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CN110420228A - Application of the bacteroides fragilis YCH46 in the drug of preparation treatment or assisting in treating hypertension - Google Patents

Application of the bacteroides fragilis YCH46 in the drug of preparation treatment or assisting in treating hypertension Download PDF

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CN110420228A
CN110420228A CN201910868766.4A CN201910868766A CN110420228A CN 110420228 A CN110420228 A CN 110420228A CN 201910868766 A CN201910868766 A CN 201910868766A CN 110420228 A CN110420228 A CN 110420228A
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bacteroides fragilis
ych46
hypertension
fragilis ych46
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张群业
闫雪芳
张馨洁
王哲
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Qilu Hospital of Shandong University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/66Microorganisms or materials therefrom
    • A61K35/74Bacteria
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives

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Abstract

本发明涉及脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用。本发明首次发现人肠道中的脆弱拟杆菌YCH46在高血压疾病中的关键作用,脆弱拟杆菌YCH46能够抑制肠道皮质酮的合成,有效降低血压。另外因为脆弱拟杆菌YCH46本身就是肠道中正常存在的微生物,不会对身体有副作用,具有其它新药不可比拟的优势。利用本发明中脆弱拟杆菌YCH46在高血压疾病中的关键作用可以制备成药物、药物组合物、食品、保健品或食品添加剂,可用于治疗包括原发性高血压、盐敏感性高血压在内的高血压疾病,具有重要的应用价值。The invention relates to the application of Bacteroides fragilis YCH46 in the preparation of medicines for treating or assisting the treatment of hypertension. The present invention discovers for the first time the key role of Bacteroides fragilis YCH46 in the human intestinal tract in hypertension, and the Bacteroides fragilis YCH46 can inhibit the synthesis of intestinal corticosterone and effectively lower blood pressure. In addition, because Bacteroides fragilis YCH46 itself is a microorganism that normally exists in the intestinal tract, it will not have side effects on the body and has incomparable advantages compared to other new drugs. Utilizing the key role of Bacteroides fragilis YCH46 in hypertensive diseases in the present invention, it can be prepared into medicines, pharmaceutical compositions, food, health products or food additives, which can be used to treat essential hypertension and salt-sensitive hypertension. It has important application value in hypertensive diseases.

Description

脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的 应用The role of Bacteroides fragilis YCH46 in the preparation of drugs for the treatment or auxiliary treatment of hypertension application

技术领域technical field

本发明涉及脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用,属于医药技术领域。The invention relates to the application of Bacteroides fragilis YCH46 in the preparation of medicines for treating or assisting hypertension, and belongs to the technical field of medicine.

背景技术Background technique

高血压(hypertension)是指以体循环动脉血压(收缩压和/或舒张压)增高为主要特征(收缩压≥140毫米汞柱,舒张压≥90毫米汞柱),可伴有心、脑、肾等器官的功能或器质性损害的临床综合征。高血压是最常见的慢病之一,近年来发病率迅速增加。根据2017年美国高血压指南的定义(收缩压≥130mmHg,舒张压≥80mmHg),45.6%的美国人患有高血压。在我国即使按宽松的标准(收缩压≥140mmHg,舒张压≥90mmHg),也有近一半成人(44.7%)是高血压患者,而2014年这一比例只有29.6%。高血压能引起心、脑、肾和血管等重要脏器的结构功能障碍,是中风、心梗和心衰等恶性心脑血管事件的最主要危险因素。Hypertension (hypertension) refers to an increase in systemic arterial blood pressure (systolic and/or diastolic) as the main feature (systolic blood pressure ≥ 140 mm Hg, diastolic blood pressure ≥ 90 mm Hg), which may be accompanied by heart, brain, kidney, etc. Clinical syndrome of functional or organic damage to organs. Hypertension is one of the most common chronic diseases, and its incidence has increased rapidly in recent years. According to the 2017 U.S. Hypertension Guidelines definition (systolic blood pressure ≥130 mmHg, diastolic blood pressure ≥80 mmHg), 45.6% of Americans have high blood pressure. In my country, even according to loose standards (systolic blood pressure ≥ 140mmHg, diastolic blood pressure ≥ 90mmHg), nearly half of adults (44.7%) are hypertensive patients, while the proportion in 2014 was only 29.6%. Hypertension can cause structural dysfunction of important organs such as the heart, brain, kidney, and blood vessels, and is the most important risk factor for malignant cardiovascular and cerebrovascular events such as stroke, myocardial infarction, and heart failure.

高盐饮食是高血压和心脑血管疾病的重要独立危险因素,盐敏感高血压在我国高血压患者中的比例超过60%。目前认为高盐诱导的盐敏感高血压主要由肾脏水钠异常潴留、血容量升高及外周血管阻力增加引起,一些遗传因素(如GNB3,ADD1和ACE等的多态性)也影响对高盐的敏感性,但引起这些病理改变的具体机制仍未完全阐明。High-salt diet is an important independent risk factor for hypertension and cardiovascular and cerebrovascular diseases. Salt-sensitive hypertension accounts for more than 60% of hypertensive patients in my country. At present, it is believed that high salt-induced salt-sensitive hypertension is mainly caused by abnormal renal water and sodium retention, increased blood volume, and increased peripheral vascular resistance. Some genetic factors (such as polymorphisms of GNB3, ADD1, and ACE) also affect the response to high salt However, the specific mechanisms causing these pathological changes have not been fully elucidated.

盐皮质激素受体(MR)激活在高血压尤其是盐敏感性高血压的发生发展中发挥着重要作用。MR在包括心脏、血管、肾脏、肠上皮等多种组织中表达,其功能包括对渗透和血液动力学稳态至关重要的离子和液体运输的调节,以及神经元和肌肉细胞中的膜兴奋性,对损伤的营养和适应性反应,以及对学习,记忆和对压力的早期反应至关重要的神经元反应。盐皮质激素醛固酮过量激活MR导致液钠潴留进而诱导的继发性高血压近年来已被广泛研究,而糖皮质激素皮质醇、皮质酮对MR具有与醛固酮相同的亲和性,他们可以通过激活MR介导钠钾异常转运。因此这些激素水平的异常与高血压的发生发展密切相关。且皮质酮在基础水平的大多数组织中激活MR,但是正常情况下,皮质类固醇11-β-脱氢酶同工酶2(HSD11B2)对皮质酮的失活效应产生的预先受体机制,使醛固酮成为机体内主要的MR效应配体,而在某些病理状态下,HSD11B2对皮质酮的失活效应的降低使皮质酮激活MR介导下游生物反应。除肾上腺合成和释放皮质酮以外,胸腺、脑、肠上皮等均能表达类固醇合成酶并且合成具有生物活性的皮质酮。生理状态下肠上皮产生的皮质酮很低,给予高盐饮食后wistar大鼠结肠可合成大量的皮质酮,同时使血清皮质酮水平显著增加。高血压患者中血清及肠道皮质酮也显著高于正常人。然而目前对于高血压患者及动物肠道/血清皮质酮增多的原因仍然知之甚少。近年大量研究表明肠道菌群与高血压的发生发展密切相关,尤其是高盐诱导的高血压,而高盐诱导的高血压中MR的激活至关重要。肠道菌群是否通过调节肠来源的皮质酮的合成参与高血压的发生发展值得进一步研究。Activation of mineralocorticoid receptor (MR) plays an important role in the development of hypertension, especially salt-sensitive hypertension. MR is expressed in a variety of tissues including the heart, blood vessels, kidney, and intestinal epithelium, and its functions include regulation of ion and fluid transport critical for osmotic and hemodynamic homeostasis, and membrane excitation in neurons and muscle cells Sexuality, nutritional and adaptive responses to injury, and neuronal responses critical for learning, memory, and early responses to stress. Mineralocorticoid aldosterone excessively activates MR, which leads to fluid and sodium retention and induces secondary hypertension has been widely studied in recent years, while glucocorticoids cortisol and corticosterone have the same affinity for MR as aldosterone, and they can activate MR mediates abnormal sodium and potassium transport. Therefore, the abnormality of these hormone levels is closely related to the occurrence and development of hypertension. And corticosterone activates MR at basal levels in most tissues, but under normal circumstances, the inactivating effect of corticosteroid 11-β-dehydrogenase isoenzyme 2 (HSD11B2) produces a pre-receptor mechanism that makes Aldosterone becomes the main MR ligand in the body, and in some pathological conditions, the reduction of the inactivation effect of HSD11B2 on corticosterone makes corticosterone activate MR to mediate downstream biological responses. In addition to the synthesis and release of corticosterone by the adrenal gland, the thymus, brain, and intestinal epithelium can all express steroid synthase and synthesize biologically active corticosterone. The corticosterone produced by the intestinal epithelium is very low under physiological conditions, but the colon of wistar rats can synthesize a large amount of corticosterone after being given a high-salt diet, and at the same time, the serum corticosterone level is significantly increased. Serum and intestinal corticosterone were also significantly higher in hypertensive patients than in normal subjects. However, the causes of increased gut/serum corticosterone in hypertensive patients and animals are still poorly understood. In recent years, a large number of studies have shown that intestinal flora is closely related to the occurrence and development of hypertension, especially high-salt-induced hypertension, and the activation of MR is very important in high-salt-induced hypertension. Whether the gut microbiota participates in the development of hypertension by regulating the synthesis of gut-derived corticosterone deserves further study.

目前抗高血压药物包括利尿剂、钙通道阻滞剂(CCB)、β受体阻滞剂和血管紧张素II受体拮抗剂等15大类60多种,但仍面临患者治疗率低、依从性差、达标率低以及药物不良反应大、易产生耐药等各种困难。如我国数亿高血压患者只有约30%接受了治疗,但血压控制达标的患者仅有7.2%,而全球的高血压控制率也不超过10%。因此,高血压每年在全球仍导致至少45%的心脏病死亡和51%的脑卒中死亡,造成超过2500亿美元的损失,已成为全球最严重的公共卫生问题之一,所以开发安全有效治疗高血压的新药物迫在眉睫。At present, there are more than 60 kinds of antihypertensive drugs in 15 categories, including diuretics, calcium channel blockers (CCB), β-blockers and angiotensin II receptor antagonists. There are various difficulties such as poor drug resistance, low compliance rate, large adverse drug reactions, and easy drug resistance. For example, only about 30% of the hundreds of millions of hypertensive patients in my country have received treatment, but only 7.2% of patients have achieved blood pressure control, and the global hypertension control rate is no more than 10%. Therefore, high blood pressure still causes at least 45% of heart disease deaths and 51% of stroke deaths globally every year, resulting in a loss of more than 250 billion U.S. dollars, and has become one of the most serious public health problems in the world, so it is high to develop safe and effective treatments New drugs for blood pressure loom.

脆弱拟杆菌(Bacteroides fragilis)YCH46是人肠道中的正常定植菌,关于其与高血压的相互关系及对高血压的作用目前还没有报道研究,并且,脆弱拟杆菌YCH46用于高血压治疗也未见报道。Bacteroides fragilis (Bacteroides fragilis) YCH46 is a normal colonization bacterium in the human intestinal tract. There is no report on its relationship with hypertension and its effect on hypertension. See report.

发明内容Contents of the invention

针对现有技术的不足,本发明提供了一种脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用,并提供用于治疗或辅助治疗高血压的药物、药物组合、食品、保健品及食品添加剂。Aiming at the deficiencies of the prior art, the present invention provides an application of Bacteroides fragilis YCH46 in the preparation of medicines for the treatment or auxiliary treatment of hypertension, and provides medicines, drug combinations, food, and health care products for the treatment or auxiliary treatment of hypertension. products and food additives.

本发明的技术方案如下:Technical scheme of the present invention is as follows:

脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用。Application of Bacteroides fragilis YCH46 in preparation of medicine for treating or assisting hypertension.

根据本发明,所述脆弱拟杆菌(Bacteroides fragilis)YCH46是一种已知益生菌,是从健康人粪便中分离出来的。According to the present invention, said Bacteroides fragilis (Bacteroides fragilis) YCH46 is a known probiotic, which is isolated from healthy human feces.

本发明中,所述脆弱拟杆菌YCH46是按照本技术领域常规技术手段分离培养得到。In the present invention, the Bacteroides fragilis YCH46 is isolated and cultured according to conventional technical means in the technical field.

根据本发明优选的,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。Preferably according to the present invention, the Bacteroides fragilis YCH46 is a live Bacteroides fragilis YCH46 cell, and/or a culture supernatant of Bacteroides fragilis YCH46.

根据本发明优选的,所述高血压为原发性高血压或盐敏感性高血压。Preferably according to the present invention, the hypertension is essential hypertension or salt-sensitive hypertension.

根据本发明优选的,所述药物含有药学有效剂量的脆弱拟杆菌YCH46和药学上可接受的载体。Preferably according to the present invention, the medicine contains a pharmaceutically effective dose of Bacteroides fragilis YCH46 and a pharmaceutically acceptable carrier.

进一步优选的,所述药学上可接受的载体为脱脂奶、乳糖、葡萄糖、蔗糖、山梨糖醇、甘露糖、海藻糖、淀粉、阿拉伯胶、磷酸钙、藻酸盐、明胶、硅酸钙、细结晶纤维素、聚乙烯吡咯烷酮、纤维素、水、糖浆、甲基纤维素、羟基苯甲酸甲酯、羟基苯甲酸丙酯、滑石、硬脂酸镁或矿物油中的一种或多种的混合物。Further preferably, the pharmaceutically acceptable carrier is skimmed milk, lactose, glucose, sucrose, sorbitol, mannose, trehalose, starch, acacia, calcium phosphate, alginate, gelatin, calcium silicate, One or more of fine crystalline cellulose, polyvinylpyrrolidone, cellulose, water, syrup, methylcellulose, methylparaben, propylparaben, talc, magnesium stearate, or mineral oil mixture.

根据本发明优选的,所述药物可以是药学上可行的任一种或多种剂型,包括但不限于为片剂、胶囊剂、口服液或冻干粉剂。Preferably according to the present invention, the drug may be in any one or more pharmaceutically feasible dosage forms, including but not limited to tablets, capsules, oral liquids or lyophilized powders.

一种用于治疗或辅助治疗高血压的药物,所述药物含有药学有效剂量的脆弱拟杆菌YCH46。A medicine for treating or adjuvantly treating hypertension, which contains a pharmaceutically effective dose of Bacteroides fragilis YCH46.

根据本发明优选的,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。Preferably according to the present invention, the Bacteroides fragilis YCH46 is a live Bacteroides fragilis YCH46 cell, and/or a culture supernatant of Bacteroides fragilis YCH46.

根据本发明优选的,所述高血压为原发性高血压或盐敏感性高血压。Preferably according to the present invention, the hypertension is essential hypertension or salt-sensitive hypertension.

根据本发明优选的,所述药物可以是药学上可行的任一种或多种剂型,包括但不限于为片剂、胶囊剂、口服液或冻干粉剂。Preferably according to the present invention, the drug may be in any one or more pharmaceutically feasible dosage forms, including but not limited to tablets, capsules, oral liquids or lyophilized powders.

一种用于治疗或辅助治疗高血压的药物组合物,所述药物组合物含有药学有效剂量的脆弱拟杆菌YCH46。A pharmaceutical composition for treating or assisting the treatment of hypertension, the pharmaceutical composition contains a pharmaceutically effective dose of Bacteroides fragilis YCH46.

根据本发明优选的,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。Preferably according to the present invention, the Bacteroides fragilis YCH46 is a live Bacteroides fragilis YCH46 cell, and/or a culture supernatant of Bacteroides fragilis YCH46.

一种用于治疗或辅助治疗高血压的食品,所述食品含有脆弱拟杆菌YCH46。A food for treating or assisting the treatment of hypertension, the food contains Bacteroides fragilis YCH46.

根据本发明优选的,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。Preferably according to the present invention, the Bacteroides fragilis YCH46 is a live Bacteroides fragilis YCH46 cell, and/or a culture supernatant of Bacteroides fragilis YCH46.

一种用于治疗或辅助治疗高血压的保健品,所述保健品含有脆弱拟杆菌YCH46。A health product for treating or assisting the treatment of high blood pressure, the health product contains Bacteroides fragilis YCH46.

根据本发明优选的,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。Preferably according to the present invention, the Bacteroides fragilis YCH46 is a live Bacteroides fragilis YCH46 cell, and/or a culture supernatant of Bacteroides fragilis YCH46.

一种用于治疗或辅助治疗高血压的食品添加剂,所述食品添加剂含有脆弱拟杆菌YCH46。A food additive for treating or assisting the treatment of hypertension, the food additive contains Bacteroides fragilis YCH46.

根据本发明优选的,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。Preferably according to the present invention, the Bacteroides fragilis YCH46 is a live Bacteroides fragilis YCH46 cell, and/or a culture supernatant of Bacteroides fragilis YCH46.

本发明的技术特点和有益效果Technical characteristics and beneficial effects of the present invention

1、在本发明中,首次发现人肠道中的脆弱拟杆菌(Bacteroides fragilis)YCH46在高血压疾病中的关键作用,脆弱拟杆菌(Bacteroides fragilis)YCH46能够抑制结肠合成皮质酮,并激活皮质类固醇11-β-脱氢酶同工酶2(HSD11B2),有效减少皮质酮对盐皮质激素受体(MR)的激活。另外因为脆弱拟杆菌(Bacteroides fragilis)YCH46本身就是肠道中正常存在的微生物,不会对身体有副作用,具有其它新药不可比拟的优势,患者易于接受且便于了解患者对药物的反应,有明确的给药途径,有望在根本上达到治疗高血压的效果,从而解决高血压达标率及依从性低的难题,而且脆弱拟杆菌(Bacteroides fragilis)YCH46方便得到,扩增技术成熟,可快速投入生产并获得高效制剂。1. In the present invention, the key role of Bacteroides fragilis (Bacteroides fragilis) YCH46 in the human intestinal tract was discovered for the first time in hypertensive diseases. Bacteroides fragilis (Bacteroides fragilis) YCH46 can inhibit the colon to synthesize corticosterone and activate corticosteroids 11 - Beta-dehydrogenase isoenzyme 2 (HSD11B2), which effectively reduces the activation of the mineralocorticoid receptor (MR) by corticosterone. In addition, because Bacteroides fragilis (Bacteroides fragilis) YCH46 itself is a microorganism that normally exists in the intestinal tract, it will not have side effects on the body and has incomparable advantages over other new drugs. It is easy for patients to accept and understand the patient's response to the drug. It is expected to fundamentally achieve the effect of treating hypertension, so as to solve the problem of low compliance rate and compliance of hypertension. Moreover, Bacteroides fragilis (Bacteroides fragilis) YCH46 is easily obtained, and its amplification technology is mature, so it can be quickly put into production and obtained Highly effective preparations.

2、利用本发明中脆弱拟杆菌YCH46在高血压疾病中的关键作用可以制备成药物、药物组合物、食品、保健品或食品添加剂的形式,所述药物、药物组合物、食品、保健品或食品添加剂含有脆弱拟杆菌YCH46,这些药物、药物组合物、食品、保健品或食品添加剂可用于治疗包括原发性高血压、盐敏感性高血压在内的高血压疾病,具有重要的应用价值。2. Utilizing the key role of Bacteroides fragilis YCH46 in hypertensive diseases in the present invention, it can be prepared in the form of medicine, pharmaceutical composition, food, health care product or food additive. The medicine, pharmaceutical composition, food, health care product or The food additive contains Bacteroides fragilis YCH46, and these drugs, pharmaceutical compositions, food, health products or food additives can be used to treat hypertension including essential hypertension and salt-sensitive hypertension, and have important application value.

附图说明Description of drawings

图1是肠道微生物菌属与收缩压和舒张压的相关性分析图;图中,SBP:收缩压;DBP:舒张压;右侧为实施例1中对照组和HSD组的主要差异菌属/种的拉丁文名称;*:P<0.05;**:P<0.01;***:P<0.001;Figure 1 is a correlation analysis chart of intestinal microbial genus and systolic blood pressure and diastolic blood pressure; in the figure, SBP: systolic blood pressure; DBP: diastolic blood pressure; the right side is the main difference of bacteria in the control group and the HSD group in Example 1 / Latin name of the species; *: P<0.05; **: P<0.01; ***: P<0.001;

图2是与血压显著相关的五个菌属(Alistipes,Bacteroides,Desulfovibrio,Parabacteroides,Psychrobacter)在对照组(control组)和HSD组大鼠中的相对丰度柱状图;图中,纵坐标表示相对丰度;**:P<0.01;***:P<0.001;Figure 2 is a histogram of the relative abundance of five genera (Alistipes, Bacteroides, Desulfovibrio, Parabacteroides, Psychrobacter) significantly related to blood pressure in the control group (control group) and the HSD group rats; in the figure, the ordinate represents the relative abundance Abundance; **: P<0.01; ***: P<0.001;

图3是对照组(control组)与HSD组肠道中脆弱拟杆菌YCH46的含量图;图中,纵坐标为脆弱拟杆菌YCH46的相对含量,Rat为大鼠;Human为人;*:P<0.05;**:P<0.01;Fig. 3 is the content diagram of Bacteroides fragilis YCH46 in the intestinal tract of the control group (control group) and HSD group; In the figure, the ordinate is the relative content of Bacteroides fragilis YCH46, Rat is a rat; Human is a person; *: P<0.05; **: P<0.01;

图4是脆弱拟杆菌YCH46对C57BL/6小鼠结肠合成皮质酮以及MR、Hsd11b2的影响结果图;图中,A是小鼠结肠组织培养上清中皮质酮含量柱状图,纵坐标为皮质酮含量,SnControl是对照组小鼠结肠组织培养上清,SnHSD是HSD组小鼠结肠组织培养上清;B是小鼠结肠组织中Mr的mRNA水平;C是小鼠结肠组织中Hsd11b2的mRNA水平;*:P<0.05;***:P<0.001;Figure 4 is a graph showing the effect of Bacteroides fragilis YCH46 on the synthesis of corticosterone, MR, and Hsd11b2 in the colon of C57BL/6 mice; in the figure, A is a histogram of corticosterone content in the supernatant of mouse colon tissue culture, and the ordinate is corticosterone Content, SnControl is the colon tissue culture supernatant of control group mice, SnHSD is the colon tissue culture supernatant of HSD group mice; B is the mRNA level of Mr in the mouse colon tissue; C is the mRNA level of Hsd11b2 in the mouse colon tissue; *: P<0.05; ***: P<0.001;

图5是大鼠血压随饲养时间变化的折线图;图中,A是大鼠收缩压的变化折线图,纵坐标SBP为收缩压;B是大鼠舒张压的变化折线图,纵坐标DBP为舒张压;*:P<0.05;**:P<0.01。Fig. 5 is the broken line graph that rat blood pressure changes with raising time; Among the figure, A is the change broken line graph of rat systolic blood pressure, and ordinate SBP is systolic blood pressure; B is the change broken line graph of rat diastolic blood pressure, and ordinate DBP is Diastolic blood pressure; *: P<0.05; **: P<0.01.

具体实施方式Detailed ways

下面结合实施例对本发明的技术方案作进一步说明,但本发明的保护范围并不仅限于此。除有定义外,以下实施例中所用的技术术语具有与本发明所属领域技术人员普遍理解的相同含义。以下实施例中所用的试验试剂,无特殊说明,均为常规生化试剂;所述实验方法,如无特殊说明,均为常规方法。The technical solutions of the present invention will be further described below in conjunction with the examples, but the protection scope of the present invention is not limited thereto. Unless otherwise defined, the technical terms used in the following embodiments have the same meaning as commonly understood by those skilled in the art to which the present invention belongs. The test reagents used in the following examples, unless otherwise specified, are conventional biochemical reagents; the experimental methods, unless otherwise specified, are conventional methods.

实施例中所涉及的高血压大鼠均符合诊断标准,健康对照组血压均正常。The hypertensive rats involved in the examples all meet the diagnostic criteria, and the blood pressure of the healthy control group is normal.

对照组、HSD组粪便及外周血标本、所用试剂材料及其来源:Feces and peripheral blood samples, reagent materials used and their sources in the control group and HSD group:

1.标本1. Specimen

实施例中用到的粪便及外周血均收集自高盐高血压(HSD)和正常对照的wistar大鼠。分离脆弱拟杆菌YCH36所用粪便来自健康人。The feces and peripheral blood used in the examples were collected from high-salt hypertensive (HSD) and normal control wistar rats. The feces used to isolate B. fragilis YCH36 were from healthy individuals.

2.主要试剂材料2. Main reagent materials

粪便DNA抽提试剂盒(生工);ELISA试剂盒(abcam公司);TB green(Takara公司);3周龄的雄性wistar大鼠(北京维通利华实验动物技术有限公司);8%NaCl饲料、0.49%NaCl饲料(江苏协同有限公司);移液器吸头(规格:10μL、100μL及1mL)、EP管(1.5mL和0.6mL)及八连管(0.2mL)(Axygen公司);无菌离心管(15mL和50mL)、移液管(5mL和10mL)和细胞培养瓶(25cm2、75cm2、150cm2)(Costar公司);小动物血压计(北京软隆公司)。Feces DNA extraction kit (Shenggong); ELISA kit (abcam company); TB green (Takara company); 3-week-old male wistar rats (Beijing Weitong Lihua Experimental Animal Technology Co., Ltd.); 8% NaCl Feed, 0.49% NaCl feed (Jiangsu Synergy Co., Ltd.); pipette tips (specifications: 10 μL, 100 μL and 1 mL), EP tubes (1.5 mL and 0.6 mL) and eight-tube tubes (0.2 mL) (Axygen); Sterile centrifuge tubes (15mL and 50mL), pipettes (5mL and 10mL) and cell culture bottles (25cm 2 , 75cm 2 , 150cm 2 ) (Costar Company); small animal sphygmomanometer (Beijing Ruanlong Company).

M2GSC细菌培养基的组成成分如下(每1000mL体系):The composition of M2GSC bacterial culture medium is as follows (per 1000mL system):

蛋白胨,10g;酵母抽提物,2.5g;葡萄糖,2.0g;纤维二糖,2.0g;可溶性淀粉,2.0g;澄清瘤胃液,300mL;磷酸氢二钾,0.45g;磷酸二氢钾,0.45g;硫酸铵,0.9g;氯化钠,0.9g;七水硫酸镁,0.09g;氯化钙,0.09g;刃天青,1.0mg;去离子水,700mL;碳酸氢钠(煮沸后加入),4.0g;半胱氨酸(煮沸后加入),1.0g。最后在121℃高压灭菌20min。Peptone, 10g; Yeast extract, 2.5g; Glucose, 2.0g; Cellobiose, 2.0g; Soluble starch, 2.0g; Clarified rumen fluid, 300mL; Dipotassium hydrogen phosphate, 0.45g; g; ammonium sulfate, 0.9g; sodium chloride, 0.9g; magnesium sulfate heptahydrate, 0.09g; calcium chloride, 0.09g; resazurin, 1.0mg; deionized water, 700mL; ), 4.0g; cysteine (added after boiling), 1.0g. Finally, autoclave at 121°C for 20 minutes.

实施例1:HSD组大鼠肠道菌群的变化Example 1: Changes in the intestinal flora of rats in the HSD group

收集对照组和HSD组大鼠的粪便样品,采用改进的CTAB方法,进行粪便中总DNA的提取,提取后的DNA使用Nanodrop 2000(Thermo Scientific)进行浓度及纯度的测定,然后使用16s rRNA基因的通用引物进行建库,建库完成后使用MiSeq(Illumina)进行测序,测序得到的数据使用QIIME2软件进行分析,肠道微生物菌属与收缩压和舒张压的相关性分析结果如图1所示,结果显示拟杆菌(Bacteroides)和收缩压(SBP)、舒张压(DBP)的关系密切。The feces samples of the rats in the control group and the HSD group were collected, and the total DNA in the feces was extracted by using the improved CTAB method. Universal primers were used to build the library. After the library was built, MiSeq (Illumina) was used for sequencing, and the data obtained by sequencing was analyzed using QIIME2 software. The correlation analysis results of intestinal microbial genus and systolic and diastolic blood pressure are shown in Figure 1. The results showed that Bacteroides were closely related to systolic blood pressure (SBP) and diastolic blood pressure (DBP).

其中,建库所使用的16s rRNA基因的通用引物为:Among them, the general primers of the 16s rRNA gene used for library construction are:

上游引物:Upstream primers:

5'-TCGTCGGCAGCGTCAGATGTGTATAAGAGACAGCCTACGGGNGGCWGCAG-3',5'-TCGTCGGCAGCGTCAGATGTGTATAAGAGACAGCCTACGGGNGGCWGCAG-3',

下游引物:Downstream primers:

5'GTCTCGTGGGCTCGGAGATGTGTATAAGAGACAGGACTACHVGGGTATCTAATCC-3';5'GTCTCGTGGGCTCGGAGATGTGTATAAGAGACAGGACTACHVGGGTATCTAATCC-3';

上述分析得到的与血压密切相关的菌属(Alistipes,Bacteroides,Desulfovibrio,Parabacteroides,Psychrobacter)在对照组和HSD组大鼠中的相对丰度,如图2所示,发现与血压显著相关的拟杆菌(Bacteroides)在两组中的丰度最高,且差异具有统计学意义(P<0.01),说明拟杆菌(Bacteroides)在高血压的发病中起关键作用。The relative abundance of the bacterial genera (Alistipes, Bacteroides, Desulfovibrio, Parabacteroides, Psychrobacter) closely related to blood pressure obtained from the above analysis in the control group and the HSD group rats, as shown in Figure 2, found that Bacteroides significantly related to blood pressure (Bacteroides) had the highest abundance in the two groups, and the difference was statistically significant (P<0.01), indicating that Bacteroides played a key role in the pathogenesis of hypertension.

实施例2:人肠道中的脆弱拟杆菌(Bacteroides fragilis)YCH46的分离培养Example 2: Isolation and cultivation of Bacteroides fragilis (Bacteroides fragilis) YCH46 in human intestine

取健康人新鲜粪便1g加入到9mL M2GSC液体细菌培养基中混匀,然后用M2GSC液体细菌培养基以10倍梯度稀释10个浓度梯度,各取0.3mL涂板到含有1.5%琼脂的M2GSC固体细菌培养基上,在厌氧环境中37℃培养48小时,取单菌落进行16s rDNA测序,分离得到脆弱拟杆菌(Bacteroides fragilis)YCH46。Take 1g of fresh feces from healthy people and add it to 9mL M2GSC liquid bacterial culture medium to mix well, then use M2GSC liquid bacterial culture medium to dilute 10 concentration gradients in a 10-fold gradient, and take 0.3mL each to spread on M2GSC solid bacteria containing 1.5% agar On the culture medium, cultured at 37° C. for 48 hours in an anaerobic environment, a single colony was taken for 16s rDNA sequencing, and Bacteroides fragilis (Bacteroides fragilis) YCH46 was isolated.

另外,将对照组与HSD组大鼠和高血压患者与健康人粪便中脆弱拟杆菌YCH46的含量采用rtPCR技术进行进一步验证,使用TB Green Premix Ex Taq(Takara)试剂在CFX96Real-Time PCR System(Bio-Rad)进行rtPCR,检测结果如图3所示,结果表明HSD组大鼠和高血压患者中脆弱拟杆菌YCH46明显减少,也说明了脆弱拟杆菌YCH46与血压密切相关。In addition, the content of Bacteroides fragilis YCH46 in the feces of control group and HSD group rats, hypertensive patients and healthy people was further verified by rtPCR technology, using TB Green Premix Ex Taq (Takara) reagent in CFX96 Real-Time PCR System (Bio -Rad) for rtPCR, the detection results are shown in Figure 3, the results showed that Bacteroides fragilis YCH46 was significantly reduced in HSD group rats and hypertensive patients, which also shows that Bacteroides fragilis YCH46 is closely related to blood pressure.

实施例3:脆弱拟杆菌(Bacteroides fragilis)YCH46对体外培养的结肠组织中皮质酮合成的影响Example 3: Effects of Bacteroides fragilis (Bacteroides fragilis) YCH46 on corticosterone synthesis in colon tissue cultured in vitro

脆弱拟杆菌(Bacteroides fragilis)YCH46在M2GSC液体细菌培养基中37℃厌氧摇菌扩增24h,得脆弱拟杆菌YCH46培养液,5000g离心5分钟,取培养液上清用0.2μm滤器进行过滤除菌,得到液体标记为B.f.S;同样取M2GSC液体细菌培养基5000g离心5分钟,取上清用0.2μm滤器进行过滤除菌,得到液体标记为M2GSC;无菌条件下取正常对照组及高盐诱导组的C57BL/6雄性小鼠结肠组织,每个结肠组织充分剪碎并均分为2组,使用无菌的12孔板进行培养,每孔中均加入DMEM培养基、胎牛血清,然后对照组和HSD组中均分别加入300μLB.f.S和M2GSC,细胞培养箱中培养12小时,收取培养液,3000g离心5分钟,取上清进行ELISA检测;收取结肠组织,trizol法提取mRNA进行qPCR。Bacteroides fragilis (Bacteroides fragilis) YCH46 was amplified in M2GSC liquid bacterial culture medium at 37°C for 24 hours by anaerobic shaking to obtain Bacteroides fragilis YCH46 culture solution, which was centrifuged at 5000g for 5 minutes, and the supernatant of the culture solution was filtered out with a 0.2 μm filter B.f.S, the liquid was labeled as B.f.S; similarly, the M2GSC liquid bacterial medium was centrifuged at 5000g for 5 minutes, and the supernatant was filtered and sterilized with a 0.2 μm filter, and the liquid was labeled as M2GSC; under sterile conditions, the normal control group and high-salt induced The colonic tissue of C57BL/6 male mice in the group, each colonic tissue was fully cut up and divided into two groups, cultured in a sterile 12-well plate, DMEM medium and fetal bovine serum were added to each well, and then the control 300 μL of B.f.S and M2GSC were added to the HSD group and the HSD group respectively, cultured in the cell incubator for 12 hours, the culture medium was collected, centrifuged at 3000 g for 5 minutes, and the supernatant was taken for ELISA detection; the colon tissue was collected, and mRNA was extracted by trizol method for qPCR.

小鼠结肠组织培养上清中皮质酮的含量如图4A所示,脆弱拟杆菌YCH46培养液上清(B.f.S)能显著抑制HSD组小鼠结肠皮质酮的合成,而对对照组小鼠结肠组织的皮质酮合成没有显著影响。小鼠结肠组织中Mr基因的mRNA表达水平如图4B所示,M2GSC培养的HSD小鼠结肠组织中Mr基因的mRNA表达水平较高,与M2GSC培养的正常对照组小鼠差异显著(P<0.05),而脆弱拟杆菌YCH46培养液上清(B.f.S)显著抑制了HSD组小鼠结肠组织Mr基因的mRNA表达水平。小鼠结肠组织中Hsd11b2基因的mRNA表达水平如图4C所示,高盐饮食诱导过的HSD小鼠结肠组织中Hsd11b2基因的mRNA表达水平较低,与M2GSC培养的正常对照组小鼠差异显著(P<0.001),而脆弱拟杆菌YCH46培养液上清(B.f.S)可以显著增加HSD组小鼠结肠组织Hsd11b2基因的mRNA表达水平。以上结果说明高盐饮食可显著增加结肠皮质酮的合成,增加Mr基因的mRNA表达水平,降低HSD11B2的转录水平,通过这些作用,使高盐饮食状态下大量的肠来源的皮质酮无法被HD11B2失活,而是结合并激活MR,进而使钠钾转运失调,诱导高血压。而脆弱拟杆菌YCH46可以逆转高盐诱导的上述作用,对高血压产生一定的治疗效果。The content of corticosterone in the culture supernatant of mouse colon tissue is shown in Figure 4A. B. fragilis YCH46 culture supernatant (B.f.S) can significantly inhibit the synthesis of colon corticosterone in HSD group mice, while the control group mice colon tissue Corticosterone synthesis was not significantly affected. The mRNA expression level of Mr gene in mouse colon tissue is shown in Figure 4B. The mRNA expression level of Mr gene in the colon tissue of HSD mice cultured by M2GSC is higher, which is significantly different from that of normal control mice cultured by M2GSC (P<0.05 ), while the culture supernatant (B.f.S) of Bacteroides fragilis YCH46 significantly inhibited the mRNA expression level of Mr gene in colon tissue of HSD mice. The mRNA expression level of Hsd11b2 gene in mouse colon tissue is shown in Figure 4C, the mRNA expression level of Hsd11b2 gene in the colon tissue of HSD mice induced by high-salt diet is lower, which is significantly different from the normal control group mice cultured by M2GSC ( P<0.001), while the culture supernatant (B.f.S) of Bacteroides fragilis YCH46 could significantly increase the mRNA expression level of Hsd11b2 gene in colon tissue of mice in HSD group. The above results show that high-salt diet can significantly increase the synthesis of colonic corticosterone, increase the mRNA expression level of Mr gene, and reduce the transcription level of HSD11B2. Instead, it binds and activates MR, which in turn causes sodium and potassium transport disorders and induces hypertension. Bacteroides fragilis YCH46 can reverse the above-mentioned effects induced by high salt, and have a certain therapeutic effect on hypertension.

实施例4:脆弱拟杆菌(Bacteroides fragilis)YCH46对HSD组大鼠血压的影响Embodiment 4: Effect of Bacteroides fragilis (Bacteroides fragilis) YCH46 on blood pressure of HSD group rats

高盐饲料喂养大鼠构建高盐高血压(HSD)模型大鼠,正常对照组以正常大鼠饲料喂养,管饲正常对照组和HSD组大鼠,管饲前一天给予MgSO4清理固有菌群,HSD组大鼠管饲脆弱拟杆菌YCH46(109CFU/kg),正常对照组大鼠管饲正常大鼠饲料,隔日一次,管饲三次。Rats were fed with high-salt diet to construct high-salt hypertension (HSD) model rats. The normal control group was fed with normal rat diet, and the rats in the normal control group and the HSD group were gavaged, and MgSO 4 was given to clean up the inherent flora the day before the gavage feeding , the rats in the HSD group were gavaged with Bacteroides fragilis YCH46 (10 9 CFU/kg), and the rats in the normal control group were gavaged with normal rat diet once every other day and three times.

饲养过程中,检测各组大鼠的收缩压和舒张压的变化情况,结果如图5所示,正常对照组的收缩压和舒张压稳定维持在正常水平,未给予脆弱拟杆菌YCH46的HSD组大鼠收缩压和舒张压均保持在较高水平,给予脆弱拟杆菌YCH46的HSD组大鼠收缩压和舒张压显著下降。During the feeding process, the systolic blood pressure and diastolic blood pressure of the rats in each group were detected. The results are shown in Figure 5. The systolic blood pressure and diastolic blood pressure of the normal control group were maintained at normal levels. The HSD group not given B. fragilis YCH46 The systolic blood pressure and diastolic blood pressure of the rats remained at a high level, and the systolic blood pressure and diastolic blood pressure of the rats in the HSD group given B. fragilis YCH46 decreased significantly.

以上结果表明,脆弱拟杆菌YCH46在高血压发病中起到关键作用,同时脆弱拟杆菌YCH46在高血压患者及高盐饮食诱导的高血压大鼠中显著下降,血清和肠道皮质酮水平在高血压患者及高盐饮食诱导的高血压大鼠中显著增加。脆弱拟杆菌YCH46能够抑制高盐饮食诱导的小鼠结肠皮质酮的产生,促进HSD11B2的表达及降低MR水平。并且在体内,脆弱拟杆菌YCH46可以显著降低高盐饮食诱导的高血压。综上,脆弱拟杆菌YCH46能够降低收缩压和舒张压,对高血压有一定的治疗效果。利用本发明的脆弱拟杆菌YCH46在高血压疾病中的关键作用可以制备成药物、药物组合物、食品、保健品或食品添加剂的形式,所述药物、药物组合物、食品、保健品或食品添加剂含有脆弱拟杆菌YCH46,这些药物、药物组合物、食品、保健品或食品添加剂可用于治疗包括原发性高血压及盐敏感性高血压疾病。The above results indicated that B. fragilis YCH46 played a key role in the pathogenesis of hypertension. At the same time, B. fragilis YCH46 was significantly decreased in hypertensive patients and hypertensive rats induced by high-salt diet. Significantly increased in hypertensive patients and hypertensive rats induced by a high-salt diet. Bacteroides fragilis YCH46 can inhibit the high-salt diet-induced colonic corticosterone production in mice, promote the expression of HSD11B2 and reduce the level of MR. And in vivo, B. fragilis YCH46 can significantly reduce high-salt diet-induced hypertension. In summary, B. fragilis YCH46 can reduce systolic and diastolic blood pressure, and has a certain therapeutic effect on hypertension. Utilizing the key role of Bacteroides fragilis YCH46 of the present invention in hypertensive diseases, it can be prepared into the form of medicine, pharmaceutical composition, food, health product or food additive, and the medicine, pharmaceutical composition, food, health product or food additive Containing Bacteroides fragilis YCH46, these medicines, pharmaceutical compositions, foods, health products or food additives can be used for treating diseases including essential hypertension and salt-sensitive hypertension.

Claims (10)

1.脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用。1. Application of Bacteroides fragilis YCH46 in the preparation of medicines for treating or assisting the treatment of hypertension. 2.如权利要求1所述的脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用,其特征在于,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。2. The application of Bacteroides fragilis YCH46 in the preparation of medicines for the treatment or auxiliary treatment of hypertension according to claim 1, characterized in that, said Bacteroides fragilis YCH46 is the live bacterium of Bacteroides fragilis YCH46, and/or fragilis Bacteroides YCH46 culture supernatant. 3.如权利要求1所述的脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用,其特征在于,所述高血压疾病为原发性高血压或盐敏感性高血压。3. The use of Bacteroides fragilis YCH46 as claimed in claim 1 in the preparation of medicines for the treatment or auxiliary treatment of hypertension, characterized in that the hypertensive disease is essential hypertension or salt-sensitive hypertension. 4.如权利要求1所述的脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用,其特征在于,所述药物含有药学有效剂量的脆弱拟杆菌YCH46和药学上可接受的载体;其中,所述药学上可接受的载体为脱脂奶、乳糖、葡萄糖、蔗糖、山梨糖醇、甘露糖、海藻糖、淀粉、阿拉伯胶、磷酸钙、藻酸盐、明胶、硅酸钙、细结晶纤维素、聚乙烯吡咯烷酮、纤维素、水、糖浆、甲基纤维素、羟基苯甲酸甲酯、羟基苯甲酸丙酯、滑石、硬脂酸镁或矿物油中的一种或多种的混合物。4. The application of Bacteroides fragilis YCH46 as claimed in claim 1 in the preparation of medicines for the treatment or auxiliary treatment of hypertension, wherein the medicine contains a pharmaceutically effective dose of Bacteroides fragilis YCH46 and a pharmaceutically acceptable carrier wherein, the pharmaceutically acceptable carrier is skimmed milk, lactose, glucose, sucrose, sorbitol, mannose, trehalose, starch, acacia, calcium phosphate, alginate, gelatin, calcium silicate, fine A mixture of one or more of crystalline cellulose, polyvinylpyrrolidone, cellulose, water, syrup, methylcellulose, methylparaben, propylparaben, talc, magnesium stearate, or mineral oil . 5.如权利要求1所述的脆弱拟杆菌YCH46在制备治疗或辅助治疗高血压的药物中的应用,其特征在于,所述药物的剂型为片剂、胶囊剂、口服液或冻干粉剂。5. The application of Bacteroides fragilis YCH46 as claimed in claim 1 in the preparation of medicines for the treatment or auxiliary treatment of hypertension, characterized in that the dosage forms of the medicines are tablets, capsules, oral liquids or freeze-dried powders. 6.一种用于治疗或辅助治疗高血压的药物,其特征在于,所述药物含有药学有效剂量的脆弱拟杆菌YCH46;其中,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液;所述高血压为原发性高血压或盐敏感性高血压;所述药物的剂型为片剂、胶囊剂、口服液或冻干粉剂。6. A medicine for treating or assisting the treatment of hypertension, characterized in that the medicine contains a pharmaceutically effective dose of Bacteroides fragilis YCH46; wherein, the Bacteroides fragilis YCH46 is a live bacterial body of Bacteroides fragilis YCH46, and /or culture supernatant of Bacteroides fragilis YCH46; the hypertension is essential hypertension or salt-sensitive hypertension; the dosage form of the medicine is tablet, capsule, oral liquid or freeze-dried powder. 7.一种用于治疗或辅助治疗高血压的药物组合物,其特征在于,所述药物组合物含有药学有效剂量的脆弱拟杆菌YCH46;其中,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。7. A pharmaceutical composition for the treatment or auxiliary treatment of hypertension, characterized in that the pharmaceutical composition contains a pharmaceutically effective dose of Bacteroides fragilis YCH46; wherein, the Bacteroides fragilis YCH46 is the live Bacteroides, and/or culture supernatant of Bacteroides fragilis YCH46. 8.一种用于治疗或辅助治疗高血压的食品,其特征在于,所述食品含有脆弱拟杆菌YCH46;其中,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。8. A food for the treatment or auxiliary treatment of high blood pressure, characterized in that the food contains Bacteroides fragilis YCH46; wherein, the Bacteroides fragilis YCH46 is the live bacteria of Bacteroides fragilis YCH46, and/or Bacteroides fragilis YCH46 Bacillus YCH46 culture supernatant. 9.一种用于治疗或辅助治疗高血压的保健品,其特征在于,所述保健品含有脆弱拟杆菌YCH46;其中,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。9. A health product for the treatment or auxiliary treatment of high blood pressure, characterized in that the health product contains Bacteroides fragilis YCH46; wherein, the Bacteroides fragilis YCH46 is a live bacterial body of Bacteroides fragilis YCH46, and/or Bacteroides fragilis YCH46 culture supernatant. 10.一种用于治疗或辅助治疗高血压的食品添加剂,其特征在于,所述食品添加剂含有脆弱拟杆菌YCH46;其中,所述脆弱拟杆菌YCH46为脆弱拟杆菌YCH46活菌体、和/或脆弱拟杆菌YCH46培养上清液。10. A food additive for treating or assisting the treatment of high blood pressure, characterized in that the food additive contains Bacteroides fragilis YCH46; wherein, the Bacteroides fragilis YCH46 is a live bacterial body of Bacteroides fragilis YCH46, and/or Bacteroides fragilis YCH46 culture supernatant.
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