# The role of Clostridium butyricum and its metabolites in modulating gut mucosal immunity: implications for viral infections and inflammatory diseases

**Authors:** Shaoju Qian, Siyu Li, Keyan Ye, Shuao Lu, Xiaoming Sha, Danqiong Zhang, Zhishan Xu, Xiangfeng Song, Ruixue Li

PMC · DOI: 10.3389/fimmu.2026.1763817 · Frontiers in Immunology · 2026-02-18

## TL;DR

This review explores how Clostridium butyricum and its metabolites boost gut immunity, offering potential treatments for viral and inflammatory diseases.

## Contribution

The paper introduces a new 'gut-centric hypothesis' linking probiotic action to antiviral immunity through C. butyricum.

## Key findings

- C. butyricum enhances mucosal immunity via short-chain fatty acids and interferon induction.
- The bacterium modulates inflammasome signaling and regulatory immune populations.
- It shows therapeutic promise for viral infections and inflammatory conditions.

## Abstract

With global viral emergence and increasing antiviral resistance, there is an urgent need for innovative immunomodulatory strategies. Gut microbiota modulation has gained attention as a promising therapeutic approach. Clostridium butyricum (C. butyricum) plays a pivotal role in shaping microbial composition, preserving intestinal barrier integrity, and enhancing mucosal immunity. Its major metabolites, short-chain fatty acids (SCFAs), further strengthen mucosal defenses and exert antiviral and anti-inflammatory effects. This review proposes a unified “gut-centric hypothesis” that intestinal barrier integrity, microbial homeostasis, and mucosal immune balance collectively determine the host’s resilience to viral invasion and inflammation. The collective findings delineate a mechanistic axis whereby C. butyricum orchestrates antiviral and anti-inflammatory immunity through the induction of type I/III interferons, modulation of inflammasome signaling, and expansion of regulatory immune populations, reinforcing its therapeutic promise. This review provides a new conceptual framework linking probiotic action to antiviral immunity, identifying C. butyricum as a potential next-generation microbial therapeutic for viral and inflammatory diseases.

Infographic showing a gut barrier cross-section in the center with signaling pathways involving Clostridium butyricum, immune cells, and butyrate production. The outer ring illustrates ten organs and related diseases, including lungs with pneumonia, blood vessel with vasculitis, pancreas with acute pancreatitis, brain with Alzheimer's disease, muscles and bones with arthritis, skin with herpes simplex, intestine with inflammatory bowel disease, liver with steatohepatitis, reproductive organ with HIV, and kidneys with nephrotic syndrome. Text and icons detail the gut-immune-organ axis and diseases linked to barrier impairment.

## Linked entities

- **Diseases:** pneumonia (MONDO:0005249), vasculitis (MONDO:0018882), acute pancreatitis (MONDO:0006515), Alzheimer's disease (MONDO:0004975), arthritis (MONDO:0005578), inflammatory bowel disease (MONDO:0005265), nephrotic syndrome (MONDO:0005377)
- **Species:** Clostridium butyricum (taxon 1492)

## Full-text entities

- **Genes:** IRF7 (interferon regulatory factor 7) [NCBI Gene 3665] {aka IMD39, IRF-7, IRF-7H, IRF7A, IRF7B, IRF7C}, CCL2 (C-C motif chemokine ligand 2) [NCBI Gene 6347] {aka GDCF-2, HC11, HSMCR30, MCAF, MCP-1, MCP1}, ADAM17 (ADAM metallopeptidase domain 17) [NCBI Gene 6868] {aka ADAM18, CD156B, CSVP, HYPT16, NISBD, NISBD1}, IL10 (interleukin 10) [NCBI Gene 3586] {aka CSIF, GVHDS, IL-10, IL10A, TGIF}, NLRP3 (NLR family pyrin domain containing 3) [NCBI Gene 114548] {aka AGTAVPRL, AII, AVP, C1orf7, CIAS1, CLR1.1}, ACE2 (angiotensin converting enzyme 2) [NCBI Gene 59272] {aka ACEH}, HCAR2 (hydroxycarboxylic acid receptor 2) [NCBI Gene 338442] {aka GPR109A, HCA2, HM74a, HM74b, NIACR1, PUMAG}, HMGB1 (high mobility group box 1) [NCBI Gene 3146] {aka HMG-1, HMG1, HMG3, SBP-1}
- **Diseases:** AP (MESH:D010195), Neuroinflammatory diseases (MESH:D000090862), HBV infection (MESH:D006509), viral bronchiolitis (MESH:D001990), liver cirrhosis (MESH:D008103), abdominal inflammatory disease (MESH:D015746), gouty arthritis (MESH:D015210), XFS (MESH:D017889), bone destruction (MESH:D001847), colitis (MESH:D003092), diabetic (MESH:D003920), nasal (MESH:D009668), bacteremia (MESH:D016470), SARS-CoV-2 (MESH:D000086382), dysbiosis (MESH:D064806), CAHV infection (MESH:D007239), coagulopathy (MESH:D001778), bronchitis (MESH:D001991), NAFLD (MESH:D065626), AD (MESH:D000544), gout (MESH:D006073), PNS (MESH:D009404), sinusitis (MESH:D012852), viral and inflammatory diseases (MESH:D014777), respiratory damage (MESH:D012140), influenza (MESH:D007251), physical disability (MESH:D059445), RA (MESH:D001172), cirrhosis (MESH:D005355), liver diseases (MESH:D008107), arthritis (MESH:D001168), airway inflammation (MESH:D007249), gut and respiratory infections (MESH:D012141), Vasculitis (MESH:D014657), hypoxia (MESH:D000860), sepsis (MESH:D018805), tissue (MESH:D017695), necrosis (MESH:D009336), OA (MESH:D010003), hepatocellular carcinoma (MESH:D006528), Chronic endometritis (MESH:D004716), gut-related diseases (MESH:D000077733), HIV infection (MESH:D015658), immune dysregulation (OMIM:614878), lung inflammation (MESH:D011014), allergic (MESH:D004342), Respiratory system inflammatory diseases (MESH:D015619), hepatitis (MESH:D056486), neonatal necrotizing enterocolitis (MESH:D020345), IBD (MESH:D015212), glomerular disease (MESH:D007674), EAE (MESH:D004681), autoimmune (MESH:D001327), Musculoskeletal system inflammatory diseases (MESH:D009140), botulism (MESH:D001906), joint degeneration (MESH:D009410), steatohepatitis (MESH:D005234)
- **Chemicals:** fatty acid (MESH:D005227), Propionate (MESH:D011422), omega-3 fatty acid (MESH:D015525), polysaccharides (MESH:D011134), Butyrate (MESH:D002087), Lactic acid (MESH:D019344), Antimicrobial peptides (MESH:D000089882), retinoic acid (MESH:D014212), bile acid (MESH:D001647), superoxide (MESH:D013481), 18-hydroxy eicosapentaenoic acid (-), SCFA (MESH:D005232), Acetate (MESH:D000085), retinol (MESH:D014801), PGE2 (MESH:D015232), Acetyl-CoA (MESH:D000105), lipid (MESH:D008055), butyryl-CoA (MESH:C024343), LPS (MESH:D008070), Butyric acid (MESH:D020148), prebiotic (MESH:D056692)
- **Species:** Homo sapiens (human, species) [taxon 9606], Lactobacillus (genus) [taxon 1578], H3N2 subtype (serotype) [taxon 119210], Clostridioides difficile (species) [taxon 1496], Bifidobacterium (genus) [taxon 1678], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Mus musculus (house mouse, species) [taxon 10090], Vibrio cholerae (species) [taxon 666], Staphylococcus aureus (species) [taxon 1280], Bovine viral diarrhea virus 1 (no rank) [taxon 11099], Rattus norvegicus (brown rat, species) [taxon 10116], Helicobacter pylori (species) [taxon 210], Viruses (acellular root) [taxon 10239], Escherichia coli (E. coli, species) [taxon 562], Salmonella (genus) [taxon 590], Orthomyxoviridae (family) [taxon 11308], Human alphaherpesvirus 2 (no rank) [taxon 10310], Porcine epidemic diarrhea virus (no rank) [taxon 28295], H1N1 subtype (serotype) [taxon 114727], Shigella flexneri (species) [taxon 623], Sus scrofa (pig, species) [taxon 9823], Human immunodeficiency virus 1 (no rank) [taxon 11676], Clostridium butyricum (species) [taxon 1492], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Equid alphaherpesvirus 1 (Equine herpesvirus 1, no rank) [taxon 10326]
- **Cell lines:** BV2 — Mus musculus (Mouse), Transformed cell line (CVCL_0182)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12957134/full.md

## References

95 references — full list in the complete paper: https://tomesphere.com/paper/PMC12957134/full.md

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Source: https://tomesphere.com/paper/PMC12957134