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GV-971 prevents severe acute pancreatitis by remodeling the microbiota-metabolic-immune axis

Xi Chen, Xin Chen, Ding Yan, Na Zhang, Wen Fu, Meixuan Wu, Feifei Ge, Jiangtuan Wang, Xiaofen Li, Meiyu Geng, Jinheng Wang (), Daolin Tang () and Jinbao Liu ()
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Xi Chen: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Xin Chen: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Ding Yan: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Na Zhang: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Wen Fu: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Meixuan Wu: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Feifei Ge: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Jiangtuan Wang: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Xiaofen Li: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Meiyu Geng: Shanghai Institute of Materia Medica, Chinese Academy of Sciences
Jinheng Wang: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University
Daolin Tang: UT Southwestern Medical Center
Jinbao Liu: State Key Laboratory of Respiratory Disease, School of Basic Medical Sciences, Guangzhou Medical University

Nature Communications, 2024, vol. 15, issue 1, 1-18

Abstract: Abstract 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.

Date: 2024
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DOI: 10.1038/s41467-024-52398-z

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