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Tritrichomonas muris sensitizes the intestinal epithelium to doxorubicin-induced apoptosis

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  • 02/18/2026
Type of Material
Authors
    Nicolas V. Janto, Emory UniversityAntoine R. Gleizes, Emory UniversitySiyang Sun, Emory UniversityGurel Ari, Emory UniversityAdam D. Gracz, Emory University
Language
  • English
Date
  • 2024-08-09
Publisher
  • NIH
Publication Version
Copyright Statement
  • The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity.
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Final Published Version (URL)
Title of Journal or Parent Work
Start Page
  • 607206
Grant/Funding Agency
  • Emory University
  • NIH/NCI
  • NIH/NIGMS
  • NIH/NIDDK
Grant/Funding Information
  • This work was funded by the NIH/NIGMS under award number R35GM142503 (Gracz) and by the NIH/NIDDK under award number F31DK136254 (Janto). Research reported in this publication was supported in part by the Cancer Tissue and Pathology Shared Resource of Winship Cancer Institute of Emory University and NIH/NCI under award number P30CA138292, and by the Emory University Integrated Cellular Imaging Core Facility (RRID:SCR_023534).
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Abstract
  • Doxorubicin (DXR) is a widely used chemotherapy drug that can induce severe intestinal mucositis. While the influence of gut bacteria on DXR-induced damage has been documented, the role of eukaryotic commensals remains unexplored. We discovered Tritrichomonas muris (Tmu) in one of our mouse colonies exhibiting abnormal tuft cell hyperplasia, prompting an investigation into its impact on DXR-induced intestinal injury. Mice from Tmu-colonized and Tmu-excluded facilities were injected with DXR, and tissue morphology and gene expression were evaluated at acute injury (6 h) and peak regeneration (120 h) phases. Contrary to previous reports, DXR did not significantly alter villus height, crypt depth, or crypt density in any mice. However, we did observe apoptosis, measured by cleaved caspase 3 (CC3) staining, in intestinal crypts at 6 h post-DXR that was significantly higher in mice colonized by Tmu. Interestingly, while DXR did not alter the expression of active and facultative intestinal stem cell (ISC) marker genes in control mice, it significantly reduced their expression in Tmu+ mice. Tmu, but not DXR, is also associated with increased inflammation and expression of the type 2 cytokines IL-5 and IL-13. However, pre-treatment of intestinal organoids with these cytokines is not sufficient to drive elevated DXR-induced apoptosis. These findings highlight the significant influence of commensal microbiota, particularly eukaryotic organisms like Tmu, on intestinal biology and response to chemotherapy, underscoring the complexity of gut microbiota interactions in drug-induced mucositis.
Author Notes
  • Acknowledgements: We thank Drs. Roger Deal, Ken Moberg, Chris Scharer, Bing Yao, and members of the Gracz Lab for constructive discussions and critical reading of the manuscript. We also thank Dr. Peijan He for use of his tissue homogenizer, Dr. Brian Robinson for use of his color camera microscope to obtain images of H&E stained tissue sections, and Dr. Scott Magness for providing additional wild-type mice for experiments.
  • Author contributions: Nicolas V Janto: conceived and designed the experiments, performed experiments, analyzed data, interpreted results of experiments, prepared figures, drafted manuscript, edited and revised manuscript. Antoine R Gleizes: conceived and designed the experiments, performed experiments, analyzed data. Siyang Sun: performed experiments, analyzed data. Gurel Ari: performed experiments, analyzed data. Adam D Gracz: conceived and designed the experiments, edited and revised manuscript, approved final version of manuscript
  • Correspondence: Adam Gracz (agracz@emory.edu)
  • Competing interests: The authors declare no conflicts of interest
Keywords
Subject - Topics
  • Microbiology

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