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Gut microbe-derived milnacipran enhances tolerance to gut ischemia/reperfusion injury.


ABSTRACT: There are significant differences in the susceptibility of populations to intestinal ischemia/reperfusion (I/R), but the underlying mechanisms remain elusive. Here, we show that mice exhibit significant differences in susceptibility to I/R-induced enterogenic sepsis. Notably, the milnacipran (MC) content in the enterogenic-sepsis-tolerant mice is significantly higher. We also reveal that the pre-operative fecal MC content in cardiopulmonary bypass patients, including those with intestinal I/R injury, is associated with susceptibility to post-operative gastrointestinal injury. We reveal that MC attenuates mouse I/R injury in wild-type mice but not in intestinal epithelial aryl hydrocarbon receptor (AHR) gene conditional knockout mice (AHRflox/flox) or IL-22 gene deletion mice (IL-22-/-). Collectively, our results suggest that gut microbiota affects susceptibility to I/R-induced enterogenic sepsis and that gut microbiota-derived MC plays a pivotal role in tolerance to intestinal I/R in an AHR/ILC3/IL-22 signaling-dependent manner, revealing the pathological mechanism, potential prevention and treatment drugs, and treatment strategies for intestinal I/R.

SUBMITTER: Deng F 

PROVIDER: S-EPMC10040455 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Gut microbe-derived milnacipran enhances tolerance to gut ischemia/reperfusion injury.

Deng Fan F   Hu Jing-Juan JJ   Lin Ze-Bin ZB   Sun Qi-Shun QS   Min Yue Y   Zhao Bing-Cheng BC   Huang Zhi-Bin ZB   Zhang Wen-Juan WJ   Huang Wen-Kao WK   Liu Wei-Feng WF   Li Cai C   Liu Ke-Xuan KX  

Cell reports. Medicine 20230301 3


There are significant differences in the susceptibility of populations to intestinal ischemia/reperfusion (I/R), but the underlying mechanisms remain elusive. Here, we show that mice exhibit significant differences in susceptibility to I/R-induced enterogenic sepsis. Notably, the milnacipran (MC) content in the enterogenic-sepsis-tolerant mice is significantly higher. We also reveal that the pre-operative fecal MC content in cardiopulmonary bypass patients, including those with intestinal I/R in  ...[more]

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