Abstract:Background Uterine tissue damage is one of the common causes of infertility in animals, and gut microbiota is closely related to the occurrence and development of various diseases.Objective To study the interaction mechanism between gut microbiota and the uterus in mice.Methods We established mouse models of gut microbiota dysbiosis and fecal microbiota transplantation to investigate the relationship between gut microbiota dysbiosis and uterine tissue damage. Subsequently, we employed 16S rRNA gene sequencing to analyze the bacterial species positively associated with uterine tissue damage.Results Compared with normal mice, the mouse model of gut microbiota dysbiosis showed significantly upregulated expression levels of inflammatory mediators (TNF-α, IL-1β, and IL-10), while transplantation of normal mouse feces significantly downregulated the expression levels of TNF-α and IL-1β in the uterine tissue. Histological observation and hematoxylin-eosin (HE) staining results revealed that the uterine tissue damage in the mouse model of gut microbiota dysbiosis was significantly severer than that in normal mice and the mouse model of fecal microbiota transplantation. Compared with normal mice and the mouse model of gut microbiota transplantation, the mouse model of gut microbiota dysbiosis exhibited significantly elevated positive signals of neutrophils (Ly-6G) and macrophages (F4/80) and a declined positive signal level of tight junction protein Zonula occludens-1 (ZO-1). The 16S rRNA gene sequencing was performed on the feces of mice. At the family and species levels, it was found that the relative abundance of Prevotellaceae and Prevotellaceae_UCG-001 in the feces of mice with gut microbiota dysbiosis was significantly lower than that in normal mice and mice with intestinal flora transplantation. Prevotella exhibited a therapeutic effect on uterine tissue damage induced by gut microbiota dysbiosis, as evidenced by significant reductions in TNF-α and IL-1β expression levels and a significant increase in the IL-10 expression level in the uterine tissue after Prevotella treatment. Additionally, Prevotella treatment downregulated the expression levels of damage-related proteins HMGB1 and HABP2 in the uterine tissue. After treatment, the positive signals of neutrophils (Ly-6G) and macrophages (F4/80) in the uterine tissue were significantly downregulated, while the positive signal level of tight junction protein ZO-1 was significantly upregulated.Conclusion There is a close relationship between gut microbiota dysbiosis and uterine tissue damage in mice, with Prevotella playing a crucial regulatory role. Furthermore, Prevotella exhibits a therapeutic effect on endometritis induced by gut microbiota dysbiosis in mice. This study provides new insights and evidence for the prevention and treatment of diseases associated with uterine tissue damage.