19: The gut microbiome metabolite heals the skin and gut epithelial barrier and shows anti-inflammatory effects

Yagiz Pat1, Duygu Yazici1, Ismail Ogulur1, Sena Ardicli1, Sheri Simmons2, Anthony Almada2, Christine Avena2, Tye Jensen2, Manru Li1, Xueyi Zhu1, Xiangting Bu1,3,4, Yasutaka Mitamura1, Anja Heider1 Huseyn Babayev1, Raja Dhir2, Luo Zhang3,4, Mubeccel Akdis1, Kari Nadeau5, Cezmi A. Akdis1

  1. Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland
  2. SEED Health, Los Angeles, CA, USA
  3. Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China
  4. Beijing Key Laboratory of Nasal Diseases, Beijing, China
  5. Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA

The gut microbiota protects the gastrointestinal system's homeostasis by producing antimicrobial substances, vitamins, and metabolites, strengthening the gut epithelial barrier, inhibiting opportunistic pathogen colonization, and regulating the immune system. In addition, the gut microbiome has prominent roles in skin epithelial homeostasis (gut-skin axis), which can be seen in inflammatory skin diseases such as atopic dermatitis.

We identified a gut microbiome metabolite, (here named compound X) which improves gut epithelial barrier development speed and integrity as demonstrated in gut-on-a-chip 3D cultures. The surface application of 0.25, 1- and 4-mM doses of compound X significantly increases the gut epithelial barrier integrity compared to control by almost 2 times up to 800 ohm x cm2 during the gut development phase of the gut epithelial barrier. The transcriptomic analysis shows that it upregulates gene expression associated with xenobiotics metabolism, ion transport, water transport, glucose transport, and amino acid transport pathways. It increases the tight junction protein claudin-1 gene expression. It shows an anti-inflammatory activity, as demonstrated with decreased chemokines (CXCL-5,10 and 11, CCL-20,23 and 25, CSF-1 and MCP-1) and IL-1a levels in culture medium detected by proximity extension assay. Untargeted proteomics analysis revealed that 4 mM compound X upregulates glycolysis, tricarboxylic acid cycle, and oxidative phosphorylation and downregulates lipid metabolism pathways-related proteins.

Next, we assessed its effect on skin epithelial barrier integrity with an ex vivo skin tissue model. Treatment of systemic circulation-relevant doses of compound X (0.25,1 and 4 uM) alone rescued the surfactant, cocoyl methyl glucamide-induced skin epithelial barrier damage within 24 hours. In addition, it reversed the inflammation caused by cocoyl methyl glucamide demonstrated by decreased IL-18, CSF-1, PRDX-3 and PD-L1 protein levels.

In conclusion, our data highlights compound X, a gut microbiome metabolite, as a promising agent for preventing, rescuing, and treating gut and skin epithelial barrier impairment.