ASTRAGALOSIDE Ⅳ MODULATES GUT MACROPHAGES M1/M2 POLARIZATION BY RESHAPING GUT MICROBIOTA AND SHORT CHAIN FATTY ACIDS

Tao Yang, Shuhua Xie1, Lei Cao

  • 1Department of Anesthesiology, Tianjin Union Medical Center, Tianjin, China.

Shock (Augusta, Ga.)
|November 14, 2023
PubMed

Insights

Astragaloside intravenous (AS-IV) protects against sepsis-induced gut damage by restoring gut microbiota and short-chain fatty acids (SCFAs). This treatment modulates macrophage polarization and reduces NLRP3 inflammasome activation, improving intestinal barrier function.

Area of Science:

  • Immunology
  • Microbiology
  • Gastroenterology

Background:

  • Sepsis-induced gut impairment involves M1 macrophage inflammation.
  • The protective mechanisms of astragaloside intravenous (AS-IV) in sepsis are not fully understood.
  • Gut microbiota and short-chain fatty acids (SCFAs) play roles in maintaining gut homeostasis.

Purpose of the Study:

  • To investigate the effects of AS-IV on gut macrophage polarization in sepsis.
  • To explore the roles of gut microbiota and SCFAs in AS-IV's protective effects against septic gut damage.
  • To elucidate the underlying molecular mechanisms involving the NLRP3 inflammasome.

Main Methods:

  • Mice were treated with AS-IV before cecal ligation and puncture (CLP) to induce sepsis.
  • Gut macrophages polarization, gut microbiota composition (16S rRNA sequencing), and SCFA levels were analyzed.
  • In vitro models using Caco-2 and THP-1 cells were employed to study butyrate's effects.
  • NLRP3 inflammasome activation was assessed in both in vivo and in vitro settings.

Main Results:

  • CLP induced M1 macrophage polarization, gut inflammation, barrier dysfunction, and NLRP3 inflammasome activation.
  • AS-IV treatment reversed M1/M2 macrophage polarization, reduced inflammation and barrier injury, and restored gut microbiota diversity.
  • AS-IV increased fecal butyrate levels, and these benefits were mimicked by fecal microbiota transplantation or butyrate supplementation.
  • Butyrate administration mitigated sepsis-induced damage in vitro, but these effects were blocked by NLRP3 overexpression.

Conclusions:

  • AS-IV ameliorates sepsis-induced gut inflammation and barrier dysfunction.
  • The protective effects of AS-IV are mediated by modulating gut macrophage polarization, restoring gut microbiota, and increasing SCFAs.
  • AS-IV likely restrains NLRP3 inflammasome activation through these mechanisms, offering a therapeutic strategy for sepsis-related gut injury.