Front. Microbiol.Frontiers in MicrobiologyFront. Microbiol.1664-302XFrontiers Media S.A.10.3389/fmicb.2025.1643209MicrobiologyOriginal ResearchGut microbiota and their metabolites ameliorate acute and chronic colitis in mice via modulating Th17/Treg balanceLiDongyue†TaoHuiling†TanXinLingHaoLuYueZhangHuichaoTheanySokXuHongyu*Department of Gastroenterology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China
Edited by: Elisavet Stavropoulou, Centre Hospitalier Universitaire Vaudois (CHUV), Switzerland
Reviewed by: Sharvan Sehrawat, Indian Institute of Science Education and Research Mohali, India
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Introduction
Ulcerative colitis (UC) is a recurrent inflammatory bowel disease affecting the colorectum, which remains a prominent research focus due to significant individual variations in clinical therapeutic outcomes. Fecal microbiota transplantation (FMT), as a therapeutic approach to restore intestinal homeostasis, has demonstrated favorable efficacy in UC management. However, given the characteristic alternating cycles of active and remission phases in UC, there remains a paucity of in-depth research regarding the optimal timing for FMT intervention. Concurrently, butyrate - a crucial microbial metabolite - ameliorates murine colitis through both direct and indirect mechanisms, while the therapeutic effectiveness of FMT in UC correlates closely with intestinal butyrate concentration.
Methods
This study established acute and chronic UC murine models and employed FMT and butyrate interventions to monitor dynamic alterations in gut microbiota and lymphocyte subsets. Through comprehensive analyses, we aimed to elucidate the interplay between gut microbiota and host immune mechanisms, identify the optimal therapeutic timing for UC interventions, and evaluate the mechanistic role of butyrate. These findings provide theoretical foundations for personalized microbiota-targeted therapies in UC.
Results
Our findings demonstrate that gut microbiota and their metabolites exert therapeutic effects on murine acute/chronic colitis through modulation of the T helper cell 17 (Th17)/T regulatory cell (Treg) ratio. Specifically, the remission phase represents a more favorable window for intestinal homeostasis modulation, with combination therapy involving microbial metabolites exhibiting superior anti-inflammatory efficacy.
Discussion
The maintenance of an appropriate Th17/Treg equilibrium during microbiota restoration demonstrates therapeutic advantages. Notably, butyrate synergistically enhances microbial therapeutic effects, providing experimental evidence for personalized modulation of gut ecosystems in inflammatory bowel disease management.
ulcerative colitisbutyrateTh17Treggut microbiotachronic phasesection-at-acceptanceMicroorganisms in Vertebrate Digestive SystemsIntroduction
In recent years, the advancing insights into gut ecosystems have gradually garnered attention for their therapeutic potential in Ulcerative colitis (UC). While Fecal microbiota transplantation (FMT) has demonstrated moderate efficacy in UC management (Paramsothy et al., 2017), marked interindividual heterogeneity persists and its underlying mechanisms remain not yet fully elucidated. Current FMT research in UC has predominantly focused on therapeutic outcomes and safety profiles, whereas critical aspects including the identification of optimal intervention timing across UC disease progression and mechanistic investigations into microbial metabolites (e.g., butyrate) remain underexplored. Notably, delineating the therapeutic window for FMT and elucidating the functional mechanisms of microbial-derived metabolites are imperative for enhancing treatment efficacy and advancing precision therapeutic strategies.
Consistent with clinical observations, histopathological analysis revealed distinct phase-specific characteristics in UC. During the acute phase, H&E staining exhibited colonic ulceration, mucosal edema, goblet cell depletion, crypt distortion with abscess formation, and variably graded inflammatory cell infiltration within the mucosa and submucosa, accompanied by epithelial denudation. In contrast, chronic phase specimens demonstrated attenuated mucosal edema and ulceration, with histological evidence of epithelial hyperplasia, mucosal fibrosis, lymphadenopathy, persistent inflammatory infiltration, and occasional granulomatous changes or tumor-like architectural remodeling. These findings collectively indicate pathohistological disparities between acute and chronic UC phases, suggesting phase-dependent differential immune responses to gut microbiota. Notably, current FMT research predominantly focuses on mild-to-moderate UC cases, while therapeutic exploration in severe UC and stable-phase management remains substantially underexplored.
The elevated T helper cell 17 (Th17) /T regulatory cell (Treg) ratio in UC patients constitutes a pivotal immunopathogenic mechanism (Geremia et al., 2014; Gong et al., 2016). Previous studies have established that Th17 cells characteristically secrete Interleukin17 (IL-17), predominantly exerting pro-inflammatory effects in the intestinal milieu (Yamada et al., 2016). In contrast, Treg cells produce Transforming growth factor-β1 (TGF-β1) and Interleukin10 (IL-10) to suppress effector T-cell activation, thereby maintaining immune tolerance and regulatory functions (Noack and Miossec, 2014). Intestinal Tregs critically inhibit inflammation triggered by dietary antigens or microbial stimuli while preserving epithelial barrier integrity (Izcue et al., 2009). Notably, refractory UC patients demonstrate significant clinical, endoscopic, and histologic remission following adoptive autologous Treg transfer (Voskens et al., 2023). Mechanistically, Treg-mediated suppression encompasses proliferation inhibition of multiple effector T cells including Th17 populations (Ueno et al., 2018). However, UC pathogenesis involves insufficient Treg expansion coupled with Th17 overactivation, creating Th17/Treg imbalance that perpetuates colonic inflammation (Geremia et al., 2014).
Our experimental data revealed acute-phase predominance of Th17 cells with relative Treg depletion (p < 0.05 vs. chronic phase), resulting in significant Th17/Treg dysregulation. Intriguingly, chronic-phase specimens exhibited partial Treg reconstitution and substantially normalized Th17/Treg ratios (p < 0.05). These findings suggest that dynamic Th17/Treg rebalancing during chronic colitis facilitates intestinal immune homeostasis through mucosal immunomodulation. Consequently, this investigation systematically evaluates Th17/Treg ratio fluctuations across disease phases, aiming to identify optimal FMT intervention windows for UC management.
Short-chain fatty acids (SCFAs), the most extensively studied anti-inflammatory microbial metabolites including acetate, butyrate, and propionate, are generated through anaerobic fermentation of insoluble dietary fibers by gut microbiota. Serving as the primary energy source for colonocytes, they exert trophic effects on intestinal mucosa (Salvi and Cowles, 2021). Pioneering studies have revealed SCFAs’ capacity to epigenetically modulate Th17/Treg cell plasticity, thereby orchestrating immune homeostasis (Ohnmacht et al., 2015; Smith et al., 2013). Specifically, butyrate rebalances immune cell metabolism by dual mechanisms: (1) Histone deacetylase 3 (HDAC3) inhibition-mediated c-Myc downregulation suppresses glycolysis - the dominant energy pathway for pro-inflammatory Th17 cells (Zhang et al., 2019); (2) Peroxisome proliferator activated receptor γ (PPARγ) activation promotes metabolic reprogramming toward oxidative phosphorylation, the preferential energy metabolism of Tregs (Wang et al., 2016).
Our data demonstrated that dextran sulfate sodium (DSS) challenge activated the Nuclear factor kappa-B (NF-κB) /Interleukin6 (IL-6) /Signal transducer and activator of transcription 3 (STAT3) axis, which was potently reversed by butyrate intervention. Mechanistically, butyrate inhibits NF-κB signaling through stabilizing IκBα (via suppressed proteasomal degradation), blocking nuclear translocation, and impairing DNA binding capacity of NF-κB (Kelly et al., 2004). This pathway is primarily activated in colonic epithelial cells and lamina propria immune cells (e.g., macrophages and dendritic cells), which secrete IL-6 upon DSS-induced damage, subsequently promoting STAT3 phosphorylation in CD4 + T cells to drive Th17 differentiation. Crucially, this pathway intricately regulates Th17/Treg equilibrium: IL-6 synergizes with TGF-β to activate STAT3, driving Th17 differentiation via Retineic-acid-receptor-related orphan nuclear receptor γ (RORγt) upregulation (Harbour et al., 2020; Durant et al., 2010), while simultaneously suppressing TGF-β-induced Forkhead box protein P3 + (FOXP3+) Treg generation (Bettelli et al., 2006). Pathological activation of this cascade induces profound Th17/Treg imbalance, perpetuating colonic inflammation (Liang et al., 2013), whereas its inhibition restores immune equilibrium (Zhao et al., 2021).
This investigation systematically compares the therapeutic efficacy of butyrate versus FMT, elucidates butyrate’s mechanistic suppression of DSS-induced NF-κB/IL-6/STAT3 hyperactivation, and deciphers its immunometabolic regulation of Th17/Treg dynamics. Complementary in vitro evidence confirms butyrate’s preferential differentiation of naïve CD4 + T cells from Inflammatory bowel disease (IBD) patients toward Tregs rather than Th17 lineages (Wen et al., 2021) - a shift proven critical for restoring mucosal immune tolerance (Lv et al., 2018; Tong et al., 2021). We thus propose that butyrate-mediated Th17/Treg rebalancing in UC murine models is mechanistically rooted in NF-κB/IL-6/STAT3 pathway inhibition. Furthermore, strategic supplementation of butyrate-producing bacteria or exogenous butyrate during FMT may synergistically enhance UC remission rates.
This study established acute and chronic UC murine models to investigate the immunological mechanisms underlying butyrate and gut microbiota interventions. By employing combined butyrate administration and FMT, we systematically elucidated the mechanistic interplay between microbial metabolites and Th17/Treg equilibrium. Through multidimensional analysis of butyrate-mediated immunomodulation and microbiota dynamics, this work aims to identify phase-specific therapeutic windows and develop personalized microbiota-targeted regimens for optimized UC management.
Materials and methodsReagents
DSS with a molecular weight of 36–50 kDa was purchased from MP Biomedicals. Ltd. Rabbit anti-NF-κB p65, anti-STAT3 polyclonal antibodies were purchased from Jiangsu Meimian industrial Co., Ltd. Fecal occult blood reagent was purchased from Shanghai Wei dysprosium Biotechnology Co., Ltd.
Animal and FMT
All specific pathogen-free (SPF) C57BL/6 mice (6–8 weeks old, 25 ± 2 g) were procured from Liaoning Changsheng Biotechnology Co., Ltd. The experimental protocol was approved by the Animal Ethics Committee of The First Affiliated Hospital of Harbin Medical University (Approval no. 2022122) and strictly adhered to ARRIVE guidelines. Fifty mice were stratified into five experimental groups (n = 10/group):blank control group, DSS group, DSS + FMT group, DSS + butyrate group and DSS chronic group. All mice except the blank control group drank 3% DSS (molecular weight 36,000–50,000 Da, MP Biomedicals, CA, USA) solution for 7 days, and all of them were replaced with mineral water after 7 days. Mice in DSS + butyrate group were given 0.5% sodium butyrate solution (Sigma-Aldrich, St. Louis, MO, USA) by gavage every day, while mice in DSS + FMT group were given fecal bacteria filtrate of blank control group by gavage every day. The chronic DSS group drank 2.5%DSS alternately for three cycles (namely, the 1st to 5th, 11th to 15th, 21st to 25th days, and the rest time). For 30 days, the other mice were given normal saline by gavage, and the amount of gavage was 0.2 mL. On the 14th day, the mice were killed, and the colon tissue and spleen of the mice were taken for subsequent analysis. The body weight, fecal occult blood, and water consumption of mice were recorded daily during the experiment. Following 14-day interventions, fecal samples were collected for microbial analysis, colon tissues and splenic lymphocytes were harvested for histopathological/immunological evaluations.
Fresh fecal filtrate was prepared daily: Fresh feces from 5 to 7 healthy control mice (defecation stimulated by gentle abdominal massage) were collected into sterile 15-mL tubes. Five volumes of anaerobic PBS were added, followed by 10-min static incubation under oxygen-free conditions. After thorough vortexing, the suspension was filtered through sterile gauze to remove particulate matter. Recipient mice received 1 μL/10 g body weight of the filtrate via oral gavage.
Disease activity index (DAI) score
Mice were scored according to daily body weight change, fecal characteristics, and bleeding, and the DAI score was obtained by dividing the three total scores by three. The specific scoring criteria are shown in Table 1.
Disease activity index (DAI) scores.
Weight loss
Stool consistency
Bleeding stool
Score
No weight loss
Normal
Normal
0
Decrease of 1–5%
1
Down 5–10%
Loose
Occult blood positive
2
Down 10–15%
3
Decrease >15%
Watery
Dominant bleeding
4
HE staining
Colonic tissue sections (4-μm-thick) were prepared and subjected to hematoxylin and eosin (H&E) staining following a standard protocol. Histopathological scoring was performed using the criteria outlined in Table 2 to assess colitis severity.
To evaluate inflammatory factor expression in colonic tissues, IHC staining was performed. 4-μm colon tissue sample underwent deparaffinization, antigen retrieval, and endogenous peroxidase inactivation. After dewaxing, antigen repair and endogenous peroxidase removal, 4 μm colon tissue samples were incubated with NF-κB p65, STAT3 and IL-6 primary antibody (HUABIO, Hangzhou, China), followed by secondary antibody incubation and DAB staining, which were observed under microscope and scored: three high-magnification visual fields were selected and scored according to the staining degree and positive range. The negative criterion is that the staining is light yellow and the number of positive cells is <: 10%. The criterion of weak positive is that the number of positive cells accounts for 10–25% and the staining is yellow; Positive is between weak positive and strong positive; Strong positive means that the number of positive cells is-50%, and the color intensity is brown; In statistical analysis, the negative score is 0; Weak positive score is 1 point; Positive score is 2 points; A strong positive score is 3 points.
Flow cytometry
DNA from colon tissue was extracted, and DNA integrity detection and PCR amplification were carried out. Both ends of DNA were fixed respectively, and DNA clusters were generated by amplification. dNTP and DNA polymerase with fluorescent labels were added, and fluorescence signals were collected during the synthesis process to obtain sequence information, which was analyzed on Majorbio platform. To analyze the proportions of Treg and Th17 cells within splenic CD4 + T lymphocytes by using polyspecific stimulators, spleens were homogenized into single-cell suspensions, and the concentration was adjusted to 1*106/ml. Leukocyte Activation Cocktail (BD Biosciences, CA, USA) was added to each ml of single cell suspension, and it was stimulated at 37°C and 5% CO2 for 6 h. Fixable Viability Stain 780 (BD Biosciences) was incubated for 30 min at room temperature in the dark, so as to distinguish between cell life and death. Labeling cell surface antibody, adding CD4 antibody labeled by FITC and CD25 antibody labeled by PE (BD Biosciences), and incubating at room temperature for 30 min. Add fixed membrane-breaking solution (BD Biosciences) and incubate in the dark for 50 min at 4°C, then stain the cells, add IL-17 antibody labeled with PE CF594 and FOXP3 antibody labeled with Alexa Fluor 647, incubate in the dark for 50 min at 4°C, and immediately detect on the computer after staining.
16S rRNA sequencing
DNA from colon tissue was extracted, and DNA integrity detection and PCR amplification were carried out. Both ends of DNA were fixed respectively, and DNA clusters were generated by amplification. dNTP and DNA polymerase with fluorescent labels were added, and fluorescence signals were collected during the synthesis process to obtain sequence information, which was analyzed on Majorbio platform.
Fecal sample processing and gas chromatography analysis
Approximately 0.05 g of murine fecal sample was homogenized in 1 mL of pre-chilled PBS on ice for 3 min using a tissue homogenizer. Ultrasound at 4°C for 15 min. Centrifuge at 13000 r/min for 10 min. Take 0.5 mL of supernatant and pass it through 0.45 μm filter membrane for testing. Chromatographic conditions are as follows: N2 is used as carrier gas, chromatographic column: Agilent DB-23 (60 m × 0.25 mm × 0.25 μm), inlet temperature: 270°C, detector temperature: 280°C, H2 flow rate: 50 mL/min, N2 flow rate: 30 mL/min, air flow rate: 500 mL/min, split ratio:. Column box: keep the initial temperature of programmed temperature at 80°C for 4 min, then raise it to 180°C at 10°C/min, keep it for 1 min, flow rate: 2 mL/min, and sample volume: 2 μ l.
Statistical analyses
Statistical analyses were performed using SPSS 25.0 (IBM Corp., Armonk, NY, USA). Continuous variables with normal distribution were expressed as mean ± standard deviation (SD), while non-normally distributed data were presented as median and interquartile range (IQR). For multi-group comparisons meeting normality, independence, and homogeneity of variance assumptions, one-way ANOVA was applied, followed by Fisher’s Least Significant Difference (LSD) post-hoc tests for pairwise comparisons and rank sum test is used for the comparison of non-normal distribution data. When p < 0.05, the difference is considered to be statistically significant.
ResultsInflammation and flora characteristics of acute and chronic UCSpecies diversity analysis
A Rank-Abundance curve with a slower descent rate and broader extension range indicates higher species diversity. As demonstrated in Figure 1, the chronic group exhibited the lowest species richness, whereas the FMT group displayed the highest species richness. Alpha diversity analysis is shown in Figure 2. The acute group showed significantly decreased Chao1, ACE, and Shannon indices compared to the blank control group (P < 0.05), while the Simpson index was markedly increased, indicating reduced richness and diversity of the gut microbiota during acute DSS modeling. In the chronic group, ACE and Chao1 indices were comparable to the control, but Shannon index decreased and Simpson index increased, suggesting a partial decline in microbial diversity. Following FMT intervention, all indices (ACE, Chao1, Shannon, and Simpson) returned to levels similar to the control group, demonstrating that FMT effectively restored microbial richness and diversity.
Rank-abundance curve. The x-axis represents the ranked order of species (or OTUs) at a given taxonomic level, while the y-axis indicates the relative percentage abundance of species at that taxonomic level. The terminal point of the curve’s extension on the x-axis corresponds to the species count within the sample. A smooth decline of the curve indicates higher species diversity in the sample, whereas a steep, abrupt decline suggests a predominance of dominant bacterial taxa with reduced diversity.
Line graph showing relative abundance versus OTU level rank for different treatments, each represented by a colored line: red for CON, blue for DSS, green for Butyrate, yellow for FMT, and purple for Chronic DSS. The graph illustrates decreasing relative abundance with increasing OTU rank.
Gut microbiota α-diversity analysis. (A) ACE index, (B) Chao1 index, (C) Shannon index, (D) Simpson index (p < 0.05, *p < 0.01, **p < 0.001). The Chao1 and ACE indices reflect species richness, with higher values indicating greater taxonomic richness. In contrast, the Shannon and Simpson indices characterize microbial diversity. A higher Simpson index combined with a lower Shannon index typically signifies reduced diversity due to dominance by specific taxa (paradoxical interpretation requires validation via complementary metrics).
Bar charts labeled A to D, each displaying results of the Kruskal-Wallis H test for different diversity indices. A shows the Ace index, B the Chao index, C the Shannon index, and D the Simpson index. Each chart compares four groups: con (control), test1, test2, and test3, with varying bar heights and error bars indicating variability.Microbiota analysis
Microbiota analysis revealed 224 core operational taxonomic units (OTUs) across all five experimental groups. Group-specific OTU distributions were quantified as follows: CON group exhibited 65 unique OTUs (583 total), acute phase group 26 (449), FMT-treated group 29 (597), and chronic phase group 28 (525) (Figure 3A). Venn diagram analysis demonstrated substantial divergence in OTU composition between the acute phase and CON groups, whereas the FMT group showed restored microbial profiles closely resembling the CON group (Figure 3B), indicating enhanced α-diversity and microbiota normalization post-FMT intervention. Furthermore, chronic phase microbiota exhibited progressive compositional normalization toward CON group patterns compared to the acute phase cohort (Figure 3C).
Gut microbiota compositional analysis. (A) Four-group Venn diagram, (B) Venn diagram comparing acute, FMT, and CON groups, (C) Venn diagram comparing acute, chronic, and CON groups, (D)β-diversity analysis via PCoA, (E) NMDS ordination with community composition heatmap.
Three Venn diagrams labeled A, B, and C compare data from control (con) and test groups (test1, test3, test4), showing overlapping and unique values. Below A, a bar graph depicts counts for con (583), test1 (449), test3 (597), and test4 (525). Scatter plots D and E show PCoA and NMDS analyses on OTU level, highlighting group differences with colored ellipses and points for each test and control.<italic>β</italic>-diversity analysis
Principal Coordinates Analysis (PCoA) revealed significant intergroup microbiota divergence, with distinct clustering of the CON group, acute phase cohort, and chronic phase cohort into three separate groups (Figure 3D). Both acute and chronic phase groups exhibited marked compositional deviations from the CON group. Non-metric Multidimensional Scaling (NMDS) analysis further demonstrated a convergence trend of chronic phase microbiota toward CON group clustering (stress value <0.15), suggesting progressive microbial normalization during disease chronicity (Figure 3E).
Genus-level compositional of gut microbiota in acute and chronic colitis models
Genus-Level Compositional Analysis of Gut Microbiota in Acute and Chronic Colitis Models as shown in Figure 4, acute colitis cohorts exhibited significant microbial dysbiosis at the genus level compared to CON controls. The relative abundances of Bacteroides and Escherichia-Shigella were markedly increased (p < 0.05), while Ligilactobacillus, Lactobacillus, and Limosilactobacillus were substantially depleted (Figures 4A–C).
Genus-level taxonomic divergence in gut microbiota of UC mice. (A) Taxonomic composition histogram at genus level, (B) cross-group differential abundance analysis, (C) CON vs. acute group differential testing, (D) CON vs. chronic group differential testing, (E) acute vs. chronic group differential testing.
Composite image of several bar plots analyzing community abundances and statistical tests. Panel A shows a community bar plot analysis with various genera represented in stacked bars. Panel B displays a Kruskal-Wallis H test bar plot highlighting mean proportions across different tests. Panels C, D, and E feature Wilcoxon rank-sum test bar plots at the genus level, showing proportions and differences with confidence intervals, comparing control and test groups. Each plot uses different color codings to represent groups and significant p-values.
In contrast, chronic-phase microbiota displayed restoration patterns: Escherichia-Shigella enrichment was absent, and Lactobacillus abundance rebounded to levels approaching healthy baselines (Figures 4A,B,D). Notably, FMT intervention effectively reconstructed microbial architecture, restoring Lactobacillus, Ligilactobacillus, and Limosilactobacillus to near-healthy relative abundances at the genus level (Figures 4A,E).
Species-level compositional analysis of gut microbiota
Comparative analysis at the species resolution revealed distinct dysbiosis patterns. Acute colitis cohorts exhibited significantly increased relative abundances of potential pathobionts Escherichia coli and Bacteroides vulgatus compared to CON controls (p < 0.05), concurrent with depletion of beneficial Lactobacillus murinus, Lactobacillus johnsonii, unclassified Lactobacillus spp., and Lactobacillus reuteri (Figures 5A,B).
Species-level taxonomic divergence in gut microbiota of UC mice. (A) Species composition profiling (top 20 taxa; z-score normalized), (B) cross-group differential analysis (Kruskal-Wallis, FDR-adjusted), (C) CON vs. acute group comparison (Mann–Whitney U), (D) acute vs. chronic group comparison (ANCOM-BC).
Grouped image consists of bar plots analyzing microbial communities at the species level. Panel A shows community abundance percentages for control and test groups. Panel B displays a Kruskal-Wallis H test bar plot with mean proportions and p-values for different species, highlighting significant differences. Panels C and D present Wilcoxon rank-sum test bar plots comparing proportions between test groups with 95% confidence intervals.
Chronic-phase microbiota demonstrated partial restoration, with Lactobacillus murinus, Bifidobacterium animalis, and Lactobacillus reuteri abundances exceeding CON baselines (p < 0.05), while Escherichia coli showed no significant enrichment (Figure 5D). Notably, chronic-phase specimens exhibited marked recovery of Lactobacillus johnsonii, Lactobacillus murinus, and Lactobacillus reuteri alongside attenuated Escherichia coli and Bacteroides vulgatus levels relative to acute-phase counterparts (p < 0.05).
FMT effectively reconstituted species-level profiles, eliminating pathogenic enrichment and restoring microbiota compositions to near-CON configurations (Figures 5A,B).
Timing of FMT (acute vs chronic UC)Histopathological features of acute and chronic UC via HE staining
In the control (CON) group, colonic mucosa exhibited structural integrity without ulceration, edema, or hyperemia. Crypts were tightly arranged with abundant goblet cells, and no significant inflammatory infiltration was observed. The acute UC group displayed colonic ulcers, mucosal edema, goblet cell depletion, crypt distortion, and varying degrees of inflammatory cell infiltration in the mucosa and submucosa, accompanied by epithelial damage and crypt abscess formation in some regions. In contrast, the chronic UC group showed attenuated mucosal edema and ulceration compared to the acute group, alongside epithelial hyperplasia, mucosal fibrosis, lymphoid hyperplasia, and mild-to-moderate inflammatory infiltration. Focal granulomatous changes and tumor-like alterations were occasionally noted. Notably, the FMT group demonstrated reduced colonic inflammation compared to both acute and chronic UC groups, characterized by diminished submucosal inflammatory infiltration and alleviated mucosal edema (Figure 6).
Histological images in four panels labeled A, B, C, and D. Panel A shows dense purple-stained cells with a circular formation. Panel B displays a section with organized glandular structures. Panels C and D exhibit loose connective tissue with scattered cell infiltration, indicating inflammation. The images are stained with hematoxylin and eosin, showcasing different tissue and cell structures.Proportions of Th17 and Treg cells among CD4 + T cells in acute and chronic UC groups
As shown in Table 3, the control group exhibited the lowest proportion of Th17 cells. In contrast, the acute UC group demonstrated a significant increase in Th17 cell frequency compared to all other groups (p < 0.05), with no statistically significant differences observed among the remaining groups (Figure 7A). Regarding Treg cell proportions, both the FMT and acute UC groups showed a reduction relative to the control group, reaching statistical significance (Figure 7B). The Th17/Treg ratio was markedly elevated in the acute DSS group, significantly higher than in the control and chronic UC groups (p < 0.05) (Figure 7C). The gating strategy for flow cytometry is illustrated in Figure 8A, with representative flow cytometry plots for Th17 and Treg cell proportions across groups shown in Figures 8B,C.
Treg and Th17 cell frequencies with Th17/Treg ratio across experimental groups.
Group
Th17 (%)
Treg (%)
Th17/Treg
Control
0.25 ± 0.12
4.06 ± 1.28
0.07 ± 0.05
DSS group
0.67 ± 0.33
1.71 ± 0.49
0.39 ± 0.12
DSS + FMT group
0.35 ± 0.17
2.03 ± 1.14
0.20 ± 0.08
Chronic DSS group
0.34 ± 0.12
3.07 ± 1.44
0.12 ± 0.02
Proportions of Th17 and Treg lymphocytes within CD4+T cell populations. (A)Th17 cell percentage; (B) Treg cell percentage; (C) Th17/Treg ratio.
Bar graphs comparing effects on immune cells under different conditions: A) Percentage of CD4+IL-17A+ cells is highest in DSS and decreased in DSS + FMT and Chronic DSS groups. B) Treg percentage is highest in control and Chronic DSS groups. C) Th17/Treg ratio is highest in DSS and decreases with DSS + FMT and Chronic DSS. Statistical significance is indicated by asterisks.
Flow cytometric analysis of splenic single-cell suspensions. (A) Gating strategy for Th17 and Treg cells; (B) percentage of Th17 cells in CD4+T cells; (C) percentage of Treg cells in CD4+ T cells.
Flow cytometry data displayed in grids labeled A, B, and C. In panel A, IL-17 expression is shown within a large square gate with sub-quadrants labeled Q1 to Q4. Panels B and C depict multiple conditions: FMT, Butyrate, Chronic DSS, CON, and DSS, each showing scatter plots with gated IL-17 expressions. Numerical values represent percentages in specific areas of each plot, indicating levels of expression under different conditions.Role and mechanism of butyrate in the anti-inflammatory process of UC (possible mechanism of balancing TRG/TH17)
Gas chromatography was employed to quantify fecal butyrate levels in mice subjected to FMT or butyrate intervention. As shown in Table 4, the DSS group exhibited a significant reduction in fecal butyrate content compared to the control group (p < 0.001). Conversely, both the FMT and butyrate-treated groups demonstrated markedly increased butyrate levels relative to the DSS group (p < 0.01 and p < 0.001, respectively).
Fecal butyrate content across experimental groups.
Group
Butyrate (mg/g)
Control
1.36 ± 0.38
DSS group
0.42 ± 0.01**
DSS + Butyrate group
2.01 ± 0.43* ##
DSS + FMT group
1.16 ± 0.21#&
*P < 0.01 vs. Control; **p < 0.001 vs. Control; #p < 0.01 vs. DSS group; ##p < 0.001 vs. DSS group; &p < 0.001 vs. DSS + Butyrate group.
Proportions of Treg and Th17 cells in splenic lymphocytes under FMT and butyrate interventions
As illustrated in Figure 9 and Table 3, compared to the control group, DSS-treated mice exhibited a significant increase in Th17 cell proportion (p < 0.01), a marked reduction in Treg cells (p < 0.01), and a pronounced elevation in the Th17/Treg ratio (p < 0.001). In the butyrate-treated group, Th17 cell frequency decreased (p < 0.05), Treg proportion increased (p < 0.05), and the Th17/Treg ratio declined significantly (p < 0.001) relative to the DSS group. Similarly, the FMT group showed a substantial reduction in Th17 cells (p < 0.01) and Th17/Treg ratio (p < 0.01) compared to the DSS group. To evaluate the relationship between butyrate and Th17/Treg balance, correlation analysis revealed a negative association between intestinal butyrate concentration and Th17/Treg ratio (p = 0.0007) (Table 5).
Flow cytometric analysis of Th17 and Treg cells in splenic single-cell suspensions. (A) Percentage of CD4+IL-17A+ T cells in CD4+ T cell populations; (B) percentage of CD4+CD25+FoxP3+ Treg cells in CD4+ T cell populations (left to right: Control, DSS group, DSS + Butyrate group, DSS + FMT group); (C) correlation between fecal butyrate concentration and Th17/Treg ratio.
Flow cytometry data and a scatter plot analysis are presented. Panels A and B display flow cytometry plots comparing control, DSS, DSS plus butyrate, and DSS plus FMT treatments. The x-axes represent IL-17A PE CF594 and CD25 PE, while the y-axes represent CD4 FITC and FOXP3 APC. Panel C shows a scatter plot illustrating an inverse relationship between butyrate concentration and Th17/Treg ratio, with a regression line equation of Y equals negative 0.1466 times X plus 0.3855 and an R squared value of 0.4830, indicating a significant correlation (P equals 0.0007).
Th17 and Treg cell frequencies with Th17/Treg ratios across experimental groups.
Group
Th17 (%)
Treg (%)
Th17/Treg
Control
0.25 ± 0.13
4.06 ± 1.28
0.07 ± 0.05
DSS group
0.70 ± 0.34**
1.77 ± 0.51**
0.40 ± 0.13***
DSS + Butyrate group
0.37 ± 0.09#
3.00 ± 1.30
0.14 ± 0.07###
DSS + FMT group
0.35 ± 0.17#
2.03 ± 1.14**
0.20 ± 0.08## *
*P < 0.05 vs. Control; **p < 0.01 vs. Control; ***p < 0.001 vs. Control; #p < 0.05 vs. DSS group; ##p < 0.01 vs. DSS group; ###p < 0.001 vs. DSS group.
Comparative roles of butyrate and gut microbiota in anti-inflammatory processesEffects of FMT and butyrate interventions on general health and body weight
Compared to the control group, DSS-treated mice exhibited significant weight loss (p < 0.001). Butyrate supplementation markedly attenuated this weight reduction (p < 0.01 vs. DSS group), whereas FMT showed a non-significant trend toward weight recovery (Figure 10A). The DSS group also demonstrated a significantly elevated Disease Activity Index (DAI) score compared to controls (p < 0.001). Both FMT and butyrate treatments reduced DAI scores, though these values remained statistically comparable to the control group (p > 0.05) (Figure 10B). Macroscopically, DSS mice displayed severe colonic ulceration, mucosal hyperemia, edema, and shortened colon length (p < 0.01 vs. control). Butyrate and FMT interventions restored colon length to near-normal levels (Figures 10C,D), with minimal ulceration and only mild mucosal erosion or edema.
Butyrate and FMT alleviate weight loss and ameliorate colonic inflammation in UC mice. (A) Body weight at Day 14; (B) Disease Activity Index (DAI) scores; (C, D) Colon length measurements. *p < 0.05, **p < 0.01;***p < 0.001 vs. Control group; #p < 0.05, ##p < 0.01, ###p < 0.001 vs. DSS group.
Graphs and images demonstrate the effects of different treatments on weight, disease activity index (DAI), colon length, and physical colon appearance in a study with groups: Control, DSS, DSS plus Butyrate, and DSS plus FMT. Panel A shows average weight, B shows DAI scores, C shows colon length, and D displays physical colon comparison. Statistical significance is indicated by asterisks and hashes.Effects of FMT and butyrate on histopathology and HE staining
Control mice exhibited intact mucosal architecture with smooth surfaces. In contrast, DSS-treated mice showed disrupted glandular structures, severe neutrophilic infiltration, goblet cell depletion, and lamina propria vascular proliferation, resulting in significantly higher histopathological scores (p < 0.01 vs. control). Both butyrate and FMT interventions ameliorated these pathological changes, significantly lowering histopathological scores (p < 0.05) (Figure 11).
Histopathological evaluation of colonic tissues (H&E staining). (A) control group; (B) DSS group; (C) DSS + Butyrate group; (D) DSS + FMT group; (E) histopathological scoring bar plot. *p < 0.001 vs. Control; ##p < 0.01 vs. DSS group; ###p < 0.001 vs. DSS group.
Panels A to D show histological sections of colon tissue under different treatments, with varying degrees of tissue damage. Panel E presents a bar graph comparing histologic damage scores across control, DSS, DSS plus butyrate, and DSS plus FMT groups. The scores are significantly higher in DSS and treatment groups compared to the control, with statistical annotations indicating levels of significance.Effects of FMT and butyrate on immunohistochemical staining in colonic tissue
DSS treatment significantly upregulated the expression of NF-κB p65, STAT3, and IL-6 in colonic tissues compared to controls (p < 0.01). Both butyrate and FMT interventions suppressed the expression of these inflammatory markers (p < 0.05 vs. DSS group) (Figures 12A–C).
Microscopic images labeled A, B, and C, each with sub-images i to iv, show tissue samples. Varying staining intensities highlight cellular structures, with shades of brown and blue indicating different levels of staining across samples. Scale bars are present in each sub-image for reference.Synergistic effects of butyrate and gut microbiotaPhylum-level composition of gut microbiota under FMT and butyrate interventions
The dominant phyla across all four groups were Firmicutes, Bacteroidota, Proteobacteria, and Actinobacteriota. Intergroup comparisons revealed that butyrate-treated mice exhibited significantly increased abundances of Firmicutes and Desulfobacterota, alongside reduced proportions of Proteobacteria, Deferribacterota, and Campylobacterota compared to the DSS group (p < 0.05). Relative to the control group, butyrate intervention markedly decreased Campylobacterota while elevating Desulfobacterota and Proteobacteria (Figures 13A,B).
Bar plot analysis showing community abundance at the phylum level and a Kruskal-Wallis H test plot. Part A displays stacked bars for control and test groups (test1, test2, test3) with phyla like Firmicutes and Proteobacteria. Part B presents horizontal bars comparing mean proportions of specific phyla across conditions, including p-value annotations.Species-level composition of gut microbiota under FMT and butyrate interventions bacteroides
At the species level, the FMT-treated control mice demonstrated increased abundances of Lactobacillus johnsonii (potentially enhancing barrier function and immune regulation), Muribaculaceae (key mucin degraders and SCFA producers supporting gut homeostasis), and Turicibacter (implicated in bile acid metabolism and potentially anti-inflammatory), coupled with reduced proportions of Escherichia coli (often pro-inflammatory and barrier-disrupting, especially AIEC pathovars) and Treponema (associated with dysbiosis) compared to untreated controls. Similarly, FMT-treated DSS mice resulted in elevated levels of Lactobacillus johnsonii, Muribaculaceae, and Turicibacter, alongside decreased abundances of Escherichia coli and Romboutsia ilealis (a taxon frequently enriched in human IBD patients). Butyrate-treated control mice significantly increased the proportions of Faecalibaculum rodentium (a lactate producer potentially contributing to butyrate generation), Dubosiella (an acetate producer with anti-inflammatory potential), and Turicibacter, while diminishing Helicobacter rodentium (a potent murine pathogen known to drive colitis). Notably, Butyrate-treated DSS mice demonstrated a more pronounced shift, characterized by increased abundances of Faecalibaculum rodentium, Dubosiella, Turicibacter, and Lactobacillus murinus (another immunomodulatory Lactobacillus species), concurrent with significant reductions in Escherichia coli and Helicobacter rodentium (Figures 14A,B, 15). These collective shifts toward taxa associated with SCFA production, barrier enhancement, and anti-inflammatory effects, and away from known pathobionts and inflammation drivers, likely underpin the observed therapeutic benefits.
Panel A shows a stacked bar plot depicting species-level community abundance across four groups: con, test1, test2, and test3. Each bar is color-coded for different species such as Lactobacillus murinus and Escherichia coli. Panel B displays a Kruskal-Wallis H test bar plot illustrating mean proportions of species, including significant p-values. The color legend applies to both panels.
Hierarchical clustering tree on Species level Group-specific specie abundance (x-axis: relative abundance; y-axis:groups) Con: Control; Test2: Control + Butyrate group; Test3: Control + FMT group.
Hierarchical clustering tree on species level, displaying the composition of different microbiota samples. The tree groups samples by similarity, with colored bars representing various taxa. Each color corresponds to a specific bacterial species listed in the legend on the right. Sample groups are distinguished by colored outlines: red for "Con," blue for "test2," and green for "test3." The x-axis indicates relative abundance from zero to one.DiscussionInflammatory and microbiota characteristics in acute vs. chronic UC
UC is an idiopathic, chronic inflammatory disease of the colonic mucosa, originating in the rectum and potentially extending to the entire colon (Ordás et al., 2012). Intestinal microbial dysbiosis plays a crucial role in UC pathogenesis (Chang, 2020). In this study, we successfully established acute and chronic UC mouse models using 3 and 2.5% DSS solutions, respectively. FMT was employed as an intervention to modulate gut microbiota, and colonic tissues were collected at the experimental endpoint. 16S rRNA amplicon sequencing revealed distinct microbiota profiles across groups. Acute UC mice exhibited reduced gut microbiota richness and diversity, whereas chronic UC mice showed only a moderate decline in diversity. Venn analysis demonstrated that operational taxonomic unit (OTU) composition in the acute UC group differed significantly from the control (CON) group, while the FMT group’s OTU profile closely resembled that of the CON group, indicating restored microbiota diversity and composition post-FMT (Figure 2B). Notably, the chronic UC group’s microbiota composition was closer to the CON group compared to the acute UC group (Figure 2C). β-diversity analysis via principal coordinates analysis (PCoA) and non-metric multidimensional scaling (NMDS) revealed distinct clustering among the CON, acute UC, and chronic UC groups, confirming marked differences in microbiota composition between UC models and controls. Post-FMT intervention, the FMT group clustered closer to the CON group, and chronic UC mice exhibited a tendency toward CON-like microbiota compared to acute UC mice (Figures 3D,E).
At the genus level, the acute UC group showed increased relative abundances of Bacteroides and Escherichia-Shigella but reduced Ligilactobacillus, Lactobacillus, and Limosilactobacillus compared to the CON group (Figures 4A–C; p < 0.05). In contrast, the chronic UC group displayed restored Lactobacillus levels without Escherichia-Shigella enrichment, alongside reduced Dubosiella abundance (Figures 4A,B,D). Species-level analysis revealed significant increases in Lactobacillus johnsonii, Lactobacillus murinus, and Lactobacillus reuteri in chronic UC mice, alongside decreased Escherichia coli and Bacteroides vulgatus (Figure 5D; p < 0.05). These findings suggest a “self-healing” tendency in gut microbiota during disease progression. Post-acute phase, mucosal repair and reduced inflammatory mediators create a microenvironment conducive to probiotic proliferation. Restoration of butyrate-producing bacteria further promotes microbiota equilibrium, highlighting the importance of timely probiotic interventions during disease remission.
Timing of FMT in acute vs. chronic UC
Most animal colitis models mimic acute UC, whereas clinical UC is characterized by alternating relapse and remission phases (Ordás et al., 2012). We established a chronic UC model using cyclical 2.5% DSS administration. Histopathological analysis revealed acute UC features (epithelial damage, mucosal edema, ulceration, goblet cell loss, and inflammatory infiltration), whereas chronic UC mice exhibited epithelial hyperplasia, fibrosis, lymphoid follicle hyperplasia, and milder inflammation. Both models showed reduced microbiota richness and diversity versus controls, though chronic UC mice exhibited higher α-diversity and closer OTU overlap with the CON group (PCoA and Venn analyses). Chronic UC mice also demonstrated restored Firmicutes, Lactobacillus, and Ligilactobacillus abundances without pathogenic Escherichia-Shigella enrichment (p < 0.05).
Flow cytometry revealed elevated Th17 cells, reduced Treg cells, and Th17/Treg imbalance in acute UC mice. In chronic UC, Treg proportions partially recovered, and Th17/Treg ratios decreased (p < 0.05). Th17 cells promote inflammation via IL-17, while Tregs maintain immune tolerance via TGF-β1 and IL-10 (Yamada et al., 2016; Noack and Miossec, 2014). These findings suggest gradual immune homeostasis restoration during chronic UC. Collectively, chronic UC mice exhibit microbiota and immune profiles closer to healthy controls, supporting optimal post-acute intervention timing for microbiota modulation.
Role and mechanisms of butyrate in UC anti-inflammation (balancing Th17/Treg)
Butyrate, a microbiota-derived metabolite with anti-inflammatory properties (Gao et al., 2023; Tye et al., 2018; Chang et al., 2014), ameliorates colitis by modulating Th17/Treg balance. Our data demonstrate that oral butyrate supplementation promotes butyrate-producing bacteria, reduces splenic Th17/Treg ratios, and alleviates UC. DSS-induced colitis models reliably replicate UC features without direct adaptive immune activation (Saleh and Elson, 2011). DSS-treated mice exhibited weight loss, bloody stools, elevated Th17, and reduced Tregs. Th17/Treg imbalance is central to UC immunopathology (Luo et al., 2017; Lee et al., 2018), and butyrate significantly reversed DSS-induced Th17/Treg elevation. Consistent with prior studies, butyrate promotes Treg differentiation while inhibiting Th17 polarization in IBD patients (Wen et al., 2021), restoring immune tolerance (Lv et al., 2018; Tong et al., 2021).
Butyrate’s anti-inflammatory mechanism involves suppression of the NF-κB/IL-6/STAT3 pathway. DSS activated NF-κB/IL-6/STAT3 signaling, which is initiated by damaged epithelial cells and innate immune cells (e.g., macrophages), releasing IL-6 to activate STAT3 in adaptive immune cells. Butyrate inhibited this cascade by stabilizing IκBα, blocking NF-κB nuclear translocation, and suppressing STAT3 activation (Kelly et al., 2004). IL-6 and STAT3 drive Th17 differentiation while inhibiting Tregs (Harbour et al., 2020; Durant et al., 2010; Bettelli et al., 2006), thereby skewing Th17/Treg balance and perpetuating inflammation (Liang et al., 2013; Zhao et al., 2021). Our findings suggest butyrate restores Th17/Treg balance via NF-κB/IL-6/STAT3 inhibition.
Comparative roles of butyrate vs. gut microbiota in anti-inflammation
Comparing DSS + FMT and DSS + butyrate groups, butyrate outperformed FMT in mitigating weight loss (p < 0.01; Figure 10A). Both interventions restored colon length (Figures 10C,D), improved histopathology (p < 0.05; Figure 11), and suppressed NF-κB p65, STAT3, and IL-6 expression (p < 0.05; Figure 12). Butyrate significantly reduced Th17/Treg ratios (p < 0.001) versus FMT (p < 0.01), with higher fecal butyrate levels. FMT restored microbiota to near-normal composition (Figures 3D,E).
Butyrate enriches beneficial taxa and suppresses pathogens, whereas FMT introduces donor-derived taxa. Dynamic interactions between butyrate, microbiota, and host immunity suggest synergistic therapeutic potential. Future studies should optimize combined regimens to enhance personalized UC management.
Synergy between butyrate and gut microbiota
UC pathogenesis involves reduced butyrate-producing bacteria (Machiels et al., 2014). Remarkably, butyrate supplementation increased Lactobacillus johnsonii, Faecalibaculum rodentium, Turicibacter, and Dubosiella—a probiotic correlating with elevated butyrate, anti-inflammatory IL-10, and reduced pro-inflammatory cytokines [Interleukin1β[IL-1β], IL-6, TNF-α] (He et al., 2019; Gilley et al., 2022; Ke et al., 2019; Cox et al., 2017; Wan et al., 2021). Butyrate supplementation enriches butyrate-producing taxa (e.g., Dubosiella) and suppresses pathobionts (e.g., Campylobacter), creating a self-reinforcing cycle: elevated butyrate further promotes symbiont growth while inhibiting pathogens via luminal acidification and redox modulation (Million and Raoult, 2018). This synergy aligns with clinical evidence showing FMT responders exhibit increased butyrogenic bacteria (e.g., Lachnospiraceae, Roseburia) and elevated fecal butyrate (Fuentes et al., 2017). Butyrate reciprocally enriches these commensals by providing preferred carbon sources via cross-feeding (Szabó et al., 2017) and Inhibiting pathogenic competitors (Enterobacteriaceae) through HDAC suppression (Byndloss et al., 2017). This bidirectional crosstalk amplifies anti-inflammatory effects on Treg/Th17 balance.
Furthermore, we observed a significant reduction of Firmicutes in the gut of UC mice. Previous studies have demonstrated that decreased abundance of Firmicutes in UC patients is associated with intestinal dysfunction and inflammatory responses (Ananthakrishnan, 2020). Our data revealed that butyrate supplementation reversed this reduction in Firmicutes and alleviated colonic inflammation. Another bacterium markedly reduced by butyrate was Campylobacter, which typically colonizes the human oral cavity. Gastrointestinal colonization of Campylobacter has been linked to intestinal inflammation in UC patients, and the pSma1 plasmid identified in Campylobacter is associated with severe UC (Liu et al., 2020; Gemmell et al., 2018). The ameliorative effects of butyrate on DSS-induced colitis may be partially attributed to its ability to reduce pathogenic bacterial abundance and enhance the relative abundance of novel butyrate-producing probiotics, including Dubosiella.
Conclusion
Restoration of intestinal homeostasis is widely recognized as pivotal in treating gut-related disorders. However, emerging laboratory evidence suggests that restoring gut health extends beyond merely reestablishing microbial abundance and composition. Critical considerations now include temporal compatibility of microbiota with host mucosal immunity, nutritional requirements of commensal bacteria, immune-modulatory effects of microbial metabolites, and the dynamic interplay between disease progression and host resistance. This necessitates adaptive therapeutic strategies rather than static interventions.
In this study, through comprehensive investigations of gut microbiota, butyrate metabolism, Th17/Treg immune regulation, and NF-κB/IL-6/STAT3 inflammatory signaling in murine models of acute and chronic IBD, we identified therapeutic advantages of microbiota restoration during disease remission—particularly when Th17/Treg ratios are optimally balanced—and highlighted the synergistic role of butyrate. These findings provide experimental foundations for personalized modulation of the gut ecosystem in IBD. Future studies will refine the timing of microbial interventions, optimize butyrate administration protocols, classify functionally relevant bacterial taxa, and delineate temporal relationships between epithelial pathology and therapeutic responses, aiming to yield clinically actionable insights.
Data availability statement
The raw sequences generated by 16S rRNA sequencing have been deposited in the NCBI Sequence Read Archive (PRJNA1298535; SRA: SRP604534).
Ethics statement
The animal study was approved by Animal Ethics Committee of the First Hospital of Harbin Medical University. The study was conducted in accordance with the local legislation and institutional requirements.
The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by a grant from the Provincial Education Department Project (Grant no. LH2020H037) and 2023 Innovative Scientific Research Fund of The First Affiliated Hospital of Harbin Medical University (Grant no. 2023B13).
Conflict of interest
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.
Generative AI statement
The author(s) declare that no Gen AI was used in the creation of this manuscript.
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