Abstract
Background
Ulcerative colitis (UC) is a chronic inflammatory disease of the colon with multifactorial aetiology involving genetic, immune, environmental, and microbial factors. Alterations in the gut microbiome are a consistent feature of UC, yet their causal contribution to disease onset and progression remains unresolved. Current animal models rely largely on chemical or genetic induction and fail to capture the complexity of host-microbiome interactions characteristic of human disease. To address this limitation and enhance the translational relevance of preclinical research, this study employed patient-derived microbiota to model UC-associated dysbiosis and investigated its effects alone and in combination with chemical induction.
Results
We compared three mouse models using different UC-induction triggers: dextran sulphate sodium (DSS), faecal microbiota transplantation (FMT) from a UC patient, and their combination (COMB). DSS and COMB treatments induced marked clinical symptoms, whereas FMT alone caused only mild changes, likely due to the short exposure period. Immunophenotyping revealed distinct immune profiles across all models, with leukocyte and neutrophil infiltration in the colonic mucosa of all groups, demonstrating that the microbiota alone can elicit localized immune activation. Transcriptomic analysis showed that FMT significantly modulated tight junction and mucin gene expression and induced microbiome shifts resembling those observed in human UC. In contrast, DSS triggered a strong pro-inflammatory transcriptional response and reduced microbial diversity, but with compositional changes mostly opposing those seen in UC patients. The COMB model combined features of both approaches – producing clinical symptoms and inflammatory activation similar to DSS and tight junction dysregulation resembling FMT.
Conclusions
This study investigated novel experimental models of ulcerative colitis by incorporating patient-derived microbiota as an inducing factor. DSS induced strong clinical and inflammatory responses, FMT primarily altered barrier gene expression and microbiome composition, and their combination merged both inflammatory and epithelial characteristics. These microbiota-based models show promise for more accurately reproducing UC pathophysiology and thereby improving translational relevance. Further optimization is needed, including adjustment of exposure duration and sequence of induction, as well as validation for reproducibility.
Supplementary Information
The online version contains supplementary material available at 10.1186/s42826-026-00283-9.
Keywords: Microbiome dysbiosis, Animal model, Ulcerative colitis, Pseudo germ-free mice, Faecal microbiota transplantation, Dextran sodium sulphate
Background
Inflammatory bowel diseases (IBD) are chronic, multifactorial disorders of the gastrointestinal tract (GIT). While the incidence of IBD has plateaued in Western countries, it continues to rise in East Asia and high-income Asia Pacific regions, with the West maintaining a high prevalence due to improved survival [1]. Ulcerative colitis (UC), one of the two major forms of IBD, is characterized by continuous mucosal inflammation starting in the rectum and confined to the colon, in contrast to the patchy, transmural inflammation seen in Crohn’s disease (CD). UC typically follows a relapsing-remitting course with symptoms such as bloody diarrhoea, abdominal pain, urgency, and tenesmus [2]. The development of UC is complex and not fully elucidated, involving genetic predisposition, environmental factors (e.g. urban lifestyle, diet, pollutants), immune dysregulation, and alterations in the gut microbiome [3]. Given that UC is characterized by chronic immune-mediated inflammation of the colon, a key objective is to identify the triggers of the dysregulated immune response. To investigate the pathogenesis of UC and to test novel therapies, multiple animal models have been developed, each recapitulating different aspects of the disease. Chemically induced models such as dextran sodium sulphate (DSS) damage the epithelium directly, causing barrier breakdown, neutrophil infiltration, ulceration and symptoms such as bloody diarrhoea in a relatively short time frame [4]. Hapten models, including trinitrobenzene sulfonic acid (TNBS) and oxazolone, are used to generate T-cell mediated responses: TNBS tends to produce Th1-polarized inflammation while oxazolone more closely mimics the Th2-skewed cytokine profile seen in UC [5]. Genetically engineered models of spontaneous colitis, such as Il10, Il2, Mdr1a or Muc2 knockouts, have been invaluable for uncovering gene functions in intestinal immunity and inflammation. While these models reproduce some features of ulcerative colitis, they rely on complete gene loss, which does not reflect the genetic background of human disease. Moreover, the occurrence of spontaneous colitis in over 70 transgenic mouse strains and the identification of more than 160 IBD susceptibility loci in humans highlight the multifactorial nature of inflammatory bowel disease, driven by complex interactions between genetic, microbial, and environmental factors [5–7]. Most of the established UC models lack the complex microbial stimulus that may be a key player in the UC pathogenesis. Several strands of evidence suggest there is a close relationship between the pathogenesis of UC and intestinal microbiome, especially the disruption of its homeostasis. To this date, numerous studies have reported differences between the gut microbiome of healthy individuals and UC patients, including an overall reduction in microbial diversity [8], decreased stability [9] and shifts in key taxa [10]. These changes have been linked to disease severity [11] and treatment response [12]. To investigate host–microbiome interactions in colitis, several infection-based approaches have been developed. These models, such as those using Salmonella typhimurium, adherent-invasive Escherichia coli or Helicobacter hepaticus, can provide insight into host-pathogen interactions and acute intestinal inflammation. However, S. typhimurium inoculation often leads to systemic infection [13] and H. hepaticus is efficient in immunologically manipulated mice [14]. While these models reproduce certain features of UC, they fail to recapitulate the complex microbial alterations observed in human disease.
There is a clear need for relevant preclinical models that more faithfully reproduce not only the immunological but also the microbial features of UC, thereby increasing their translational relevance for therapy development. Therefore, the aim of this study was to investigate faecal microbiota transplantation (FMT) from a UC patient as a microbial trigger of colitis, and to compare it with the widely used DSS model as well as their combination, in order to establish a more translationally relevant model that better captures the complexity of UC.
Methods
Animal husbandry and experimental conditions
The presented study was carried out on 81 specific pathogen-free (SPF) female BALB/c mice, 6 weeks old (19.9 ± 1.3 g) obtained from Velaz s.r.o. (Prague, Czech Republic). Upon arrival, the mice were housed in gnotobiotic conditions (Laboratory of Gnotobiology of the Department of Microbiology and Immunology, UVMP Kosice, Slovakia, SK U 16016). The animals were provided ad libitum access to irradiated feed and sterile water, with regular bedding changes. All equipment was sterilized by autoclaving or gamma-irradiation and further disinfected with 2% peracetic acid before use. Detailed housing and care procedures are provided in the Additional file 1.
Antibiotic decontamination
To generate a pseudo germ-free mouse model with a substantially reduced and controlled microbiota, while maintaining the overall health status of the animals, all experimental mice underwent a 5-day antibiotic treatment followed by a 10-day convalescence period. This approach was based on the protocol described by Popper et al. (2016) [15] and involved administering amoxicillin and clavulanic acid (Amoksiklav; Sandoz Pharmaceuticals, Ljubljana, Slovenia) and ciprofloxacin (Ciprinol con infusion; Krka d.d., Novo Mesto, Slovenia) every 12 hours. The effectiveness of this model in achieving microbiota depletion and its reliability for downstream experimental applications has been confirmed in several published studies [16, 17].
Donor selection and FMT preparation
The donor evaluation included anamnesis, clinical history, and laboratory testing. The selected donor was a 20-year-old female diagnosed with acute UC (Mayo score = 2) with no history of prior antibiotic, corticosteroid, or biological therapy. The stool sample for FMT preparation was processed within 6 months of the screening and no more than 6 hours post-collection. The FMT preparation protocol followed the method outlined by Lauko et al. [16]. A detailed description of the donor selection and FMT preparation process is provided in the Additional file 1.
Colitis induction
To achieve pseudo germ-free status, all intact animals (INT) were subjected to antibiotic treatment. After the decontamination, at the beginning of the experiment, a subset of these animals was sacrificed to serve as the control group (C0). The remaining animals were divided into three experimental groups based on the method of UC induction. The DSS group (n = 22) received 5% dextran sulphate sodium (DSS, molecular weight 40 kDa, TdB Consultancy AB, Uppsala, Sweden) in drinking water for 5 days. The FMT group (n = 30) underwent UC induction through oral administration of UC-derived FMT every 24 hours for 5 days. The COMB group (n = 29) was subjected to a combination of the two methods, receiving DSS in drinking water and FMT orally, both administered over 5 days. At the end of the experiment, all animals were euthanized by cervical dislocation. No anaesthesia was used during this procedure or any other procedure performed during the experiment.
Evaluation of clinical colitis
The severity of the disease and clinical symptoms were assessed using an updated and revised version of Disease Activity Index (DAI) [15]. This index combines scores for rectal bleeding (0–6), stool consistency (0–6), and weight loss (0–4) (Table 1). Rectal bleeding was assessed by an anal smear with a moistened cotton swab and scored according to the blood coverage of the swab.
Table 1.
Disease activity index (DAI). DAI was calculated as the sum of rectal bleeding, stool consistency, and weight loss scores
| Score | Rectal Bleeding | Stool Consistency | Weight Loss | Maximum Score |
|---|---|---|---|---|
| 0 | No bleeding | Formed pellets | <5% | 16 |
| 1 | 5–10% | |||
| 2 | Spotting | Mild soft | 11–15% | |
| 3 | 16–20% | |||
| 4 | Slight bleeding | Very soft | >20% | |
| 5 | - | |||
| 6 | Gross bleeding | Watery stool | - |
Immunophenotyping of secondary lymphoid organs
The splenocytes were isolated by perforating the spleen, flushing with HBSS, and centrifuging the resulting suspension. For isolation of cells from Peyer’s patches, tissue was digested with Collagenase from Clostridium histolyticum in RPMI 1640 medium (both from Sigma-Aldrich, St. Louis, MO, USA), filtered, and processed similarly to the splenocytes. Colon tissue was processed into a single-cell suspension by digestion with Collagenases (II and IV) and Hyaluronidase IV (all from Worthington Biochemical Corporation, Lakewood, NJ, USA), followed by filtration and centrifugation. Cell recovery was determined using the MUSE® cell analyser (Cytek Biosciences, Fremont, CA, USA) with the Muse® Count & Viability Kit (Luminex, Austin, TX, USA). A detailed description of the methods used to obtain the single-cell suspensions is provided in the Additional file 1. Single cell suspensions from secondary lymphoid organs were stained with fluorescent-labelled monoclonal antibodies (eBioscience, San Diego, CA, USA; Additional files 2 and 3). The stained samples were analysed using the BD FACSCanto™ flow cytometer (Becton Dickinson Biosciences, Franklin Lakes, NJ, USA) and BD FACS Diva™ (Becton Dickinson Biosciences, Franklin Lakes, NJ, USA) and FlowLogic software (Version 7.3.; Inivai Technologies, Mentone, Victoria, Australia). In each of the analysed secondary lymphoid organs we assessed populations of leukocytes, T lymphocytes, and B lymphocytes. In the colon mucosa specifically we also evaluated macrophages, neutrophils, natural killer (NK) cells, and NK T cells (NKT). The gating strategy followed the standardized and validated protocol described by Bayne and Vonderheide [18], and the analysed cell populations and the specific markers used to define them are detailed in Table 2.
Table 2.
Markers of immune cell population in secondary lymphoid organs. Populations listed without indentation represent parent populations, while indented entries indicate their respective subpopulations
| Cell population | Markers (colon mucosa) | Markers (spleen and PP) |
|---|---|---|
| Leukocytes | CD45+ | CD45+ |
| Myeloid cells | CD11b+ | |
| Macrophages | F4/80+Ly-6G- | |
| Neutrophils | F4/80-Ly-6G+ | |
| T-lymphocytes | CD3+CD19- | CD3+B-220- |
| Helper T cells (Th) | CD4+CD8a- | CD4+CD8a- |
| Cytotoxic T cells (Tc) | CD4–CD8a+ | CD4–CD8a+ |
| B-lymphocytes | CD3–CD19+ | CD3–B220+ |
| NK cells | CD8a-CD49b+ | |
| NKT cells | CD8a+CD49+ |
DNA and RNA extraction
Faecal samples were collected throughout the experiment and stored at −70 °C until further processing. Genomic DNA was isolated using the ZR Fecal DNA MiniPrep™ kit (Zymo Research, Irvine, CA, USA) following the manufacturer’s protocol. Colon tissue samples (∼ 2 cm) were excised post-mortem, snap-frozen in liquid nitrogen and stored at −70 °C. For RNA extraction, frozen tissues were transferred directly into gentleMACS™ M Tubes (Miltenyi Biotec, Bergisch Gladbach, Germany) containing TRI Reagent® (Molecular Research Center, Cincinnati, OH, USA) without allowing them to thaw. The tissues were homogenized using the gentleMACS™ Dissociator (Miltenyi Biotec, Bergisch Gladbach, Germany). Subsequently, mucosal RNA was isolated from the homogenized tissue using the Monarch® Total RNA Miniprep Kit (New England Biolabs, Ipswich, MA, USA) according to the manufacturer’s protocol.
Evaluation of microbial composition (16S sequencing) and transcriptomic analysis of colon mucosa (RNA-Seq)
The concentration and purity of the isolated DNA and RNA samples were first assessed in-house using a spectrophotometer (NanoDrop™ One/OneC, Thermo Fisher Scientific, Waltham, MA, USA). The samples were then shipped on dry ice to Novogene Europe (Cambridge, UK) for library preparation, sequencing, data processing, and statistical analysis (Additional file 1).
We focused our transcriptome analysis on genes associated with tight junction proteins and mucins, given the proposed central role of the intestinal epithelial barrier (IEB) disruption in UC pathogenesis. Additionally, genes for cytokines and chemokines, previously linked to inflammation in UC, were also analysed. A panel of 114 genes (Additional file 4) was curated from the published literature and examined for differential expression.
Statistical analysis
Unless stated otherwise, all statistical analyses were performed using GraphPad Prism 9 (GraphPad Software, San Diego, CA, USA). The normality of data distributions was assessed using the Shapiro-Wilk test, and the equality of variances was evaluated using the Brown-Forsythe test. For normally distributed data with equal variances, an unpaired two-tailed Student’s t-test or one-way ANOVA with Tukey’s post hoc test were applied for two-group and multiple-group comparisons, respectively. In cases where the normality criterion was met but variances were unequal, Welch’s t-test or Welch’s ANOVA followed by Dunnett’s T3 multiple comparison test were used. Non-parametric data were analysed using the Mann-Whitney U test for two-group comparisons or the Kruskal-Wallis test with Dunn’s post hoc test for multiple groups. The Disease Activity Index, as ordinal repeated measures data, was analysed using the Friedman test followed by Dunn’s multiple comparison test. A Bonferroni correction for multiple testing was applied to all two-group tests where necessary. On selected immune cell population data, a Spearman’s rank correlation was performed post hoc.
Results
DSS alone induces the highest Disease Activity Index (DAI) among UC induction methods
A significant increase in the DAI score was observed across all groups during the induction period (Fig. 1). The FMT group developed only mild disease, with a slight rise in DAI detectable at the end of the induction period (final DAI ≈2.5). In contrast, DSS treatment caused an early and steadily progressive increase in DAI from the first day of induction, resulting in the most severe clinical phenotype (final DAI ≈9). The COMB group followed an intermediate course: animals developed more pronounced clinical symptoms than in the FMT group, but the increase in DAI remained consistently lower than in the DSS group (final DAI ≈7). At the end of the induction period, DAI values were highest in DSS-treated mice, followed by COMB and then FMT, confirming that the three protocols model distinct grades of clinical disease severity.
Fig. 1.
Timeline of disease activity index across the experiment. Intergroup pairwise comparisons for each experimental day were performed using the Kruskal–Wallis test followed by Dunn’s multiple comparisons test and are depicted with asterisks. Statistical significance levels are denoted as follows: *p < 0.05, **p < 0.01, ***p < 0.001, and ****p < 0.0001. Intragroup pairwise comparisons between experimental days were conducted using Friedman’s test with Dunn’s multiple comparisons test and are indicated with color-coded letter annotations
UC induction methods alter immune cell populations in secondary lymphoid organs in a distinct manner
In the colon mucosa (Fig. 2a), leukocyte and neutrophil populations increased across all experimental groups compared to the control, with the most pronounced neutrophil expansion in the FMT group and the least in the DSS group. In contrast, macrophage percentages significantly decreased in all experimental groups. The percentage of NKT cells was also significantly altered but followed different trends: it decreased in the FMT and COMB groups while increasing in the DSS group. No significant differences were observed in helper T-cell (CD4+CD8-) percentages. Additionally, the DSS group exhibited a reduction in B-lymphocytes, while in both the FMT and COMB groups a significant reduction in NK cells and cytotoxic T cells (CD4–CD8+) was observed. Exploratory Spearman’s correlation between NK cells and neutrophils was also conducted post hoc. Results showed there was a strong negative correlation between the percentages of NK cells and neutrophils, rs(28) = −0.79, p = 0.0009. In Peyer’s patches (Fig. 2b), a possible synergistic effect of DSS and UC FMT was observed in the helper T cell population, which increased significantly in all experimental groups compared to controls, with the highest increase observed in the COMB group. Following UC induction, the DSS group displayed significant changes in T-cell populations, including a decrease of cytotoxic T cells while helper T-cell increased. In the FMT and COMB groups, leukocytes, B-cell and helper T-cell populations increased compared to controls. Comparisons among induction methods revealed significant differences in B-cell, T-cell, and helper T-cell populations across all groups. In the spleen (Fig. 2c), DSS administration caused the most pronounced deviations from the control group, including a decrease in leukocyte and B-lymphocyte percentages, along with an increase in total T cells and helper T cells. In contrast, FMT administration with or without simultaneous DSS administration primarily led to an increase in B-lymphocytes without significant alterations in other cell populations.
Fig. 2.
Immune cell populations of secondary lymphoid organs: (a) Colon mucosa. (b) Peyer’s patches. (c) Spleen. Data are presented as mean + SD and individual data points. Comparisons between control (day 0; C0) and post-UC induction were performed using t-tests with Bonferroni correction applied (α’ = α/3), and statistical significance is indicated by asterisks. Intergroup pairwise comparisons between UC induction methods (FMT, DSS, and COMB groups) were analysed using parametric or nonparametric tests based on data distribution and variance homogeneity, followed by appropriate multiple comparison tests (see methods section). These comparisons are represented by letters; identical letters indicate no statistical significance, while different letters denote significant differences. Levels of significance are denoted as follows: for t-tests (asterisks), *p < 0.0167, **p < 0.0033, ***p < 0.00033; for pairwise comparisons (letters): normal letters (x, y) for p < 0.05, italicized letters (x, y) for p < 0.01, and bold letters (x, y) for p < 0.001
DSS alone induces subtler shifts to transcriptome of colon mucosa cells compared to FMT
Hierarchical cluster analysis (HCA) (Fig. 3a) revealed that out of all experimental groups, the DSS group was most similar to the control group, with these two groups clustering together and the FMT and COMB groups were clustering separately. Principal Component Analysis (PCA) (Fig. 3b) revealed that samples within the C0 and FMT groups respectively clustered most tightly, indicating low intra-group variability. In contrast, samples from the DSS group exhibited the greatest dispersion and partially overlapped with the C0 group, suggesting higher variability. Differential gene expression analysis supported these findings (Fig. 3c) with DSS and C0 sharing the lowest number (2,723) of differentially expressed genes (DEGs). Among the induction methods, COMB and FMT were the most similar, with 4,284 DEGs, whereas COMB and DSS exhibited the greatest differences, with 8,226 DEGs.
Fig. 3.
Overview of transcriptomic variability and sample grouping performed as part of the transcriptomic analysis of colon tissue using RNA-seq. (a) Hierarchical cluster analysis (HCA). Hierarchical clustering was performed on the log2(FPKM+1) values of gene expression. The data were normalized by calculating the Z-score for each row. The heatmap colours represent the normalized expression values, reflecting relative differences within each row. As a result, the colours can only be compared horizontally (within a row) and not vertically (between rows). (b) Principal component analysis (PCA). Analysis was performed on the gene expression values (FPKM). (c) Statistics of differentially expressed genes between groups
FMT downregulates key genes associated with tight junctions and mucins while DSS upregulates inflammation-related genes
Upon examining the panel of 114 genes for tight junctions, mucins, cytokines and chemokines, 52 were differentially expressed in at least one experimental group (Fig. 4). Administration of DSS alone had the smallest impact on tight junction protein expression (Fig. 4a), with only one gene (Ocln) downregulated compared to the control group. In contrast, FMT administration alone or in combination with DSS (COMB group) resulted in downregulation of over half the genes in the tight junction panel and numerous significant differences emerged between the DSS group and the FMT/COMB groups. The impact of FMT on tight junction gene expression was further corroborated by KEGG enrichment analysis. The Tight Junction pathway (mmu04530) was significantly downregulated in both the FMT and COMB groups but not in the DSS group (Table 3, Additional files 5 and 6).
Fig. 4.
Differential expression of selected gene sets identified as part of the transcriptomic analysis of colon tissue using RNA-seq. (a) Tight junctions. (b) Mucins. (c) Chemokines. (d) Cytokines. Genes with a | log2 Fold change (FC) |≥0.5 and padj < 0.05 were identified as differentially expressed. The heatmap displays expression levels, with green indicating downregulation (negative log2 FC values) and red indicating upregulation (positive log2 FC values). Exact log2 FC values are shown for all differentially expressed genes
Table 3.
KEGG enrichment analysis: summary of differential gene expression in the tight junction pathway (mmu04530). DEGs – differentially expressed genes. padj – p value adjusted for multiple testing using the Benjamini–Hochberg false discovery rate (FDR) method
| Groups | DEGs in the pathway | Gene expression | p value | padj |
|---|---|---|---|---|
| FMT vs C0 | 48 | Downregulation | 0.002567 | 0.038379 |
| COMB vs C0 | 58 | Downregulation | 0.002570 | 0.030179 |
| DSS vs C0 | 29 | Upregulation | 0.473748 | 0.743559 |
In the mucin panel (Fig. 4b), contrasting effects of FMT and DSS administration were observed. Most genes were downregulated in the FMT group compared to the control, whereas Muc2 and Muc4 were upregulated in the DSS group. In the COMB group, no genes were differentially expressed except for Muc16, which was significantly upregulated. These findings were further supported by KEGG enrichment analysis (Table 4). The Mucin Type O-glycan Biosynthesis pathway (mmu00512) was significantly down-regulated in the FMT group, while it was upregulated in the DSS group. No significant changes were observed in the COMB group. Similar to the findings in the tight junction panel, notable differences emerged between the DSS group and the FMT/COMB groups.
Table 4.
KEGG enrichment analysis: summary of differential gene expression in the mucin type O-glycan biosynthesis pathway (mmu00512). DEGs – differentially expressed genes. padj – p value adjusted for multiple testing using the Benjamini–Hochberg false discovery rate (FDR) method
| Groups | DEGs in the pathway | Gene expression | p value | padj |
|---|---|---|---|---|
| FMT vs C0 | 12 | Downregulation | 0.000688 | 0.014397 |
| COMB vs C0 | 9 | Downregulation | 0.080581 | 0.311515 |
| DSS vs C0 | 9 | Upregulation | 0.000185 | 0.005169 |
In the chemokine (Fig. 4c) and cytokine (Fig. 4d) panels, similar trends were observed. The FMT group exhibited the fewest DEGs after induction, with only Ccl28 and Tgfb2 differentially expressed in the chemokine and cytokine panels, respectively. After DSS administration alone, several genes were upregulated, and one gene, Tgfb2, was downregulated. In contrast, the COMB group showed the highest number of DEGs, with all being upregulated except for Ccl28, which was downregulated. KEGG Enrichment analysis revealed significant upregulation of several cytokine and chemokine-related pathways in the DSS group compared to the control (Table 5).
Table 5.
KEGG enrichment analysis: upregulation of selected pathways in the DSS group (versus C0). DEGs – differentially expressed genes. padj – p value adjusted for multiple testing using the Benjamini–Hochberg false discovery rate (FDR) method
| KEGG ID | Pathway name | DEGs in the pathway | p value | padj |
|---|---|---|---|---|
| mmu04060 | Cytokine-cytokine receptor interaction | 48 | 7.9E-09 | 1.21E-06 |
| mmu04668 | TNF signaling pathway | 26 | 2.66E-06 | 2.15E-04 |
| mmu04657 | IL-17 signaling pathway | 20 | 6.56E-05 | 2.51E-03 |
| mmu04062 | Chemokine signaling pathway | 30 | 4.2E-04 | 8.64E-03 |
In contrast, the COMB group showed significant upregulation of only the Cytokine-cytokine receptor interaction pathway (mmu04060) compared to the control, while no cytokine or chemokine-related pathways were significantly upregulated in the FMT group.
The analysis of top 10 most differentially expressed genes, further revealed distinct transcriptional patterns among the experimental groups. In the FMT group (Fig. 5a), Col27a1 and Snhg11 were upregulated, while several genes including Nov, Krt19, Slc35a1, Mptx2, Tagln2, Bhlha15, Slc5a3, and Meg3 were downregulated compared to controls. The DSS group (Fig. 5b) showed marked upregulation of pyroptosis- and stress-related genes such as Gsdmc4, Ggt1, Gsdmc2, Gsdmcl2, Gsdmc3, Mt1, and Krt7, alongside downregulation of Slc34a2, Plekhg6, and Mal compared to the control group. In the COMB model (Fig. 5c), when compared to C0, all top 10 DEGs were upregulated (Serpina3n, Mmp3, Ereg, H19, Ifitm1, Togaram2, Ctps, Osmr, Ifitm3 and Tmem176a).
Fig. 5.
Volcano plots of differentially expressed genes identified as part of the transcriptomic analysis of colon tissue using RNA-seq. (a) FMT group vs control group. (b) DSS group vs control group. (c) COMB group vs control group. (d) DSS group vs FMT group. (e) DSS group vs COMB group. (f) FMT group vs COMB group. Up-regulated genes are depicted in pink, down-regulated genes in green, and non-differentially expressed genes in blue. Each dot represents an individual gene. The top ten most significant genes in each volcano plot, determined by the lowest p-values, are labelled with their respective gene names
When comparing the models directly, DSS vs FMT revealed higher expression of Manf, Hspa8, Nov, Zg16, Ffar4, Creld2, Tff3, Galnt12, Muc2, and Calr in DSS, while DSS vs COMB showed upregulation of Gm11808, Rps12, Rpl18a, and Rpsa-ps10, and downregulation of Samd4, Gli3, Klf7, Col3a1, Slit2, and Col5a1 in the DSS group. Lastly, FMT vs COMB comparison revealed consistent downregulation of the top 10 DEGs in the FMT group, including Serpina3n, Igfbp5, Mmp3, Il33, Lbp, H19, Osmr, Tmem176a, Ifitm1, and Ereg.
DSS reduces microbiome diversity, even in combination with FMT
To comprehensively assess changes in alpha diversity (Fig. 6a), experimental groups were compared not only to the control group (C0) but also to intact animals prior to antibiotic treatment (INT). Following antibiotic treatment, the number of observed species significantly decreased and was not restored by any of the UC induction methods, indicating reduced microbial diversity. No significant changes in the number of observed species were observed after ulcerative colitis induction compared to C0 while species richness, as measured by ACE (Abundance-based coverage estimator) and Chao1, significantly decreased in the DSS and COMB groups compared to both INT and C0. However, in the FMT group, species richness was significantly reduced only when compared to INT. Diversity metrics such as Shannon, Simpson, and PD whole tree also showed significant reductions in the DSS and COMB groups compared to INT but not relative to C0. In contrast, Shannon and Simpson indices significantly increased in the FMT group compared to C0, suggesting enhanced diversity. While the Simpson index in the FMT group remained unchanged relative to INT, both the Shannon index and PD whole tree were significantly lower compared to INT. Between the experimental groups, the only observed differences were in the Simpson index, which was significantly lower in the DSS and COMB groups compared to FMT, and the Shannon index, which was significantly lower in DSS compared to FMT.
Fig. 6.
Alpha and beta diversity analyses of faecal microbiota based on 16S rRNA sequencing. (a) Alpha diversity indices. Data are presented as median with range. Comparisons between groups were performed using Wilcoxon test and statistical significance is indicated by asterisks. Statistical significance is indicated by asterisks. *p < 0.05, **p < 0.01, ***p < 0.001. (b, c) UPGMA (Unweighted pair group method with arithmetic mean): (b) Dendrogram depicting hierarchical clustering of groups. (c) Bar plots displaying the relative abundance of the bacterial phyla used for clustering. d PCoA (Principal coordinates analysis) plot based on weighted UniFrac distances
Beta diversity analysis reveals greater similarity between COMB and DSS groups compared to FMT
UPGMA (Unweighted Pair Group Method with Arithmetic Mean, Fig. 6b, c) and PCoA (Principal Coordinates Analysis; Fig. 6d) both indicated that the DSS and C0 groups had the most similar microbial community compositions, as they clustered closely in UPGMA and exhibited overlapping samples in PCoA. These findings were supported by Adonis (PERMANOVA) and MRPP (Multi-Response Permutation Procedure) (Table 6), though the COMB group showed similarly low F and A statistics, indicating moderate differentiation.
Table 6.
Community differences analyses: Adonis (PERMANOVA) and MRPP (Multi-response permutation procedure)
| INT vs | C0 vs | FMT vs DSS |
FMT vs COMB |
COMB vs DSS |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| C0 | FMT | DSS | COMB | FMT | DSS | COMB | ||||
| Adonis | ||||||||||
| F | 15.78 | 19.64 | 43.26 | 24.80 | 10.28 | 6.18 | 4.34 | 33.74 | 18.88 | 9.08 |
| R2 | 0.66 | 0.77 | 0.84 | 0.81 | 0.63 | 0.43 | 0.42 | 0.85 | 0.83 | 0.60 |
| p value | 0.001** | 0.017* | 0.001** | 0.015* | 0.001** | 0.001** | 0.039* | 0.001** | 0.100 | 0.023* |
| MRPP | ||||||||||
| A | 0.38 | 0.43 | 0.56 | 0.50 | 0.34 | 0.25 | 0.25 | 0.54 | 0.52 | 0.31 |
| p value | 0.005** | 0.020* | 0.014* | 0.017* | 0.020* | 0.011* | 0.025* | 0.023* | 0.100 | 0.015* |
F-statistic, R2, and p-values from Adonis; A-statistic and p-values from MRPP are presented across different group comparisons. Statistical significance is indicated by asterisks. *p < 0.05, **p < 0.01, ***p < 0.001
In contrast, the FMT group demonstrated the most distinct microbial composition. It was clustered farthest from other groups in PCoA and only joined the main UPGMA cluster at the final stage. Based on the Adonis and MRPP results, the FMT group exhibited more pronounced differences when compared to DSS and COMB groups, as indicated by relatively high F and A statistics, but only moderate differentiation when compared to the C0.
Distinct bacterial phyla and families shape the microbiome following different UC induction methods
Upon comparing the methods of UC induction, LEfSe (Linear discriminant analysis Effect Size) analysis identified distinct microbial taxa as biomarkers for each experimental group, with significant differences observed across multiple taxonomic levels (Fig. 7a). The FMT group exhibited the highest number of biomarkers (22), while the COMB group had the fewest (4). For the FMT group, biomarkers encompassed entire phyla (Firmicutes and Proteobacteria), alongside several subordinate taxa: classes (Clostridia, Gammaproteobacteria, Bacilli), orders (Lachnospirales, Enterobacterales, Peptostreptococcales-Tissierellales, Lactobacillales), families (Lachnospiraceae, Morganellaceae, Peptostreptococcaceae, Enterococcaceae), and genera (Blautia, Proteus, Clostridioides, Enterococcus, Providencia, Anaerotruncus). At the species level, Proteus mirabilis and Clostridioides difficile were unique biomarkers of this group. This trend was also evident when comparing the FMT group to the control (C0) (Fig. 7b), where Firmicutes and Proteobacteria phyla, along with their subordinate taxa, were biomarkers of the FMT group. Similarly to the control group, the DSS group was characterized by biomarkers predominantly from the Bacteroidota phylum (Bacteroidia, Bacteroidales, Bacteroidaceae, Muribaculaceae, Bacteroides, Muribaculum, UCG-009, Bacteroides caecimuris). When comparing the C0 and DSS groups (Fig. 7c), the control group was characterized by biomarkers from the Firmicutes phylum, while the DSS group exhibited a mix of subordinate taxa from both Firmicutes and Bacteroidota phyla. The COMB group was characterized by family Muribaculaceae (from the Bacteroidota phylum) and Lachnospiraceae NK4A136 group and Tuzzerella (from the Firmicutes phylum). When comparing the COMB group to the control (C0), the COMB group’s biomarkers belonged to the Clostridia class and the C0 group’s biomarkers belonged to the Bacilli class (Fig. 7d). T-tests further explored differences in microbiome composition across taxonomic levels, supporting findings from the LEfSe analysis. At the phylum level, the abundance of Firmicutes was significantly higher in the FMT group compared to both the control and the DSS and COMB groups, while the abundance of Bacteroidota was significantly lower in the FMT group (Fig. 8a). No significant differences were observed between the DSS group and either C0 or the COMB group at the phylum level. At the family level (Fig. 8b), a consistent pattern across all experimental groups compared to C0 included an increase in Lachnospiraceae and Oscillospiraceae and a decrease in Enterococcaceae, aligning with LEfSe results. Peptostreptococcaceae exhibited opposing trends, with increased abundance in the FMT group and decreased abundance in the DSS group after UC induction. Additionally, the Clostridia vadinBB60 group increased in both the DSS and COMB groups. When comparing induction methods, the FMT and COMB groups displayed higher levels of Lachnospiraceae compared to the DSS group. In contrast, the DSS group had the highest abundance of Bacteroidaceae, consistent with LEfSe results. Among the experimental groups, the DSS and COMB groups showed the fewest significant differences. Comparisons with the FMT group revealed similar patterns in both the DSS and COMB groups, including higher abundance of Muribaculaceae and the Clostridia vadinBB60 group and lower abundance of Enterococcaceae, Peptostreptococcaceae, and Erysipelotrichaceae. These results were also aligned with the LEfSe analysis.
Fig. 7.
LEfSe analysis of faecal microbiota based on 16S rRNA sequencing. (a) LEfSe analysis comparing microbial biomarkers among experimental groups (FMT, DSS, and COMB). (b–d) LEfSe analysis of each experimental group compared to the control group: (b) FMT group vs control group. (c) DSS group vs control group. (d) COMB group vs control group
Fig. 8.
Bar plots of Student’s t-tests comparing bacterial populations of faecal microbiota based on 16S rRNA sequencing. (a) Significant differences at the phylum level. (b) Significant differences at the family level. Bar plots of mean relative abundance are shown on left and 95% confidence intervals for group differences shown on right
Discussion
Alterations in the gut microbiome are a hallmark of UC, yet existing experimental models rarely incorporate these microbial changes. To address this gap, we used faecal microbiota from a UC patient to induce colitis in mice and compared its effects with the widely used DSS model and a combination of these triggers, aiming to explore more translationally relevant approaches. Our results indicate that FMT alone had only a minimal impact on the overall DAI (Fig. 1), which remained low throughout the experiment. The significant but modest increase in DAI at the end of the induction period suggests that the five-day course used in this study, optimized for DSS administration, may have been insufficient for FMT to induce pronounced clinical symptoms. Based on published literature, a long-term colonization of germ-free mice is typically recommended for disease development [19]. In contrast, DSS induced a rapid escalation of DAI, more reminiscent of fulminant colitis than of the mild-to-moderate activity seen in most UC patients. Interestingly, the COMB protocol produced an intermediate, yet sustained increase in DAI that was significantly higher than in FMT and control animals but consistently lower than in the DSS group. This pattern indicates that the combination of UC microbiota with a chemical trigger generates a clinically evident but non-fulminant colitis, suggesting that the COMB model may better mirror the mild-to-moderate disease activity typically observed in human UC [20, 21] while simultaneously allowing the contribution of the dysbiotic microbiota to be studied. This aligns with previous studies demonstrating the protective role of the gut microbiome against DSS-induced colitis [22]. Analysis of immune cell populations in the colon mucosa and secondary lymphoid organs revealed distinct immune responses to each induction stimulus (Fig. 2). Nevertheless, all three experimental groups exhibited a pronounced inflammatory response, characterized by significant leukocyte and neutrophil infiltration into the colon. Such an inflammatory response is typical for UC [23, 24], and our results demonstrate that UC microbiota alone is sufficient to elicit mucosal inflammation. A comparable macrophage response was observed across all groups, marked by a surprising reduction in their population. We hypothesize that this reflects the behaviour of tissue-resident F4/80hi CX3CR1hi macrophages, which exert anti-inflammatory functions during homeostasis and are progressively replaced during inflammation by monocyte-derived macrophages that express intermediate levels of CX3CR1 [25] and often lower levels of F4/80. Both resident and inflammatory macrophages originate from circulating Ly6C+ monocytes, but under inflammatory conditions these cells preferentially differentiate into inflammatory macrophages, only some of which retain strong F4/80 expression [26, 27]. As a consequence, the F4/80+ compartment may not be efficiently replenished, leading to the apparent decrease observed in our experiments. Similar reductions in F4/80+ macrophages in inflamed colonic tissue, often accompanied by the accumulation of monocyte-derived inflammatory myeloid cells or by the redistribution of CD11b+ F4/80+ macrophages to draining lymphoid organs, have been reported in other murine colitis models [28], as well as by Bain et al., who described a trend towards reduced resident macrophages under inflammatory conditions [26]. Future studies combining F4/80 with CX3CR1 and additional markers will be required to more precisely dissect these subsets.
Variation in immune responses to different induction methods was particularly evident in the NK and NKT cell populations. Administration of FMT, either alone or in combination with DSS, resulted in a reduction of both NK and NKT cells, whereas DSS alone led to an increase in NKT cells. While the precise role of NK cells in IBD remains unclear, studies have reported that mice depleted of NK cells had increased neutrophils and rapidly succumb to DSS-induced colitis [29]. Our data showed a similar trend, with NK cells negatively correlating with neutrophils, suggesting that loss of NK cells may permit excessive neutrophil accumulation. On the other hand, regarding the NKT cell population, we employed a phenotypic definition (CD8+ CD49b+) based on the established gating strategy of Bayne et al. [18] While we acknowledge that this strategy does not utilize TCRβ to strictly segregate canonical NKT cells, the observed trends align closely with known microbiota-dependent NKT biology. The establishment of intestinal NKT cells has been proposed to be closely linked to the microbiota. Antibiotic-treated animals exhibit increased NKT cells [30], consistent with our findings, as both C0 and DSS groups showed higher NKT cell numbers. Similar to our DSS group, oxazolone-induced colitis has also been associated with elevated NKT cell response [31]. UC is often considered a Th2-skewed disease mediated in part by IL-13-producing NKT cells that contribute to epithelial damage [32]. However, NKT cells can be both protective and pathogenic, as studies in Jα18−/− mice have shown mixed outcomes [33, 34]. Our data therefore support the view that DSS predominantly triggers an acute, NKT-dominated innate response, which is in line with the well-established notion that acute DSS colitis can develop even in the absence of T and B lymphocytes and is therefore mainly driven by barrier damage and innate immune mechanisms rather than fully adaptive, T cell–dependent immunopathogenesis [35]. FMT and COMB shift the balance away from innate cytotoxic effectors and toward adaptive lymphocyte-driven inflammation. This is more reminiscent of the lymphoplasmacytic infiltrates that characterise human UC mucosa [36, 37], in which T and B cells and plasma cells represent the dominant immune populations, while neutrophils accumulate mainly during acute flares.
Regarding adaptive immunity, we analysed lymphocyte subpopulations in the colon mucosa, Peyer’s patches, and spleen. B cell infiltration and expansion under inflammatory conditions is well documented in Peyer’s patches [38] and the spleen [39], as well as in inflamed mucosa in UC [40]. In our study, DSS treatment was associated with lower relative frequencies of B cells in all three compartments compared with the other experimental groups, most prominently in Peyer’s patches and spleen. The observed decrease of relative B cell frequency in the colonic mucosa following DSS treatment is consistent with a recent study [41]. However, changes in all three analysed compartments represent a moderate decrease rather than a complete loss of B cells and indicate a myeloid-skewed, B-cell-poor pattern of inflammation. In the colon mucosa of antibiotic-conditioned pseudo–germ-free mice, this B-cell-poor profile likely reflects DSS-induced damage of an already fragile epithelial barrier, favouring recruitment of neutrophils and monocyte/macrophages over local B-cell expansion. This pattern is consistent with the concept that acute DSS colitis is primarily an epithelial toxicity – and innate immunity-driven model rather than a B cell-dependent adaptive colitis. The modest reduction in splenic B-cell frequencies in DSS-treated mice most likely reflects a relative expansion of myeloid populations rather than specific B-cell depletion [35, 42]. In contrast, mice receiving UC microbiota, either alone or in combination with DSS, displayed increased proportions of B lymphocytes in Peyer’s patches and spleen and preserved or slightly increased B cells in the colon compared with DSS. This B-cell-rich profile in gut-associated and systemic lymphoid tissues more closely resembles the chronic lymphoplasmacytic infiltrates described in human UC mucosa [36] than the DSS phenotype and suggests that UC microbiota is a dominant driver of B-cell responses even in the presence of a chemical insult. The COMB protocol therefore combines DSS-induced epithelial injury and clinical inflammation with a microbiota-driven, B-cell-rich immune landscape, providing a complementary, more UC-like context for studying the microbiota–B cell axis compared with DSS alone. Helper T cells increased significantly in Peyer’s patches across all groups and in the spleen only in DSS-treated mice, consistent with prior reports of Th-cell expansion during experimental colitis [43]. Although UC is often classified as Th2-driven disease [44], total Th cells frequencies in the colon remained unchanged. However, this points to a limitation of our study, as we did not analyse specific Th subpopulations, where functionally relevant shifts (e.g. Th1, Th17, Tfh, Treg) may have occurred. At the same time, our data underscore important differences between induction protocols at the CD8+ T-cell level. Stevceva et al. [45] reported no significant changes in colonic CD4+ and CD8+ T cells during DSS colitis, aligning with our DSS group. In contrast, increased CD8+ T cells have been reported in patients with active UC [46], a finding observed only in the COMB group, suggesting that the combined action of UC microbiota and epithelial injury is required to trigger a UC-like cytotoxic T-cell response in the colon, highlighting CD8+ T-cell infiltration as one of the key aspects of human UC pathophysiology [47] that is captured by the COMB model but not by DSS alone.
Transcriptomic analysis provided further insight into the inflammatory response and suggested distinct pathways through which DSS and FMT drive inflammation. Results from our study showed that the UC-derived microbiota induced more robust changes in the colon transcriptome, as evidenced by a higher number of DEGs in the FMT and COMB groups compared to the DSS group (Fig. 3c; Fig. 4). While the substantial impact of the gut microbiota on host gene expression has been well documented in previous studies [48], it is important to note that the relatively lower number of DEGs observed in the DSS group may be biased due to its higher intragroup variability (Fig. 3b). Despite this limitation, our analysis suggests that DSS and microbiota interact with the intestinal epithelial barrier in distinct ways. The impact of microbiota on the colon mucosa was most pronounced in tight junction and mucin-related gene expression (Figs. 4a, 4b) while DSS had a greater effect on the transcription of inflammation-related genes (Figs. 4c, 4d; Fig. 5). Defects in the intestinal epithelial barrier (IEB) have long been recognized as a hallmark of IBDs [49] and are considered a crucial factor in UC pathogenesis, with some researchers even proposing that IBDs are fundamentally a disease of the intestinal barrier [50]. Our findings suggest that the microbiome may be a key driver of these intestinal barrier dysregulations, as we observed significant downregulation of tight junction genes following UC FMT (Fig. 4a; Table 3; Additional files 5 and 6). Such downregulation has been reported in biopsies from patients with UC [51]. Interestingly, we also noted the downregulation of Cldn2, a ‘barrier-weakening’ claudin whose overexpression is typically associated with active UC [52]. Surprisingly, DSS treatment significantly altered the expression of only one tight junction gene, Ocln. In a study using the Caco-2 intestinal epithelium model, DSS was shown to redistribute tight junction proteins, leading to barrier dysfunction [53]. This suggests that while DSS disrupts the IEB primarily through post-translational mechanisms, such as protein redistribution, the microbiota may contribute to barrier dysfunction through transcriptional regulation. However, previous studies have reported downregulation of tight junction proteins in DSS-induced colitis models as well [54]. Similarly to tight junctions’ genes, microbiota appeared to have a greater influence on mucin expression (Fig. 4b; Table 4), and its effects may have been distinct from or even opposing to those of DSS. Downregulation of the mucin expression has been reported in patients with UC and CD [55] although findings regarding specifically Muc2 expression remain conflicting [56]. On the other hand, DSS induced a stronger inflammatory response, as indicated by the upregulation of several key chemokines and cytokines (Figs. 4c and d; Table 5), many of which are known to be elevated in UC patients and implicated in disease pathogenesis [57, 58]. While the administration of UC microbiota alone had only a minimal effect on expression of inflammation-related genes, the combined effect of FMT and DSS resulted in the upregulation of even more genes than DSS alone, suggesting a potential synergistic interaction. Our analysis of the most significant DEGs further supports the observation that DSS administration induces a more severe inflammatory response. Among the top 10 most significant genes (Fig. 5b), several (Gsdmc2, Gsdmc3, and Gsdmc4) belonged to the gasdermin family. Gasdermins, particularly classes A and B, have been implicated in intestinal inflammation and IBD susceptibility [59] and recently it has been shown that gasdermin C genes are upregulated by type 2 immunity [60]. Other genes that were upregulated after DSS administration included Ggt1, an early marker of subclinical inflammation and oxidative stress [61]; Mt1, which has been reported to be significantly overexpressed in inflamed colon tissue from DSS-induced colitis models [62]; and Krt7 which has been implicated in colorectal carcinoma [63]. Although Krt7 was upregulated in the DSS group compared to the control group, it was found to be downregulated when compared to the COMB group (Fig. 5e), indicating that its expression was even higher in the COMB group. Compared to the FMT group (Fig. 5d), the DSS group also showed upregulation of Ffar4 and Calr, whose increased expression has been observed in patients with UC [64, 65], as well as Hspa8, which has been associated with colorectal cancer [66]. Several inflammation-related genes were upregulated in the COMB group when compared to C0 (Fig. 5c), most notably Osmr, which is overexpressed in IBD lesions and correlates with disease severity [67]. Additionally, Mmp3, encoding coding matrix metalloproteinase 3, was upregulated. This enzyme enhances vascular permeability, facilitating neutrophil and monocyte infiltration at sites of tissue damage [68]. Genes for interferon-inducible transmembrane proteins Ifitm1 and Ifitm3 were also overexpressed. These genes are expressed by T cells and are directly involved in regulation of adaptive immunity [69]. However, their role in inflammation appears context-dependent as a study by Alteber et al. suggested their role in ameliorating colitis and colitis-associated tumorigenesis [70]. Untargeted transcriptomic analysis also revealed increased expression of H19 in the COMB group. H19 belongs to the family of long non-coding RNAs. In addition to studies confirming its upregulation in both patients and experimental models of UC [71, 72], there is evidence that its role in pathogenesis may be primarily related to its detrimental effect on the IEB [73]. Compared to the DSS group, Slit2 was upregulated in the COMB group (Fig. 5e). Reduced expression of this gene has been observed in UC [74]. Several of the most significant DEGs in FMT group (Fig. 5a) have also been implicated in inflammation and UC pathogenesis. Notably, the downregulation of Mptx has been linked to increased susceptibility to inflammation and colitis [75] while Meg3, another downregulated gene, has been proposed to have a protective role in UC by alleviating inflammation [76]. One of the two upregulated genes in the FMT group was Snhg11, one of small nucleolar RNA non-coding host genes. Non-coding RNAs like Snhg11 have been shown to affect the intestinal mucosal barrier, promoting the pathogenesis and progression of multiple diseases [77], and the overexpression of Snhg11 has been implicated in colorectal carcinoma [78]. The notable role of UC FMT as an inductive agent in triggering experimental colitis, compared with DSS, was further supported by the finding that the DSS group showed increased expression of Manf, Galnt12, Zg16, and Muc2 relative to the FMT group (Fig. 5d). Downregulation of these genes, as observed in the FMT group, has been associated with the infiltration of proinflammatory macrophages into the lamina propria [79], the development of colorectal carcinoma [80], or ulcerative colitis [81–83].
Microbiome analysis revealed a clear distinction between the effects of FMT and DSS as induction methods and showed that the COMB protocol largely superimposes DSS-induced diversity loss on a UC-like dysbiotic community. Decreased alpha diversity is a well-established hallmark of IBDs [84, 85], and DSS treatment replicates this feature [86], which was also evident in our study (Fig. 6a). Interestingly, the decline in microbial richness and evenness persisted when DSS was combined with FMT, indicating that DSS exerts a dominant, long-lasting detrimental effect on α-diversity even in the presence of transplanted microbiota. Previous studies have reported that FMT should counteract the detrimental effects of antibiotics [87] on species richness and evenness in a short time span [88]. In our study, however, UC-derived FMT restored only the Simpson index to pre-antibiotic levels, suggesting that the transplanted microbiota was itself dysbiotic and unable to fully reconstitute a healthy, diverse microbiota. Beta-diversity analyses further underscored these differences: hierarchical clustering and PCoA based on weighted UniFrac distances placed FMT and COMB communities together and clearly separated from C0/INT and DSS (Fig. 6b,d), indicating that combining DSS with FMT does not revert the microbiota to a DSS-like profile but maintains an FMT-derived community on a background of severe colitis. Microbiome biomarker analysis via LEfSe (Fig. 7), supported by t-tests (Fig. 8), confirmed that the FMT group displayed microbial signatures most closely resembling those described in IBD patients. A higher abundance of the phylum Proteobacteria, identified as a marker of the FMT group in our study, has been consistently reported in UC [89, 90]. Within this phylum, we detected several taxa that have been associated with intestinal inflammation, including class Gammaproteobacteria [91], family Morganellaceae [92], genus Providencia [93], and species Proteus mirabilis [94]. On the other hand, we also observed an increase in the phylum Firmicutes in the FMT group, which contradicts published evidence, as most studies report a decrease in Firmicutes [95, 96]. However, certain subtaxa within Firmicutes have been implicated in UC, including those reported in the FMT group in our study, such as class Clostridia [97], family Peptostreptococcaceae [98], and genus Anaerotruncus [99]. Additionally, we identified Clostridioides difficile (previously Clostridium difficile), as a biomarker in the FMT group which further supports the inflammatory potential of the transferred UC microbiota. Indeed, C. difficile infection is known to exacerbate UC, increasing disease severity, flare duration, and complication risk [100]. Together, these findings indicate that UC-derived FMT established a microbiota with multiple UC-like dysbiotic features rather than restoring a healthy community. On the other hand, the microbial changes observed in the DSS group mostly contradict published findings on the microbiome in IBD (Figs. 7a, 7c; Fig. 8). While DSS is known to promote gut microbiome dysbiosis [86], our results suggest that this dysbiosis primarily manifested as a reduction in alpha diversity (Fig. 6a), whereas the specific microbial compositional changes identified through LEfSe analysis and t-tests do not align with typical UC-associated patterns. For instance, we identified Bacteroidaceae, Paludicola and Muribaculum, and Bacteroides caecimuris as biomarkers of the DSS group, despite prior reports indicating a decrease in these taxa in UC [97, 101, 102] or their association with treatment response rather than active disease [103, 104]. Notably, families Lachnospiraceae and Oscillospiraceae emerged as biomarkers across all induction methods when compared to the control group, with their increased abundance further supported by t-test results. However, Lachnospiraceae has predominantly been reported as reduced in UC [105, 106], while a higher abundance of Oscillospiraceae has been linked to treatment response in IBD [107, 108]. That said, some evidence does support an increase in Lachnospiraceae [97] in UC. Thus, DSS alone primarily captures the loss of diversity but not the characteristic taxonomic configuration of UC. The COMB group did not generate a large number of unique biomarkers in LEfSe, but retained key elements of both triggers: DSS-like reductions in α-diversity and the FMT-derived UC-like taxa, as indicated by its clustering with FMT in beta-diversity analyses and by t-test comparisons (Figs. 6–8). From a translational perspective, FMT alone best recapitulates the compositional features of human UC dysbiosis, whereas the COMB protocol provides a context in which this dysbiotic, UC-derived microbiota is maintained on a background of severe DSS-induced colitis. This complements the DSS model, which mainly reflects non-specific diversity loss without a UC-like microbial signature, and supports the use of COMB when interventions targeting both inflammation and dysbiotic microbiota are to be evaluated.
A further aspect that was beyond the scope of the present work is a detailed analysis of donor engraftment. Although the human UC stool sample used for FMT preparation was not available with sufficient replication for group-level statistics, our 16S rRNA data still capture the overall community shifts in mice after exposure to UC FMT and/or DSS rather than providing a rigorous, taxon-resolved quantification of donor colonisation. A more in-depth characterisation of engraftment, including parallel profiling of donor material and recipient microbiota, longitudinal sampling, and an extended colonisation period, will be an important focus of future studies.
Conclusions
In conclusion, this study compared chemical, microbial and combined induction strategies to model different facets of ulcerative colitis. DSS alone primarily reproduced acute, neutrophil-dominated colitis with the most pronounced clinical symptoms, upregulation of chemokine- and inflammation-related genes and a marked loss of microbial α-diversity, but with a B-cell–poor immune profile and a microbiome configuration that only partly resembled UC dysbiosis. UC microbiota transfer (FMT) established a dysbiotic community with microbial signatures consistent with those described in UC patients and induced robust transcriptional dysregulation of tight junction and mucin genes, together with B-cell expansion in gut-associated and systemic lymphoid tissues, but caused only mild clinical disease. The combined protocol (COMB) integrated key features of both approaches: it retained DSS-like clinical inflammation and diversity loss, while adding UC-like barrier-gene suppression, a B-cell-rich immune landscape and a UC-relevant cytotoxic CD8+ T-cell response, along with the broadest activation of UC-associated inflammation-related genes such as OSMR, MMP3, H19 and IFITM1/3. By engaging adaptive lymphocyte compartments on top of DSS-driven innate epithelial injury, COMB partially compensates for the lack of T- and B-cell dependence in classical acute DSS colitis and brings the immune-cell landscape of this acute model closer to that observed in human UC. Thus, COMB uniquely captures the interplay between dysbiotic microbiota, epithelial-barrier dysfunction and mucosal inflammation that is not achieved by DSS alone. Taken together, our data suggest that FMT is particularly suited for studying microbiome-driven mechanisms, whereas the COMB model provides a complementary, more UC-like context for testing interventions that target both the intestinal barrier and the dysbiotic microbiota within an acutely inflamed, lymphocyte-rich colon. Further refinement and validation of these microbiome-inclusive models will be essential to enhance their robustness and translational applicability.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Acknowledgements
We sincerely thank the ulcerative colitis patient for donating fecal microbiota samples used in this study, which were obtained with informed consent and in accordance with ethical guidelines. We would also like to express our appreciation to everyone who contributed to the care and handling of animals throughout the course of the study.
Abbreviations
- ACE
Abundance-based coverage estimator
- CD
Crohn’s disease
- DAI
Disease activity index
- DEGs
Differentially expressed genes
- DSS
Dextran sodium sulphate
- FDR
False discovery rate
- FMT
Faecal microbiota transplantation
- GIT
Gastrointestinal tract
- HBSS
Hank’s balanced salt solution
- HCA
Hierarchical cluster analysis
- IBD
Inflammatory bowel disease
- IEB
Intestinal epithelial barrier
- KEGG
Kyoto encyclopaedia of genes and genomes
- LEfSe
Linear discriminant analysis effect size
- MRPP
Multi-response permutation procedure
- NK
Natural killer
- PCA
Principal component analysis
- PCoA
Principal coordinate analysis
- SPF
Specific pathogen-free
- Tc
Cytotoxic T cells
- Th
Helper T cells
- TNBS
Trinitrobenzene sulfonic acid
- UC
Ulcerative colitis
- UPGMA
Unweighted pair group method with arithmetic mean
Author contributions
MR: Writing – original draft, Visualization, Methodology, Investigation, Formal analysis. SG: Project administration, Investigation, Resources, Conceptualization, Funding acquisition, Supervision, Methodology. SL: Investigation, Methodology. DM: Methodology, Investigation. PA: Investigation. MJ: Investigation, Resources. VD: Writing – review & editing, Project administration, Investigation, Supervision, Funding acquisition, Conceptualization. All authors have read and agreed to the final version of the manuscript.
Funding
This work was financially supported by VEGA 1/0389/25 and APVV 23-0031.
Data availability
The RNA-seq datasets generated and analysed during the current study are available in the Gene Expression Omnibus (GEO) repository under accession number GSE305760. The 16S rRNA sequencing datasets are available in the Sequence Read Archive (SRA) under accession number PRJNA1307408.
Declarations
Ethical approval
Presented experiment received approval from the State Veterinary and Food Administration of the Slovak Republic (protocol number 4073/18–221/3). All animals were treated and euthanized humanely, adhering to the ethical guidelines set forth by the Ethics Committee of the University of Veterinary Medicine and Pharmacy in Kosice). All experimental procedures and reporting in this study comply with the ARRIVE (Animal Research: Reporting of In Vivo Experiments) guidelines. All animals were euthanized humanely by cervical dislocation performed by trained personnel in accordance with the AVMA Guidelines for the Euthanasia of Animals: 2020 Edition [109]. UC FMT donor screening, selection and sample collection was approved by the Ethical Commission of the University Hospital of L. Pasteur in Kosice, Slovakia (project No. 14/2018/OVaV).
Consent to participate
Informed consent was obtained from the FMT donor for the collection and use of faecal samples in this study.
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
Footnotes
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
The RNA-seq datasets generated and analysed during the current study are available in the Gene Expression Omnibus (GEO) repository under accession number GSE305760. The 16S rRNA sequencing datasets are available in the Sequence Read Archive (SRA) under accession number PRJNA1307408.








