SLAMF9 activation by Akkermansia muciniphila-derived lipid LPE(16:0) drives IL-10+ B cell-mediated protection against ulcerative colitis
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Ulcerative colitis (UC) pathogenesis involves aberrant interactions between the intestinal microbiota and immune system, notably reduced IL-10-producing B cells and diminished Akkermansia muciniphila (Akk). Probiotic extracellular vesicles (EVs) offer safety and transferability advantages over live bacteria. Here, we demonstrate that EVs from A. muciniphila (AkkEVs) reduce DSS-induced colitis by expanding IL-10+ B220+ cells. Lipidomics identified lysophosphatidylethanolamine (LPE(16:0)) as a lipid specifically enriched in AkkEVs. Mechanistically, LPE(16:0) binds SLAMF9 on B cells, activating the SAP/VAV1/ERK pathway to enhance IL-10 production and ameliorate colitis. Thus, AkkEVs and their derived lipid LPE(16:0) are novel SLAMF9 agonist and a candidate therapeutic for UC.