# Impact of probiotic-mediated adenosine metabolism in regulating immune dysfunction.

> **NIH NIH R03** · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · 2021 · $78,000

## Abstract

PROJECT SUMMARY/ABSTRACT
Oral feeding of a probiotic (Lactobacillus reuteri DSM 17938) to mice with 2 experimental autoimmune diseases
can reprogram the gut microbes and markedly reduce disease severity. One mouse model is essentially the same
as a condition in humans called IPEX syndrome (immunodeficiency and polyendocrinopathy, with x-linked
inheritance). LR 17938 reduced the severity of the mouse’s skin lesions, improved breathing and lung
inflammation, and prolonged the mouse’s life span from less than 1 month to > 4 months. Our studies identified
a novel mechanism in which an adenosine, a rapid-acting anti-inflammatory molecule released from ATP, by
interacting with its receptor on white blood cells (T cells) was responsible for the probiotic LR 17938 to improve
the animal’s health. We also recently found that LR 17938 improves health in a mouse model of multiple
sclerosis.
Adenosine generated from ATP is broken down by 2 intestinal enzymes, CD39 and CD73, called
ectonucleotidases. CD 39 and CD 73 are present on white blood cells and intestinal cells, but certain probiotics
can also convert ATP to adenosine. Adenosine is transported into gut mucosa by nucleoside transporters (NTs).
After absorption, adenosine and its active product inosine interact with a receptor (A2A) on T cells to inhibit
inflammation in the body.
A major gap in probiotic biology is our lack of understanding of how LR 17938 affects the adenosine pathway
during Treg deficiency. We found that probiotic LR 17938 contains 5NTE (CD73) gene and that LR 17938 would
be able to generate adenosine from AMP when anaerobically cultured the laboratory. However, a LR 17938 strain
with a 5NTE mutation (LR 179385NTE) could not generate adenosine from AMP.
Aim 1 is to assess the effects of LR 17938 to compare with LR 179385NTE on clinical outcome and the adenosine
pathway in SF mice. Aim 2 is to define the critical role of probiotic 5NTE (CD73) in autoimmune protection by
depleting host CD73 in SF mice. This study will lead to further investigate the mechanism of adenosine-
producing probiotic strain in interaction with host immune system, as well as in modulation of microbial
associated metabolites and transcriptomics in Treg deficiency. The long-term goal of these studies is to determine
how to choose the best probiotic to relieve primary autoimmune diseases in humans. These conditions include
IPEX syndrome due to Foxp3 gene mutation/deletion, and IPEX-like syndrome due to other single gene defects.

## Key facts

- **NIH application ID:** 10201464
- **Project number:** 5R03AI153725-02
- **Recipient organization:** UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
- **Principal Investigator:** Yuying Liu
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $78,000
- **Award type:** 5
- **Project period:** 2020-06-25 → 2022-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10201464

## Citation

> US National Institutes of Health, RePORTER application 10201464, Impact of probiotic-mediated adenosine metabolism in regulating immune dysfunction. (5R03AI153725-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10201464. Licensed CC0.

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