中国实用口腔科杂志 ›› 2026, Vol. 19 ›› Issue (2): 209-217.DOI: 10.19538/j.kq.2026.02.013

• 论著 • 上一篇    下一篇

牙龈卟啉单胞菌感染对炎症性肠病小鼠肠道微生态影响研究

张重阳,宋    雅,张倩霞,蒋文凯,王胜朝   

  1. 口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔医学重点实验室,空军军医大学(第四军医大学)口腔医院牙体牙髓病科,陕西 西安 710032
  • 出版日期:2026-03-30 发布日期:2026-03-30
  • 通讯作者: 王胜朝,蒋文凯
  • 基金资助:
    国家口腔疾病临床医学研究中心项目(LCC202203);陕西省卫生健康委员会重点研发计划项目(2025YF-07)

  • Online:2026-03-30 Published:2026-03-30

摘要: 目的    探讨牙龈卟啉单胞菌(Porphyromonas gingivalis,P. gingivalis)在小鼠炎症性肠病发生中的作用及其对肠道菌群和代谢物的影响。方法    将20只6 ~ 8周龄雄性C57BL/6小鼠随机分为4组(每组5只):对照组(经口灌胃PBS溶液40 d,100 μL/d)、P. gingivalis组(经口灌胃含P. gingivalis的PBS悬液40 d,100 μL/d)、葡聚糖硫酸钠(dextran sulfate sodium,DSS)组和P. gingivalis+DSS组(分别在对照组、P. gingivalis组处理方法基础上,第31 ~ 40天自由饮用含2% DSS水溶液)。观察各组小鼠体重相对值、粪便性状及便血情况,并计算疾病活动指数(disease activity index,DAI)评分。第41天实施安乐死,对结肠组织行HE染色与组织学活动指数评分。采用16S rRNA测序和非靶向代谢组学分析小鼠粪便样本中肠道菌群组成、结构及代谢物特征,并通过多组学联合分析差异菌群与差异代谢物、DAI评分的相关性。结果    ①初始30 d各组小鼠表型无明显区别;DSS处理第5天,P. gingivalis+DSS组小鼠出现腹泻及便血症状。DSS处理后,各组小鼠体重相对值、DAI评分随着处理时间变化;各组间小鼠体重相对值、DAI评分比较,差异有统计学意义;随着处理时间的延长,组间差异越明显(均P < 0.001)。②与对照组、P. gingivalis组相比,DSS组和P. gingivalis+DSS组小鼠结肠长度较短、组织学活动指数评分增加,且P. gingivalis+DSS组组织学活动指数评分大于DSS组(均P < 0.05)。③经非度量多维尺度分析显示,各组肠道菌群结构存在显著差异。经线性判别分析效应量方法分析显示,在属水平上,P. gingivalis+DSS组中Lachnospiraceae_NK4A136_group菌属、Muribaculaceae菌属和普雷沃菌属相较于其他组明显富集(均P < 0.05)。Metastat差异热图显示,P. gingivalis+DSS组中乳杆菌相对丰度较低,Lachnospiraceae_NK4A136_group菌和Muribaculaceae菌相对丰度较高,差异均有统计学意义(均P < 0.05)。④非靶向代谢组学分析表明,在P. gingivalis+DSS组中苯丙氨酸、瓜氨酸、酪氨酸、组氨酸、DL-天门冬氨酸等相对丰度高于其他3组,差异均有统计学意义(均P < 0.05)。KEGG通路富集分析显示,氨基酸代谢为显著富集的通路(P < 0.05)。⑤相关性分析显示,Lachnospiraceae_NK4A136_group菌与苯丙氨酸及DAI评分均具有较强相关性(均P < 0.05)。结论    P. gingivalis联合DSS处理可改变小鼠肠道菌群结构和代谢谱,其中Lachnospiraceae_NK4A136_group菌和苯丙氨酸相对丰度协同升高可能促进小鼠炎症性肠病的发生与发展。

关键词: 牙龈卟啉单胞菌, 炎症性肠病, 肠道菌群, 代谢物, 苯丙氨酸

Abstract: Objective    To investigate the role of Porphyromonas gingivalis(P. gingivalis)in the onset of inflammatory bowel disease in mice and its effect on gut microbiota and metabolites. Methods    Twenty male C57BL/6 mice(6 - 8 weeks)were randomly divided into four groups(n = 5):control group(oral gavage of PBS solution for 40 d,100 µL/d),P. gingivalis group(oral gavage of PBS suspension containing P. gingivalis for 40 d,100 µL/d),the dextran sulfate sodium(DSS)group,and P. gingivalis+DSS group. Mice in the DSS and P. gingivalis+DSS groups were administered 2% DSS in their drinking water from day 31 to day 40,following the respective treatment protocols established for the control and P. gingivalis groups. Changes in relative body weight,stool characteristics and hematochezia were monitored and the disease activity index(DAI)scores were calculated. On day 41,the mice were euthanized;colon tissues were collected for hematoxylin and eosin(HE)staining and histological activity index(HAI)evaluation. The composition, structure of gut microbiota and characteristics of metabolites in the samples of mice feces were analyzed by 16S rRNA sequencing and metabolomics techniques. Integrative multi-omics analysis was performed to assess the correlations among differential microbiota,differential metabolites,and DAI scores. Results    ①No significant phenotypic differences were observed among the groups during the initial 30 d. On day 5 of DSS treatment,mice in the P. gingivalis+DSS group developed diarrhea and hematochezia. Following DSS treatment,the relative body weight and DAI scores changed in a time-dependent manner,with significant differences observed among the groups. These inter-group differences became increasingly pronounced over time(P < 0.001). ②Compared with the control and P. gingivalis groups,the DSS and P. gingivalis+DSS groups exhibited significantly shorter colon lengths and higher HAI scores. The HAI scores in the P. gingivalis+DSS group were significantly higher than those in the DSS group(P < 0.05). ③Non-metric multidimensional scaling(NMDS)analysis revealed significant differences in the structure of the gut microbiota among the groups. Linear discriminant analysis effect size(LEfSe)showed that Lachnospiraceae_NK4A136_group,Muribaculaceae,and Prevotella were significantly enriched in the P. gingivalis+DSS group(P < 0.05). Metastat heat map analysis indicated that the relative abundance of Lactobacillus was lower,whereas that of Lachnospiraceae_NK4A136_group and Muribaculaceae was higher in the P. gingivalis+DSS group(P < 0.05). ④Untargeted metabolomics demonstrated that the relative abundances of phenylalanine,citrulline,tyrosine,histidine,and DL-aspartic acid were significantly higher in the P. gingivalis+DSS group than in the other three groups(P < 0.05). KEGG pathway analysis revealed that amino acid metabolism was significantly enriched(P < 0.05). ⑤Correlation analysis demonstrated that Lachnospiraceae_NK4A136_group was strongly correlated with both phenylalanine levels and DAI scores(P < 0.05). Conclusion    The combination of P. gingivalis administration and DSS treatment alters the gut microbiota structure and metabolic profiles in mice. The concomitant increase in the relative abundances of Lachnospiraceae_NK4A136_group and phenylalanine may promote the onset and progression of inflammatory bowel disease in mice.

Key words: Porphyromonas gingivalis, inflammatory bowel disease, gut microbiota, metabolites, phenylalanines