Real-world of Limosilactobacillus reuteri in mitigation of acute experimental colitis

Ningning Yue1, Hailan Zhao1,2, Peng Hu3

  • 1Department of Gastroenterology, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University), Shenzhen, Guangdong, 518020, China.

PubMed

Insights

Limosilactobacillus reuteri cytoplasmic membrane vesicles (CMVs) alleviate ulcerative colitis (UC) by enhancing beneficial bacteria, strengthening the gut barrier, and modulating immune cells. These findings offer new therapeutic strategies for managing gut inflammation.

Area of Science:

  • Microbiology
  • Immunology
  • Gastroenterology

Background:

  • Ulcerative colitis (UC) management remains challenging, with limited understanding of probiotic mechanisms.
  • Probiotics like Limosilactobacillus reuteri (L. reuteri) show potential, but their interaction with host cells requires elucidation.

Purpose of the Study:

  • To investigate the mechanisms by which L. reuteri-derived cytoplasmic membrane vesicles (CMVs) alleviate dextran sulfate sodium (DSS)-induced colitis.
  • To explore the effects of L. reuteri-CMVs on gut microbiota, intestinal epithelial cells, and immune responses.

Main Methods:

  • Isolation and characterization of L. reuteri-CMVs.
  • In vitro and in vivo studies using DSS-induced colitis models.
  • Analysis of gut microbiota composition, intestinal permeability, epithelial barrier function, and immune cell populations.
  • RNA sequencing to identify molecular pathways involved.

Main Results:

  • L. reuteri-CMVs selectively promoted Akkermansia muciniphila (AKK) proliferation, restoring gut microbiota balance.
  • CMVs were internalized by intestinal epithelial cells (IECs), enhancing tight junction proteins (ZO-1, Cdh1, Ocln) and reducing intestinal permeability.
  • RNA sequencing revealed that CMVs activate the HIF-1 signaling pathway and upregulate HMOX1, repairing the intestinal barrier.
  • CMVs increased CD4+CD8+ T cells in the intestinal epithelium, suppressing inflammation and maintaining mucosal homeostasis.
  • L. reuteri-CMVs demonstrated stability, safety, and targeted delivery in colitis models.

Conclusions:

  • L. reuteri-CMVs represent a novel therapeutic agent for ulcerative colitis.
  • The study elucidates key mechanisms of microbiota-host crosstalk mediated by bacterial vesicles.
  • These findings provide a foundation for developing vesicle-based probiotics for inflammatory bowel disease.