It is known that 5-FU not only interferes with DNA synthesis in tumor cells, but also in normal cells This resulted in the production of a large number of ROS and the release of a large number of double-stranded DNA (dsDNA) [9], which acts as an important damage-associated molecular pattern (DAMPs). The dsDNA is a key factor in inducing inflammation and autoimmune injury [10]. The NLRP3 family is the most important member of the inflammasome family, and it can be activated by bacterial toxins, ATP, ROS, other pathogens, and dangerous signaling molecules. NLRP3 inflammasome is an important factor in anti-infective immunity and induction of inflammatory diseases [11]. In the absence of infection and intestinal inflammation, NLRP3 expression in intestinal mucosal epithelial cells and immune cells is very low. Upon activation, expression is up-regulated in intestinal immune cells. Then the assembly of activated protease caspase-1 promotes the cleavage and maturation of IL-1β and IL-18 precursors, triggering a severe inflammatory response [12]. In the study, 5-FU can up-regulate the expression of ROS from THP-1 cells, and then promote NF-κB p65 protein entry into the nucleus of the cell, and activate the NF-κB signal pathway and NLRP3 inflammasome. This ultimately leads to increased expression of various pro-inflammatory factors.
SCFAs are the major product of anaerobic fermentation, which is closely related to the regulation of the intestinal immune system. The SCFAs concentrations in the human intestinal tract range from 70 ~ 140 mmol/L and are rapidly absorbed by the blood, which mainly includes NaAc, NaPc, and NaB [13]. Besides providing energy for the proliferation of intestinal mucosal epithelial cells, SCFAs produced by fermentation in the intestinal tract can regulate the composition of human intestinal flora, reduce the growth of harmful bacteria, and prevent intestinal dysfunction [14]. Even more importantly, SCFAs may inhibit the release of various proinflammatory factors from immune cells to inhibit excessive intestinal inflammation, thereby reducing intestinal mucosal injury in patients with colitis [15, 16]. The three main SCFAs have been shown in previous studies to be able to reduce the release of pro-inflammatory factors from immune cells and inhibit inflammation, and to promote the expression of the anti-inflammation factor IL-10. In addition, NaAc and NaB can also play anti-inflammatory roles by inhibiting the activation of the NF-κB pathway [17], and our results support this conclusion. According to our results, the three main SCFAs could significantly suppress the expression of pro-inflammatory factor IL-6 and up-regulate the expression level of anti-inflammatory cytokine IL-10. These cytokines can significantly suppress the expression of pro-inflammatory factor IL-1β, ROS and NF-κB pathway activation and NLRP3 inflammasome.
In summary, our metabolomics results showed that 5-FU-induced THP-1 cell metabolites were disordered, and NaAc, NaPc, NaB can effectively regulate these differential metabolites across multiple metabolic routes. The biological functions of several different metabolites are described below. Sphingolipids, including ceramide, sphingosine-1-phosphate (S1P), sphingosine, sphingolipids, and glycosphingolipids, serve as basic components of organelles and membranes. Sphingolipids molecules have multiple biological functions and serve as essential components of organelles and membranes. For example, ceramide and sphingosine can effectively inhibit the growth of myeloma cells, rhabdomyosarcoma cells, renal tubular cells, and hippocampal nerve cells and induce their apoptosis [18, 19, 20], whereas S1P can inhibit the apoptotic macrophages, granule cells, and other cells [21, 22]. This study found that the three main SCFAs intervention in THP-1 cells reduces sphingosine generation. It is likely that SCFAs are obtained by influencing the sphingolipid metabolism, thereby promoting cell growth and reducing apoptosis.
Amino acids are important nutrients for immune cells and are the basic building blocks of human immune system. Multiple amino acids such as glutamate, arginine, tryptophan, leucine, methionine, and cysteine exert activation, differentiation, and function in T cells [23]. The enhancement of macrophage function by glutamine mainly promotes antigen presentation, phagocytosis, and cytokine secretion [24], and glutamine supplementation reduces pro-inflammatory IL-6 and IL-8 production in lymphocytes and epithelial cells, and enhances the expression of anti-inflammatory IL-10 [25]. In the present study, NaAc can significantly up-regulate glutamate production and promote amino acid metabolism. It suggested that the mechanism by which NaAc ameliorates improves 5-FU-induced inflammation might be related to the regulation of amino acid metabolism.
In signal transduction, glycerophospholipids function as precursors for lipid mediators. In the cell membrane, phosphatidylcholine (PC) is the main glycerophospholipid. Phosphatidylcholine, a major constituent of the lipid bilayer structure of the cell membrane, plays a significant role in cell membrane fusion, pinocytosis, and membrane function. The gut microbiota was found to be able to regulate the metabolism of phosphatidylcholine by SCFAs. Acetate and propionate are mainly metabolized in the liver, and the substrates for gluconeogenesis serve as an energy source, and are involved in the fatty acid synthesis [26]. Kindta's results confirmed that intestinal colonization of SCFA-producing bacteria such as Bacteroidetes could promote the synthesis of long-chain fatty acids (C16 and C18) and their precursors of phosphatidylcholine in the liver.27 In this study, the three main SCFAs on THP-1 cells can increase phosphatidylcholine (PC) production, indicating that the mechanisms of anti-inflammation induced by 5-FU may be related to the regulation of glycerol-phospholipid metabolism.