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© 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

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.

Details

Title
Gut Dysbiosis Drives Inflammatory Bowel Disease Through the CCL4L2‐VSIR Axis in Glycogen Storage Disease
Author
Lan, Jiaoli 1   VIAFID ORCID Logo  ; Zhang, Yuxin 2   VIAFID ORCID Logo  ; Jin, Cuiyuan 3   VIAFID ORCID Logo  ; Chen, Huan 4   VIAFID ORCID Logo  ; Su, Zexiong 5   VIAFID ORCID Logo  ; Wu, Jiaxing 5 ; Ma, Ni 5 ; Zhang, Xiaoyan 5 ; Lu, Yiyun 5 ; Chen, Yongxin 5 ; Zeng, Xiaolu 5 ; Zhang, Huiqiong 5 ; Zheng, Guilang 5 ; Sun, Yueyu 5 ; Wang, Chun 5 ; Hu, Yan 5 ; Wang, Yifei 5 ; Liu, Yumei 5 ; Zeng, Zhaoyang 3 ; Shi, Liyun 3 ; He, Jun 6 ; Cao, Aihua 7 ; Wang, Yichao 8 ; Pan, Xu 9 ; Jin, Gulei 10 ; Wang, Ying 11 ; Jiang, Xun 12 ; Shen, Huiqing 13 ; Tang, Qing 14 ; Xie, Xiaoli 15 ; Xiao, Yuan 16 ; Zhong, Xuemei 17 ; Zhang, Xuchao 18 ; Zeng, Liang 19 ; Ye, Liping 4 ; Xie, Jing 4 ; Geng, Lanlan 4 ; Li, Zhiling 5 ; Wu, Xiaohui 5 ; Mao, Ren 20 ; Zhang, Shaojun 21 ; Huang, Siyuan 22 ; Liu, Suling 23 ; Zeng, Hanshi 5 ; Xu, Wanfu 4   VIAFID ORCID Logo  ; Gong, Sitang 4   VIAFID ORCID Logo  ; Guo, Yuxiong 5   VIAFID ORCID Logo  ; Yang, Min 5   VIAFID ORCID Logo 

 Department of Pediatrics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China, Research Center of Medical Sciences, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China 
 Department of Pediatrics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China, Nanfang Hospital, Southern Medical University, Guangzhou, China 
 Institute of Translational Medicine, Zhejiang Shuren University, Hangzhou, China 
 Department of Gastroenterology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China 
 Department of Pediatrics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China 
 Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control, Changsha Hospital for Maternal & Child Health Care Affiliated to Hunan Normal University, Changsha, China 
 Department of Pediatrics, Shandong University Qilu Hospital, Jinan, Shandong, China 
 National Health Commission (NHC) Key Laboratory of Birth Defect for Research and Prevention, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China 
 Department of Basic Medical Sciences, School of Medicine, Tsinghua University, Beijing, China 
10  Institute of Bioinformatics, College of Agronomy and Biotechnology, Zhejiang University, Hangzhou, Zhejiang, China 
11  Division of Pediatric Gastroenterology and Nutrition, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China 
12  Department of Pediatrics, The Second Affiliated Hospital, Air Force Military Medical University, Xi'an, China 
13  Department of gastroenterology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China 
14  Department of Pediatrics, The First Affiliated hospital of Guangxi Medical University, Nanning, China 
15  Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China 
16  Department of Pediatrics, Ruijin Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China 
17  Department of gastroenterology, Capital Institute of Pediatrics, Beijing, China 
18  Guangdong Lung Cancer Institute, Medical Research Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China, Guangdong Provincial Key Laboratory of Translational Medicine in Lung Cancer, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China 
19  Department of pathology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China 
20  Department of Gastroenterology, The First Affiliated Hospital, Sun Yat‐Sen University, Guangzhou, China 
21  Research Center of Medical Sciences, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China 
22  Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China 
23  Clinical Laboratory, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China 
Section
Research Article
Publication year
2024
Publication date
Aug 1, 2024
Publisher
John Wiley & Sons, Inc.
e-ISSN
21983844
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3092372030
Copyright
© 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.