Abstract
Oral probiotics have emerged as a promising therapeutical strategy for
effectively managing ulcerative colitis (UC) in the world . The existing research es
successfully preserve probiotic viability in the upper gastrointestinal tract, but they
fall short in achieving precise release profile and effective colonization of probiotics
at the site of colitis in colon as well as t he understanding of therapeutic mechanism
with suboptimal efficacy. This constraint poses a significant barrier to rational design
and effective development of oral probiotic system . Here, we fabricate an orally
layered-by-layered probiotic (Escherichia coli Nissle 1917 , EcN) system (so-called
CML@EcN) based on carboxymethyl modified lignin (CML) which can significantly
protect EcN in gastric and small intestinal microenvironment and efficiently control
release EcN in colon. Interestingly, the release and proliferation process of EcN in the
colon are detected and can be modeled as a plug -flow mode . W e derive a
mathematical expression that highly matches the experimental results, providing a
theoretical basis for quantitatively calculation of the release process. Furthermore,
CML@EcN significantly alleviate s symptoms in dextran sulfate sodium
(DSS)-induced UC mice by modulating the multiple organ immune disorder and gut
microbiota (GM)/ metabolites profile as well as reconstructing the colon barrier.
Importantly, we explore the mechanism of immune homeostasis regulation via
metabolism from GM . Moreover, the CML armour is excreted and would not
influence the process. This work not only reports a novel oral therapeutic for UC
treatment with high efficacy as well as the exploration of mechanism between GM
and immune homeostasis, but also provides a general approach to engineer probiotics
for oral administration.
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Main
Gut microbiota (GM) dysbiosis and immune dyshomeostasis are pivotal in the
pathogenesis of ulcerative colitis (UC). This manifests predominantly through the
infiltration of immune cells into the gut lumen and the aberrant translocation of GM
into body tissues1. Such disruption leads to a cascade of immune dysregulation
affecting multiple organ systems, notably the intestines and spleen. The ensuing
immunological perturbation not only amplifies the impairment of the intestinal barrier
but also escalates the pathological progression of UC 2, 3. Existing anti-inflammatory
or immunosuppressive agents have limited efficacy due to the singular mechanism of
action along with obvious side effects 4, 5 . Specific probiotics, by enhancing GM
composition and repairing the gut barrier with minimal side effects, have emerged as
a promising therapeutic approach for UC6, 7. By far, Escherichia coli Nissle 1917
(EcN) still being the only registered probiotic drug for UC therapy. However, current
formulations of EcN require a daily oral dose of n early 10 10 colony forming unit
(CFU), yet the efficacy remains unsatisfactory. This is primarily due to the inability to
achieve effective colonization of EcN at site of UC8.
Oral delivery systems with enhanced colonization of probiotics at focal site and
reduced side effect have been recognized as a promising strategy for UC treatment9, 10.
For instance, encapsulation in various membranes or liposomes can maintain hi gh
probiotic activity within the digestive tract, and surface modification of probiotics can
improve the permeability of the delivery system through the intestinal mucus layer,
thereby enhancing intestinal colonization rates 11-13. Nevertheless, the lesions of UC
are primarily located in colon. Existing oral delivery systems commonly result in the
premature release of probiotics in the small intestine, which limits their colonization
efficacy in colon and impedes research into the therapeutic mechanisms of probiotics
for UC. Therefore, there is an urgent need to develop innovative oral delivery systems
that can achieve efficient in situ colonization of probiotics in the colon, enabling
effective treatment of UC and elucidation of the underlying mechanisms.
Lignin widespread in plants is resistant to digestion and absorption by mammals
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with high biosafety14. To improve the solubility and stimuli -responsibility of lignin,
the hydroxyl residues were transformed as sodium carboxymethyl (Supplementary
Fig. 1 ), resulting in carboxymethyl -modified lignin (CML) in this work . The CML
was used as a suit of armour for EcN to prepare oral probiotic system (CML@ EcN)
via layer-by-layer surface engineered process, which can precisely and effectively
deliver EcN to the co litis site, followed by modulating the GM and regulating the
immune homeostasis. Furthermore , we carefully explore the delivery mechanism in
vivo and in vitro basing on the biological experiments and theoretical analysis using a
plug-flow model. We next carefully reveal the therapeutic mechanism based on
synergistic effect of modulation of GM and immune homeostasis, meanwhile,
evaluate the therapeutic efficacy ( Fig. 1 ). Given the universality of the delivery
system and kinetic model constructed in this work, we anticipate that it can be used to
the treatment of colon diseases by orally administered probiotics via modulating GM
and immune homeostasis.
Fig. 1 Development of oral probiotic delivery system for UC management. a, Schematic of the
oral administration of CML@EcN for UC treatment via the colon barrier repair, GM reconstitution
and immune homeostasis. CML@EcN was prepared by the method of electrostatic adsorption, and
achieves the stabilization of EcN in the stomach and small intestine, as well as controlled release
and colonization in the colon. Furthermore, CML@EcN co-regulated the immune system function
and gut environment of UC mice, thereby restoring gut barrier function and achieving therapeutic
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effects for UC. b, DLS is used to monitor changes in particle size and Zeta -potential before and
after encapsulate. c, SEM (scale bar, 1 μm) & d, TEM (scale bar, 2 μm) were used to observe the
morphology of the system. e, CLSM were used to visual character ization of the mCherry labeled
EcN system, scale bar, 50 μm. f,g, flow cytometry results were utilized to confirmed the
successful construction of the encapsulation system.
Preparation of CML@EcN
The hydroxyl residues in lignin were transformed as carboxymethyl ones to enhance
the solubility and introduce the pH -sensitivity (Supplementary Fig. 1a), resulting in
armour in this work . Fourier Transform Infrared Spectroscopy (FTIR) was utilized to
confirm the successful modification of lignin (Supplementary Fig. 1b ). The
disappearance of the C-Cl characteristic peak at 776 cm ⁻¹and the emergence of a new
benzene ring para -substitution peak at 835 cm ⁻¹ in spectrum of CML proved the
successful carboxymethylation of lignin (named CML) . Additionally, the proccess
conditions like reaction t emperature and feed ratio were optimized (Supplementary
Table 1 ). Aqueous potentiometric titration results demonstrated that the carboxyl
content of the optimized CML could reach 3.2439 mmol/g, and the zeta -potential was
measured as -31.83 mV (Supplementary Table 2).
In vivo and in vitro biosafety of CML was validated immediately. NCM-460 cells
were used to evaluate the biosafety in vitro , showing that the cell viability could
maintain over 90% after 48 h of incubation even at the highest concentration of 300
μg/mL of CML (Supplementary Fig. 2), which indicated the negligible cytotoxicity.
Importantly, C57 BL/6N mice were used to evaluate the biosafety of CML in vivo .
After 15 days of continuous gavage, CML (both low does and high dose) did not
cause significant weight changes in mice (Supplementary Fig. 3a). No abnormalities
in blood biochemical indicators related to mouse liver function, kidney function, and
inorganic ions were observed (Supplementary Fig. 3b-d). Additionally, the major
organs (intesti ne, heart, liver, spleen, lung and kidney) showed no abnormal
histological characteristics (Supplementary Fig. 4). Taken together, all these findings
indicated that the CML had high biosafety, showing the huge potential in biomedical
application.
Then, CML@EcN was fabricated by layer-by-layer technique via electrostatic
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interaction (Supplementary Fig. 5). The fabrication process, including the feed ratio,
incubation time of Ca2+ and CML, was successfully optimized (Supplementary Fig.
S6). The CML@EcN system prepared at concentration of Ca2+ and CML at 1.0 M and
0.8 g/L with incubation time of 30 min and 60 min, respectively, was selected as
sample for the following studies. After that, the physicochemical properties were
carefully characterized. The particle size of the CML@ EcN slightly increased from
approximately 1000 nm to 1200 nm (Fig. 1a,b) and the zeta-potential also exhibited
surface charge reversal (Fig. 1b) measured by d ynamic light scattering (DLS) ,
confirming the successful fabrication of CML@EcN system. Moreover, scanning
electron microscopy (SEM) and transmission electron microscopy (TEM) were
utilized to observe the morphology of EcN before and after encapsulation. The results
revealed that the surface of the CML@EcN appeared noticeably smoother than that of
the unwrapped EcN (Fig. 1c). Additionally, a film with a thickness of approximately
120 nm was prominently observed on the surface of the encapsulated EcN (Fig. 1d).
Subsequently, mCherry -labeled EcN was used for visual characterization of the
delivery system. Confocal laser scanning microscopy (CLSM) images demonstrated
significant overlap between EcN and CML (inherent blue fluorescence) signals,
indicating successful encapsulation of the majority of EcN by CML ( Fig. 1 e,
Supplementary Fig. 7 ). Flow cytometry quantification results further confirmed a
fabrication success rate of 69.3% for CML@ EcN (Fig. 1f,g). These characterizations
collectively proved the successful fabrication and encapsulation of EcN.
In vitro simulation of CML@EcN existence in the digestive tract
The stability of CML@EcN system in gastric acid was evaluated through an in
vitro simulated gastric environment experiment. The results demonstrated that
unwrapped EcN was severely inactivated after 30 min of exposure to the simulated
gastric environment. In contrast, CML@ EcN was able to maintain EcN activity at
levels exceeding 90% fo r at least 2 h under the same conditions ( Fig. 2 a,b).
Additionally, their morphologies were confirmed using TEM, showing that EcN
exposed to the simulated gastric environment was largely degraded, whereas
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CML@EcN maintained the normal morphology of EcN (Fig. 2c). Furthermore,
live/dead bacterial staining was employed for qualitative and quantitative analysis of
EcN survival in the simulated gastric environment using CLSM and flow cytomentry.
The results indicated that CML@EcN effectively protected EcN with higher than 90%
survival in this environment ( Fig. 2 d,f, Supplementary Fig. 8 ). At pH of 1.2
(simulating the gastric environment) and pH 6.8 (simulating the intestinal
environment), EcN exhibited minimal release with less than 30% after incubation of 8
h. However, at pH of 7.4 (simulating the colonic environment), over 85% of EcN was
released (Supplementary Fig. 9 ). The different release profiles of EcN could be
induced by the carboxyl residues in CML, which could be ionization/deionization at
different pH conditions. These findings suggest ed that CML@ EcN can remain
encapsulated while passing through the stomach and small intestine, thereby ensuring
the release of highly active EcN in the colon.
To further investigate the stability and relea se behavior of CML@ EcN,
mCherry-labeled EcN was utilized to fabricate CML@EcN-mCherry, which was
incubated in simulated intestinal fluid and colonic fluid. At various incubation time
points, samples were extracted and quantitatively analyzed using flow cyt ometry. The
Results
showed that over 80% of CML@ EcN remained stable in the simulated
intestinal fluid. Conversely, in the simulated colonic fluid, over 80% of CML@ EcN
degraded within 2 h, resulting in the release of EcN (Fig. 2 g). Th e morphology of
samples was visually confirmed by TEM. After 8 h of incubation, most EcN in the
simulated small intestine fluid still had a clear membrane visible on the surface
(armor belt ), whereas the membrane on the surface of EcN in the simulated colon
fluid ha s disappeared (armor remover). Additionally, release curves for CML@ EcN
and proliferation curves for EcN in the small intestine and colon environments were
plotted, respectively (Fig. 2 h,i). These curves further illustrated the differential
stability and release kinetics of CML@ EcN in response to the distinct pH
environments, supporting the targeted release mechanism of the delivery system.
To explore the release and proliferation process of CML@ EcN in the
gastrointestinal tract universally, we aim ed to establish a dynamic simulation model.
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The pH and enzyme composition of each segment of the digestive tract are relatively
stable, allowing us to approximate the intestine as a tubular reactor. Given that most
EcN is released in the colon, a plug -flow model is suitable for simulating the release
and proliferation process of CML@EcN in this section (Fig. 2j). Based on the average
length, cross -sectional area, and residence time of food in the colon of mice 15, the
concentration-reaction rate curve for CML@ EcN was established. The fitt ing results
indicated that the release and proliferation processes of EcN in the colon can be
approximated as first-order reactions (Fig. 2k,l). The results for the system in small
intestine were showed in Supplementary Fig. 10. According to the derived formula
(Showed in s upplementary information), the half -release time of EcN was
approximately 1.46 hours, with around 86% of EcN released in the colon, aligning
closely with experimental results ( Fig. 2g-i). We further extended our predictions to
the colonization behavior of EcN in the colon. Assuming that 100% of CML@ EcN
enters the colon, after 20 hours (the typical residence time of substances in the colon),
the total abundance of EcN was projected to reach 145%. This comprises 14% as
unreleased CML@EcN, 86% as released EcN, and 45% as newly proliferated EcN,
resulting in free EcN (131%) colonizing the colon , which was also confirmed by
experiments (Fig. 2i ). The predicted final colonization of EcN was estimated to
represent approximately 0.1% of the tot al gut microbiota (GM) abundance. This
prediction was validated by subsequent in vivo distribution experiments ( Fig. 3 ),
demonstrating that this model is suitable to simulate the release and proliferation
processes of similar colon -targeted oral probiotic preparations. This validation
underscores the robustness of the plug-flow model and its predictive power, providing
a reliable tool for future research and development of targeted probiotic delivery
systems (supporting information for the derivation process).
Taken together, it can be inferred that CML@ EcN can remain stable in the
stomach and small intestine, while achieving controlled release on-demand and
proliferation in the colon region.
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Fig. 2. In vitro study on the existence form of CML@ EcN in various segmen ts of the
digestive tract. a,b, EcN and CML@ EcN survival rate within 2 h under simulated stomach
environment and a pH neutral environment, respectively. c, TEM was employed to observe the
morphology of EcN and CML@EcN in simulated gastric fluid after a 2 h incubation. d, CLSM
was used to observe EcN and CML@ EcN after viability staining. Scale bar, 20 μm. e,f, flow
cytometry were used to quantitatively evaluated the activity of EcN under simulated gastric
environment in vitro. Furthermore, mCherry labeled EcN were used to fabricate CML@EcN, and
the systems were placed in simulated small intestine and colon environment, respectively. g, Flow
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cytometry was used to detect with samples taken at different time points. g, TEM was utilized to
observe the morphological characteristics of CML@ EcN after 8 h incubation in simulated
intestinal and colonic fluids. Scale bar, 1 μm. h,i, The total amount of EcN and the degradation
ratio of CML@EcN were presented in line graphs. j, The plug-flow model is used to simulate the
release process of CML@EcN in the colon. k,l, The fitted release curve and proliferation curve of
CML@EcN in the colon.
In vivo biodistribution of CML@EcN
To further investigate the distribution of EcN in vivo after oral administration, In
vivo imaging system (IVIS) and RT-PCR were used to qualitatively and quantitatively
analyze EcN in various segments of the digestive tract, respectively . The IVIS results
indicated that mice orally administered with CML@ EcN showed specific signal
enrichment in the stomach at 1 h, significant signal enhancement in the intestine at 4 h,
and specific enrichment in the colon at 24 h compared to free EcN and the physical
mixture of CML and EcN (CMI+EcN) group (Fig. 3a,b, Supplementary Fig.11a). No
signal distribution was observed in other important organs of each group in mice
(Supplementary Fig. 11b,c). These results indicated that CML@EcN effectively
protected the activity of EcN in the stomach and intestines, followed by achieving
colonization of EcN in the colon within 24 h. Furthermore, fluorescence in situ
hybridization (FISH) of colonic contents samples at 24 h visually confirmed the
successful colonization of EcN in the colon region (Fig. 3c,d, Supplementary Fig. 12).
The quantitative analysis of EcN content in different segments of the gastrointestinal
tract corroborated this phenomenon. Importantly, quantitative results of FISH showed
that EcN accounted for 0.12% of the GM, which is highly consistent with the previous
Results
calculated based on the plug-flow model (0.1%). Furthermore, RT-PCR results
showed that after 24 h of gavage, CML@ EcN significantly increased the EcN content
in the colon of UC mice (approximately 26 times higher compared to the other groups)
(Fig. 3e-g), and EcN could still be detected in the colonic contents after 72 hours of
gavage (Supplementary Fig. 13). Additionally, following the release of EcN, almost
70% of CML was excreted with the faeces (Supplementary Fig. 14), indicating that
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CML does not accumulate in the body or participate in organism metabolism, posing
no biosafety hazards as confirmed as forementioned.
Indeed, the in vivo biodistribution results further validate the applicability of the
kinetic model and formulas used in the study. These findings confirm that CML@EcN
successfully protects the activity of EcN in the stomach and small intestine, allowing
for release on-demand and colonization specifically in the colon region. Th e effective
colonization of EcN in the colon is of paramount importance for enhancing the
efficacy of EcN-based therapies and facilitating subsequent mechanism research.
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Fig. 3. Qualitative and quant itative analysis of the in vivo biodistribution of different oral
EcN formulations. a,b, IVIS was used to evaluate the biodistribution of oral EcN at 1 h, 4 h and
24 h, respectively. Indicating CML@ EcN significantly improved the survival and colonization
ability of EcN in the entire intestine of mice within 24 hours . c,d, 24h colon contents of each
group were collected for FISH detection (arrow s point to the successfully colonized single EcN).
Scale bar, 10 μm. e-h, RT-PCR was used to quantitatively analyze the content of EcN at 1 h, 4 h
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and 24 h of different segments of the digestive tract, which quantitatively demonstrated the results
of IVIS.
Remission of UC in vivo and gut barrier repair effect of CML@EcN
DSS-induced UC -bearing mouse model was used to evaluate the therapeutic
efficacy of CML@EcN (Fig. 4a). After 7 days of treatment, UC-bearing mice without
treatment showed significant weight loss (Fig. 4b), increased spleen weight index (Fig.
4c) and shortened colon length (Fig. 4d,e), which are typical UC symptoms , while the
intervention of CML@EcN obviously alleviated the above UC phenotype s, proving
the high therapeutic efficacy . Moreover, mice treated with CML@EcN showed
significantly better effect in improvement UC phenotype than those in the delivery
Material
mixed direct ly and i ntervened free EcN or CML group (Fig. 4b-e), which
further demonstrated the crucial role of the oral delivery system in facilitating the
efficacy of EcN. Furthermore, RT-PCR was used to reveal the molecular mechanism
of CML@ EcN on repairing gut barrier. CML@EcN Significantly upregulated the
expression levels of ZO -1 and Occludin in the colon tissue of UC mice (Fig. 4f-h).
H&E staining was employed for further investigate the repair effect of CML@EcN on
the epithelial barrier of colon (Fig. 4i). Horizontally stained images revealed the
overall histological characteristics of the colon tissues in each group of mice.
Compared to the Healthy group, UC-bearing mice without treatment showed
separation between the colon epithelium and surrounding tissues (highlighted by
black arrows), with the colon epithelium appearing irregular. CML@EcN significantly
improved these pathological features, with the colon epithelium clo sely connected to
surrounding tissues, and the brush border structure of the colon epithelium appearing
clear and intact (delineated by dashed lines). Besides, t he localized magnified
horizontal and longitudinal sections showed that the colon tissue of Healthy group
mice is arranged in a regular and dense U -shape, and the crypt and colon epithelial
barrier were clearly visible (highlighted by red arrows). However, the induction of
DSS made the contour of colon epithelial tissue completely indistinguishable, and the
whole colon tissue was diffuse, which indicated that the colon tissue of UC-bearing
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mice had been seriously damaged . Compared to the other three intervention groups
and positive drug groups, CML@EcN best maintained the integrity of colon epithelial
tissue in mice. Furthermore, the MPO staining results indicated that, the damage to
the gut barrier in UC mice led to obvious infiltration of neutrophils (highlighted by
red dashed lines, Fig. 4j), while CML@EcN significantly eliminated this phenotype.
All the results suggested that CML@EcN significantly repaired the gut barrier in
UC mice by regulating the expression of ZO -1 and occludin in the colon tissues.
Normal expressions of ZO-1 and occludin are directly related to the proliferation of
intestinal epithelium and the integrity of the gut barrier16, 17 , revealing that
CML@EcN can obviously repair the intestinal barrier at the molecular level.
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Fig. 4. Evaluation of CML@EcN for UC treatment and gut barrier repair efficacy. a,
Schematic of in vivo experimental. After 7 days of modeling and intervention, CML@ EcN
significantly alleviated the symptoms of b, weight loss, c, increased spleen weight index and d,e,
shortened colon length in DSS model , free EcN and CML group. f-h, CML@EcN significantly
increased the level of ZO-1 and occludin in colon tissue (n = 6 independent animals in b, c, e – h,
n = 3 independent animals in d). i, Colons of each group of mice were sliced horizontally in
overall image. Scale bar, 1 mm, and longitudinally histological observations were performed using
HE staining (The brush border of colon is highlighted by dashed areas or red arrows). Scale bar,
200 μ m. j, MPO staining showed that CML@ EcN significantly repaired th e colon epithelial
barrier and avoided the infiltration of neutrophils in the colon tissue (The area of neutrophil
infiltration is highlighted by red arrows). Scale bar, 200 μm.
CML@EcN can modulate the immune homeostasis of UC-bearing mice
UC-induced damage of gut barrier also leads to a large amount of GM entering
the surrounding tissues, triggers an immune response and caus es excessive immune
activation in the local intestinal environment , followed by , resulting in a large
infiltration of immune cells in the gut lumen, exacerbating the disruption of the gut
environment, forming severe immune disorder18, 19. In present study, CML@EcN had
significant regulatory effects on peripheral blood, colon, and spleen immunity in UC
mice. In the peripheral blood, UC mice showed a significant increase in the
pro-inflammatory cytokines IL -6, TNF -α, and IL -1β concentrations, along with a
significant decrease in the anti -inflammatory cytokine IL-10 concentration (Fig. 5a-d,
Supplementary Fig. 15). CML@EcN significantly downregulated the concentration of
IL-6 and dramatically upregulated the concentration of IL-10 (Fig. 5a-d). Furthermore,
single-cell flow cytometry was used to classify immune cells in the colon and spleen
tissues of mice in each group. The results indicated that severe immune dysregulation
was observed in the colon and spleen of UC mice, with a severe imbalance in the
proportion of neutrophils, T cells, B cells, macrophages, and dendritic cells in the
colon (Fig. 5e-i, Supplementary Fig. 16-20). CML@EcN significantly downregulated
the content of neutrophils (9.0% vs 11.0%, P = 0.0079) and B cells (17.6% vs 31.1%,
P = 0.0266), and significantly upregulated the T cell content (61.7% vs 60.1%, P =
0.011) in the colon of UC mice. Furthermore, aside from the colon, the spleen plays a
crucial role in the immune regulation of UC. The migration of T cells from the spleen
to the colon is closely associated with gut barrier repair 20, 21. In present study, the
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proportion of CD3 +CD4+ and CD3+CD8+ T cells significantly decreased in UC mice.
CML@EcN significantly upregulated the proportion of CD3 +CD4+ (25.2% vs 15.3%,
P = 0.0416) and CD3 + CD8+ (39.7% vs 18.8%, P = 0.0055) T cells, while the other
intervention groups did not show similar effects (Fig. 5j-m).
The results provide strong evidence that CML@ EcN effectively modulates the
immune system in UC mice by regulating peripheral blood inflammatory factors and
the composition of immune cells in the colon and spleen. Specifically, CML@ EcN
enhances the circulation of T cells between the spleen and gut, suppr esses the
abnormal immune microenvironment activated in the colon, promotes intestinal
barrier repair, reduces the ratio of neutrophils and B cells in the colon, and restores
immune balance between the colon and spleen during UC treatment.
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Fig. 5. CML@ EcN effectively regulat ed the immune homeostasis in vivo . After 7 days of
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intervention, a-d, CML@EcN Significantly improved the levels of inflammatory factors in
peripheral blood and colon tissue. e-i, single-cell flow cytometry of colon tissue was used to
perform immune cell typing in colon tissue of mice in each group. Indicating CML@ EcN
significantly improved the content of neutrophils, T cells, and B cells in the colon of UC mice.
Furthermore, flow cytometry was used to classify immune cells in the spleen of mice in each
group, and CML@ EcN significantly upregulated the proportion of j,l, CD3+CD4+and k,m,
CD3+CD8+ T cells in the spleen of UC mice.
CML@EcN reshaped the gut environment of UC mice
In add ition to the damage to the epithelial barrier of the colon and the body's
immune system, UC can also cause serious gut environment (GM & metabolites
structural) disorders22, 23. Therefore, 16S rRNA and metabolomics sequencing w ere
used respectively to evaluate the impact effect of CML@EcN on GM and metabolites
structure in DSS model mice.
In terms of GM structure , after 7 days of modeling and intervention, the DSS
model mice showed severe GM disorder, while CML@EcN reshaped the GM
structure Specifically, the GM α-diversity of DSS mice was significantly improved by
CML@EcN (Fig. 6a). In the overall structure, the GM structure of DSS mice was
seriously disordered, forming a new g roup different from normal mice, while the
intervention of CML@EcN made the GM structure of mice similar to that of normal
mice (Fig. 6b, Supplementary Fig. 21b). The differential flora of GM in each group of
mice was further excavated . At the phylum level, the percentage s tacking histogram
visually showed that CML@EcN has basically recovered the GM structural disorder
caused by DSS (Supplementary Fig. 21a). Importantly, Firmicutes and Bacteroidetes
occupy a large proportion in the whole GM, and the changes in their abundance
usually reflect the status of body's inflammation, immune and metabolic system. In
this work , CML@EcN effectively decreased the abundance of Firmicutes and
increased the abundanc e of Bacteroidetes in the faeces of mice (Supplementary Fig.
21c,d). At the genus level, further validation was conducted using FISH to assess the
content of gut microbiota (GM) related to gut barrier repair and immune regulation
(Fig. 6 d, Supplementary Fig. 2 2, 23). The results indicate d that CML@ EcN
significantly upregulated the abundance of Akkermansia (11.82% vs 4.12%),
Enterocloster (3.47% vs 0.75%), Turisimonas (1.61% vs 0.46%), and Muribaculum
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(7.46% vs 1.83%) in the gut of UC mice (Fig. 6e). Correspondingly, CML@EcN also
reshaped the structure of metabolites in the colon contents of DSS mice, with over
400 metabolites significantly upregulated and over 100 metabolites significantly
downregulated (Fig. 6f,g).
To further identify the key microbial communities and metabolites involved in
repairing the intestinal barrier and maintaining immune homeostasis, Linear
Discriminant Analysis Effect Size (LEfSe) was employed to recognize significantly
differentially abund ant GM groups among the categories and to assess the
contribution of these diffe rences to sample classification (Fig. 6h). The differential
flora with LDA > 3, and P < 0.05 was extracted. Furthermore, the differential flora
that CML@EcN reversing the change trend of DSS was screened (Fig. 6h,i). It should
be noted that sequencing results did not show a significant increase in the abundance
of EcN, which may have limited by the sequencing method used in this study. 16S
rRNA sequencing could not accurately identify all microorganisms at the level of
species or even strains, so EcN information could not be detected24. On the other hand,
FISH analysis detected EcN in the colonic contents of mice (Fig. 3c,d), which served
as conclusive evidence of successful colonization of EcN in the mouse colon, further
corroborated by the results from IVIS imaging (Fig. 3a,b).
Furthermore, match these key differential metabolites with the HMDB database
for type annotation, and with the KEGG database for functional annotation. The
Results
indicated that these differential metabolites are closely associated with the
metabolism of fatty acids, amino acids, and other substances in the body (Fig. 6j).
Furthermore, s ix important differential metabolites (N-acetylhistamine, riboflavin,
citrulline, glutaric acid , 2-keto-6-acetamidocaproate, imidazole-4-acetaldehyde)
involved in the aforementioned life processes were ultimately screened out (Fig. 6k).
Among the GMs and metabolites we have selected, Muribaculum is associated
with host inflammation and intestinal immune response, and an increase in
Muribaculum abundance contributes to the alleviation of UC symptoms 25;
Enterocloster can induce gut epithelial immune responses and play an important role
in combating pathogenic bacterial infections 26; As a wid ely recognized probiotic,
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Akkermansia has been reported to alleviate UC symptoms, and its efficacy in
restoring intestinal barrier and improving immune system function has been
confirmed27, 28. Furthermore, key differential metabolites primarily associated with
host vitamin, fatty acid, and amino acid metabolism pathw ays ( Fig. 6j), which
suggested that CML@ EcN may achieve its therapeutic effects in treating UC by
regulating nutrient metabolism.
Correlation among GM, metabolites, efficacy and mechanisms of UC treatment
To correlate CML@EcN, UC phenotype, immune system function and gut
environment, correlation analysis was used to reveal the internal relationship among
them (Fig. 6i-n). GM and metabolites which related to inflammation, immune system
and colon barrier repair (Muribaculum, Enterocloster, Akkermansia, Turicimonas and
riboflavin, glutaric acid, citrulline and imidazole-4-acetaldehyde) were strong positive
correlation with body weight, colon length, serum and colon tissue anti -inflammatory
factor IL -10 level, expression levels of ZO -1 and Occludin in colon tissue and
immune regulation in colon and spleen and strong negative correlation with
pro-inflammatory factor IL -6 level (The black and red boxes in Fig. 6i-n).
Additionally, CML did not show a strong correlat ion with any factors (The yellow
boxes in Fig. 6i-n), which indicated that in CML@EcN, the therapeutic effects for UC
solely originate from EcN. CML plays a role in protecting EcN and facilitating its pH
responsive precise release in the colon. In fact, CML is highly resistant to degradation
in the mammal body29, 30, in present study, over 70% of CML was excreted with the
faeces (Supplementary Fig. 14), indicating that CML does not accumulate in the body
or participate in organism metabolism, posing no biosafety hazards.
Integration through correlation analysis , several clues of " EcN-GM-metabolites
-efficacy/mechanism" have been extracted . In terms of vitamin metabolism : EcN
upregulates the abundance of Muribaculum/Intercloster, and subsequently
downregulates the abundance of riboflavin, achieving the effect of regulating
peripheral blood immunity ; in terms of fatty acid metabolism : EcN upregulates the
abundance of Muribaculum/Intercloster, and subsequently downregulates the
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abundance of glutaric acid, achieving the effect of regulating peripheral blood
immunity. Besides, EcN upregulates the abundance of Akkermansia and subsequently
downregulates the abundance of glutitic acid, achieving the function of repairing the
colon barrier/regulated B and T cells ; in terms of amino acid metabolism : EcN
upregulates the abundance of Muribaculum/Intercloster, thereby increasing the
abundance of citrulline and imidazole -4-acetaldehyde, achieving the effect of
regulating immunity . Besides, EcN upregulates the abundance of
Akkermansia/Turicimonas, thereby increasing the abundance of citrulline and
imidazole-4-acetaldehyde, achieving the effect of repairing the colon barrier/regular
immunity.
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Fig. 6. CML@ EcN reshaped the gut environment of UC mice and modulated immune
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homeostasis via metabolism. a,b, After 7 days of intervention, CML@ EcN Significantly
improved the Alpha and Beta diversity of GM in UC mice. c, The percentage stacking histogram
visually showed the phylum GM composition of mice in each group. d, Double labeled FISH
showed Akkermansia & Enterocloster, Muribaculum & Turisimonas in each group, respectively.
Scale bar, 20 μm. e, Quantitative analysis of FISH. f,g, CML@EcN Improved the metabolite
structure of colon contents. h, LDA analysis was used to further screen the key differential flora at
the genus level. i, Heat map of di fferential GM. j, Functional annotation of different metabolites
and key pathways. k, the differential metabolites involved in these key pathways are highlighted
in the heat map. l-n, correlation analysis was used to analyze the relationships between GM &
metabolites, GM & efficacy/mechanisms, and metabolite & efficacy/mechanisms, respectively.
Outlook
In present study, w e designed and fabricated a n orally surface engineered
probiotics delivery system CML@EcN as ballistic helmet, which maintained the high
activity of EcN in the gastrointestinal tract while achieved the release profile
on-demand and efficient colonization of EcN at the site of colitis . Interestingly, the
release and proliferation process of EcN in the colon can be modeled as a plug -flow
mode We derived a mathematical expression for the release and proliferation of EcN
over time using the plug-flow model, which provides a theoretical basis for the design
and preparation of similar oral probiotic formulations. Furthermore, CML@EcN with
orally and daily administrated lower doses showed satisfactory UC treatment results
(much lower than another commercially available oral probiotic preparation for UC
treatment (VSL# 3, oral dose 10 11 CFU)31, 32). In terms of mechanism research , we
revealed the therapeutic mechanism of CML@ EcN in immune modulation and gut
environment reshaping, and linked EcN, GM, metabolites, effica cy and mechanisms
from the perspectives of vitamin, fatty acid, and amino acid metabolism. In other
words, we successfully explored the relationship between immune homeostasis and
GM reconstitution via metabolism, which opened this black box. In future, we would
build on the models and mechanisms r evealed in present study to expand the variety
of probiotics , and develop a series of colon-targeted oral probiotic formulations for
different diseases treatment.
In summary, the dynamic model and formulas constructed in this work are
universality and provide reference for the rational design of similarly precise colon
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controlled release oral probiotic delivery systems. The therapeutic mechanism of
CML@EcN revealed in this work provides inspiration for the development of new
targets and therapies for UC treatment, as well as new directions for the treatment of
colon diseases by orally administered probio tics via modulating GM and immune
homeostasis.
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Methods
Materials
Escherichia coli Nissle 1917 was purchased from Mingzhou Biotechnology Co.,
Ltd., mCherry labeled EcN was purchased from Beijing Zhuangmeng International
Biogene Technology Co., Ltd , lux-reporter plasmid EcN was constructed by
Hangzhou Baosai Biotechnology Co., Ltd , tryptone and sodium chloroacetate were
purchased from Shanghai Aladdin Biochemical Technology Co., Ltd., sodium
chloride, yeast extract, and folinol reagent were purchased f rom Shanghai Macklin
Biochemical Co., Ltd. Alkali lignin was purchased from Zhejiang Jiefa Technology
Co., Ltd.
Modification and validation of lignin
Modification of lignin
Refer to the method of Chen et al. and make slight improvement to modify
lignin33. Briefly, 7.05g alkali lignin is dissolved in 28mL NaOH solution (pH=12),
and ClCH2COONa aqueous solution (25wt.%) is dripped with peris taltic pump under
stirring. The reaction is carried out in an oil bath at 85 ℃, and the pH value of the
reaction solution is always controlled to be greater than 11. After the dripping of
ClCH2COONa aqueous solution, the reaction continues at 85 ℃ for 3h. After the
reaction, the reaction solution is dialyzed for one week, and then concentrated and
dried to obtain carboxymethyl alkali lignin (CAL). Change the amount of
ClCH2COONa added to obtain CAL1, CAL2 and CAL3, as shown in Supplementary
Table 1.
Fourier transform infrared spectroscopy (FTIR)
The infrared spectra of AL, CAL1, CAL2 and CAL3 were measured with the
Tensor 27 Fourier infrared spectrometer (Bruker, Germany). The scanning
wavenumber range was 4000 -400cm-1, and the resolution was 4cm -1. The sele cted
test method is potassium bromide tablet method.
Aqueous phase potentiometric titration
The carboxyl content of four kinds of lignin was tested with the 809 Titrando
automatic potentiometric titrator (Mertrohm, Switzerland), and the titrant used was
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HCl standard solution. 30mg of lignin is dissolved in 5mL of KOH solution (pH=14),
then 50mg of p-hydroxybenzoic acid and 25mL of deionized water are added, and the
test is started after 30min of ultrasound. This is the experimental group. Other
conditions remain the same, and the solution without lignin is used as the blank group.
The calculation formula of carboxyl content is as follows34:
carboxyl content(mmol/g) = [(𝑉3′ − 𝑉2′) − (𝑉3 − 𝑉2)]𝐶𝐻𝐶𝑙
𝑚
In the formula, V 2 ', V 3', V 2 and V 3 are the volume of titrant consumed at the
second and third break points on the titration curve of the experimental group and the
blank group, mL; CHCl is the concentration of HCl standard solution, mmol/L; m is the
absolute dry mass of lignin sample, g.
Folin−Ciocalteu’s phenol (FC) method
The phenolic hydroxyl content of lignin was measured by UV -visible
spectrophotometer (Shimadzu UV -2450, Japan). Dissolve the dried lignin in the
alkaline aqueous solution, then add the Folin −Ciocalteu’s phenol reagent, a nd then
add the Na2CO3 solution (20 wt.%) after a period of time. Test the absorption value of
the mixed solution at 760 nm. Substitute the absorption value into the standard
equation to calculate the phenol hydroxyl content35.
Fabrication of EcN oral delivery system
According to the principle of electrostatic adsorption, first ly, add 1 mL of CaCl 2
solution to 1 mL of bacterial solution, incubate for 15 min, centrifuge at 1000 rpm for
6 min, remove the supernatant, and then wash twice with sterile water to fully remove
the unabsorbed CaCl 2. Then add 1mL of carboxymethyl alkali lignin solution to the
precipitate obtained after centrifugation, incubate for 15min, and centrifuge at
10000rpm for 6 minutes to remove the unabsorbed carboxymethyl alkali lignin, wash
it with sterile water twice, finally re -suspend the bacteria in phosphate buffer salt
solution (PBS), and stor e it in a refrigerator at 4 ℃ for subsequent dynamic light
scattering (DLS) (ZS Nano S, Brookhaven, USA) test.
Scanning electron microscope (SEM) and transmission electron microscopy
(TEM) observation
The surface morphology of bacteria was observed by field emission electron
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SEM (HITACHI SU8220, Japan). Centrifuge the bacterial suspension at 10000 rpm
for 3min, remove the supernatant, add 2.5wt.% glutaraldehyde solution, soak
overnight to fix the bacterial form, then remove the glutaraldehyde solution by
centrifugation, use 10%, 30%, 50%, 70%, 90% ethanol aqueous solution for gradient
elution treatment, treat each gradient for 1h, then remove the supernatant by
centrifugation, add the next concentration gradient of ethanol solution for further
treatment, and finally suspend the bacteria in 1 00% ethanol solution, Take 50 µ L
bacterial suspension and dry it in a vacuum oven on a monocrystalline silicon wafer,
and then use a scanning electron microscope to photograph the surface morphology of
the sample. For TEM ( FEI spirit T12 ), the sample suspension was dropped onto a
copper grid and tested after air-drying overnight.
Laser scanning confocal microscopy image
Confocal microscopy was utilized for imaging of staining of live and dead
bacteria (live & dead bacterial staining kit , Yisheng Biotechnology (Shanghai) Co.,
Ltd) as well as CML@ EcN (mCherry-labeled). After sample preparation, fixation
was performed using 4% PFA. The fixed samples were then dropped onto glass slides,
and sealing, observation and photography were conducted using confocal microscopy
(Nikon, AIR).
Simulated gastric environment experiment
Prepare simulated gastric juice (0.15 M HCl, 0.05 M KCl, pH=1.2) according t o
the relevant reported methods36. Take the wrapped and unwrapped E Coli Nissle 1917
(OD=0.4) 5 ml, add 10 ml of simulated gastric juice and PBS (pH=7.4) respectively,
stir with magnetic force, take 1ml of bacterial solution at 30 min, 60 min, 90 min and
120 min respectively, centrifuge at 4200 rpm for 10 min, wash with LB medium once,
re-suspend with LB medium and transfer into 15 ml centrifuge tu be, incubate with
shaking bed at 37 ℃ for 24h, and measure the OD 600 value of each sample
respectively.
In vivo biological distribution experiment
Lux-reporter plasmid EcN was utilized to prepare CML@ EcN, which was then
administered via gavage to mice. At 4 hours and 24 hours ’ post-gavage, in vivo
imaging system (IVIS , BrukerIn-Vivo F PRO ) was performed on the mice, and the
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intestines and vital organs were extracted for IVIS imaging. Quantitative analysis of
bioluminescent signals was conducted using the software's built-in modules.
Biosafety experiment
Human normal colon epithelial cells (NCM -460) were used as a cell model for
safety evaluation in vitro37. NCM-460 cells were maintained in DMEM supplemented
with 10% (v/v) FBS and anti -biotics (1% penicillin and 1% streptomycin) at 37 °C in
a humidified atmosphere containing 5% CO 2. These cells were seeded in
pre-adipocyte medium into 96-well tissue culture plates at approximately 8 × 10 3
cells/well and grown to confluency; after confluency, incubate different concentration
delivery systems without EcN with cells for 24 h and 48 h respectively. Cell Counting
Kit-8 (CCK-8, Sangon Biotech, Shanghai, China) is used to detect the cytotoxicity.
Male C57BL/6N mice were randomly divided into three groups based on gavage
Material
the PBS group, the CML low -dose group (800 mg/L), and the CML
high-dose group (2400 mg/L), with n=6 in each group. The y were gavaged
continuously for 2 weeks. On the 15th day of the experiment, blood samples were
collected from each group of mice for biochemical analysis. Important organs
(intestine, heart, liver, spleen, lung, and kidney) were collected and sliced for H&E
staining to observe tissue morphology.
In vivo efficacy and mechanism verification
Animal care and in vivo experiment procedures
All experimental procedures were conducted and the animals were used
according to the Guide for the Care and Use of Laboratory Animals published by the
institutional animal care and use committee (IACUC) and approved by the Animal
ethics committee of Tsinghua University (Approve ID: 2023F133). Male C57BL/6N
mice ( 6 weeks old) were purchased from Vital River Laboratories (Beijing, China)
and housed (three animals/cage) under 22 ± 2 ℃ and 55% ± 10% humidity with 12 h
light/12 h dark cycle in a specific pathogen -free (SPF) animal room. Animals were
acclimated to the environment for 7 days with normal commercial basic diet and
sterile water ad libitum before the experiment.
As shown in Fig. 5A. Six mice were randomly selected to maintain normal
drinking water as the control group (Control, n = 6), and the other mice were induced
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UC with 2% DSS. intervened free EcN (DSS + EcN), CML (DSS + CML) , EcN and
CML mixed directly (DSS + CML + EcN), and CML@EcN (DSS + CML@EcN). The
experiment lasted on the 15th day, and mice were euthanized, colon, spleen and blood
of mice were collected for further analysis.
Hematoxylin and eosin & myeloperoxidase (MPO) staining
The method of H & E staining refers to exist reports38, 39. Briefly, the tissue was
fixed in 4% paraformaldehyde for paraffin section. Firstly, the slices were dyed in
hematoxylin solution for a few min and separated in acid water and ammonia water
for a few seconds. After that, the slices were washed with running water for 1 h,
dehydrated in 70% and 90% ethanol for 10 min, and then stained in eosin staining
solution for 2 to 3 min. The stained sections were dehydrated with pure ethanol and
then penetrated with xylene. Final ly, the transparent section was dropped with gum
and sealed with cover glass.
The method of myeloperoxidase staining refers to the relevant process of
immunohistochemistry40. Briefly, after the tissue section is dewaxed, the antigen is
repaired with citric acid (pH = 6), the antibody is sealed and incubated, and then it is
re-stained with hematoxylin, dehydrated and dried with gradient alcohol, and
photographed after the tablet is sealed.
Inflammatory factor detection
The colon tissues were ground with a tissue grinder for 1min, the tissue
homogenate was taken for ELISA detection, and the mouse blood was left at room
temperature for 2 -4 h, centrifuged at 3500 rpm for 15 min, and the upper ser um was
taken for subsequent detection . The concentration of inflammatory factors was
detected with the corresponding ELISA kit (Thermo Fisher Scientific, Massachusetts,
USA).
Colonic immune cell single-cell flow cytometry
Transfer the intestinal tissue to a 50 mL centrifuge tube containing 10 mL of
separation solution, and place it in a constant temperature shaking incubator at 37°C
with agitation at 250 rpm for 15 minutes. During this period, vigorously shake the
tube once to remove intestinal epithelial cells. If the separation solution becomes
turbid, proceed to the next step; if the solution remains clear, continue shaking for an
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additional 5 -10 minutes until the solution becomes turbid. Stop shaking when the
separation solution becomes turbid. Wash the remaining tissue with 10 mL of
D-Hanks solution ( Wuhan Pricella Biotechnology Co., Ltd. ) to remove residual
separation solution. Blot dry on paper, then cut into a paste with scissors and transfer
to a 50 mL centrifuge tube. Add 5 mL of dissociation solution and shake at 37°C with
agitation at 250 rpm for 30 minutes. Subsequently, filter through a 70 μm filter
membrane at 4°C and 500g for 15 minutes. Finally, resuspend cells in 3 -5 mL of
FACS buffer (Beijing Tianjingsha Gen e Technology Co., Ltd ), vortex to mix
thoroughly, and incubate with appropriate antibodies for flow cytometric analysis
(antibody information provided in Supplementary Table 3).
Spleen immune cell single-cell flow cytometry
The spleen was minced and passed through a 70 -micron filter at 4°C and 400g
for 10 minutes. After discarding the supernatant, red blood cell lysis buffer was added,
followed by incubation on ice for 15 minutes. Subsequently, staining with CD4 and
CD8 antibodies (Supplementary Table 3), followed by three washes with PBS. Cells
were then resuspended in flow cytometry buffer for test.
Quantitative real-time reverse-transcription PCR
Tissue RNA was extracted by Trizol method. Briefly, the tissue was collected in
a 2ml RNase free centrifuge tube, then, Trizol was added to centrifuge, tissue grinding
fluid was obtained by tissue grinder (Hede Technology, Beijing. N9548), centrifuged
(12000 rpm, 5 min) to take the supernatant, added 1 mL chloroform, fully mixed,
placed at room temperature for 15min, centrifuged to take the supernatant (12000 rpm,
15 min), added 600 μL isopropanol, placed on ice for 20min, centrifuged to discard
the supernatant (12000 rpm, 20 min), precipitated was washed with ethanol, and dried
in the fume hood, finally, add 50 μL DEPC water and store at - 80 ℃.
Equal amounts of RNA to synthesize cDNA with the transScript One-Step gDNA
Removal and cDNA Synthesis SuperMix kit (AT311 -03, TransGen Biotech, Beijing,
China). Quantitative real -time PCR (qRT –PCR) was performed in triplicate using
SYBR Green, 96-well plates and the Real-Time PCR System (Bio-Rad, Hercules, CA,
USA). Each well was loaded with a total of 20 μL containing 2 μL of cDNA, 2 x 0.4
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μL of target primers, 7.2 μL of water and 10 μL of SYBR Fast Master Mix. We
performed hot-start PCR for 45 cycles, wit h each cycle consisting of denaturation for
5 s at 95 ℃, annealing for 15 s at 58 ℃ and elongation for 10 s at 72 ℃. GAPDH
expression was used to normalize the mRNA expression. The primers used in present
research are shown in Supplementary Table 4.
16S rRNA sequencing analysis
At the end of the experiment, the fresh mouse faeces were collected into a sterile
centrifuge tube with sterile tweezers and stored at - 80 ℃. Then, fecal samples were
send to Parsenor Biotechnology Co., Ltd. with dry ice for 16S rRNA sequencing.
Extraction of genome DNA
Total genome DNA from samples was extracted according to manufacturer ’s
protocols. DNA concentration was monitored by Equalbit dsDNA HS Assay Kit.
Amplicon Generation & Library preparation
20-30 ng DNA was used to g enerate amplicons. V3 and V4 hypervariable
regions of prokaryotic 16S rDNA were selected for generating amplicons and
following taxonomy analysis. GENEWIZ designed a panel of proprietary primers
aimed at relatively conserved regions bordering the V3 and V4 hypervariable regions
of bacteria and Archaea16S rDNA. Then, a linker with Index is added to the end of
the PCR product of 16S rDNA by PCR for NGS sequencing, the library is purified
with magnetic beads, and the concentration is detected by a microplate r eader and the
fragment size is detected by agarose gel electrophoresis.
Illumina sequencing
Detect the library concentration by a microplate reader. The library was
quantified to 10nM, and PE250/FE300 paired -end sequencing was performed
according to the Il lumina MiSeq/Novaseq (Illumina, San Diego, CA, USA)
instrument manual. The MiSeq Control Software (MCS)/Novaseq Control Software
(NCS) Read sequence information.
Data analysis
The raw data were uploaded to the MicrobiomeAnalyst platform
(https://www.microbiomeanalyst.ca/) for GM structure, differential flora analysis and
functional annotation of mice in each group.
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Metabolomics sequencing analysis
Colonic contents samples of each groups mice were randomly selected and s
send to Parsenor Biotechnol ogy Co., Ltd. with dry ice for. metabolomics analysis. A
400 μL solution (methanol: water =7:3, V/V) containing internal standard was added
into 20 mg sample, and vortexed for 3 min. The sample was sonicated in an ice bath
for 10 min and vortexed for 1 min, and the n placed in -20 ℃ for 30 min. The sample
was then centrifuged at 12000 rpm for 10 min (4 ℃). And the sediment was removed,
then centrifuged the supernatant at 12000 rpm for 3 min (4 ℃). A 200 μL aliquots of
supernatant were transferred for LC -MS analysis. All samples were acquired by the
LC-MS system followed machine orders. The analytical conditions were as follows,
UPLC: column, Waters ACQUITY UPLC HSS T3 C18 (1.8 μm, 2.1 mm*100 mm);
column temperature, 40℃; flow rate, 0.4 mL/min; injection volume, 2 μL; solvent
system, water (0.1% formic acid): acetonitrile (0.1% formic acid); gradient program,
95:5 V/V at 0 min, 10:90 V/V at 11.0 min, 10:90 V/V at 12.0 min, 95:5 V/V at 12.1
min, 95:5 V/V at 14.0 min. Data analysis and mapping through were completed on the
Paisenor Gene Cloud platform (https://www.genescloud.cn/home).
Statistical analysis
For statistical differences analysis between groups, two way ANVOA was used
to analyze the weight data of mice, and other data were analyzed with one way
ANVOA. Data were presented as mean ± SEM. Significant differences were
considered when P < 0.05. Graph -Pad Prism 9 (GraphPad Software, San Diego, CA,
USA) was used for data analysis.
Acknowledgements
This work was supported by the Key Research and Development Program of the
Ministry of Science and Technology [ 2023YFA0913600 (2023YFA0913602)], the
Shenzhen Medical Research Fund (SMRF: B2302009) , the National Natural Science
Foundation of China ( 22278242), the Funds from Shenzhen International Graduate
School at Tsinghua University (HW2023009, JC2021011).
Competing interests
The authors declare no competing interests.
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