The regulatory effect of chitooligosaccharides on islet inflammation in T2D individuals after islet cell transplantation: the mechanism behind Candida albicans abundance and macrophage polarization

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Reviewed Marked as Reviewed by Svetlana up on 2025-4-3
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Zhang Y, Ji X, Chang K, Yin H, Zhao M, Zhao L
Journal
Gut microbes
Year
2025
Keywords:
Candida albicans, Islet cell transplantation, chitooligosaccharides, islet inflammation, macrophages
Islet cell transplantation (ICT) represents a promising therapeutic approach for addressing diabetes mellitus. However, the islet inflammation during transplantation significantly reduces the surgical outcome rate, which is related to the polarization of macrophages. Chitooligosaccharides (COS) was previously reported which could modulate the immune system, alleviate inflammation, regulate gut microecology, and repair the intestinal barrier. Therefore, we hypothesized COS could relieve pancreatic inflammation by regulating macrophage polarization and gut microbiota. First, 18S rDNA gene sequencing was performed on fecal samples from the ICT population, showing abnormally increased amount of Candida albicans, possibly causing pancreatic inflammation. Functional oligosaccharides responsible for regulating macrophage polarization and inhibiting the growth of Candida albicans were screened. Afterwards, human flora-associated T2D (HMA-T2D) mouse models of gut microbiota were established, and the ability of the selected oligosaccharides were validated in vivo to alleviate inflammation and regulate gut microbiota. The results indicated that ICT significantly decreased the alpha diversity of gut fungal, altered fungal community structures, and increased Candida albicans abundance. Moreover, Candida albicans promoted M1 macrophage polarization, leading to islet inflammation. COS inhibited Candida albicans growth, suppressed the MyD88-NF-κB pathway, activated STAT6, inhibited M1, and promoted M2 macrophage polarization. Furthermore, COS-treated HMA-T2D mice displayed lower M1 macrophage differentiation and higher M2 macrophage numbers. Additionally, COS also enhanced ZO-1 and Occludin mRNA expression, reduced Candida albicans abundance, and balanced gut microecology. This study illustrated that COS modulated macrophage polarization via the MyD88/NF-κB and STAT6 pathways, repaired the intestinal barrier, and reduced Candida albicans abundance to alleviate islet inflammation.

Experiment 1


Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/26

Curator: Tosin

Revision editor(s): Tosin

Subjects

Location of subjects
China
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Response to transplant Response to transplant,response to transplant
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Con (Control) group
Group 1 name Corresponds to the case (exposed) group for case-control studies
ICT (islet cell transplantation) group
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients with T2D (type 2 diabetes) who underwent ICT (islet cell transplantation)
Group 0 sample size Number of subjects in the control (unexposed) group
16
Group 1 sample size Number of subjects in the case (exposed) group
33
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
Current use of antibiotics

Lab analysis

Sequencing type
18S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
Not specified
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
LEfSe
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
No
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged
Chao1 Abundance-based estimator of species richness
decreased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
decreased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/26

Curator: Tosin

Revision editor(s): Tosin

Source: Figure 2I

Description: Differential abundant taxa between CON (control) and ICT (islet cell transplantation) groups by LeFse.

Abundance in Group 1: increased abundance in ICT (islet cell transplantation) group

NCBI Quality ControlLinks
Amphisiella
Amphisiella magnigranulosa
Candida
Candida albicans
Candida dubliniensis
Cystofilobasidiaceae
Cystofilobasidium
Debaryomycetaceae
Malassezia globosa
Nakaseomyces glabratus

Revision editor(s): Tosin

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/26

Curator: Tosin

Revision editor(s): Tosin

Source: Figure 2I

Description: Differential abundant taxa between CON (control) and ICT (islet cell transplantation) groups by LeFse.

Abundance in Group 1: decreased abundance in ICT (islet cell transplantation) group

NCBI Quality ControlLinks
Hannaella luteola
Imbricatea
Leucosporidiaceae
Leucosporidiales
Leucosporidium
Leucosporidium yakuticum
Polygonaceae
Rheum
Rheum spiciforme

Revision editor(s): Tosin

Experiment 2


Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/26

Curator: Tosin

Revision editor(s): Tosin

Differences from previous experiment shown

Subjects

Lab analysis

Statistical Analysis

Statistical test
T-Test

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged
Chao1 Abundance-based estimator of species richness
decreased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
decreased

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/26

Curator: Tosin

Revision editor(s): Tosin

Source: Figure 2d, F and H

Description: Comparison of microbial distribution histogram at genus, species level. (d), (f) and (h) the significant analysis of gut fungi.

Abundance in Group 1: increased abundance in ICT (islet cell transplantation) group

NCBI Quality ControlLinks
Ascomycota
Candida albicans
Candida

Revision editor(s): Tosin

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/26

Curator: Tosin

Revision editor(s): Tosin

Source: Figure 2d, 2F and 2H

Description: Comparison of microbial distribution histogram at genus, species level. (d), (f) and (h) the significant analysis of gut fungi.

Abundance in Group 1: decreased abundance in ICT (islet cell transplantation) group

NCBI Quality ControlLinks
Ciliophora
Basidiomycota
Quercus
Russula
Russula exalbicans
Quercus lobata

Revision editor(s): Tosin

Experiment 3


Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/26

Curator: Tosin

Revision editor(s): Tosin

Differences from previous experiment shown

Subjects

Host species Species from which microbiome was sampled. Contact us to have more species added.
Mus musculus
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Treatment outcome measurement Treatment outcome measurement,treatment outcome measurement
Group 0 name Corresponds to the control (unexposed) group for case-control studies
RA (Rapamycin alone) treatment group of HMA-T2D (Human Microbiota associated type 2 diabetes) mice
Group 1 name Corresponds to the case (exposed) group for case-control studies
RC (Rapamycin + Chitooligosaccharides ) treatment group of HMA-T2D (Human Microbiota associated type 2 diabetes) mice
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
The HMA-T2D (Human Microbiota associated type 2 diabetes) mice gavaged with Rapamycin (RAPA) 5 mg/kg every other day and Chitooligosaccharides (COS) 350 mg/kg/day.
Group 0 sample size Number of subjects in the control (unexposed) group
8
Group 1 sample size Number of subjects in the case (exposed) group
8
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
Not specified

Lab analysis

Statistical Analysis

Statistical test
LEfSe

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Richness Number of species
unchanged

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/26

Curator: Tosin

Revision editor(s): Tosin

Source: Figure 8B and 8C

Description: Analysis of the gut fungal community abundance differences between the RA (Rapamycin alone) and RC (Rapamycin + Chitooligosaccharides) groups of HMA-T2D (Human Microbiota associated type 2 diabetes) mice by LEfSe analysis

Abundance in Group 1: increased abundance in RC (Rapamycin + Chitooligosaccharides ) treatment group of HMA-T2D (Human Microbiota associated type 2 diabetes) mice

NCBI Quality ControlLinks
Debaryomyces
Debaryomyces hansenii
Hyphopichia
Hyphopichia burtonii
Mucor
Mucor racemosus
Naganishia
Naganishia albida
Nakaseomyces glabratus
Rhodotorula
Rhodotorula mucilaginosa
Trichosporon
Trichosporon japonicum
Yarrowia
Yarrowia lipolytica

Revision editor(s): Tosin

Signature 2

Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/28

Curator: Tosin

Revision editor(s): Tosin

Source: Figure 8B and 8C

Description: Analysis of the gut fungal community abundance differences between the RA (Rapamycin alone) and RC (Rapamycin + Chitooligosaccharides) groups of HMA-T2D (Human Microbiota associated type 2 diabetes) mice by LEfSe analysis

Abundance in Group 1: decreased abundance in RC (Rapamycin + Chitooligosaccharides ) treatment group of HMA-T2D (Human Microbiota associated type 2 diabetes) mice

NCBI Quality ControlLinks
Arxiozyma telluris
Candida albicans
Hanseniaspora
Hanseniaspora uvarum
Kazachstania
Mattesia
unclassified Mattesia

Revision editor(s): Tosin

Experiment 4


Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/28

Curator: Tosin

Revision editor(s): Tosin

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
CA (Candida albicans Alone) treatment group of HMA-T2D (Human Microbiota associated type 2 diabetes) mice
Group 1 name Corresponds to the case (exposed) group for case-control studies
CC (Candida albicans + Chitooligosaccharides) treatment group of HMA-T2D (Human Microbiota associated type 2 diabetes) mice
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
The HMA-T2D (Human Microbiota associated type 2 diabetes) mice Gavaged with Candida albicans (2 × 108 CFU/0.2 mL every other day) and COS (chitooligosaccharides) 350 mg/kg/day

Lab analysis

Statistical Analysis

Statistical test
T-Test
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
Not specified

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Richness Number of species
unchanged

Signature 1

Reviewed Marked as Reviewed by Svetlana up on 2025-4-3

Curated date: 2025/03/28

Curator: Tosin

Revision editor(s): Tosin

Source: Figure 8e

Description: The significance analysis of the fungi in the CA (Candida albicans Alone) and CC ( (Candida albicans + Chitooligosaccharides) groups of HMA-T2D (Human Microbiota associated type 2 diabetes) mice

Abundance in Group 1: decreased abundance in CC (Candida albicans + Chitooligosaccharides) treatment group of HMA-T2D (Human Microbiota associated type 2 diabetes) mice

NCBI Quality ControlLinks
Candida albicans

Revision editor(s): Tosin