al. Synergistic proinflammatory responses induced by polymicrobial colonization of epithelial surfaces[J]. P Natl Acad Sci USA, 2005, 102(9): 3429-3434.
    [39]
    TROMPETTE A, GOLLWITZER ES, YADAVA K, et al. Gut microbiota metabolism of dietary fiber influences allergic airway disease and hematopoiesis[J]. Nat Med, 2014, 20(2): 159.
    [40]
    DICKSON RP, SINGER BH, NEWSTEAD MW, et al. Enrichment of the lung microbiome with gut bacteria in sepsis and the acute respiratory distress syndrome[J]. Nat Microbiol, 2016, 1(10): 1-9.
    [41]
    GAUGUET S, D'ORTONA S, AHNGER-PIER K, et al. Intestinal microbiota of mice influences resistance to Staphylococcus aureus pneumonia[J]. Infect Immun, 2015, 83(10): 4003-4014.
    [42]
    SEGAL LN, CLEMENTE JC, TSAY JCJ, et al. Enrichment of the lung microbiome with oral taxa is associated with lung inflammation of a Th17 phenotype[J]. Nat Microbiol, 2016, 1(5): 16031.
    [43]
    SAMUELSON DR, WELSH DA, SHELLITO JE. Regulation of lung immunity and host defense by the intestinal microbiota[J]. Front Microbiol, 2015, 6:1085.
    [44]
    REIBMAN J, MARMOR M, FILNER J, et al. Asthma is inversely associated with Helicobacter pylori <\i>status in an urban population[J]. PLoS ONE, 2008, 3(12): e4060.
    [45]
    HUANG Y, MAO K, CHEN X, et al. S1P-dependent interorgan trafficking of group 2 innate lymphoid cells supports host defense[J]. Science, 2018, 359(6371): 114-119.
    [46]
    BRADLEY CP, TENG F, FELIX KM, et al. Segmented filamentous bacteria provoke lung autoimmunity by inducing gut-lung axis Th17 cells expressing dual TCRs[J]. Cell Host Microbes, 2017, 22(5): 697-704.
    [47]
    ICHINOHE T, PANG IK, KUMAMOTO Y, et al. Microbiota regulates immune defense against respiratory tract influenza A virus infection[J]. P Natl Acad Sci USA, 2011, 108(13): 5354-5359.
    [48]
    QIAN G, JIANG W, ZOU B, et al. LPS inactivation by a host lipase allows lung epithelial cell sensitization for allergic asthma[J]. J Exp Med, 2018, 215(9): 2397-2412.
    [49]
    DEN BESTEN G, VAN EUNEN K, GROEN AK, et al. The role of short-chain fatty acids in the interplay between diet, gut microbiota, and host energy metabolism[J]. J Lipid Res, 2013, 54(9): 2325-2340.
    [50]
    THORBURN AN, MCKENZIE CI, SHEN S, et al. Evidence that asthma is a developmental origin disease influenced by maternal diet and bacterial metabolites[J]. Nat Commun, 2015, 6(1): 1-13.
    [51]
    TROMPETTE A, GOLLWITZER ES, PATTARONI C, et al. Dietary fiber confers protection against flu by shaping Ly6c-patrolling monocyte hematopoiesis and CD8+ T cell metabolism[J]. Immunity, 2018, 48(5): 992-1005.
    [52]
    HUSTED AS, TRAUELSEN M, RUDENKO O, et al. GPCR-mediated signaling of metabolites[J]. Cell Metab, 2017, 25(4): 777-796.
    [53]
    〖JP2〗STEED AL, CHRISTOPHI GP, KAIKO GE, et al. The microbial metabolite desaminotyrosine protects from influenza through type Ⅰ interferon[J]. Science, 2017, 357(6350): 498-502.〖JP〗
    [54]
    ZELANTE T, IANNITTI RG, CUNHA C, et al. Tryptophan catabolites from microbiota engage aryl hydrocarbon receptor and balance mucosal reactivity via interleukin-22[J]. Immunity, 2013, 39(2): 372-385.
    [55]
    SINGH N, GURAV A, SIVAPRAKASAM S, et al. Activation of Gpr109a, receptor for niacin and the commensal metabolite butyrate, suppresses colonic inflammation and carcinogenesis[J]. Immunity, 2014, 40(1): 128-139.
    [56]
    GEIGER R, RIECKMANN JC, WOLF T, et al. L-arginine modulates T cell metabolism and enhances survival and anti-tumor activity[J]. Max Planck Soc, 2016, 167(3): 829-842.
    [57]
    SINGH R, CHANDRASHEKHARAPPA S, BODDULURI SR, et al. Enhancement of the gut barrier integrity by a microbial metabolite through the Nrf2 pathway[J]. Nat Commun, 2019, 10(1): 1-18.
    [58]
    MORITA N, UMEMOTO E, FUJITA S, et al. GPR31-dependent dendrite protrusion of intestinal CX3CR1+ cells by bacterial metabolites[J]. Nature, 2019, 566(7742): 110-114.
    [59]
    孟欣,汪受传,单进军,等. 合胞病毒肺部感染对小鼠大肠黏膜组织内源性代谢物的影响[J]. 中国当代儿科杂志, 2016, 18(11): 1166-1173.
    [60]
    钱文娟. “银翘”药对治疗H1N1肺炎的肺-肠轴相关代谢组学研究[D]. 南京:南京中医药大学,2019.
    [61]
    PLANTINGA TS, JOHNSON MD, SCOTT WK, et al. Human genetic susceptibility to Candida infections[J]. Med Mycol, 2012, 50(8): 785-794.
    [62]
    FYHRQUIST N, RUOKOLAINEN L, SUOMALAINEN A, et al. Acinetobacter species in the skin microbiota protect against allergic sensitization and inflammation[J]. J Allergy Clin Immunol, 2014, 134(6): 1301-1309.
    [63]
    NEMBRINI C, SICHELSTIEL A, KISIELOW J, et al. Bacterial-induced protection against allergic inflammation through a multicomponent immunoregulatory mechanism[J]. Thorax, 2011, 66(9): 755-763.
    [64]
    VOGEL K, BLUMER N, KORTHALS M, et al. Animal shed Bacillus licheniformis spores possess allergy-protective as well as inflammatory properties[J]. J Allergy Clin Immunol Immunopathol, 2008, 122(2): 307-312.
    [65]
    KOCH KN, HARTUNG ML, URBAN S, et al. Helicobacter urease-induced activation of the TLR2/NLRP3/IL-18 axis protects against asthma[J]. J Clin Investig, 2015, 125(8): 3297-3302.
    [66]
    BROWN RL, SEQUEIRA RP, CLARKE TB. The microbiota protects against respiratory infection via GM-CSF signaling[J]. Nat Commun, 2017, 8(1): 1-11.
    [67]
    KANMANI P, CLUA P, VIZOSO-PINTO MG, et al. Respiratory commensal bacteria Corynebacterium pseudodiphtheriticum improves resistance of infant mice to respiratory syncytial virus and Streptococcus pneumoniae superinfection[J]. Front Microbiol, 2017, 8:1613.
    [68]
    CHUA HH, CHOU HC, TUNG YL, et al. Intestinal dysbiosis featuring abundance of Ruminococcus gnavus associates with allergic diseases in infants[J]. Gastroenterology, 2018, 154(1): 154-167.
    [69]
    NOVERR MC, FALKOWSKI NR, MCDONALD RA, et al. Development of allergic airway disease in mice following antibiotic therapy and fungal microbiota increase: role of host genetics, antigen, and interleukin-13[J]. Infect Immun, 2005, 73(1): 30-38.
    [70]
    NOVERR MC, NOGGLE RM, TOEWS GB, et al. Role of antibiotics and fungal microbiota in driving pulmonary allergic responses[J]. Infect Immun, 2004, 72(9): 4996-5003.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (854) PDF downloads(444) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return