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Gut Dysbiosis Drives Inflammatory Bowel Disease Through the CCL4L2-VSIR Axis in Glycogen Storage Disease.


ABSTRACT: Patients with glycogen storage disease type Ib (GSD-Ib) frequently have inflammatory bowel disease (IBD). however, the underlying etiology remains unclear. Herein, this study finds that digestive symptoms are commonly observed in patients with GSD-Ib, presenting as single or multiple scattered deep round ulcers, inflammatory pseudo-polyps, obstructions, and strictures, which differ substantially from those in typical IBD. Distinct microbiota profiling and single-cell clustering of colonic mucosae in patients with GSD are conducted. Heterogeneous oral pathogenic enteric outgrowth induced by GSD is a potent inducer of gut microbiota immaturity and colonic macrophage accumulation. Specifically, a unique population of macrophages with high CCL4L2 expression is identified in response to pathogenic bacteria in the intestine. Hyper-activation of the CCL4L2-VSIR axis leads to increased expression of AGR2 and ZG16 in epithelial cells, which mediates the unique progression of IBD in GSD-Ib. Collectively, the microbiota-driven pathomechanism of IBD is demonstrated in GSD-Ib and revealed the active role of the CCL4L2-VSIR axis in the interaction between the microbiota and colonic mucosal immunity. Thus, targeting gut dysbiosis and/or the CCL4L2-VISR axis may represent a potential therapy for GSD-associated IBD.

SUBMITTER: Lan J 

PROVIDER: S-EPMC11321658 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature

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Gut Dysbiosis Drives Inflammatory Bowel Disease Through the CCL4L2-VSIR Axis in Glycogen Storage Disease.

Lan Jiaoli J   Zhang Yuxin Y   Jin Cuiyuan C   Chen Huan H   Su Zexiong Z   Wu Jiaxing J   Ma Ni N   Zhang Xiaoyan X   Lu Yiyun Y   Chen Yongxin Y   Zeng Xiaolu X   Zhang Huiqiong H   Zheng Guilang G   Sun Yueyu Y   Wang Chun C   Hu Yan Y   Wang Yifei Y   Liu Yumei Y   Zeng Zhaoyang Z   Shi Liyun L   He Jun J   Cao Aihua A   Wang Yichao Y   Pan Xu X   Jin Gulei G   Wang Ying Y   Jiang Xun X   Shen Huiqing H   Tang Qing Q   Xie Xiaoli X   Xiao Yuan Y   Zhong Xuemei X   Zhang Xuchao X   Zeng Liang L   Ye Liping L   Xie Jing J   Geng Lanlan L   Li Zhiling Z   Wu Xiaohui X   Wang Ying Y   Mao Ren R   Zhang Shaojun S   Huang Siyuan S   Liu Suling S   Zeng Hanshi H   Xu Wanfu W   Gong Sitang S   Guo Yuxiong Y   Yang Min M  

Advanced science (Weinheim, Baden-Wurttemberg, Germany) 20240618 30


Patients with glycogen storage disease type Ib (GSD-Ib) frequently have inflammatory bowel disease (IBD). however, the underlying etiology remains unclear. Herein, this study finds that digestive symptoms are commonly observed in patients with GSD-Ib, presenting as single or multiple scattered deep round ulcers, inflammatory pseudo-polyps, obstructions, and strictures, which differ substantially from those in typical IBD. Distinct microbiota profiling and single-cell clustering of colonic mucosa  ...[more]

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