Naim, G. | bioRxiv Science

bioRxiv2026

Uncoupling Drug and Microbiota Contributions to Chemotherapy-Induced Gut Toxicity

Cytotoxic chemotherapy remains a cornerstone of cancer treatment but is frequently limited by gastrointestinal toxicity associated with epithelial barrier disruption. Although chemotherapy profoundly perturbs the gut microbiota, it remains unclear whether these microbial alterations actively contribute to intestinal injury or merely reflect collateral tissue damage. Here, we dissect the respective contributions of direct drug toxicity and chemotherapy-induced dysbiosis to gut pathology using cytarabine (Ara-C), a chemotherapeutic agent associated with severe intestinal complications. We show that both Ara-C and post-Ara-C microbiota independently compromise intestinal barrier integrity. However, these effects arise through distinct host transcriptional programs: Whereas Ara-C directly induces interferon-associated inflammatory responses, post-Ara-C microbiota preferentially activate mucosal barrier defense pathways. Together, these findings identify chemotherapy-induced dysbiosis as an active driver of mucosal injury and provide a mechanistic rationale for microbiome-targeted strategies to mitigate treatment-associated toxicity.

microbiology↗

bioRxiv2024

Optogenetics-integrated gut organ culture system connects enteric neurons dynamics and gut homeostasis

The enteric nervous system (ENS) senses microbiota-derived signals and orchestrates mucosal immunity and epithelial barrier functions, in health and disease. However, mechanistic dissections of intestinal neuro-immune-microbiota communications remain challenging and existing research methods limit experimental controllability and throughput. Here, we present a novel optogenetics-integrated gut organ culture system that enables real-time, whole-tissue stimulation of specific ENS lineages, allowing for detailed analysis of their functional impact. We demonstrate that optogenetic activation of enteric cholinergic neurons rapidly modulates intestinal physiology. Interestingly, distinct neuronal firing patterns differentially modulate neuro-immunological gene expression and epithelial barrier integrity. Furthermore, diverse enteric neuronal lineages exert distinct regulatory roles. While cholinergic activation promotes gene-sets associated with type-2 immunity, tachykininergic enteric neurons differentially control mucosal defense programs. Remarkably, luminal introduction of the immunomodulatory bacterium C. ramosum significantly remodeled cholinergic-induced neuro-immunological transcription. These findings suggest that complex combinatorial signals delivered by gut microbes and enteric neurons are locally integrated to fine-tune intestinal immunity and barrier defense. Collectively, we provide a powerful platform for systematic discovery and mechanistic exploration of functional neuroimmune connections, and their potential modulation by drugs, microbes, or metabolites. Short abstractThe enteric nervous system senses microbiota-derived signals and orchestrates mucosal immunity and epithelial barrier functions. Mechanistic dissections of intestinal neuro-immune-microbiota communications remain challenging. We developed an optogenetics-integrated gut organ culture system for real-time neuronal stimulation and analysis. We revealed neuronal-specific activity patterns, which differentially regulate intestinal transcription and epithelial barrier integrity. Collectively, we provide a powerful platform to test neuroimmune connections and their potential modulation by drugs, microbes, or metabolites.

neuroscience↗