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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2025.1634063</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Unveiling the neutrophil-Notch2-ISC axis: asiatic acid&#x2019;s therapeutic strategy in infectious colitis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zou</surname>
<given-names>Wenshu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3077057/overview"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhong</surname>
<given-names>Minyong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Pei</surname>
<given-names>Zerong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Yuxin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Deng</surname>
<given-names>Wenwen</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1074049/overview"/>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Li</surname>
<given-names>Hui</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
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<aff id="aff1">
<sup>1</sup>
<institution>Jiangxi Province Key Laboratory of Traditional Chinese Medicine Pharmacology, Institute of Traditional Chinese Medicine Health Industry, China Academy of Chinese Medical Sciences</institution>, <addr-line>Nanchang</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Postdoctoral Fluxion Station, China Academy of Chinese Medical Sciences</institution>, <addr-line>Beijing</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Jiangxi Province Key Laboratory of Traditional Chinese Medicine Pharmacology, Jiangxi Health Industry Institute of Traditional Chinese Medicine</institution>, <addr-line>Nanchang</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences</institution>, <addr-line>Beijing</addr-line>,&#xa0;<country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/417767/overview">Pedro Xavier-Elsas</ext-link>, Federal University of Rio de Janeiro, Brazil</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1597050/overview">Aline Miranda Scovino</ext-link>, Oswaldo Cruz Foundation (Fiocruz), Brazil</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2824167/overview">Bruno Marques Vieira</ext-link>, Instituto Estadual do C&#xe9;rebro Paulo Niemeyer (IECPN), Brazil</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3127750/overview">Gerlinde Teixeira</ext-link>, Federal Fluminense University, Brazil</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Hui Li, <email xlink:href="mailto:lihuiyiren@163.com">lihuiyiren@163.com</email>; Wenwen Deng, <email xlink:href="mailto:1196587442@qq.com">1196587442@qq.com</email>
</p>
</fn>
<fn fn-type="other" id="fn003">
<p>&#x2020;These authors share first authorship</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1634063</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>01</day>
<month>09</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Zou, Zhong, Pei, Chen, Deng and Li.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Zou, Zhong, Pei, Chen, Deng and Li</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>
<italic>Salmonella</italic>-induced colitis is a global health burden characterized by intestinal barrier disruption and deficient epithelial repair that involves a critical interplay between neutrophil dynamics and intestinal stem cell (ISC) regeneration. Current therapies do not target this interplay and do not adequately address therapeutic need. This study investigated the therapeutic mechanism of asiatic acid (AA) in a murine <italic>Salmonella typhimurium</italic> (<italic>S.T</italic>) infection model, focusing on its effects on the neutrophil-Notch-ISC axis.</p>
</sec>
<sec>
<title>Methods</title>
<p>Balb/c mice were administered <italic>S.T</italic> for 3 days to model <italic>S.T</italic> infection AA (10 mg/kg) was gavage administered to mice 6 h after the <italic>S.T</italic> infection. Neutrophil-deficient mice were generated by daily intraperitoneal injection of Ly6G for 3 days.</p>
</sec>
<sec>
<title>Results</title>
<p>Mouse colons were analyzed histologically, and transcriptomic, network pharmacology, western blotting, and immunohistochemistry investigations were performed. AA restored mucosal integrity by upregulating tight junction proteins (occludin and claudin 1) and acidic mucin granules levels, and by rescuing ISC proliferation through suppression of Notch2/Hes5/Hey1 signaling. Multiomics analyses further revealed the modulation of neutrophil chemotaxis and inflammatory pathways by AA. Strikingly, neutrophil ablation reduced the efficacy of AA, confirming that AA acts via neutrophil-mediated containment of bacterial invasion and epithelial shedding.</p>
</sec>
<sec>
<title>Discussion</title>
<p>By revealing the neutrophil-Notch2-ISC axis as a pivotal regulator of mucosal repair, our findings show AA to be a dual-action therapeutic agent that synergizes immune containment and regenerative pathways. These findings highlight an aspect of <italic>S.T</italic> pathogenesis and underscore the potential of natural compounds to harmonize host defense and tissue regeneration, offering a transformative strategy for infectious colitis beyond conventional anti-inflammatory approaches</p>
</sec>
</abstract>
<kwd-group>
<kwd>salmonella</kwd>
<kwd>asiatic acid</kwd>
<kwd>neutrophil</kwd>
<kwd>intestinal stem cell</kwd>
<kwd>notch pathway</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="59"/>
<page-count count="14"/>
<word-count count="6045"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Inflammation</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>
<italic>Salmonella</italic>-induced colitis poses a grave threat to global public health, with the World Health Organization estimating 200 million cases and over 200,000 fatalities annually (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Gastroenteritis is the predominant clinical manifestation of <italic>Salmonella</italic> infection and is often accompanied by disruption of the intestinal mucosal barrier (<xref ref-type="bibr" rid="B3">3</xref>&#x2013;<xref ref-type="bibr" rid="B5">5</xref>). Intestinal epithelial cells (IECs), the frontline defenders of mucosal integrity, prevent pathogen invasion into submucosal tissues (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>). EPCAM, a key molecule of IEC intercellular adhesion, is downregulated during the <italic>Salmonella</italic> infection, resulting in weakened adhesion (<xref ref-type="bibr" rid="B8">8</xref>). IECs that have lost their adhesive capacity are expelled into the intestinal lumen and degraded (<xref ref-type="bibr" rid="B9">9</xref>). However, <italic>Salmonella</italic> can form <italic>Salmonella</italic> cysts within epithelial cells, and the levels of EPCAM in these epithelial cells are not affected, which is conducive to bacterial replication and invasion (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>). Concurrently, infection reduces the levels of tight junction proteins (e.g., occludin, claudin 1) and activates pro-inflammatory pathways, compounding tissue damage and impairing epithelial repair (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). Intestinal stem cells (ISCs), located in crypt bases, regenerate IECs to maintain barrier homeostasis (<xref ref-type="bibr" rid="B13">13</xref>). Notably, <italic>Salmonella</italic> infection suppresses ISC markers (e.g., LGR5), impairs IEC differentiation, and exacerbates mucosal injury (<xref ref-type="bibr" rid="B14">14</xref>&#x2013;<xref ref-type="bibr" rid="B16">16</xref>). The Notch signaling pathway, a key regulator of ISC fate, drives ISC proliferation and lineage specification (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>). Mice deficient in Notch1/Notch2 exhibit defective ISC regeneration, underscoring its centrality in epithelial repair (<xref ref-type="bibr" rid="B19">19</xref>). Emerging evidence further implicates immune cells and their cytokines in modulating ISC activity during inflammation (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). Neutrophils, as important responders, infiltrate the intestinal lumen post-infection and regulate IEC shedding (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>). Paradoxically, their recruitment of secondary immune cells may suppress ISC differentiation through inflammatory mediators (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>). Despite these observations, direct evidence linking neutrophil dynamics to mucosal barrier restoration in <italic>Salmonella</italic> colitis remains elusive, hindering the development of therapies targeting immune-stem cell crosstalk.</p>
<p>The pathogenesis of <italic>Salmonella</italic> infection and its interplay with intestinal homeostasis have been extensively studied, with mechanisms of IEC invasion, intracellular survival, and microbiota-immune crosstalk during infection being proposed (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). Some studies have explored how <italic>Salmonella</italic> invades IECs and survives and replicates in cells (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). Other studies have focused on the interaction between intestinal microbiota and <italic>Salmonella</italic> infection, and the immune response of immune cells during infection (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>). Recently, natural products for the treatment of colitis have been explored; for example, the potential of extracts from plants, such as <italic>Centella asiatica</italic>, for the treatment of inflammatory bowel disease has attracted much attention (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>). The active ingredient in <italic>C. asiatica</italic> extract, asiatic acid (AA), has a therapeutic effect against dextran sulfate sodium-induced colitis, reducing weight loss and colon shortening, and lowering the activation of nuclear factor kappa B (NF-&#x3ba;B) and the levels of downstream pro-inflammatory factors, tumor necrosis factor (TNF)-&#x3b1; and interleukin (IL)-6 (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>). In addition, AA exerts its antibacterial effect by destroying bacterial biofilms and inhibiting bacterial adhesion and invasion, including for <italic>Salmonella typhimurium (S.T)</italic>, <italic>Staphylococcus aureus</italic>, and <italic>Pseudomonas aeruginosa</italic> (<xref ref-type="bibr" rid="B34">34</xref>&#x2013;<xref ref-type="bibr" rid="B36">36</xref>). However, the specific effect and mechanism by which AA alleviates <italic>Salmonella</italic>-related intestinal damage is still unclear. These gaps in understanding hinder the development of targeted therapies for <italic>Salmonella</italic> colitis, underscoring the need to fully elucidate AA&#x2019;s mechanism of action within the context of neutrophil-ISC crosstalk.</p>
<p>We have examined the multi-layered mechanism by which AA alleviates <italic>S.T</italic>-induced colitis. Using a murine <italic>Salmonella</italic> infection model coupled with neutrophil depletion (using an anti-Ly6G antibody), we systematically assessed the impact of AA on colon morphology, barrier integrity (via the levels of tight junction proteins and acidic mucins granules), and ISC activity. Integrated network pharmacology, western blotting, immunohistochemical analyses, and transcriptome sequencing revealed that AA restores ISC proliferation by suppressing Notch2 pathway activation (Notch2/Hse5/Hey1) and modulating neutrophil recruitment. Critically, the protective effects of AA, including barrier restoration and attenuation of injury, were reduced in neutrophil-depleted mice, demonstrating its dependence on neutrophil-mediated immune regulation. These findings reveal a novel &#x201c;neutrophil-Notch2-ISC&#x201d; axis through which AA repairs intestinal barrier dysfunction and suggest a targeted therapeutic strategy for infectious colitis. Furthermore, our study highlights the potential of natural compounds to modulate immune-stem cell interactions.</p>
</sec>
<sec id="s2">
<title>Methods</title>
<sec id="s2_1">
<title>Mice infections</title>
<p>Male and female specific pathogen-free (SFP) BALB/c mice aged 6&#x2013;8 weeks with different microbiota complexity were purchased from Beijing SiPeiFu Biotechnology Co. and kept at 23 &#xb1; 2&#xb0;C under a 12 h light/dark cycle with <italic>ad libitum</italic> access to food and water. Mice were pretreated with 25 mg streptomycin by oral gavage 24 h prior to infection. <italic>S.T</italic> ATCC 14028 were grown overnight in lysogeny broth medium at 37&#xb0;C with shaking at 220 rpm and then cultured (1:33) in fresh lysogeny broth medium for 3&#x2013;3.5 h. To model <italic>S.T</italic> infection, mice were administered <italic>S.T</italic> by oral gavage (1 &#xd7; 10<sup>9</sup> CFU/mouse). Six hours after <italic>S.T</italic> gavage, mice were administered AA (Aladdin, Shanghai, China, CAS: 464-92-6, C<sub>30</sub>H<sub>48</sub>O<sub>5</sub>, HPLC &#x2265; 98%) by oral gavage (10 mg/kg) on 3 consecutive days. The infected mice were euthanized 72 h after infection. The sample-size was not predetermined, and mice were randomly assigned to groups. Neutrophils were depleted in mice by daily intraperitoneal injection of anti-mouse Ly6G-Purified (Cat No: L280, Leinco Technologies, USA) (250 &#x3bc;g/mouse) for 3 days.</p>
<p>All animal experiments were approved by the Committee on Animal Care and Use of the Institute of Traditional Chinese Medicine Health Industry (licence numbers: SYXK(Gan)2023-0008).</p>
</sec>
<sec id="s2_2">
<title>Histopathological examination</title>
<p>Intestinal tissue from the anus to the cecum was isolated from mice. Colon tissues were fixed in 4% formaldehyde, embedded in paraffin, and sectioned for staining with hematoxylin-eosin (H&amp;E) (Servicebio, Beijing, China) or Alcian blue/periodic acid-Shiff (AB/PAS) solutions. Sections were observed with an SV200 microscope (Olympus, Japan).</p>
<p>Acidic mucin granules (blue) density was calculated using Jmage J software as follows: Open image &#x2192; Image &#x2192; Color &#x2192; Segmentation Channel &#x2192; Select Blue &#x2192; Adjustment &#x2192; Threshold &#x2192; Apply &#x2192; Analyze &#x2192; Measurement &#x2192; Acid Mucin Density (%Area).</p>
</sec>
<sec id="s2_3">
<title>Western blotting</title>
<p>Based on a previously described method (<xref ref-type="bibr" rid="B37">37</xref>), samples were prepared from colon tissues using RIPA buffer (KeyGEN BioTCHE, Nanjing, China). Total proteins were extracted, and protein concentration was measured using a BCA kit. Equal amounts of proteins were separated by 10%&#x2013;12% sodium dodecyl sulfate polyacrylamide gel electrophoresis and were then transferred onto nitrocellulose membranes (Cytiva, USA). After blocking with 5% skim milk for 1 h, the membranes were incubated with the indicated primary antibodies at 4&#xb0;C overnight. The main primary antibodies used are as follows: Occludin (Cat No. 27260, 1:1000, Proteintech, Wuhan, China), Claudin1 (Cat No. 28674, 1:500, Proteintech), &#x3b2;-actin (Cat No. 81115, 1:1000, Proteintech), Hes5 (Cat No. 22666, 1:200,:1000, Proteintech), Hey1 (Cat No. 19929,:1000, Proteintech), Notch2 (Cat No. 5723, 1:1000, CST), Ly6G (Cat No. 14-5931-82, 1:1000, Thermo Fisher Scientific, USA), LGR5 (Cat No. PA5-87974, 1:1000, Thermo Fisher Scientific). The visualization of the protein bands was completed with ECL kit (Advansta, USA).</p>
</sec>
<sec id="s2_4">
<title>Immunohistochemistry</title>
<p>Three-micron-thick sections were prepared from wax-embedded tissues, deparaffinized in xylene and alcohol, incubated with EDTA at 100&#xb0;C for 20 min, 3% hydrogen peroxide at room temperature for 25 min, and finally with 5% bovine serum albumin at room temperature for 1 h. Sections were then incubated sequentially with primary and secondary antibodies. The following antibodies and dilutions were used for the staining of different samples: EPCAM/CD326 (Cat No. 21050, 1:200, Proteintech), 1:200 <italic>S.T</italic>-LPS (Cat No. MA1-83451, 1:200, Thermo Fisher Scientific, USA), Ly6G (Cat No. 14-5931-82, 1:100, Thermo Fisher Scientific, USA), LGR5 (Cat No. PA5-87974, 1:100, Thermo Fisher Scientific) combination with the respective secondary antibodies, anti-Rabblt AlexaFluor&#x2122; 488 (Cat No. A11008, 1:500, Thermo Fisher Scientific), anti-Mouse AlexaFluor&#x2122; 488 (Cat No. A11011, 1:500, Thermo Fisher Scientific), Cyanine3 (Cat No. A10521, 1:400, Thermo Fisher Scientific), and DAPI (Beyotime Biotechnology, Shanghai, China). Images were observed with an SV200 microscope (Olympus, Japan).</p>
</sec>
<sec id="s2_5">
<title>Phagocytosis by neutrophils</title>
<p>HL-60 cells were stimulated into neutrophils with 1 &#x3bc;M all-trans-retinoic acid, then cultured in 96-well plates. Each well was infected with <italic>S.T</italic> at a multiplicity of infection of 10. AA (50 and 100 &#x3bc;M) was added to the culture immediately after <italic>S.T</italic> infection. Following a 3 h infection with <italic>S.T</italic>, HL-60 cells were lysed with sterile distilled water for 5 min. The cell lysates were then diluted and plated on LB agar and incubated at 37&#xb0;C for 24 h, permitting an estimation of the CFUs for <italic>S.T.</italic>
</p>
<p>Phagocytosis (%) = (Counts of released bacteria after Triton treatment/Counts of added bacteria) * 100.</p>
</sec>
<sec id="s2_6">
<title>Bacterial growth measurements</title>
<p>Bacteria were grown to early exponential phase in Luria-Bertani broth at 37&#xb0;C and then diluted to 10<sup>7</sup> CFU/mL in Luria-Bertani medium supplemented with AA at final a gradient of concentrations ranging from 50 &#x3bc;M and 100 &#x3bc;M. A separate Luria-Bertani culture without the AA was set as the control. Next, 200 &#x3bc;L of the aforementioned cultures with or without AA was transferred to each well of a 96-well, microtiter plates, which were then incubated at 37&#xb0;C. Growth was again measured by taking OD readings at 600 nm at 24 h.</p>
</sec>
<sec id="s2_7">
<title>Network pharmacology analysis</title>
<p>HERB (High-throughput Experiment-and Reference-guided database of traditional Chinese medicine), HIT (Herbal Ingredients&#x2019; Targets Platform), STITCH (Search Tool for Interactions of Chemicals, combined score &#x2265; 0.8), TargetNet (Probability &#x2265; 0.8), and NetInfer (Score &#x2265; 2) were applied to search or predict potential targets. Search Tool for the Retrieval of Interacting Genes/Proteins (STRING) platform was used to construct the target interaction network and to perform functional annotation analysis.</p>
</sec>
<sec id="s2_8">
<title>Transcriptome sequencing</title>
<p>Total RNA was extracted from colon tissue using TRIzol Reagent according to the manufacturer&#x2019;s instructions (Invitrogen, California, USA), and genomic DNA was removed using deoxyribonuclease I (TaKara, Tokyo, Japan). Then, RNA quality was determined by 2100 Bioanalyzer (Agilent, California, USA) and quantified using the ND-2000 (NanoDrop Technologies, Massachusetts, USA). Sequencing was performed by Tianjin Novogene Co., Ltd. (Tianjin, China). Briefly, 1 &#x3bc;g of total RNA was used for reverse transcription into cDNA. Then, A 200-300 bp cDNA target fragment was amplified for 15 RNA cycles, which was used to construct a cDNA library. After quantification by TBS380, the paired-end RNA-seq library was sequenced on the Illumina NovaSeq 6000 (2 &#xd7; 150 bp read length).</p>
</sec>
<sec id="s2_9">
<title>Transcriptional module repertoire analyses</title>
<p>RNA-seq data were initially filtered to obtain clean data. To identify differentially expressed genes (DEGs) between two different samples, the expression level of each transcript was calculated according to the fragments per kilobase of exon per million mapped reads method. Gene ontology (GO) and Kyoto encyclopedia of genes and genomes (KEGG) enrichment analysis were performed on the genes associated with the core targets using the Database for Annotation, Visualization and Integrated Discovery (DAVID) (<ext-link ext-link-type="uri" xlink:href="https://david.ncifcrf.gov/">https://david.ncifcrf.gov/</ext-link>). The species was set to &#x201c;Mus musculus&#x201d;, the p-value was set to &#x201c;&lt; 0.05&#x201d;.</p>
</sec>
<sec id="s2_10">
<title>Statistical analysis</title>
<p>Statistical analyses were conducted using GraphPad Prism software (version 6). Whenever applicable, the one-way analysis of variance (ANOVA) followed by LSD-t test for multiple comparisons was used. All values are presented as mean &#xb1; S.D. <italic>p</italic> &lt; 0.05 is considered statistically significant.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>AA ameliorates colon damage in mice caused by the <italic>S.T</italic> infection</title>
<p>
<italic>S.T</italic> infection can quickly trigger an inflammatory response that modifies the intestinal environment and disrupts the intestinal barrier (<xref ref-type="bibr" rid="B38">38</xref>). Mice were infected with wild-type <italic>S.T</italic> by daily oral administration of 1 &#xd7; 10<sup>9</sup> CFU for 3 days (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). As expected, the length of the colon was reduced by <italic>S.T</italic> infection (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1B, C</bold>
</xref>). To observe the microstructure of the colon, H&amp;E staining was performed, which showed that the crypt depth was significantly reduced in the <italic>S.T</italic>-infected mice (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1D, E</bold>
</xref>). These data confirm that <italic>S.T</italic> causes significant damage to the colon.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Effect of AA on <italic>S.T</italic>-induced colonic injury. SPF mice were administered <italic>S.T</italic> by oral gavage (1 &#xd7; 10<sup>9</sup> CFU/mouse) to model <italic>S.T</italic> infection. AA (10 mg/kg) was gavage administered to mice 6 h after the <italic>S.T</italic> infection. <bold>(A)</bold> Protocol for animal infection and drug delivery. <bold>(B)</bold> Colon macro morphology after the <italic>S.T.</italic> infection with or without AA treatment. <bold>(C)</bold> Measurement of colon length (n = 3). <bold>(D)</bold> Hematoxylin-eosin (H&amp;E) stained colon sections after the <italic>S.T.</italic> infection with or without AA treatment. <bold>(E)</bold> Colon crypt depth (n = 10). Data are presented as mean &#xb1; standard deviation *, <italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1634063-g001.tif">
<alt-text content-type="machine-generated">Diagram with four panels: (A) Experimental timeline for mice treated with antibiotics and subsequent treatments of PBS, S.T, and S.T with AA. (B) Image of colons from control, S.T, and AA+S.T groups. (C) Bar graph showing colon length, with significant reduction in the S.T group. (D) Histological images of colon tissue for each group, showing variations in tissue structure. (E) Bar graph illustrating crypt depth, with significant differences among groups.</alt-text>
</graphic>
</fig>
<p>Dextran sulfate sodium-induced colon damage is alleviated by AA (<xref ref-type="bibr" rid="B33">33</xref>). Therefore, we hypothesized that a similar response to the <italic>S.T</italic>-induced colon injury may occur after AA administration. As predicted, AA significantly increased the length of the colon reduced by <italic>S.T</italic> infection (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1B, C</bold>
</xref>) and increased crypt depth (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1D, E</bold>
</xref>). Collectively, these results indicate that <italic>S.T</italic>-induced colon damage is alleviated by AA.</p>
</sec>
<sec id="s3_2">
<title>AA restores the impaired colonic barrier in the <italic>S.T</italic>-infected mice</title>
<p>The intestinal mucosal barrier is a crucial line of defense against pathogens. The strength of this barrier is maintained by the integrity and tight connections of IECs. Therefore, we assessed the level of EPCAM, an IEC marker, in the colon of mice by immunohistochemistry. We observed that the level of EPCAM in the colon was not affected by <italic>S.T</italic> infection (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1</bold>
</xref>). Next, IHC and western blotting was used to examine the levels of tight junction proteins. <italic>S.T</italic> infection significantly decreased the levels of occludin and claudin 1 compared with those in the control group (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A&#x2013;F</bold>
</xref>). Furthermore, AA significantly increased the levels of occludin and claudin 1 compared to those in the <italic>S.T</italic>-infected mice (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A&#x2013;F</bold>
</xref>). IECs are often covered with a layer of mucin secreted by goblet cells, which blocks the penetration of harmful substances and chemicals (<xref ref-type="bibr" rid="B39">39</xref>). We therefore performed AB-PAS staining to quantify the levels of acidic mucin granules. Not surprisingly, <italic>S.T</italic> infection significantly reduced the level of acidic mucin granules in the colon (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2G, H</bold>
</xref>). Conversely, AA significantly increased the level of acidic mucin granules (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2G, H</bold>
</xref>). These results indicate that AA alleviates <italic>S.T-</italic>induced damage to the colonic barrier.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Effect of AA on <italic>S.T</italic>-induced barrier damage. <bold>(A&#x2013;D)</bold> Immunohistochemistry (IHC) analysis of occludin and claudin 1 levels in colons of different treatment groups (n = 5). <bold>(E, F)</bold> Western blot analysis shows the levels of occludin and claudin 1 in the <italic>S.T</italic>-infected colon tissues with or without AA treatment (n = 3). <bold>(G)</bold> AB-PAS staining showing acidic mucin granule levels in the <italic>S.T</italic>-infected colons with or without AA treatment. Mucin is indicated by the black arrow (n = 5). <bold>(G)</bold> AB-PAS staining analysis shows the level of acidic mucin granules of colon infected by the <italic>S.T</italic> with or without AA treatment. Acidic mucin granules are indicated by the black arrow. <bold>(H)</bold> Measurement of acidic mucin granules levels (n = 5). Data are presented as mean &#xb1; standard. *, <italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1634063-g002.tif">
<alt-text content-type="machine-generated">Panel A displays immunohistochemical staining for occludin in control, S.T, and AA + S.T groups. Panel B is a bar graph showing occludin density differences across these groups. Panel C shows claudin-1 staining, while panel D presents a bar graph of its density. Panel E depicts Western blot results for occludin, claudin-1, and beta-actin. Panel F includes bar graphs of protein levels relative to beta-actin. Panel G illustrates AB-PAS staining of tissue sections, and Panel H provides a bar graph of acidic mucin granule density. Scale bars are included for each staining image panel.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_3">
<title>AA affects ISC activity by inhibiting the Notch2 pathway</title>
<p>
<italic>S.T</italic> infection inactivates ISCs (<xref ref-type="bibr" rid="B40">40</xref>); therefore, to observe ISC activation, we performed immunohistochemistry and western blotting for LGR5, a highly specific marker for ISCs located above crypts (<xref ref-type="bibr" rid="B41">41</xref>). The results showed significantly reduced levels of LGR5 in the <italic>S.T</italic>-infected mice (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A&#x2013;D</bold>
</xref>). AA significantly increased the levels of LGR5 compared with the levels in the <italic>S.T</italic>-infected mice (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A&#x2013;D</bold>
</xref>). These data support the reversal of <italic>S.T.</italic>-induced ISC inactivity by AA.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Effect of AA on <italic>S.T</italic>-induced activation of ISCs and the Notch2 pathway <bold>(A, B)</bold>. IHC analysis of LGR5 levels in colons of different treatment groups (n = 5). <bold>(C, D)</bold> Western blot analysis of LGR5 levels in the <italic>S.T</italic>-infected colon with or without AA treatment (n = 3). <bold>(E)</bold> Venn diagram shows the AA targets and the <italic>S.T</italic> infection-related genes. <bold>(F)</bold> Protein-protein interaction (PPI) network of 67 AA- and <italic>S.T</italic> infection-related targets. Node size is proportional to its degree. <bold>(G)</bold> The Gene Ontology (GO) database was used to classify the intersecting targets according to BP (Biological Process), CC (Cellular Component), and MF (Molecular Function). <bold>(H)</bold> KEGG Pathway enrichment of intersecting targets. <bold>(I, J)</bold> Western blot analysis of Nothc2, Hes5, and Hey1 levels in the <italic>S.T</italic>-infected colon with or without AA treatment (n = 3). Data are presented as mean &#xb1; standard. *, <italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1634063-g003.tif">
<alt-text content-type="machine-generated">Tissue micrographs show three panels labeled Control, S.T, and AA+S.T, depicting differences in LGR5 expression. A bar graph (B) illustrates average LGR5 density. Western blot (C) with LGR5 and &#x3b2;-actin bands and related graph (D) display expression levels. Venn diagram (E) indicates gene overlap between S.T and AA. Network diagram (F) visualizes gene interactions. Chart (G) shows gene enrichment scores across biological processes. Dot plot (H) features pathway enrichment analysis. Western blot (I) with Notch2, Hes5, Hey1, and &#x3b2;-actin bands and graph (J) present protein expression levels with significant differences marked by asterisks.</alt-text>
</graphic>
</fig>
<p>To explore the mechanism by which AA ameliorates <italic>S.T</italic> infection, network pharmacology analysis was performed. We obtained 2104 predicted disease targets and 220 drug targets from databases (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3E</bold>
</xref>). Among these, 67 AA- and <italic>S.T</italic> infection-related targets were considered hub targets (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3E</bold>
</xref>). A protein-protein interaction (PPI) network containing 20 nodes and 42 edges was constructed that included IL6, TNF, IL1B, IL2, PTGS1, and NFB&#x3ba;1 (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3F</bold>
</xref>). GO (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3G</bold>
</xref>) and KEGG (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3H</bold>
</xref>) analyses were then performed using the DAVID. In biological processes (BP), hub targets were majorly enriched in response to xenobiotic stimulus, response to oxidative stress, apoptotic process, inflammatory response, cellular response to lipopolysaccharide, and response to lipopolysaccharide. Among 20 KEGG-enriched pathways were the Notch, IL17, and TNF signaling pathways, and <italic>Salmonella</italic> infection.</p>
<p>Overactivation of the Notch pathway inhibits the differentiation of ISCs (<xref ref-type="bibr" rid="B42">42</xref>, <xref ref-type="bibr" rid="B43">43</xref>), and the Notch pathway was significantly enriched in the network pharmacology analysis (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3H</bold>
</xref>). To understand the role of the Notch2 pathway in <italic>S.T</italic>-infected mice, the levels of related proteins were determined using western blotting. The levels of Notch2, Hes5, and Hey1 were significantly increased in the <italic>S.T</italic> infected colon (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3I, J</bold>
</xref>). AA significantly decreased the levels of Notch2, Hes5, and Hey1 compared with those in the <italic>S.T</italic>-induced mice (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3I, J</bold>
</xref>). These results indicate that the <italic>S.T</italic>-activated Notch2 pathway is inhibited by AA.</p>
</sec>
<sec id="s3_4">
<title>The transcriptome signature of <italic>S.T</italic>-infected colon samples is associated with neutrophils</title>
<p>To study the targets and signaling pathways involved in the AA-amelioration of <italic>Salmonella</italic> colitis, we performed transcriptome analysis. This analysis highlighted the involvement of neutrophils. DEGs involved in processes related to neutrophils including <italic>Slit2</italic>, <italic>Thbs4</italic>, <italic>Nos2</italic>, and <italic>Cxcl13</italic> were significantly upregulated after the <italic>S.T</italic> infection (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Conversely, these genes were significantly downregulated after the AA treatment (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). Next, GO and KEGG enrichment analysis were then performed on the DEGs. The results show that the DEGs following the <italic>S.T</italic> infection and the AA intervention were enriched in multiple neutrophil-related pathways, including neutrophil homeostasis, neutrophil activation involved in immune response, neutrophil mediated immunity, neutrophil activation, regulation of neutrophil chemotaxis, regulation of neutrophil migration, regulation of neutrophil migration, neutrophil activation involved in immune response, neutrophil mediated immunity, and neutrophil degranulation (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C&#x2013;F</bold>
</xref>). Therefore, we speculate that neutrophils play an important role in AA-induced colonic damage caused by <italic>S.T</italic> infection.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Transcriptome analysis to determine the critical role of neutrophils in the AA treatment of <italic>S.T</italic> colitis. Heatmap showing differentially expressed genes (DEGs) associated with neutrophils. <bold>(A)</bold> The control compared with the <italic>S.T</italic> infection. <bold>(B)</bold>The <italic>S.T</italic> infection compared with the AA treatment. Bubble map diagrams display the 20 most significant GO enrichment terms. <bold>(C)</bold> The control compared with the <italic>S.T</italic> infection. <bold>(D)</bold> The <italic>S.T</italic> infection compared with the AA treatment. Bubble map diagrams display the 20 most significant GO enrichment terms. <bold>(E)</bold> The control compared with the <italic>S.T</italic> infection. <bold>(F)</bold> The <italic>S.T</italic> infection compared with the AA treatment. *, <italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1634063-g004.tif">
<alt-text content-type="machine-generated">Heatmaps and dot plots present gene expression and pathway analysis. Panel A and B: Heatmaps show gene expression differences between Control and S.T groups, with colors indicating expression levels. Panel C to F: Dot plots illustrate biological processes and pathways with significance levels, counted by dot size and color gradient.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_5">
<title>The protective effect of IECs induced by AA depends on neutrophils</title>
<p>As an early line of defense against bacterial infections, neutrophils are recruited into the intestinal lumen during pathogen infection (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). Immunohistochemistry showed a significantly higher level of <italic>S.T</italic> around intestinal tissue in the <italic>S.T</italic>-infected mice than in the control mice (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, B</bold>
</xref>), which was colocalized with neutrophils (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>). Neutrophils were recruited into the intestinal lumen after the <italic>S.T</italic> infection, which forms a barrier preventing <italic>S.T</italic> invasion (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5C, D</bold>
</xref>). AA significantly reduced the levels of <italic>S.T</italic> and neutrophils around the colon tissue (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, B</bold>
</xref>), which may result from the phagocytosis of <italic>S.T</italic> by neutrophils. We then stained colon tissue for the IEC marker, EPCAM, which showed that the level of IEC efflux was significantly increased in the <italic>S.T</italic>-infected mice (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5E, F</bold>
</xref>). This was significantly attenuated by the AA intervention (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5E, F</bold>
</xref>), which may be related to the reduction in <italic>S.T</italic> counts. These results indicate that IEC efflux is inhibited by AA, which may be related to neutrophils.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Effect of neutrophil depletion on the regulation of luminal <italic>S.T</italic> loads and IEC expulsion by AA. SPF mice were administered <italic>S.T</italic> by oral gavage (1 &#xd7; 10<sup>9</sup> CFU/mouse) to model <italic>S.T</italic> infection. AA (10 mg/kg) was gavage administered to mice 6 h after <italic>S.T</italic> infection. SPF mice were neutrophil depleted by daily intraperitoneal injection of anti-mouse Ly6G-Purified (250 &#x3bc;g/mouse) for 3 days. <bold>(A)</bold> IHC of LPS in colons of different treatment groups. <bold>(B)</bold> Fluorescence intensity of LPS signal in mouse colon (n = 5). <bold>(C)</bold> IHC of Ly6G in colons of different treatment groups. <bold>(D)</bold> Fluorescence intensity of Ly6G signal in mouse colon (n = 5). <bold>(E)</bold> IHC of EPCAM in colons of different treatment groups. <bold>(F)</bold> Fluorescence intensity of EPCAM signal in mouse colon (n = 5). Data are presented as mean &#xb1; standard. *, <italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1634063-g005.tif">
<alt-text content-type="machine-generated">Fluorescence microscopy images and bar graphs show tissue sections labeled with LPS (red), Ly6G (green), and EPCAM (green), each with DAPI nuclear staining (blue). The images are arranged in columns A, C, and E, comparing different experimental conditions: Control, S.T, ND+S.T, ND+AA+S.T, and AA+S.T. Corresponding bar graphs (B, D, F) display relative fluorescence intensities, indicating significant differences marked with asterisks. Scale bars represent 40 micrometers.</alt-text>
</graphic>
</fig>
<p>To investigate this possibility further, mice were injected intraperitoneally with Ly6G, which significantly reduced the neutrophil numbers (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S3</bold>
</xref>; <xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5C, D</bold>
</xref>). Surprisingly, the large numbers of <italic>S.T</italic> were found around the colon tissue of the neutrophil-deficient mice (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, B</bold>
</xref>). AA did not reduce the level of <italic>S.T</italic> around the colon in the mice with neutrophil depletion (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, B</bold>
</xref>). After neutrophil depletion, the number of shed IECs increased (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5E, F</bold>
</xref>) compared with that in the <italic>S.T</italic>-infected group. Moreover, the inhibitory effect of AA on IEC shedding was attenuated after neutrophil depletion (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5E, F</bold>
</xref>). These results indicate that AA regulation of IEC shedding is associated with neutrophils.</p>
<p>Upon infection, neutrophils rapidly migrate to the intestinal tract and phagocytose pathogens. To demonstrate the relationship between AA and neutrophil phagocytosis of bacteria, HL-60 cells were cultured <italic>in vitro</italic> and stimulated with all-trans-retinoic acid to induce differentiation into neutrophils (<xref ref-type="bibr" rid="B44">44</xref>). The number of <italic>S.T</italic> outside the neutrophils was significantly reduced after the AA intervention by calculating the phagocytosis% <italic>in vitro</italic>. (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S4A</bold>
</xref>). Next, we found that AA significantly inhibited the growth of <italic>S.T</italic>. (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S4B</bold>
</xref>). These results demonstrate that AA enhances the phagocytic function of neutrophils. In summary, neutrophils play an important role in AA-mediated colonic damage caused by <italic>S.T</italic> stimulation.</p>
</sec>
<sec id="s3_6">
<title>The effect of AA on ISC activity is dependent on neutrophils</title>
<p>To further observe ISC activity in neutrophil-deficient mice, we examined levels of LGR5 by immunohistochemistry and western blotting. LGR5 levels were reduced in the neutrophil-deficient mice compared with those in the <italic>S.T</italic>-infected mice (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A&#x2013;D</bold>
</xref>). The effect of AA on ISC activity was significantly reduced after the neutrophil depletion (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A&#x2013;D</bold>
</xref>). These results demonstrated that the effect of AA on ISCs is dependent on neutrophils during the <italic>S.T</italic> infection. Next, western blotting was used to detect the levels of key proteins in the Notch2 pathway. As predicted, the levels of Hes5 and Hey1 were significantly increased in the neutrophil-deficient mice than in the <italic>S.T</italic>-infected mice (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6E, F</bold>
</xref>). The inhibitory effect of AA on the Notch2, Hes5 and Hey1 were reduced in the neutrophil-deficient mice (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6E, F</bold>
</xref>). These results demonstrate that AA influences the activity of ISCs by neutrophils via Notch2/Hes5/Hey1. In summary, the effect of AA on ISCs is dependent on neutrophils during the <italic>S.T</italic> infection.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Effect of neutrophil depletion on the AA modulation of ISCs and the Notch2 pathway. <bold>(A, B)</bold> IHC analysis of LGR5 levels in colons of different treatment groups (n = 5). <bold>(C, D)</bold> Western blot analysis of LGR5 levels in colons of different treatment groups (n = 3). <bold>(E, F)</bold> Western blot analysis of the levels of Notch2, Hes5, and Hey1 in colons of different treatment groups (n = 3). Data are presented as mean &#xb1; standard. *, <italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1634063-g006.tif">
<alt-text content-type="machine-generated">Panels A-E show various analyses related to LGR5 expression and Notch signaling pathways, with bar graphs and blots indicating protein expression levels under different treatment conditions. Immunohistochemistry images display tissue sections with varying LGR5 staining. Graphs in B, D, and F illustrate quantified protein levels with statistical significance marked. Images and data collectively assess the effects of different conditions on LGR5, Notch2, Hes5, and Hey1 expression, using a control and experimental groups labeled with S.T, ND, and AA designations.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_7">
<title>The protective effect of the intestinal mucosal barrier induced by AA is dependent on neutrophils</title>
<p>To better define the contribution of neutrophils to the maintenance of the intestinal mucosal barrier in the <italic>S.T</italic>-infected mice, IHC and western blotting were used to examine tight junction proteins. The levels of occludin and claudin 1 were significantly reduced in the colon tissues of neutrophil-deficient mice compared with those in the <italic>S.T</italic> group (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7A&#x2013;F</bold>
</xref>). Meanwhile, neutrophil depletion significantly reduced the ability of AA to affect the low levels of claudin 1 and occludin caused by the <italic>S.T</italic> infection (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7A&#x2013;F</bold>
</xref>). Similarly, the restorative effect of AA on acidic mucin granule levels (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7G, H</bold>
</xref>), colon length (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7I, J</bold>
</xref>) and crypt depth (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7K, L</bold>
</xref>) was reduced in the neutrophil-depleted mice. Moreover, the levels of occludin and claudin 1, acidic mucin granules and crypt length were slightly decreased in mice with isolated neutrophil depletion; however, there was no significant difference compared with the control group (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S5</bold>
</xref>). These results demonstrate that the effect of AA on <italic>S.T</italic> colitis is dependent on neutrophils.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Effect of neutrophils in the alleviation of colonic injury by AA. <bold>(A&#x2013;D)</bold> IHC of occludin and claudin 1 in colons of different treatment groups (n = 5). <bold>(E, F)</bold> Western blot analysis of occludin and claudin 1 levels in colons of different treatment groups (n = 3). <bold>(G)</bold> AB-PAS staining shows the levels of acidic mucin granules in colons of different treatment groups. Acidic mucin granules are indicated by the black arrow. <bold>(H)</bold> Measurement of acidic mucin granules levels (n = 5). <bold>(I)</bold> Colon macro morphology of different treatment groups. <bold>(J)</bold> Measurement of colon length (n = 3). <bold>(K)</bold> H&amp;E staining of colon sections from different treatment groups. <bold>(L)</bold> Colon crypt depth (n = 10). Data are presented as mean &#xb1; standard. *, <italic>p</italic> &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1634063-g007.tif">
<alt-text content-type="machine-generated">Panels show microscopic images and graphs of intestinal tissues with various treatments, labeled as Control, S.T, ND+S.T, ND+AA+S.T, and AA+S.T. Panels A, C, G, and K display stained tissue sections. Panels B, D, F, H, J, and L provide bar graphs with statistical analysis, indicating differences in protein expression, colon length, mucin density, and crypt depth across treatments. Panel E shows a Western blot for occludin and claudin-1 proteins. Panel I displays segmented intestinal sections. Statistical significance is indicated by asterisks.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>In this study, we elucidated the protective effect of AA on <italic>S.T</italic>-induced colon injury in mice. <italic>S.T</italic> infection damages the intestinal mucosal barrier, which is associated with the expulsion of IECs. IEC efflux was significantly changed after AA intervention. Neutrophil depletion exacerbated <italic>S.T</italic> infection by reducing the activation of ISCs through the suppression of Notch2 signaling. We also demonstrated that the reparative effect of AA on <italic>S.T</italic>-induced intestinal mucosal barrier damage decreased after neutrophil depletion.</p>
<p>Accumulating evidence indicates that <italic>S.T</italic> actively invades IECs and survives in <italic>Salmonella</italic> cysts and the cell cytosol (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B45">45</xref>). In the cytoplasm, <italic>S.T</italic> replicates rapidly, expresses invasion factors, and triggers the extrusion of infected IECs into the intestinal lumen (<xref ref-type="bibr" rid="B10">10</xref>). Our data showed that a large number of IECs were expelled into the intestinal lumen after the <italic>S.T</italic> infection. After AA intervention, fewer IECs were expelled into the intestinal lumen and the damage to colon tissue was reduced, showing that AA inhibited <italic>S.T</italic>-induced colon damage.</p>
<p>Colon injury is usually accompanied by intestinal mucosal barrier dysfunction, with mucin and tight junctions being important indicators of intestinal mucosal barrier integrity (<xref ref-type="bibr" rid="B46">46</xref>, <xref ref-type="bibr" rid="B47">47</xref>). Evidence from clinical and animal studies indicates that several intestinal inflammatory conditions, including inflammatory bowel disease, colon cancer, and numerous intestinal infections, are associated with significant changes in the levels of mucins and tight junction proteins (<xref ref-type="bibr" rid="B48">48</xref>). In the present study, the protective effect of AA on <italic>S.T</italic>-induced damage to the colonic mucosal barrier was confirmed.</p>
<p>Neutrophils are the most common immune cell type in the circulatory system and are an important line of defense against microbial infections (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B49">49</xref>). They provide potent defense against intestinal infections using a variety of effector mechanisms, such as nitrate species, antimicrobial peptides, and neutrophil extracellular traps (<xref ref-type="bibr" rid="B50">50</xref>&#x2013;<xref ref-type="bibr" rid="B52">52</xref>).</p>
<p>Neutrophils are recruited into the intestinal lumen during intestinal microbial invasion and form a physical defense that prevents direct contact between microbes and intestinal tissue (<xref ref-type="bibr" rid="B53">53</xref>). Molloy et&#xa0;al. found that neutrophils can form intraluminal casts to prevent the spread of pathobionts to systemic organs in <italic>Toxoplasma gondii</italic>-infected mice (<xref ref-type="bibr" rid="B54">54</xref>). Our data showed that neutrophils were recruited to the intestinal lumen after the <italic>S.T</italic> infection and were in close contact with secreted <italic>S.T</italic> in the intestinal lumen, resembling the behavior of neutrophils that form a physical barrier upon infection (<xref ref-type="bibr" rid="B54">54</xref>).</p>
<p>Upon neutrophil depletion, colon tissue was attacked by <italic>S.T</italic>, and more IECs were expelled into the intestinal lumen, demonstrating the crucial role of neutrophils in combating <italic>S.T</italic> infection. AA inhibited the <italic>S.T</italic>-induced recruitment of neutrophils and the expulsion of IECs. However, the protective effect of AA was significantly reduced after neutrophil depletion, confirming that AA inhibits <italic>S.T</italic> infection by affecting neutrophils.</p>
<p>Immune cells are involved in intestinal regeneration (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B55">55</xref>). Inflammatory cytokines, such as IL-10, IL-22, and IL-13, are secreted by various immune cells and act on ISCs to promote IEC regeneration (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B55">55</xref>). Zhang et&#xa0;al. found that the immune response of neutrophils and the differentiation of ISCs were enhanced by chronic psychological stress (<xref ref-type="bibr" rid="B56">56</xref>), but there is no direct evidence of the relationship between neutrophils and ISCs. In this study, we found that the levels of LGR5-positive ISCs were significantly reduced after the <italic>S.T</italic> stimulation. Interestingly, neutrophil depletion suppressed ISC activity, indicating that neutrophils inhibit <italic>S.T</italic> infection by regulating ISCs. The Notch pathway is essential for the development, differentiation, proliferation, and apoptosis of ISCs (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B57">57</xref>, <xref ref-type="bibr" rid="B58">58</xref>). Notch pathway activation inhibits the differentiation of ISCs into goblet cells and compromises the integrity of the intestinal mucosal barrier (<xref ref-type="bibr" rid="B59">59</xref>). Our results confirmed the effect of <italic>S.T</italic> infection on Notch2 pathway activation. AA inhibited Notch2 pathway activation and restored the activity of LGR5-positive ISCs, which was associated with neutrophils.</p>
<p>Neutrophils are mainly distributed in the circulatory system and are recruited in large numbers to colon tissue during <italic>S.T</italic> invasion, where they protect the colon by phagocytosing the bacteria. After neutrophil depletion, large numbers of <italic>S.T</italic> bacteria invade the colon, further damaging the intestinal barrier and reducing the levels of tight junction proteins, thereby increasing the risk of mortality (data not shown). In this study, AA effectively alleviated <italic>S.T</italic>-induced colitis through two mechanisms. On the one hand, AA intervention reduced the <italic>S.T</italic> counts, thereby blocking bacterial invasion of the colon. On the other hand, AA promoted the phagocytosis of <italic>S.T</italic> by neutrophils. When neutrophils were depleted, the protective effect of AA on the intestinal barrier significantly decreased, indicating that neutrophils are the key cells in the inhibition of <italic>S.T</italic>-induced colitis by AA. The roles of immune cells other than neutrophils may also be important in AA resistance to <italic>S.T</italic> infection and warrant investigation.</p>
</sec>
<sec id="s5" sec-type="conclusions">
<title>Conclusion</title>
<p>This study reveals a previously unrecognized mechanism by which AA mitigates <italic>S.T</italic>-induced colitis through coordinated regulation of neutrophil dynamics and Notch2 signaling. We demonstrate that AA restores intestinal barrier integrity by suppressing Nothc2/Hes5/Hey1 activation, thereby rescuing LGR5<sup>+</sup> ISC proliferation, while simultaneously modulating neutrophil recruitment to limit pathogen invasion and epithelial shedding. Crucially, neutrophil depletion decreased the therapeutic efficacy of AA, establishing its dependence on neutrophil-mediated immune regulation. These findings resolve an aspect of <italic>S.T</italic> pathogenesis by defining a &#x201c;Neutrophil-Notch2-ISC&#x201d; axis as an important means of mucosal repair. Therapeutically, this work positions AA as a dual-action agent capable of targeting both inflammatory and regenerative pathways, a paradigm shift from conventional anti-inflammatory strategies. Methodologically, the integration of a neutrophil-specific depletion model with a multi-omics approach provides a new framework for screening interventional <italic>S.T-</italic>induced colitis drugs. Our results underscore the potential of natural compounds to fine-tune host-pathogen interactions without compromising endogenous repair mechanisms. From a translational perspective, these insights advocate for therapies that synergistically enhance barrier regeneration and immune containment, offering a blueprint for managing antibiotic-resistant enteric infections. Future studies exploring the efficacy of AA in humanized models or combinatorial regimens with existing antimicrobials may accelerate its clinical translation.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>All relevant data is contained within the article: The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>, further inquiries can be directed to the corresponding author/s.</p>
</sec>
<sec id="s7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by Institute of Traditional Chinese Medicine Health Industry, China Academy of Chinese Medical Sciences (SYXK(Gan)2023-0008). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s8" sec-type="author-contributions">
<title>Author contributions</title>
<p>WZ: Formal Analysis, Data curation, Software, Funding acquisition, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. MZ: Resources, Methodology, Software, Writing &#x2013; original draft, Funding acquisition. ZP: Software, Writing &#x2013; original draft. YC: Writing &#x2013; original draft, Supervision, Software. WD: Conceptualization, Writing &#x2013; original draft, Project administration, Data curation. HL: Project administration, Funding acquisition, Writing &#x2013; original draft, Conceptualization.</p>
</sec>
<sec id="s9" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research and/or publication of this article. This study was supported by the Fundamental Research Funds for the Central public welfare research institutes (ZZ18-ND-12), Scientific Research Foundation for the introduction of talent (QD-2024008B) and the Key R&amp;D Program Project of Jiangxi Province (20232BBG70016, 20224BBG72001).</p>
</sec>
<sec id="s10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s11" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec id="s12" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s13" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2025.1634063/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2025.1634063/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
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