Xiaolong
Ji
*a,
Chunyan
Hou
a,
Yonggang
Gao
b,
Yuqiang
Xue
b,
Yizhe
Yan
a and
Xudan
Guo
*b
aSchool of Food and Biological Engineering, Zhengzhou University of Light Industry, Zhengzhou 450002, P.R. China. E-mail: xiaolongjiytu@163.com; cyhouaaf@163.com; yanyizhe@mail.ustc.edu.cn
bBasic Medical College, Hebei University of Chinese Medicine, Shijiazhuang 050200, PR China. E-mail: guoxudan123@126.com; gyg3177@163.com; xue@cnstat.org
First published on 9th December 2019
Accumulating evidence has reported that the gut microbiota could play important roles in the occurrence and progression of colorectal cancer. The nondigestible plant polysaccharides have always been fermented by the intestinal microbiota. Polysaccharides, the predominant functional composition found in jujube fruit, has been shown to inhibit carcinogenesis in animal models. However, the molecular mechanisms involved in polysaccharides preventing carcinogenesis are still uncharacterized. The aim of this study was to investigate the modulatory effects of jujube polysaccharides (JP) on intestinal microbiota, and the influence of JP on the gut flora structure was then analyzed using an AOM/DSS-induced colitis cancer mouse model, using high-throughput sequencing. Contrasted with control group, the addition of JP could ward off colon cancer by ameliorating colitis cancer-induced gut dysbiosis. In addition, there was a significant decrease in Firmicutes/Bacteroidetes post JP treatment. What's more, KEGG pathways of metabolic pathways, ATP-binding cassette (ABC) transporters and two-component system enriched the most differentially expressed genes after JP intervention for 13 weeks. These results suggested that JP showed prebiotic-like activities by positively modulating intestinal microbiota and affecting certain metabolic pathways contributing to host health. In conclusion, our results demonstrated an appreciable capability of JP to restore the gut microbiota profile altered by AOM/DSS, indicating the potential of jujube polysaccharides as promising prebiotic candidates for the prevention and treatment of colorectal cancer.
In the human gastrointestinal tract, the vast majority of microbes form stable microbial ecosystems, playing important roles in the development and life-long maintenance of host health.7 These microbes not only digest food and produce key metabolites, but they also enhance the immune functions. They could regulate disordered intestinal microorganisms associated with CRC and metabolic syndromes.8 The disrupted composition of gut microbiota in high fat, high meat, and low dietary fiber diets could lead to metabolic endotoxemia, inflammation, inflammatory bowel disease and CRC.2 Recent research has indicated significant intestinal flora differences between normal and CRC individuals.9 Especially, there were increases adverse bacteria, including Fusobacteria, Porphyromonadaceae, Coriobacteridae, and beneficial microorganisms, including Methanobacteriales whereas Bifidobacterium, Lactobacillus, Ruminococcus and Faecalibacterium spp. diminished as well as Roseburia and Treponema in CRC.10 Additionally, CRC-reduction may be achieved by balancing the diet and manipulating the microbiota.11,12 Recent studies have indicated that dietary fiber and plant polysaccharide-rich sources could modulate intestinal microbiota in vivo, promoting the proliferation and diversity of beneficial bacteria in the gut.2,13 Thus, the development of an effective dietary regimen could have huge significance for the prevention of CRC.
In China, jujube fruit are generally recognized as valuable sources of biologically active compounds, possessing higher nutritional and pharmacological effects.14 Dried jujube has been commonly used as a food, a food additive, a flavoring and also as a traditional Chinese medicine used for thousands of years. It has been claimed that the jujube has a wide range of health benefits, with anti-obesity, anti-epileptic, anti-insomnia, neuroprotective, antioxidant, anti-inflammatory and anticancer properties, etc.15 Jujube based polysaccharides are the most abundant component of the fruit, and could be responsible for its chemo-preventive properties (e.g. immunomodulation, antioxidant, antitumor, hepatoprotective and hypoglycemic activities and gastrointestinal-protective effects).16,17 In a previous report, orally administered JP effectively shortened gastrointestinal transit time, reduced caecum ammonia levels, elevated total short-chain fatty acids (SCFA) concentrations in the cecum, increased fecal moisture and reduced daily fecal ammonia outputs from feces, in different intestinal and fecal indices in a hamster model.18 Interestingly, we recently observed that wild jujube polysaccharides protected mice against experimentally induced inflammatory bowel disease by enhancing intestinal barrier functions.19 In addition, our previous studies have also suggested that Muzao polysaccharides benefitted the stability of certain gut microbiota, especially under environmentally triggered microbial imbalance, where azoxymethane (AOM) and dextran sodium sulfate (DSS) were used to induce a CRC mice model.20
The biotransformation of plant polysaccharides has been extensively investigated in gut microbiota, suggesting that metabolic and colonic microbiota transformation could enhance dietary oligosaccharide bioactivity.21,22 While, it has been shown that polysaccharides could relieve the occurrence of colon cancer in rats by modulating certain genes, the potential mechanisms in preventing gut dysbiosis and anti-CRC are complex.23 Recently, metagenomic based molecular techniques were widely used to identify rare and unculturable bacterial communities, as well as identifying functional genes enriched by external intervention.24,25 In this study, male C57BL/6 mice were induced to develop colitis-associated colon cancer by AOM, a carcinogen and DSS, a proinflammatory reagent. Once established, this cancer induced mice were orally administrated with JP.20 These mice feces were determined by high-throughput sequencing, and genes enriched in several metabolic pathways were investigated in the gut microbiome.
The AOM/DSS induced mouse model is widely used to investigate the occurrence and progression, and chemoprevention interventions in colon cancer (Fig. 1A).20,27 Briefly, a single intraperitoneal injection of AOM was performed on day 0. One week later, mice were exposed to 2.0%–2.5% DSS in drinking water, for seven consecutive days, followed by 14 days of regular drinking water. This cycle was repeated twice.28 For the JP group: AOM/DSS-induced mice were gavaged with 1000 mg kg−1 JP once a day, from day 0 to the study endpoint. Body weights were recorded once a week throughout the experiment (Fig. 1A). Mice in the control group (C) were gavage with sterile saline alone. All mice were sacrificed by cervical dislocation at the end of week 13, and the entire colon, from the ileocecal junction to the anus was excised. The colon length was recorded and afterwards histopathology was performed using samples fixed in 10% phosphate-buffered formalin.20,28
Quality trimming is an essential step to generate high confidence of variant calling. Raw reads were processed to generate high quality clean reads according to four stringent filtering standards: (i) removing reads with ≥10% unidentified nucleotides; (ii) removing reads with >50% bases having low quality scores of ≤20; and (iii) removing reads aligned to the barcode adapter. The high-quality reads were clustered into operational taxonomic units (OTUs) using CD-HIT software. The OTUs that reached a 97% nucleotide similarity level were used for further analysis.20,25
Tumor formation was analyzed at the end of the study. As shown in Fig. 1C, in the absence of JP treatment, AOM/DSS-induced mice exhibited a high tumor burden in their colons, while JP treatment markedly reduced AOM/DSS-induced tumors. These results agreed with a previous study reporting that wild JP inhibited tumor growth in an AOM/DSS-induced CRC model.19 Moreover, decreased colon length was observed in AOM/DSS-induced mice when compared with control mice. Such a significant length decrease was subsequently relieved by JP treatment (Fig. 1C). Hematoxylin and eosin staining of colon tissues was performed to analyze the pathology of AOM/DSS-induced colons. The results showed that JP decreased the number and sizes of tumors and provided protection against the AOM/DSS-induced dysplasia/adeno-carcinoma lesion via surface tumor necrosis. These data indicated that JP exhibited strong suppressive effects on colitis and colorectal tumorigenesis induced by AOM/DSS.20
In keeping with our previous observations,20,24,30 the most abundant phyla included Proteobacteria, Firmicutes, Ascomycota and Bacteroidetes in different groups of mice (Fig. 3A). The most abundant phyla included Proteobacteria, Firmicutes, Ascomycota and Bacteroidetes in different groups of mice. Other phyla were represented in relatively lower abundances; Mucoromycota, Spirochaetes, Verrucomicrobia, Cyanobacteria and a number of unclassified bacteria. After JP treatment, there was a significant increase in the relative abundance of Bacteroidetes, while there was a significant decrease in Firmicutes. In addition, the ratio of Bacteroidetes to Firmicutes (B/F) increased from 0.27 (M) to 0.39 (JP). To investigate fecal microbiota communities in the different mouse groups, a family level analysis was performed (Fig. 3B). At this level, the following families showed an increasing trend during JP treatment: Lactobacillaceae, Bacteroidaceae and Debaryomycetaceae (P < 0.05). Lactobacillaceae was the dominant beneficial bacteria at the family level during JP treatment, their relative abundance increased significantly from 0.010 to 0.017 at the 13th week. The relative abundance of Bacteroidaceae showed a similar trend, which reached 0.022 in the JP group after 13 weeks from 0.015 in the M group. Herpotrichiellaceae, Enterobacteriaceae, Aspergillaceae and Lachnospiraceae families showed less abundance after JP intervention, at 13 weeks. Bacteroidetes and Firmicutes abundance were similar at the phylum level.
Fig. 3 The relative abundance of the top phylum (A), heatmap of the genera (B) with the highest frequency and relative abundance and bar graph of the top families (C) from different groups. |
At deeper taxonomic levels, more significant differences were observed (Fig. 3C). Bar graphs showed genera at different levels in samples; Bacteroidetes and Actinobacteria were increased when fed JP for 13 weeks. Significant reductions were observed in the relative abundance of Firmicutes, Cyanobacteria, Deferribacteres, Spirochaetes and Mucoromycota. Bar graphs showed genera at different levels in samples; Bacteroidetes and Actinobacteria were increased when fed JP for 13 weeks. Significant reductions were observed in the relative abundance of Firmicutes, Cyanobacteria, Deferribacteres, Spirochaetes and Mucoromycota. Our data indicated that intestinal dysbiosis by AOM/DSS was extensively alleviated by JP treatment, and that certain genera belonging to two predominant phyla may be used as distinguishing biomarkers. Despite high inter-individual variability after JP intervention for 13 weeks, Firmicutes were significantly less abundant, while Bacteroidetes were significantly more abundant in fecal microbiota, when compared to the M group. To measure the similarity between microbial communities, principal coordinate analysis, principal co-ordinates analysis and non-metric multidimensional scaling analyses were performed (Fig. S1b†). Despite significant inter-individual variation, the fecal microbiota from AOM/DSS-induced mice, fed with JP were separated clearly by these different analytical methods.
After 13 weeks, JP-associated differentially expressed genes were enriched for different KEGG pathways, involved in metabolism, ATP-binding cassette (ABC) transporters, and two-component system (Fig. 5), and ABC transporters, including those predicted to be involved in sugar and amino acid. In addition, KEGG pathway analysis of differentially expressed genes between C and M groups, C and JP groups (data not shown, Fig. S2†) were mainly enriched in two-component system, after JP supplementation for 13 weeks. Although the ranking varied in different groups, the numbers of differentially expressed genes were dramatically changed within the different groups.
The GO database provides three different types of systematic definition for describing the different functions of gene products. GO functions include biological processes, cellular components and molecular function. Biological processes consist of molecular functions with multiple steps;24 cellular components refer to gene products located in cellular organelles, while molecular functions describe molecular biological activities, such as catalytic and binding activities. For each GO function, we selected seven of the largest GO terms. GO analysis of differentially expressed genes between the M and JP groups showed that most genes were in the biological processes group, including metabolic processes, cellular processes, single organism processes, localization, biological regulation and regulation of biological processes. Cellular components included membranes, cells, cell parts and membrane parts; and molecular functions included catalytic activity, binding, transporter activity and nucleic acid binding transcription factor activity (Fig. 6). GO analysis of differentially expressed genes between the C and M groups and C and JP groups are shown in Fig. S2† and the numbers of differentially expressed genes showed a significant difference in different groups.
Polysaccharides are a major component in jujube and have significant gastrointestinal-protective effects, including promoting tissue repair, regulating intestinal microorganisms, producing anti-inflammatory effects and regulating intestinal microorganisms.17,19 A previous report suggested that JP reduced inflammatory responses by attenuating the activities of tumor necrosis factor α, IL-1b, IL-6, and myeloperoxidase in CRC rats.20 JP also protects against inflammatory bowel disease by enhancing intestinal barrier functions via the activation of AMPK.19 However, due to low bioavailability, JP is not completely absorbed from the gastrointestinal tract. In previous studies, JP can be degraded to oligosaccharides and SCFA by colonic bacteria, which was consistent with previous reports.18,20 These SCFA and oligosaccharides interact with microbiota in the colon, and their resulting metabolites appear to impact on intestinal micro-ecology, in addition to modulating microbial populations.35,36 Several studies have assessed the bioavailability of plant polysaccharides, which is the fraction of ingested oligosaccharides reaching the systemic circulation and specific sites where it exerts biological actions, especially at the colon and rectum.13,37 These metabolic derivatives could play important roles in vivo, and show increased biological activities.38,39
The human gut has been viewed as a bioreactor, where interactions between plant polysaccharides and gut microbiota occur.13 Prebiotics are nondigestible food ingredients, mostly oligosaccharides, which benefit the host by stimulating the growth and/or activity of specific intestinal bacteria.24 It has been reported that certain plant polysaccharides, with prebiotic-like activities, have major influences on gut microbial profiles and helps reestablish healthy intestinal microbial communities.37,40 In our previous study, JP exhibited similar proliferative effects, in combination with fructo-oligosaccharides, on the growth of beneficial bacteria, including Bifidobacterium spp. and Lactobacillus/Enterococcus groups. Furthermore, they displayed inhibitory effects on Enterorhabdus, Odoribacter, Ruminiclostridium, Anaerotruncus, and Blautia groups, and appeared to decrease total bacterial numbers.20 It has been reported Herpotrichiellaceae, Enterobacteriaceae, Aspergillaceae and Lachnospiraceae could promote tumorigenesis, whereas Bifidobacterium spp. and Lactobacillus/Enterococcus could degrade macromolecular plant polysaccharides and have anti-inflammatory and anti-tumorigenic properties.33 By using the AOM/DSS mouse model, we also investigated the modulatory effects of JP on intestinal microbiota. JP showed significant protective effects against AOM/DSS-induced CRC, and a strong activity in regulating dysbiosis and maintaining a balanced microbial ecology.20Bacteroidetes and Firmicutes are the main bacterial groups involved in the colonic metabolism of undigested plant polysaccharides, where they use a complex metabolic energy-harvesting mechanism.41 It is widely believed that an increased ratio of Bacteroidetes/Firmicutes can prevent the development of CRC in both dietary and genetic mouse CRC models in regulating the gut microbiota following the JP treatments.42,43 The increased abundance of Bacteroides has been reported to be associated with immunosuppression and carcinogenesis. The AOM and DSS feeding may not only affect gut morphology, mucin production, gut permeability and SCFA production, but also promote bacterial dysbacteriosis.32,43 In this study, a large decrease in Firmicutes, with an expansion in Bacteroidetes and Proteobacteria was observed in our CRC mouse model, upon JP intervention. These results were consistent with previous reports suggesting that Firmicutes are largely repressed by plant polysaccharides and their metabolites, thus tilting the balance towards Bacteroidetes in the gut.44,45
Dietary polysaccharides could cause variations in specific microorganism populations, whereas microbial conversion of polysaccharides affects other colonic pathways and processes, such as SCFA production.13,24,41 SCFA production is a metabolic consequence of intestinal microbiota. Their ratios and concentrations are dramatically influenced by gut flora and the diet.2,21 With elevated fecal SCFA concentrations, SCFA-producing bacteria could promote energy intake from plant polysaccharides, and prevent host colonic diseases e.g. CRC.46 Increased generation of acids, upon fermentation, is considered desirable, as acidic colonic environments protect against pathogenic bacteria and are helpful towards mineral absorption.20,24 High levels of acetic acid may be correlated with the metabolic activities of Bifidobacterium, Lactobacillus, Bacteroides and Enterococcus.4,46 In this study, at the phylum level, Bacteroides were dramatically increased upon JP intervention, which may be correlated with the production of acetic acid. Faecalibacterium and Roseburia, which are strongly correlated with butyrate production, also counterbalance the dysbiosis of intestinal microbiota.20,47 In our study, their relative abundance was decreased, along with the intake of JP. Recently, a metagenomic study suggested that butyric acid is not predictable at the family level of bacterial taxonomy, but may be predictable at the genus level or deeper.24,48 It is known that butyric acid-producing bacteria belong to the phylum Firmicutes, but other phyla may have potential candidates, such as the Actinobacteria and Proteobacteria.24,37 As is well-known, SCFA is the main end product of carbohydrate metabolism, which can inhibit the proliferation of tumor cells and protect the intestine from colitis and colorectal cancer.27 Indeed, most taxa correlated positively with the fecal concentrations of butyric acid and were from the phylum Firmicutes.1,22 The production of butyric acid occurs at the later stages of fermentation, indicating it may be correlated with the transformation of other bacterial metabolites formed during this fermentation.49 The production of butyric acid occurs at the later stages of fermentation, indicating it may be correlated with the transformation of other bacterial metabolites formed during this fermentation. However, the corresponding pathways and underlying mechanisms must be studied further using integrative genomic technologies.
An expanding body of preclinical evidence suggests the potential of JP on a variety of human diseases involving signal transduction pathways.16,17 Therefore, this nontoxic natural agent could be extremely useful, either alone or in combination with conventional therapeutics for the prevention of human chronic disease.15,17 In terms of anti-colon cancer activities, previous studies have suggested that the positive impact of JP could be from its ability to suppress chronic inflammation and oxidative stress damage.20 However, the effects of JP on CRC mechanisms remain unclear. At present, next-generation sequencing platforms provide opportunities to explore taxonomic, protein-coding gene or protein expression diversities, by applying more comprehensive and less biased measurements to the diet, microbiota and the host.24,50 The approach has provided new information on the diversity and composition of human gut microbiota. The influence of plant polysaccharides on bacterial growth and metabolism depends on polysaccharide structure, the dose assayed and the microorganism strain.13 Recent findings have suggested a variety of potential mechanisms for plant polysaccharides acting on bacteria. For example, plant polysaccharides and/or oligosaccharide could bind to bacterial cell membranes in a dose-dependent manner, thus disturbing membrane function and inhibiting cell growth.2,22,37 Plant polysaccharides could also act on different bacterial species by generating hydrogen peroxide thereby altering the permeability of the microbial membrane.23,36 Plant polysaccharides could also act on different bacterial species by generating hydrogen peroxide thereby altering the permeability of the microbial membrane.23,49 Microbial exposure to polysaccharides/oligosaccharides could upregulate proteins related to defensive mechanisms, protecting cells while simultaneously downregulating metabolic and biosynthetic proteins.2,4
Direct metagenomic sequencing is unravelling the metabolic potential embedded in selected gene pools of gut microbiota, and is identifying gut bacterial genes from intestinal communities.24,51 In our study, GO analysis of differentially expressed genes showed that JP intervention affected cellular component genes, including those in the cytosol, cytoplasm, plasma membrane, membrane and integral components of membrane, to relieve the negative consequences AOM/DSS induction. For the imputed relative abundances of KEGG pathways at different groups, the greatest statistical differences were observed for the excretory system, transcription and substance dependence. However, for KEGG pathway analyses of differentially expressed genes, the rankings varied in different groups; metabolic pathways, ABC transporters and two-component systems occupied the top categories in the M versus JP group. The previous studies summarized plant polysaccharides alleviating CRC by modulation of immune system and intestinal microorganism.52,53 Our data in the present study indicated this function might result in activation of intestinal microorganism as the up-regulated differential express genes involving in JP degradation to produce anti-inflammatory factors pathways (metabolic pathways, ABC transporters and two-component systems) in JP group. These results indicated that JP treatment significantly affected these pathways in this study, which is worthy of future investigation.
JP bioactivity greatly depends on its transformation in the gut. The different health effects of JP have been shown to be a result of individual variability in intestinal microbial ecology.24 We have demonstrated a better understanding of the two-way interactions between JP and intestinal microbiota. This allows us to evaluate and correlate the contribution of microbial metabolites from JP metabolism, to improvements in host health. More metagenomic approaches are required to clarify metabolic pathways altered by JP intervention.
AOM | Azoxymethane |
DSS | Dextran sulfate sodium |
JP | The polysaccharides from jujube (Ziziphus jujuba Mill.) fruit |
CRC | Colorectal cancer |
SCFA | Short-chain fatty acids |
OTUs | Operational taxonomic units |
ORF | Open reading frame |
ABC | ATP-binding cassette |
KEGG | Kyoto encyclopedia of genes and genomes |
GO | Gene ontology |
Footnote |
† Electronic supplementary information (ESI) available. See DOI: 10.1039/c9fo02171j |
This journal is © The Royal Society of Chemistry 2020 |