Oral Multi-Enzymatic Manganese-Carbon Dots Alleviate Sepsis-Associated Lung Injury via the Gut-Lung Axis

Lei Peng1, Honghao Song1, Huijing Shi1

  • 1Department of Anesthesiology, Changzheng Hospital, Naval Medical University, No. 415 Fengyang Road, Shanghai 200003, People's Republic of China.

ACS Nano
|October 23, 2025
PubMed

Insights

Manganese-doped carbon dots (Mn-CDs) treat sepsis-induced lung injury by restoring gut bacteria and enhancing macrophage efferocytosis via indole-3-propionic acid (IPA). This highlights the gut-lung axis for critical care interventions.

Area of Science:

  • Biomedical Engineering
  • Microbiology
  • Immunology

Background:

  • Sepsis-induced pulmonary injury is a critical condition with unclear pathology.
  • The gut-lung axis plays a role in sepsis-induced lung injury, but effective interventions are lacking.
  • Single-cell sequencing shows increased alveolar apoptosis and reduced macrophage efferocytosis in sepsis.

Purpose of the Study:

  • To design oral manganese-doped carbon dots (Mn-CDs) for treating septic lung injury.
  • To investigate Mn-CDs' effects on gut microbiota homeostasis and the gut-lung axis.
  • To elucidate the mechanisms underlying Mn-CDs' therapeutic potential in sepsis.

Main Methods:

  • Biochemical characterization of Mn-CDs for enzyme mimetic activities and ROS scavenging.
  • Establishment of murine sepsis models to evaluate Mn-CDs' efficacy.
  • Transcriptomic, metagenomic, and metabolomic analyses to identify molecular mechanisms.
  • In vitro studies using macrophages and fecal microbiota transplantation (FMT).

Main Results:

  • Mn-CDs exhibited SOD-, CAT-, POD-, and GPx-like activities and potent ROS scavenging.
  • Mn-CDs improved systemic indices in sepsis models, promoting anti-inflammatory macrophages with enhanced efferocytosis.
  • Mn-CDs enriched gut bacteria like Clostridium and Bacteroides, increasing indole-3-propionic acid (IPA) production.
  • IPA promoted macrophage efferocytosis and anti-inflammatory polarization via the aryl hydrocarbon receptor (AHR).
  • FMT from Mn-CDs-treated mice alleviated sepsis symptoms and enhanced pulmonary macrophage efferocytosis.
  • Gut microbiota depletion abrogated Mn-CDs' protective effects.

Conclusions:

  • The gut-lung axis, mediated by microbiota-derived IPA and macrophage efferocytosis, is crucial for mitigating septic lung injury.
  • Mn-CDs represent a promising microbiome-directed therapeutic strategy for critical care, targeting the gut-lung axis.
  • This study highlights the potential of Mn-CDs in managing sepsis-induced pulmonary injury through gut microbiota modulation.