Abstract Background The gut microbiota plays a pivotal role in maintaining intestinal homeostasis and mitigating inflammation. The orphan nuclear receptor ESRRA (estrogen-related receptor alpha) has been identified as a critical regulator of mitochondrial function and autophagy, yet its role in gut microbiota modulation and intestinal health remains unclear. Methods We investigated role of ESRRA in intestinal homeostasis using Esrra-deficient mice in a dextran sodium sulfate (DSS)-induced colitis model. Colitis severity is investigated through survival rate and body weight. Gut barrier function was evaluated using FITC-dextran. Autophagic flux was evaluated using qPCR and histological methods in HT-29 cell. ESRRA expression was also assessed in human ulcerative colitis (UC) tissue samples. Gut microbiota composition was analyzed through 16S rRNA sequencing using QIIME2. Differential abundant taxa were identified using LEfSe analysis. Results Esrra-deficient mice exhibited heightened susceptibility to DSS-induced colitis, with body weight loss, disrupted gut barrier integrity, and elevated inflammation (Figure 1A-E). Autophagy regulators and markers Tfeb, Vps11, and Uvrag were significantly decreased in Esrra-deficient mice after DSS treatment (Figure 1F). Indeed, the mCherry-EGFP-LC3B reporter system showed secretion of autophagosome was not properly activated in Esrra-deficient cells (Figure 1G). ESRRA was also decreased in UC patients from GSE9452 and GSE11223 studies (Figure 1H). Immunohistochemical staining showed ESRRA was significantly reduced in UC colon tissues and gene set enrichment analysis showed autophagy is correlated with ESRRA expression (Figure 1I, J). Esrra-deficient mice also displayed altered gut microbiota composition, characterized by increased microbial diversity (Figure 2A-D). Unweighted UniFrac distance-based PCoA showed a significant cluster of each group (Figure 2E). LEfSe analysis showed Alloprevotella was significantly decreased in Esrra-deficient mice before/after DSS treatment (Figure 2F, H). Barnesiella and Anaserofustis were significantly decreased by DSS treatment in WT and KO mice (Figure 2G, I). Conclusion This study, published in the journal Autophagy 1, reveals that ESRRA is a vital regulator of intestinal homeostasis, coordinating autophagic activity and gut microbiota to protect against colitis. Targeting ESRRA or its downstream pathways could offer novel therapeutic strategies for inflammatory bowel diseases.
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