GV-971 prevents severe acute pancreatitis by remodeling the microbiota-metabolic-immune axis

Xi Chen1, Xin Chen1,2, Ding Yan1

  • 1Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou Municipal and Guangdong Provincial Key Laboratory of Protein Modification and Disease, State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University, Guangzhou, 511436, China.

Nature Communications
|September 27, 2024
PubMed

Insights

The anti-Alzheimer's drug GV-971 shows promise for treating severe acute pancreatitis (SAP). It reshapes gut microbiota, modulates immune responses, and reduces inflammation by targeting key metabolic pathways.

Area of Science:

  • Gastroenterology and Immunology
  • Microbiome Research
  • Pharmacology

Background:

  • Severe acute pancreatitis (SAP) is a life-threatening condition with limited therapeutic strategies.
  • Existing treatments for SAP are insufficient, highlighting the need for novel interventions.

Purpose of the Study:

  • To investigate the potential protective effects of GV-971 (sodium oligomannate), an anti-Alzheimer's drug, in mouse models of severe acute pancreatitis.
  • To elucidate the mechanisms underlying GV-971's therapeutic action in SAP, focusing on the gut microbiota and immune system modulation.

Main Methods:

  • Utilized male mouse models of severe acute pancreatitis.
  • Employed microbiome sequencing, intestinal microbiota transplantation, and mass cytometry to analyze host-microbiota interactions.
  • Conducted metabolomics analysis of cecal contents to identify key metabolites.

Main Results:

  • GV-971 administration significantly protected against SAP in mouse models.
  • GV-971 treatment altered gut microbiota composition, notably increasing Faecalibacterium abundance.
  • The drug modulated peripheral and intestinal immune responses and identified short-chain fatty acids (propionate, butyrate) as key mediators inhibiting M1 macrophage polarization via the MAPK pathway.

Conclusions:

  • GV-971 demonstrates significant therapeutic potential for severe acute pancreatitis.
  • The drug exerts its protective effects by modulating the gut microbiota-metabolic-immune axis.
  • These findings position GV-971 as a promising candidate for novel SAP therapies.

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