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Alleviating Effect of Lactobacillus plantarum NXU0011 Fermented Wolfberry on Ulcerative Colitis in Mice

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11 October 2023

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13 October 2023

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Abstract
As research into the relationship between the gut microbiome and health continues to evolve, probiotics are garnering increasing interest among consumers. Fermentation is rec-ognized as an efficacious biotechnology for augmenting the nutritional and functional at-tributes of foods. In this study, the ameliorative effects of Lycium barbarum L. lyophilized powder fermented with Lactobacillus plantarum NXU0011 (LP+Ly) on dextran sodium sul-fate (DSS)-induced ulcerative colitis (UC) in mice were investigated employing immuno-histochemistry, qRT-PCR, macrogenomics, and metabolomics. The results revealed that LP+Ly intervention significantly ameliorated histopathological inflammation in the ulcer-ated colon, diminished the expression of inflammatory markers such as IL-6, P-STAT3, and miR-214, and enhanced the diversity of intestinal flora in the mouse model group. Moreover, there was an increase in abundance of beneficial bacteria, including Lactobacillus, Prevotella, and Akkermansia. Metabolomic analysis indicated that 15 metabolites, including citrulline, D-xylose, and α-ketoisovaleric acid, exhibited significant variations following LP+Ly inter-vention. The metabolic pathways that displayed substantial differences included tryptophan biosynthesis, arginine biosynthesis, and amino sugar and nucleotide sugar metabolism. By modulating arginine biosynthesis, LP+Ly effectively improved the intestinal inflammatory state, thus mitigating the effects of UC.
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Subject: Biology and Life Sciences  -   Food Science and Technology

1. Introduction

Probiotics are live microorganisms that confer health benefits to the host when consumed in adequate amounts [1,2,3]. Lycium barbarum L. is renowned for its antioxidant, anti-inflammatory, and anti-cancer properties [4]. Ulcerative colitis (UC) is a type of inflammatory bowel disease (IBD) characterized by complex pathogenesis, and the currently available medications have potential adverse effects such as drowsiness, gastrointestinal complications, and renal dysfunction [5,6,7]. In this study, probiotics were combined with Lycium barbarum to create a lyophilized bacterial powder through fermentation, which exhibits potential probiotic efficacy. Dextran sodium sulfate (DSS)-induced UC in mice was used as a model to investigate the effects of fermented Lycium barbarum lyophilized powder (LP+Ly) on the intestinal flora and metabolite profile. The study integrated immunohistochemistry, quantitative reverse-Transcription transcription PCR (qRT-PCR), macrogenomics, and metabolomics to explore the potential therapeutic value of LP+Ly and provide new insights for the prevention and alleviation of UC.

2. Materials and Methods

2.1. Preparation of LP+Ly

The dried fruits of Lycium barbarum L. were soaked and pulped in pure water at a mass ratio of 1:5, with a pH of 4.5, followed by pasteurization (0.05% sodium D-isoascorbate, 0.15% pectinase, 5% white granulated sugar, 10% citric acid). The sterilized and cooled goji juice was inoculated with 5% (v/v) of Lactobacillus plantarum strain NXU0011 and fermented at 37°C for 12 hours. It was then subjected to vacuum freeze-drying for 30 hours and ground to obtain the final product, denoted as LP+Ly [8].

2.2. Animal Experimental Design

Thirty male SPF-grade C57BL/6J mice aged 6–8 weeks and free of specific pathogens were randomly divided into five groups: control (Con) group, model (DSS) group, positive drug (MS) group, LP+Ly high-dose (High) group, and LP+Ly low-dose (Low) group. The mice were acclimated and fed for 3 days. The Con group was given sterile water, while the other groups received sterile water containing 5% DSS (w/v) for 7 days to induce UC. Subsequently, the Con and DSS groups were administered 0.2 mL/day of phosphate-buffered saline (PBS) via gavage, the MS group received mesalazine dissolved in PBS at 40mg/kg, and the High and Low groups were given 2 × 109 CFU/mL and 2×106 CFU/mL, respectively, of viable bacteria dissolved in PBS. On day 11, all mice were euthanized, and blood, colonic tissue, and feces were collected. The animal experiments were approved by the Experimental Animal Ethics Committee of Sichuan Lilaisinuo Biological Technology Co., LTD. (Approval No: LLSN-2022014).

2.3. Disease Activity Index (DAI)

During the modeling phase, the body weight, fecal characteristics, and fecal bleeding symptoms of each group of mice were observed and recorded daily. The DAI score was calculated by dividing the total score of the above three parameters by 3 [9]. The scoring criteria are provided in Table A1.

2.4. Histological Assessment

The colonic length was measured in all animals followed by fixation in a 10% formalin solution for 48 hours. The samples were dehydrated, embedded in paraffin, sectioned, and stained with hematoxylin and eosin (H&E). Microscopic observations were conducted to assess the pathological changes, and images were captured. The histological evaluation was based on the severity of inflammation, crypt damage, and the extent of pathological alterations [10,11].

2.5. RNA Isolation and qRT-PCR

RNA from colon tissue was extracted using TRIzol, and cDNA was synthesized through reverse transcription. qRT-PCR was performed using the Ultra SYBR Mixture reagent kit, with GAPDH as the internal reference gene. The primer sequences are provided in Table 1.
Table 1. The sequences of qPCR primers.
Table 1. The sequences of qPCR primers.
Gene Forward (5′-3′) Reverse (5′-3′)
miR-214 CGCTTTACAGCAGGCACAGA TAAGGTTCATCACGACAGGTICAC
GAPDH AAGGTCGGAGTCACCGGATT CTGGAAGATGGTGATGGGATT
The reaction system was prepared with a total volume of 20 μL, as described in Table A2. Gene expression levels were determined using the relative quantification method, specifically, the 2−ΔΔCt method.

2.6. Immunohistochemistry Staining

Paraffin sections of the colon tissue from each experimental group were dried in a constant-temperature oven at 60°C for 1 hour. The sections were then washed three times with 0.01 mol·L-1 PBS solution for 5 minutes each, followed by washing with absolute ethanol for 10 minutes and two rinses with distilled water. Antigen retrieval was performed by heating the sections at 100°C for 8 minutes, and the sections were then treated with 3% hydrogen peroxide for 30 minutes. The sections were incubated overnight at 4°C with p-STAT3 and IL-6 antibodies, followed by incubation with a secondary antibody. DAB staining was performed followed by counterstaining with hematoxylin. The sections were observed under a microscope and micro-images were captured at 400× magnification.

2.7. DNA Sequencing and Gut Microbiota Analysis

Total microbial genomic DNA samples were extracted using the OMEGA Mag-Bind Soil DNA Kit (M5635-02; Omega Bio-Tek, Norcross, GA, USA) according to the manufacturer’s instructions and stored at -20°C for further analysis. The quantity and quality of the extracted DNA were assessed using a Qubit™ 4 Fluorometer (Invitrogen, Waltham, MA, USA) and agarose gel electrophoresis, respectively. The microbial DNA was then processed to construct metagenome shotgun sequencing libraries with 400-bp insert sizes using the Illumina TruSeq Nano DNA LT Library Preparation Kit. Each library was sequenced on the Illumina NovaSeq platform (Illumina, USA) employing a PE150 strategy. The resulting sequencing data was analyzed to study the composition and functional changes of the gut microbiota among different groups.

2.8. Plasma Metabolites Analysis via Untargeted Metabolomics

Fasting blood samples were collected into 5-mL Vacutainer tubes containing the chelating agent EDTA and centrifuged at 1,500 g and 4°C for 15 minutes. Aliquots (150 μL) of plasma were stored at -80°C until analysis. The plasma samples were thawed at 4°C and 100-μL aliquots were mixed with 400 μL of cold methanol/acetonitrile (1:1, v/v) for protein precipitation. The mixture was centrifuged at 14,000 g and 4°C for 20 minutes. The supernatant was then dried in a vacuum centrifuge and re-dissolved in 100-μL acetonitrile/water (1:1, v/v) for UHPLC-Q-Exactive Orbitrap mass spectrometry (MS) analysis. The samples were finally centrifuged at 14,000 g and 4°C for 15 minutes before injection.

2.9. Statistical and Bioinformatics Analysis

Normalized data were analyzed using GraphPad Prism software (ver. 8.0.2; GraphPad Software Inc., San Diego, CA, USA). Model stability was evaluated using 7-fold cross-validation. The significance of differences between two independent samples was determined using a t-test, with significance criteria of variable importance projection (VIP) > 1 and P < 0.05.
Quality-filtered raw sequencing reads from the metagenomic data were classified for each sample using Kraken2. CDS sequences from all samples were clustered with mmseqs2 at a protein sequence similarity threshold of 0.90. Linear discriminant analysis effect size (LEfSe) was employed to detect taxonomic and functional differences between groups, and identified taxa and functions significantly enriched in different groups. Bray-Curtis distance was used to measure the dissimilarity in microbial community composition and function among samples. Principal coordinate analysis (PCoA) was employed for visualizing differences and similarities between samples based on microbial profiles.
The raw MS data were converted to mzXML format using ProteoWizard MSConvert. The converted data were processed with XCMS software for data extraction. Metabolite structure identification was conducted using a standard compound database. Both univariate and multivariate statistical analyses were used for intergroup difference and differential metabolite analyses. Significantly different metabolites were subjected to cluster analysis, Spearman correlation analysis, and bioinformatics analysis involving Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways.

3. Results

3.1. Protective Effect of LP+Ly on DSS-induced Colitis in Mice

As depicted in Figure 1, throughout the UC model induction phase, the severity of the disease escalated, resulting in an increase in the DAI. Treatment with DSS significantly reduced body weight (Figure 1A) and colon tissue length (Figure 1C). Contrasting with the DSS group, supplementation with LP+Ly and the medication significantly alleviated changes in body weight and colon tissue length, with the mitigating effect being greatest in the Low group.
Figure 1. Effect of LP+Ly on the symptoms of colitis in UC mice. (A) The body weight change. (B) DAI. (C) The colon tissue length (Different letters indicate significant differences P < 0.05). (D) typical H&E stained tissue sections in repre sentative mice from each group (×400, scale bars: 5μm, at the arrow: cup-shaped cells).
Figure 1. Effect of LP+Ly on the symptoms of colitis in UC mice. (A) The body weight change. (B) DAI. (C) The colon tissue length (Different letters indicate significant differences P < 0.05). (D) typical H&E stained tissue sections in repre sentative mice from each group (×400, scale bars: 5μm, at the arrow: cup-shaped cells).
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H&E staining (Figure 1D) revealed that the DSS group, in comparison to the Con group, exhibited colonic epithelial necrosis, mucosal integrity disruption, loss of goblet cells, and infiltration of inflammatory cells within the mucosal layer. The LP+Ly group and the medication-supplemented group both demonstrated significant improvement in colonic ulcer symptoms compared to the DSS group, with the Low group showing the most significant improvement. Further validation will be conducted to evaluate the therapeutic effect of low-dose LP+Ly on UC in mice.

3.2. Effect of LP+Ly on Cytokine Concentrations in the Colon

The expression levels of the miR-214 gene, IL-6, and p-STAT3 protein were assessed using qRT-PCR, and the results are presented in Table 2.
Table 2. Expression changes of cytokines in mice colon tissue (±SD).
Table 2. Expression changes of cytokines in mice colon tissue (±SD).
Group Number of samples (cases) miR-214 IL-6 P-STAT3
Con 6 1.147±0.768 0.8007±0.3948 0.9345±0.9819
DSS 6 3.623±1.128 ## 6.2169±1.8290 ## 17.3432±5.2125 ##
MS 6 1.197±0.686 * 4.9281±2.3704 12.4073±3.3159
High 6 1.450±1.329 * 2.8525±0.2716 ** 5.8161±2.3814 **
Low 6 2.580±0.548 4.6217±1.2715 5.0924±1.8529 **
Table: Comparison of cytokine expression in the DSS group versus the Control group: #P < 0.05, ##P < 0.01. Comparison of the remaining groups with the DSS group: *P < 0.05, **P < 0.01.
Table 2 reveals that, compared to the Con group, the DSS group showed significantly increased expression levels of miR-214, IL-6, and p-STAT3 (P < 0.01). Compared to the DSS group, the MS and High groups exhibited a significant decrease in miR-214 expression (P < 0.05). The High group showed a substantial decrease in IL-6 protein levels (P < 0.01), while the LP+Ly group exhibited a significant reduction in p-STAT3 levels (P < 0.01). This suggests that LP+Ly exerts its anti-inflammatory effects by modulating cytokine homeostasis.

3.3. LP+Ly and the Structure of Gut Microbiota

3.3.1. Analysis of Intestinal Flora Diversity in Mice Following LP+Ly Intervention

The diversity of gut microbiota in mice after LP+Ly intervention is depicted in Figure 2.
Figure 2. Diversity analysis of mice in each group.(A) Simpson index.(B) Chao index.(C) Shannon index.(D) Two-dimensional ordination plot of species NMDS analysis.
Figure 2. Diversity analysis of mice in each group.(A) Simpson index.(B) Chao index.(C) Shannon index.(D) Two-dimensional ordination plot of species NMDS analysis.
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Figure 2 demonstrates that the α-diversity index in the DSS group is significantly lower compared to the other groups (P < 0.05). However, treatment with the medication and LP+Ly intervention significantly counteracts this decrease. The nonmetric multidimensional scaling (NMDS) analysis, which is based on the distance matrix of samples, points to substantial differences in β-diversity among the gut microbiota of mice from different groups (Figure 2D). The gut microbiota of UC mice exhibit distinct clustering and separation compared to the Con group. However, the Low group displays excellent within-group reproducibility and shows significant separation from the other groups. Moreover, the Low group is closest to the Con group, indicating the least difference and highest similarity in gut microbiota composition between these two samples.

3.3.2. Impact of LP+Ly on the Structure of Gut Microbiota

To explore the mechanism through which LP+Ly alleviates UC in mice, we first analyzed the effect of LP+Ly on the species composition of mice gut microbiota, as presented in Figure 3.
Figure 3. Effects of LP+Ly intervention on gut microbiota. (A) Venn diagram of species. (B) Network diagram of dominant microbial taxa at the species level (top 50 abundant species). (C) Clustered evolutionary tree analysis using LEfSe.
Figure 3. Effects of LP+Ly intervention on gut microbiota. (A) Venn diagram of species. (B) Network diagram of dominant microbial taxa at the species level (top 50 abundant species). (C) Clustered evolutionary tree analysis using LEfSe.
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As shown in Figure 3A, at the species level, a total of 12,790 microbial species are shared across all groups. The DSS group possesses 544 unique species, the Con group has 1,109 unique species, the Low group has 914 unique species, and the MS group has 846 unique species. Figure 3B indicates that dominant species in the phylum Firmicutes, including Lactiplantibacillus murinus, Faecalibaculum rodentium, Firmicutes bacterium, and Lachnospiraceae bacterium, exhibit close relationships and positive correlations with other species. Conversely, dominant species in the phylum Actinobacteria, such as Enterorhabdus mucosicola, Enterorhabdus caecimuris, Asaccharobacter celatus, and Parvibacter caecicola, demonstrate negative correlations with other species. LEfSe analysis results, from phylum to species, reveal the enrichment of specific taxa at varying taxonomic levels (Figure 3C). In the Con group, there is enrichment in Lactobacillus, Lactobacillus ruminis, and Lactobacillaceae. The DSS group exhibits enrichment in Bacteroides acidifaciens, Akkermansia muciniphila, and Mucispirillum schaedleri at the genus and species levels. In the MS group, there is enrichment in Eggerthella and Akkermansia municiphila. The Low group displays enrichment in Eubacterium rectale, Anaerostipes, and Prevotella at the genus level. Additionally, Turicibacter, Bacteroides, Holdemania, and Dysgonomonas have been identified as positively associated with colitis-related inflammation [12,13,14,15].

3.3.3. Analysis of the Effect of LP+Ly on the Functional Level of Intestinal Flora in Mice

Figure 4 shows the functional levels of the intestinal flora in each mouse group following LP+Ly intervention.
Figure 4. Functional analysis of gut microbiota.(A) PCoA analysis showing two-dimensional ordination of samples.(B) UPGMA cluster analysis.(C) KEGG metabolic pathway analysis.
Figure 4. Functional analysis of gut microbiota.(A) PCoA analysis showing two-dimensional ordination of samples.(B) UPGMA cluster analysis.(C) KEGG metabolic pathway analysis.
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According to Figure 4A, the Low group is in closer proximity to the Con group than to the DSS group. This suggests that the functional composition differences between the Low and Con groups are minimal. Figure 4B reveals a substantial difference between the DSS and Con groups, while the Low and MS groups are more similar to the Con group. The Low group clusters together with the Con group at the same hierarchical level, indicating minimal differences and the highest similarity between them. This further illustrates that the composition of the intestinal microbiota in the DSS group is significantly altered, but intervention with the medication and LP+Ly effectively mitigates these abnormal changes, making them more similar to the Con group. The protein gene KEGG enrichment analysis demonstrates that most proteins are primarily enriched in the categories of metabolism and genetic information processing at the first level of KEGG classification. Dominant functional categories include carbohydrate metabolism, amino acid metabolism, and nucleotide metabolism (Figure 4C).

3.4. Impact of LP+Ly on the Metabolome of Serum Samples

3.4.1. Data Quality Control (QC) Analysis

The total ion chromatogram (TIC) of the QC samples is displayed in Figure 5 (the negative [neg] ion spectrum QC is shown in Figure B1).
Figure 5. Overlay plot of total ion chromatograms (TIC) for positive ion QC samples (pos).
Figure 5. Overlay plot of total ion chromatograms (TIC) for positive ion QC samples (pos).
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Figure 5 suggests that the intensities and retention times of chromatographic peaks in each sample are largely consistent, indicating minimal variation due to instrumental errors throughout the course of the experiment.

3.4.2. Summary of Plasma Metabolite Identification Results

The identified metabolites from both positive (pos) and neg ion modes were consolidated, as depicted in Figure 6.
Figure 6. Proportion of identified metabolites in each chemical category.
Figure 6. Proportion of identified metabolites in each chemical category.
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Figure 6 demonstrates that a total of 1,123 metabolites were identified, comprising 631 metabolites in the pos mode and 492 metabolites in the neg mode. Based on the classification into chemical groups, 293 metabolites were categorized as lipids and lipid-like molecules, 227 metabolites as organic acids and derivatives, 126 metabolites as benzenoids, and 45 metabolites as phenylpropanoids and polyketides, among others.

3.4.3. Analysis of Differences Between Groups of Plasma Metabolites and Permutation Test

The results regarding differential metabolites can be observed in Figure 7 (neg results in Figure B2).
Figure 7. presents the volcano plots and OPLS-DA analysis in pos. (A) DSS vs Con; (B) DSS vs Low; (C) DSS vs Con; (D) DSS vs Low; (E) shows the permutation test results for the comparison between DSS and Con groups, and panel (F) represents the permutation test results for the comparison between DSS and Low groups.
Figure 7. presents the volcano plots and OPLS-DA analysis in pos. (A) DSS vs Con; (B) DSS vs Low; (C) DSS vs Con; (D) DSS vs Low; (E) shows the permutation test results for the comparison between DSS and Con groups, and panel (F) represents the permutation test results for the comparison between DSS and Low groups.
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According to Figure 7A and Figure 7B, a total of 176 metabolites exhibited significant changes in expression between the Con and DSS groups, with 129 metabolites upregulated and 47 metabolites downregulated. There were 63 differentially expressed metabolites between the DSS and Low groups. Further, by comparing the overlapping differentially expressed metabolites between Con groups vs. DSS groups and DSS groups vs. Low group comparisons, a total of 63 metabolites were identified, 17 of which showed consistent expression patterns in the Con and Low groups. These 17 differentially expressed metabolites can be considered as potential target metabolites involved in the alleviation of UC in mice by LP+Ly intervention.
According to Figure 7C and Figure 7D, there is significant separation of metabolites between the DSS and Con groups, as well as between the DSS and Low groups. The permutation tests in Figure 7E and Figure 7F indicate that as permutation retention decreases, both the R2 and Q2 of the random model gradually decrease, suggesting that the original model is not overfitted and exhibits robustness.

3.4.4. Screening of Differential Metabolites

By applying the selection criteria, significantly different metabolites between groups were screened, and the results are presented in Table 3 (neg results are shown in Table A3).
Table 3. Pos and neg DSS vs Con significant difference metabolites.
Table 3. Pos and neg DSS vs Con significant difference metabolites.
rt(s) Name VIP FC p-value m/z adduct
476.16 Fenarimol 5.74 0.44 0.009 331.05 [M+H]+
407.39 L-citrulline 2.34 1.46 0.033 198.08 [M+Na]+
447.33 Asp-Thr 19.54 0.74 0.033 235.09 [M+H]+
86.17 Nudifloramide 1.07 0.72 0.035 153.07 [M+H]+
23.96 Bergaptol 6.86 2.44 0.006 201.02 [M-H]-
24.08 2-phosphonoethylphosphonic acid 6.14 3.06 0.013 188.99 [M-H]-
331.83 D-proline 1.52 1.95 0.022 114.06 [M-H]-
23.94 Pyrocatechol 1.43 2.60 0.029 109.03 [M-H]-
25.02 Daidzein 4’-sulfate 1.03 4.61 0.030 333.01 [M-H]-
37.76 14-hydroxy-4z,7z,10z,12e,16z,19z-docosahexaenoic acid 1.13 0.47 0.046 343.23 [M-H]-
In the comparison between the DSS and Con groups, a total of 10 significantly different metabolites were identified. In the pos mode, the upregulated differentially expressed metabolite was classified as organic acids and derivatives, specifically L-citrulline. The downregulated differentially expressed metabolites included Fenarimol from the class of benzenoids, Asp-Thr from the class of organic acids and derivatives, and nudifloramide from the class of organoheterocyclic compounds. In the comparison between the DSS and Low groups, a total of 5 significantly different metabolites were identified. In the pos mode, the upregulated differentially expressed metabolite belonged to the class of organic acids and derivatives, specifically L-citrulline. The downregulated differentially expressed metabolites included Fenarimol from the class of benzenoids and 2-ketohexanoic acid from the class of organic acids and derivatives.

3.4.5. Cluster Analysis of Differential Metabolites

To visually represent the expression pattern differences of significant differentially expressed metabolites across various samples, a clustering heatmap was generated, as shown in Figure 8 (neg heatmap in Figure B3).
Figure 8. Heatmap analysis of significantly different metabolites (Pos).
Figure 8. Heatmap analysis of significantly different metabolites (Pos).
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Figure 8 reveals that, in the pos mode, Epoxiconazole, Feruloyl tyramine, Tenofovir, and others were significantly upregulated in the DSS group, while D-xylose was downregulated. However, the intervention with the drug and LP+Ly significantly reversed these trends. In the neg mode, phenyllactic acid, cytidine, and dodecanedioic acid were upregulated in the DSS group, but the intervention with the drug and LP+Ly helped normalize their levels toward those in the Con group. Consequently, carbohydrate metabolism and amino acid metabolism have been identified as the target metabolic pathways involved in alleviating UC in this study.

3.4.6. Analysis of the KEGG Metabolic Pathway with Differential Metabolites

The KEGG pathway annotations of the differentially expressed metabolites identified in both pos and neg ion modes are presented in Figure 9.
Figure 9. Heatmap of differential metabolite clustering in the KEGG pathway.
Figure 9. Heatmap of differential metabolite clustering in the KEGG pathway.
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As depicted in Figure 9, for the DSS group vs. group Con comparison, the significantly upregulated metabolite pyrocatechol is associated with Metabolic pathways. The metabolite L-citrulline is involved in Arginine biosynthesis, Metabolic pathways, and Biosynthesis of amino acids. D-proline participates in Arginine and proline metabolism and Metabolic pathways. The significantly downregulated metabolite nudifloramide is involved in Nicotinate and nicotinamide metabolism as well as Metabolic pathways. In the DSS group vs. Low group comparison, the significantly downregulated metabolite L-ascorbic acid in the Low group participates in Ascorbate and aldarate metabolism, Glutathione metabolism, Metabolic pathways, and Vitamin digestion and absorption. L-citrulline is engaged in Arginine biosynthesis, Metabolic pathways, and Biosynthesis of amino acids.
The graphical representation illustrating the pathogenesis of UC in mice and the mechanism of relief provided by LP+Ly at the metabolic level is shown in Figure 10.
Figure 10. KEGG pathway enrichment map (A) DSS vs Con; (B) DSS vs Low.
Figure 10. KEGG pathway enrichment map (A) DSS vs Con; (B) DSS vs Low.
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According to the KEGG enrichment analysis in Figure 10, the comparison of DSS group vs. Con group shows that six significantly different metabolites map to five metabolic pathways, including Arginine biosynthesis, Nicotinate and nicotinamide metabolism, and Arginine and proline metabolism, with Arginine biosynthesis being significantly enriched. The enrichment analysis for the DSS group vs. Low group indicates that five significantly different metabolites map to 13 metabolic pathways, including Biosynthesis of amino acids, Citrate cycle, Arginine biosynthesis, Glucagon signaling pathway, Glutathione metabolism, and Vitamin digestion and absorption, with the first eight pathways being significantly enriched. Thus, it is inferred that these nine metabolic pathways are potential target pathways for the alleviation of UC in mice through LP+Ly intervention. Among them, Arginine biosynthesis, in which the metabolite L-citrulline is involved, exhibits the strongest correlation, and the intake of arginine is vital for suppressing inflammation and carcinogenesis [16]. Please refer to Figure 11 for specific details on metabolic pathways.
Figure 11. Arginine biosynthesis pathway map.
Figure 11. Arginine biosynthesis pathway map.
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Figure 11 elucidates that in the urea cycle, the upregulation of the metabolite guanidinoacetic acid results in alterations in L-arginine succinate, subsequently influencing the biological metabolic pathways associated with arginine. This offers a preliminary insight into how LP+Ly exerts anti-inflammatory and immunomodulatory effects on UC by affecting relevant pathways of Arginine biosynthesis.

3.5. Combined Resonance Analysis of Intestinal Flora and Metabolites

To delve further into the restorative effects of LP+Ly intervention on UC in mice, a combined analysis of mouse gut microbiota and metabolites was performed. The canonical correspondence analysis (CCA) plots for both pos and neg ion modes are depicted in Figure 12.
Figure 12. CIA two-dimensional alignment chart (A) pos; (B) neg.
Figure 12. CIA two-dimensional alignment chart (A) pos; (B) neg.
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Figure 12 reveals that compared to the Con group, the arrow length is longest for the DSS group, indicating significant discrepancies between the gut microbiota composition and metabolomics data in the DSS group. Conversely, the MS and Low groups exhibit patterns closer to the Con group, with the Low group demonstrating greater similarity in pos ion mode. This suggests that through drug and LP+Ly intervention, mouse gut tends to return to a healthier state.
A heatmap illustrating the correlations between microbial species and metabolite detection results is presented in Figure 13 (neg heatmap in Figure B4).
Figure 13. Spearman rank association heatmap between intestinal flora and potential metabolites (pos).
Figure 13. Spearman rank association heatmap between intestinal flora and potential metabolites (pos).
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As per Figure 13, there is a close interrelation between plasma metabolites and microbial genera. There are positive correlations of 1-palmitoyl-2-docosahexaenoyl-sn-glycero-3-phosphocholine with Odoribacter and Helicobacter; Heptadecasphinganine with Paraprevotella and Alloprevotella; Prostaglandin E1 alcohol with Barnesiella; and Leucine with Prevotella and Faecalibaculum, among others. Conversely, there are negative correlations of Betaine with Odoribacter; Arachidonoylthiophosphorylcholine with Akkermansia and Desulfovibrio; Leucine with Akkermansia; and L-hydroxyarginine with Alistipes and Parvibacter, among others. These findings suggest that LP+Ly regulates plasma metabolism by modulating the gut microbiota, thereby influencing the systemic inflammatory response.

4. Analysis and Discussion

Plant-based diets have been associated with protective effects against various diseases by reducing oxidative stress, modulating cytokine secretion, and regulating gut microbiota to fortify the intestinal barrier [17]. In this experiment, we employed microbial fermentation to ferment goji berries, with the goal of producing beneficial microorganisms and secondary metabolites. This process was expected to enhance the efficacy of LP+Ly in alleviating UC.
One of the inflammatory factors, P-STAT3, is indicative of inflammation, where a higher degree of phosphorylation suggests increased inflammation. IL-6, a pro-inflammatory cytokine, can stimulate the phosphorylation of P-STAT3 [18]. Additionally, dysbiosis of the gut microbiota due to defects in immune system-related genes can cause an imbalance in the microbial community, consistent with existing studies [19]. Farraye et al. [20] also established a significant positive correlation between the expression of the miR-214 gene and severity of UC in patients.
In our study, through immunohistochemical analysis, we measured the levels of P-STAT3, IL-6, and miR-214 in colonic tissues. Our findings showed that LP+Ly effectively suppressed the mRNA expression of pro-inflammatory cytokines, such as P-STAT3 and IL-6. Consequently, the suppression of pro-inflammatory cytokines by LP+Ly may be essential for mitigating DSS-induced intestinal inflammation and damage.
DSS-induced UC in mice is typified by symptoms such as weight loss, bloody diarrhea, colon shortening, and intestinal damage [21,22]. Moreover, UC patients often exhibit a decline in the number of goblet cells in the colon, leading to increased mucosal barrier permeability [23]. Our study found that LP+Ly indeed mitigated these pathological symptoms and ameliorated histological damage in UC mice. Nonetheless, LP+Ly comprises a multifarious mixture of active components. It is therefore plausible that its effectiveness against UC is attributable to the synergistic action of multiple constituents. Further studies are necessary to determine how these components interact to alleviate UC and to identify the primary active components.
The gut microbiota is implicated in various physiological functions, such as regulating inflammatory responses, controlling appetite, and maintaining intestinal integrity [24]. Disruption of the gut microbiota, termed dysbiosis, can serve as an important marker of the pathological and physiological state of the host. Our study demonstrated that gut microbiota diversity and richness diminished in the DSS-induced group of mice, as evidenced by a decrease in the species richness, Chao-1 index, Shannon index, and Simpson index. However, the administration of medication and LP+Ly reversed these trends, with LP+Ly nearly restoring these indicators to levels observed in healthy mice.
Additionally, LP+Ly altered the composition of gut microbiota in UC mice, including changes in the abundance of specific bacterial phyla such as Bacteroidetes and Firmicutes. This could be attributed to the polysaccharides present in LP+Ly, as polysaccharides are known to be effective in modulating the gut microbiota. In this study, the occurrence of UC significantly reduced the relative abundance of Lactiplantibacillus. Unfortunately, intervention with LP+Ly did not reverse this decreasing trend. Additionally, LP+Ly increased the relative abundance of Helicobacter. It is worth noting that Helicobacter has been negatively associated with IBD [25], and its depletion can disrupt the balance of the gut microbiota [26]. This is consistent with the significant decrease in relative abundance of Helicobacter seen in the DSS group. At the genus level, the gut microbiota structure was disrupted in the DSS group, with a decreased relative abundance of beneficial bacteria (such as Lactiplantibacillus, Clostridium, Akkermansia), while administration of LP+Ly reduced the relative abundance of harmful bacteria (such as Candidatus Amulumruptor, Odoribacter, Alloprevotella), indicating a broad-spectrum antibacterial effect of LP+Ly. Moreover, in this experiment, the relative abundance of short-chain fatty acid (SCFA)-producing bacteria, such as Alistipes, Clostridium, and Roseburia, was decreased in the DSS group. Conversely, the relative abundance of SCFA-producing bacteria, including Bacteroides and Parabacteroides, was higher in the groups treated with the drug and LP+Ly compared to the Con group. This indicates that the alleviating effect of LP+Ly on UC mice partially originates from its modulation of the gut microbiota.
LP+Ly also influenced the relative abundance of SCFA-producing bacteria, which are crucial for the proliferation of intestinal epithelial cells and the maintenance of the epithelial barrier function [27,28,29]. The abundance of such bacteria is reduced in IBD patients, whereas probiotic bacteria that produce SCFAs have been found to alleviate clinical symptoms in these patients [30,31].
In recent times, research has highlighted the significant role of dietary amino acids in preventing and treating intestinal inflammation. Amino acids are implicated in protecting the intestine through mechanisms like inhibiting intestinal epithelial cell apoptosis, alleviating intestinal inflammation, reducing oxidative stress reactions, and restoring intestinal barrier function [32,33]. Our study employed metabolomic analysis to investigate plasma metabolites of UC mice post-intervention with medication and LP+Ly. The goal was to elucidate the metabolic mechanisms through which LP+Ly alleviates UC. Analysis of selected metabolites revealed distinct trends in small molecule metabolites such as fenarimol, L-citrulline, and 2-ketohexanoic acid during DSS treatment. These trends indicated significant differences in the relative abundance of metabolites among the groups. UC mice displayed significant metabolic disturbances, which LP+Ly was able to partially normalize.
Notably, L-citrulline, an intermediate metabolic amino acid produced by small intestinal cells, was modulated by LP+Ly. L-citrulline is involved in the urea cycle, arginine synthesis, and nitric oxide production. Previous research has shown that certain amino acids, such as glutamine and arginine, can influence the pathogenesis of IBD [34]. Moreover, plasma guanidinoacetate levels are considered a promising quantitative biomarker for diagnosing gastrointestinal complications [35]. Our study observed that plasma guanidinoacetate levels in UC mice were significantly higher compared to the Con group. Changes in guanidinoacetate levels are associated with arginine biosynthesis in the body. LP+Ly intervention resulted in changes in L-citrulline levels, which in turn regulated arginine biosynthesis, contributing to the alleviating effects of LP+Ly. KEGG enrichment analysis suggested that the arginine biosynthesis pathway, in which L-citrulline participates, may be a potential therapeutic target for the action of LP+Ly.
Furthermore, our correlation analysis showed a strong association between numerous gut microbiota and differential metabolites. Previous studies have shown that supplementation with arginine can restore gut microbiota diversity [36]. Therefore, we postulate that LP+Ly exerts its beneficial effects by modulating gut microbiota and influencing amino acid metabolism.
In summary, LP+Ly exhibited promising anti-inflammatory effects in DSS-induced UC in mice. This study provides scientific evidence supporting the potential clinical application of LP+Ly in the prevention and treatment of UC, and may also contribute to the development of novel therapeutic approaches for UC.

5. Conclusion

In this study, we compared the effects of a standard drug and LP+Ly, fermented by Lactiplantibacillus plantarum NXU0011, on the alleviation of colitis. Our findings indicate that LP+Ly holds significant promise in mitigating colitis, demonstrating a more substantial impact compared to the standard drug. LP+Ly is instrumental in alleviating DSS-induced intestinal inflammation, largely due to its ability to modulate the gut microbiota and restore the disrupted microbial structure within the gut. Additionally, we observed that the protective effect of LP+Ly on plasma metabolites is intrinsically linked to its role in regulating the gut microbiota.
In essence, LP+Ly could be considered a promising probiotic product derived from Lycium barbarum with the potential to improve intestinal inflammation. However, this study leaves some pertinent questions unanswered: The differences in gut microbiota and physiological status between mice and humans [36] make it uncertain as to whether the effects of LP+Ly in our study would translate similarly to human subjects with UC; and the long-term consumption of probiotic products, though potentially beneficial, could pose risks to the host. For instance, the extended administration of inulin has been associated with the induction of jaundice-type hepatocellular carcinoma in dysbiotic mice [37].
Therefore, future studies must prioritize investigation of the efficacy and safety of LP+Ly in a human physiological setting to ascertain its viability as a therapeutic intervention for UC.

Author Contributions

“Conceptualization, M.N. and Q.J.; methodology, M.N. and Q.J.; software, G.G.; validation, M.N., Q.J., and G.G.; formal analysis, M.N., and L.P.; investigation, M.N., H.Z., and L.P.; resources, M.N., Q.J., and L.P.; data curation, not applicable; writing—original draft preparation, M.N.; writing—review and editing, M.N., Q.J., and G.G.; visualization, L.P.; supervision, Q.J., H.Z., and L.P.; project administration, Q.J., H.Z., and L.P.; funding acquisition, L.P. All authors have read and agreed to the published version of the manuscript.”

Funding

This work was funded by the Key R&D Program of Ningxia (Grant No. 022004220014). Key R&D Programme Project (2020BBF02023); Autonomous Region Key R&D Programme (Talent Attraction Special Project) (2020BEB04014); Ningxia Natural Science Foundation (2021AAC03023)

Conflicts of Interest

The authors declare that there are no conflicts of interest.

Appendix A

Table A1. Disease Activity Index Scoring Sheet.
Table A1. Disease Activity Index Scoring Sheet.
Scoring/Points Weight loss /% Stool characteristics Rectal bleeding (occult blood / gross blood in stool)
0 0 Normal Occult blood
1 1-5 Stool consistency: Soft but formed Occult blood
2 6-10 Stool consistency: Soft Visible blood traces
3 11-18 Stool consistency: Very soft and loose Visible significant blood
4 >18 Watery diarrhea Profuse bleeding
Table A2. PCR Reaction System.
Table A2. PCR Reaction System.
Reagent 20ul System Final concentration
2X SYBR Green Mix 10μL 1X
RT Product 2μL
Bulge-LoopTM miRNA Forward Primer (5M) 0.8μL 200 nM
Bulge-LoopTM Reverse Primer (5M) 0.8μL 200 nM
RNase-free H2O To 20μL
Table A3. Significantly different metabolites between the DSS group and the Low group in pos and neg.
Table A3. Significantly different metabolites between the DSS group and the Low group in pos and neg.
rt(s) Name VIP FC p-value m/z adduct
510.32 2-ketohexanoic acid 1.61 0.53 0.0133 131.08 [M+H]+
407.39 L-citrulline 1.98 1.33 0.0332 198.08 [M+Na]+
476.16 Fenarimol 4.00 0.55 0.0498 331.05 [M+H]+
169.08 L-Ascorbic acid 2.10 5.44 0.021 197.01 (M+Na-2H)-
584.04 Isocitrate 3.28 33.75 0.038 173.01 (M-H2O-H)-

Appendix B

Figure B1. Overlay spectra of TIC for QC samples in neg.
Figure B1. Overlay spectra of TIC for QC samples in neg.
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Figure B2. Volcano plot and OPLS-DA analysis in neg. (A) DSS vs Con; (B) DSS vs Low; (C) DSS vs Con; (D) DSS vs Low; (E) DSS vs Con Permutation tes; (F) DSS vs Low Permutation tes.
Figure B2. Volcano plot and OPLS-DA analysis in neg. (A) DSS vs Con; (B) DSS vs Low; (C) DSS vs Con; (D) DSS vs Low; (E) DSS vs Con Permutation tes; (F) DSS vs Low Permutation tes.
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Figure B3. Hierarchical clustering heatmap of significantly different metabolites in neg.
Figure B3. Hierarchical clustering heatmap of significantly different metabolites in neg.
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Figure B4. Spearman rank correlation heatmap between metabolomics data in neg and bacterial abundance.
Figure B4. Spearman rank correlation heatmap between metabolomics data in neg and bacterial abundance.
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References

  1. Y. Rahbar Saadat, A. Yari Khosroushahi, B. Pourghassem Gargari, A comprehensive review of anticancer, immunomodulatory and health beneficial effects of the lactic acid bacteria exopolysaccharides, Carbohydr. Polym. 217 (2019) 79–89. https://doi.org/10.1016/j.carbpol.2019.04.025. [CrossRef]
  2. C. Cremon, M.R. Barbaro, M. Ventura, G. Barbara, Pre- and probiotic overview, Curr. Opin. Pharmacol. 43 (2018) 87–92. https://doi.org/10.1016/j.coph.2018.08.010. [CrossRef]
  3. S. Najafi, F. Sotoodehnejadnematalahi, M.M. Amiri, M.R. Pourshafie, M. Rohani, Prophylactic vs. Therapeutic Effect of Probiotics on the Inflammation Mediated by the NF-κB Pathway in Inflammatory Bowel Conditions, Biomedicines. 11 (2023) 1675. https://doi.org/10.3390/biomedicines11061675. [CrossRef]
  4. C.-M. Yang, M.-Y. Chien, L.-Y. Wang, C.-H. Chuang, C.-H. Chen, Goji Ferment Ameliorated Acetaminophen-Induced Liver Injury in vitro and in vivo, Probiotics Antimicrob. Proteins. (2022). https://doi.org/10.1007/s12602-022-09956-y. [CrossRef]
  5. K.M. Hooper, P.G. Barlow, C. Stevens, P. Henderson, Inflammatory Bowel Disease Drugs: A Focus on Autophagy, J. Crohns Colitis. 11 (2017) 118–127. https://doi.org/10.1093/ecco-jcc/jjw127. [CrossRef]
  6. Z.F. Dai, X.Y. Ma, R. Yang, H. Wang, D. Xu, J. Yang, X. Guo, S. Meng, R. Xu, Y. Li, Y. Xu, K. Li, X. Lin, Intestinal flora alterations in patients with ulcerative colitis and their association with inflammation, Exp. Ther. Med. 22 (2021) 1322. https://doi.org/10.3892/etm.2021.10757. [CrossRef]
  7. D. Bergemalm, E. Andersson, J. Hultdin, C. Eriksson, S.T. Rush, R. Kalla, A.T. Adams, Å.V. Keita, M. D’Amato, F. Gomollon, J. Jahnsen, P. Ricanek, J. Satsangi, D. Repsilber, P. Karling, J. Halfvarson, I.D. Arnott, M. Bayes, F. Bonfiglio, R.K. Boyapati, A. Carstens, C. Casén, E. Ciemniejewska, F.A. Dahl, T.E. Detlie, H.E. Drummond, G.S. Ekeland, D. Ekman, A.B. Frengen, M. Gullberg, I.G. Gut, M. Gut, S.C. Heath, F. Hjelm, H. Hjortswang, G.-T. Ho, D. Jonkers, J. Söderholm, N.A. Kennedy, C.W. Lees, T. Lindahl, M. Lindqvist, A. Merkel, E. Modig, A.E.F. Moen, H. Nilsen, E.R. Nimmo, C.L. Noble, N. Nordberg, K.R. O’Leary, A. Ocklind, C. Olbjørn, E. Pettersson, M. Pierik, Dominique, Systemic Inflammation in Preclinical Ulcerative Colitis, Gastroenterology. 161 (2021) 1526-1539.e9. https://doi.org/10.1053/j.gastro.2021.07.026. [CrossRef]
  8. D. Liu, F. Galvanin, Y. Yu, Formulation Screening and Freeze-Drying Process Optimization of Ginkgolide B Lyophilized Powder for Injection, AAPS PharmSciTech. 19 (2018) 541–550. https://doi.org/10.1208/s12249-017-0858-2. [CrossRef]
  9. Y. Chen, Y. Jin, C. Stanton, R.P. Ross, Z. Wang, J. Zhao, H. Zhang, B. Yang, W. Chen, Dose-response efficacy and mechanisms of orally administered CLA-producing Bifidobacterium breve CCFM683 on DSS-induced colitis in mice, J. Funct. Foods. 75 (2020) 104245. https://doi.org/10.1016/j.jff.2020.104245. [CrossRef]
  10. Z. Wu, S. Huang, T. Li, N. Li, D. Han, B. Zhang, Z.Z. Xu, S. Zhang, J. Pang, S. Wang, G. Zhang, J. Zhao, J. Wang, Gut microbiota from green tea polyphenol-dosed mice improves intestinal epithelial homeostasis and ameliorates experimental colitis, Microbiome. 9 (2021) 184. https://doi.org/10.1186/s40168-021-01115-9. [CrossRef]
  11. K. Wang, X. Jin, Q. Li, A.C.H.F. Sawaya, R.K. Le Leu, M.A. Conlon, L. Wu, F. Hu, Propolis from Different Geographic Origins Decreases Intestinal Inflammation and Bacteroides spp. Populations in a Model of DSS-Induced Colitis, Mol. Nutr. Food Res. 62 (2018) 1800080. https://doi.org/10.1002/mnfr.201800080. [CrossRef]
  12. B. Barberio, S. Facchin, I. Patuzzi, A.C. Ford, D. Massimi, G. Valle, E. Sattin, B. Simionati, E. Bertazzo, F. Zingone, E.V. Savarino, A specific microbiota signature is associated to various degrees of ulcerative colitis as assessed by a machine learning approach, Gut Microbes. 14 (2022) 2028366. https://doi.org/10.1080/19490976.2022.2028366. [CrossRef]
  13. L. Shang, H. Liu, H. Yu, M. Chen, T. Yang, X. Zeng, S. Qiao, Core Altered Microorganisms in Colitis Mouse Model: A Comprehensive Time-Point and Fecal Microbiota Transplantation Analysis, Antibiotics. 10 (2021) 643. https://doi.org/10.3390/antibiotics10060643. [CrossRef]
  14. M.L. Santoru, C. Piras, A. Murgia, V. Palmas, T. Camboni, S. Liggi, I. Ibba, M.A. Lai, S. Orrù, S. Blois, A.L. Loizedda, J.L. Griffin, P. Usai, P. Caboni, L. Atzori, A. Manzin, Cross sectional evaluation of the gut-microbiome metabolome axis in an Italian cohort of IBD patients, Sci. Rep. 7 (2017) 9523. https://doi.org/10.1038/s41598-017-10034-5. [CrossRef]
  15. Z. Wang, K. Guo, P. Gao, Q. Pu, P. Lin, S. Qin, N. Xie, J. Hur, C. Li, C. Huang, M. Wu, Microbial and genetic-based framework identifies drug targets in inflammatory bowel disease, Theranostics. 11 (2021) 7491–7506. https://doi.org/10.7150/thno.59196. [CrossRef]
  16. K.T. Wilson, Dietary Arginine Regulates Severity of Experimental Colitis and Affects the Colonic Microbiome, Front. Cell. Infect. Microbiol. 9 (2019). [CrossRef]
  17. H. Kahleova, S. Levin, N. Barnard, Cardio-Metabolic Benefits of Plant-Based Diets, Nutrients. 9 (2017) 848. https://doi.org/10.3390/nu9080848. [CrossRef]
  18. C. Polytarchou, D.W. Hommes, T. Palumbo, M. Hatziapostolou, M. Koutsioumpa, G. Koukos, A.E. Van Der Meulen-de Jong, A. Oikonomopoulos, W.K. Van Deen, C. Vorvis, O.B. Serebrennikova, E. Birli, J. Choi, L. Chang, P.A. Anton, P.N. Tsichlis, C. Pothoulakis, H.W. Verspaget, D. Iliopoulos, MicroRNA214 Is Associated With Progression of Ulcerative Colitis, and Inhibition Reduces Development of Colitis and Colitis-Associated Cancer in Mice, Gastroenterology. 149 (2015) 981-992.e11. https://doi.org/10.1053/j.gastro.2015.05.057. [CrossRef]
  19. F. Imhann, A. Vich Vila, M.J. Bonder, J. Fu, D. Gevers, M.C. Visschedijk, L.M. Spekhorst, R. Alberts, L. Franke, H.M. Van Dullemen, R.W.F. Ter Steege, C. Huttenhower, G. Dijkstra, R.J. Xavier, E.A.M. Festen, C. Wijmenga, A. Zhernakova, R.K. Weersma, Interplay of host genetics and gut microbiota underlying the onset and clinical presentation of inflammatory bowel disease, Gut. 67 (2018) 108–119. https://doi.org/10.1136/gutjnl-2016-312135. [CrossRef]
  20. F.A. Farraye, R.D. Odze, J. Eaden, S.H. Itzkowitz, AGA Technical Review on the Diagnosis and Management of Colorectal Neoplasia in Inflammatory Bowel Disease, Gastroenterology. 138 (2010) 746-774.e4. https://doi.org/10.1053/j.gastro.2009.12.035. [CrossRef]
  21. Y. Yang, G. Chen, Q. Yang, J. Ye, X. Cai, P. Tsering, X. Cheng, C. Hu, S. Zhang, P. Cao, Gut microbiota drives the attenuation of dextran sulphate sodium-induced colitis by Huangqin decoction, Oncotarget. 8 (2017) 48863–48874. https://doi.org/10.18632/oncotarget.16458. [CrossRef]
  22. Y. Kang, Y. Xue, M. Du, M.-J. Zhu, Preventive effects of Goji berry on dextran-sulfate-sodium-induced colitis in mice, J. Nutr. Biochem. 40 (2017) 70–76. https://doi.org/10.1016/j.jnutbio.2016.10.009. [CrossRef]
  23. M.E.V. Johansson, J.K. Gustafsson, J. Holmén-Larsson, K.S. Jabbar, L. Xia, H. Xu, F.K. Ghishan, F.A. Carvalho, A.T. Gewirtz, H. Sjövall, G.C. Hansson, Bacteria penetrate the normally impenetrable inner colon mucus layer in both murine colitis models and patients with ulcerative colitis, Gut. 63 (2014) 281–291. https://doi.org/10.1136/gutjnl-2012-303207. [CrossRef]
  24. M.P. Francino, The Gut Microbiome and Metabolic Health, Curr. Nutr. Rep. 6 (2017) 16–23. https://doi.org/10.1007/s13668-017-0190-1. [CrossRef]
  25. N. Castaño-Rodríguez, N.O. Kaakoush, W.S. Lee, H.M. Mitchell, Dual role of Helicobacter and Campylobacter species in IBD: a systematic review and meta-analysis, Gut. 66 (2017) 235–249. https://doi.org/10.1136/gutjnl-2015-310545. [CrossRef]
  26. T.W.-C. Yap, H.-M. Gan, Y.-P. Lee, A.H.-R. Leow, A.N. Azmi, F. Francois, G.I. Perez-Perez, M.-F. Loke, K.-L. Goh, J. Vadivelu, Helicobacter pylori Eradication Causes Perturbation of the Human Gut Microbiome in Young Adults, PLOS ONE. 11 (2016) e0151893. https://doi.org/10.1371/journal.pone.0151893. [CrossRef]
  27. D. Parada Venegas, M.K. De La Fuente, G. Landskron, M.J. González, R. Quera, G. Dijkstra, H.J.M. Harmsen, K.N. Faber, M.A. Hermoso, Short Chain Fatty Acids (SCFAs)-Mediated Gut Epithelial and Immune Regulation and Its Relevance for Inflammatory Bowel Diseases, Front. Immunol. 10 (2019) 277. https://doi.org/10.3389/fimmu.2019.00277. [CrossRef]
  28. R. Kumari, Fluctuations in butyrate-producing bacteria in ulcerative colitis patients of North India, World J. Gastroenterol. 19 (2013) 3404. https://doi.org/10.3748/wjg.v19.i22.3404. [CrossRef]
  29. K. Takahashi, A. Nishida, T. Fujimoto, M. Fujii, M. Shioya, H. Imaeda, O. Inatomi, S. Bamba, A. Andoh, M. Sugimoto, Reduced Abundance of Butyrate-Producing Bacteria Species in the Fecal Microbial Community in Crohn’s Disease, Digestion. 93 (2016) 59–65. https://doi.org/10.1159/000441768. [CrossRef]
  30. M. Ganji-Arjenaki, M. Rafieian-Kopaei, Probiotics are a good choice in remission of inflammatory bowel diseases: A meta analysis and systematic review, J. Cell. Physiol. 233 (2018) 2091–2103. https://doi.org/10.1002/jcp.25911. [CrossRef]
  31. Y. Derwa, D.J. Gracie, P.J. Hamlin, A.C. Ford, Systematic review with meta-analysis: the efficacy of probiotics in inflammatory bowel disease, Aliment. Pharmacol. Ther. 46 (2017) 389–400. https://doi.org/10.1111/apt.14203. [CrossRef]
  32. F. He, C. Wu, P. Li, N. Li, D. Zhang, Q. Zhu, W. Ren, Y. Peng, Functions and Signaling Pathways of Amino Acids in Intestinal Inflammation, BioMed Res. Int. 2018 (2018) 1–13. https://doi.org/10.1155/2018/9171905. [CrossRef]
  33. Z.H. Song, G. Tong, K. Xiao, L.F. Jiao, Y.L. Ke, C.H. Hu, L -Cysteine protects intestinal integrity, attenuates intestinal inflammation and oxidant stress, and modulates NF-κB and Nrf2 pathways in weaned piglets after LPS challenge, Innate Immun. 22 (2016) 152–161. https://doi.org/10.1177/1753425916632303. [CrossRef]
  34. S. Vidal-Lletjós, M. Beaumont, D. Tomé, R. Benamouzig, F. Blachier, A. Lan, Dietary Protein and Amino Acid Supplementation in Inflammatory Bowel Disease Course: What Impact on the Colonic Mucosa?, Nutrients. 9 (2017) 310. https://doi.org/10.3390/nu9030310. [CrossRef]
  35. S. Shin, H.M. Jeong, S.E. Chung, T.H. Kim, S.K. Thapa, D.Y. Lee, C.H. Song, J.Y. Lim, S.-M. Cho, K.-Y. Nam, W.-H. Kang, Y.-W. Choi, B.S. Shin, Simultaneous analysis of acetylcarnitine, proline, hydroxyproline, citrulline, and arginine as potential plasma biomarkers to evaluate NSAIDs-induced gastric injury by liquid chromatography–tandem mass spectrometry, J. Pharm. Biomed. Anal. 165 (2019) 101–111. https://doi.org/10.1016/j.jpba.2018.11.051. [CrossRef]
  36. F. Hugenholtz, W.M. De Vos, Mouse models for human intestinal microbiota research: a critical evaluation, Cell. Mol. Life Sci. 75 (2018) 149–160. https://doi.org/10.1007/s00018-017-2693-8. [CrossRef]
  37. V. Singh, B.S. Yeoh, B. Chassaing, X. Xiao, P. Saha, R. Aguilera Olvera, J.D. Lapek, L. Zhang, W.-B. Wang, S. Hao, M.D. Flythe, D.J. Gonzalez, P.D. Cani, J.R. Conejo-Garcia, N. Xiong, M.J. Kennett, B. Joe, A.D. Patterson, A.T. Gewirtz, M. Vijay-Kumar, Dysregulated Microbial Fermentation of Soluble Fiber Induces Cholestatic Liver Cancer, Cell. 175 (2018) 679-694.e22. https://doi.org/10.1016/j.cell.2018.09.004. [CrossRef]
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