GV-971 prevents severe acute pancreatitis by remodeling the microbiota-metabolic-immune axis
Despite recent advances, severe acute pancreatitis (SAP) remains a lethal inflammation with limited treatment options. Here, we provide compelling evidence of GV-971 (sodium oligomannate), an anti-Alzheimer's medication, as being a protective agent in various male mouse SAP models. Microbiome sequencing, along with intestinal microbiota transplantation and mass cytometry technology, unveil that GV-971 reshapes the gut microbiota, increasing Faecalibacterium populations and modulating both peripheral and intestinal immune systems. A metabolomics analysis of cecal contents from GV-971-treated SAP mice further identifies short-chain fatty acids, including propionate and butyrate, as key metabolites in inhibiting macrophage M1 polarization and subsequent lethal inflammation by blocking the MAPK pathway. These findings suggest GV-971 as a promising therapeutic for SAP by targeting the microbiota metabolic immune axis.
Authors
- Wen Fu (ORCID: https://orcid.org/0000-0003-4157-8987)
- Yan Ding (ORCID: https://orcid.org/0000-0003-3119-9529)
- Meixuan Wu
- Jinheng Wang (ORCID: https://orcid.org/0000-0002-2650-3816)
- Jiangtuan Wang
- Daolin Tang (ORCID: https://orcid.org/0000-0002-1903-6180)
- Meiyu Geng (ORCID: https://orcid.org/0000-0002-7362-0847)
- Feifei Ge (ORCID: https://orcid.org/0000-0003-1336-8587)
- Xin Chen (ORCID: https://orcid.org/0000-0003-3668-4830)
- Jinbao Liu (ORCID: https://orcid.org/0000-0003-2220-2407)
- Xiaofen Li (ORCID: https://orcid.org/0000-0002-3425-8072)
- Na Zhang (ORCID: https://orcid.org/0000-0001-5775-5357)
- Xi Chen (ORCID: https://orcid.org/0009-0003-4589-3025)
Institutions
- Chinese Academy of Sciences (CN)
- Second Affiliated Hospital of Guangzhou Medical University (CN)
- Southwestern Medical Center (US)
- Shanghai Institute of Materia Medica (CN)
- The University of Texas Southwestern Medical Center (US)
- Guangzhou Medical University (CN)
Publication Details
- Journal
- Nature Communications
- Published
- 2024-09-27
- DOI
- https://doi.org/10.1038/s41467-024-52398-z
- Citations
- 19
- Primary Topic
- Pancreatitis Pathology and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 10.88
Funders
- Guangzhou Medical University
- State Key Laboratory of Respiratory Disease
- National Natural Science Foundation of China