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Vancomycin Protects Against Lung Injury and Promotes Butyrate Metabolism.

Jianuo Chen1,2, Shanshan Su2, Xi Zhang3,4

  • 1The Fifth Affiliated Hospital of Wenzhou Medical University (Lishui Central Hospital), Lishui Hospital of Zhejiang University, Lishui, China.

FASEB Journal : Official Publication of the Federation of American Societies for Experimental Biology
|June 29, 2026
PubMed
Summary

Gut microbiota alterations, particularly reduced butyrate, worsen lung injury. Vancomycin treatment improved gut barrier function and lung inflammation by modulating butyrate metabolism.

Keywords:
gut microfloralung injurylung‐gut axisnuclear magnetic resonance

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Last Updated: Jun 30, 2026

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Published on: September 9, 2022

Inducing Acute Lung Injury in Mice by Direct Intratracheal Lipopolysaccharide Instillation
11:07

Inducing Acute Lung Injury in Mice by Direct Intratracheal Lipopolysaccharide Instillation

Published on: July 6, 2019

Area of Science:

  • Microbiology
  • Pulmonology
  • Metabolomics

Background:

  • Lung injury involves continuous inflammation, damaging lung barriers and causing hypoxia.
  • The gut-lung axis suggests gut microbiota influences respiratory diseases, but mechanisms are unclear.
  • Acute lung injury (ALI) patients exhibit gut microbiota and metabolic changes.

Purpose of the Study:

  • To investigate the metabolic mechanisms of gut microbiota in lung injury.
  • To explore the therapeutic potential of modulating gut microbiota in lung injury.

Main Methods:

  • Generated a mouse model of lung injury using ALI patient microbiota.
  • Analyzed gut microbiota composition (16S rRNA) and fecal metabolomics (1H-NMR).
  • Administered vancomycin to lung-injured mice to assess its effects.

Main Results:

  • Firmicutes were a key altered microbiota species in lung-injured mice.
  • Butyrate, produced by Firmicutes, was a crucial metabolite in ALI patients and mice.
  • Vancomycin treatment alleviated intestinal barrier dysfunction and lung inflammation, increasing colonic butyrate utilization.

Conclusions:

  • Gut microbiota, specifically butyrate metabolism, plays a significant role in lung injury pathogenesis.
  • Vancomycin treatment shows therapeutic potential for lung injury by influencing gut microbiota and butyrate metabolism.
  • Targeting the gut-lung axis offers a novel therapeutic strategy for respiratory diseases.