Chen Zhongyi, Guo Lilu, Zhang Yongqin, Walzem Rosemary L, Pendergast Julie S, Printz Richard L, Morris Lindsey C, Matafonova Elena, Stien Xavier, Kang Li, Coulon Denis, McGuinness Owen P, Niswender Kevin D, Davies Sean S
J Clin Invest. 2014 Aug;124(8):3391-406. doi: 10.1172/JCI72517. Epub 2014 Jun 24.
Metabolic disorders, including obesity, diabetes, and cardiovascular disease, are widespread in Westernized nations. Gut microbiota composition is a contributing factor to the susceptibility of an individual to the development of these disorders; therefore, altering a person's microbiota may ameliorate disease. One potential microbiome-altering strategy is the incorporation of modified bacteria that express therapeutic factors into the gut microbiota. For example, N-acylphosphatidylethanolamines (NAPEs) are precursors to the N-acylethanolamide (NAE) family of lipids, which are synthesized in the small intestine in response to feeding and reduce food intake and obesity. Here, we demonstrated that administration of engineered NAPE-expressing E. coli Nissle 1917 bacteria in drinking water for 8 weeks reduced the levels of obesity in mice fed a high-fat diet. Mice that received modified bacteria had dramatically lower food intake, adiposity, insulin resistance, and hepatosteatosis compared with mice receiving standard water or control bacteria. The protective effects conferred by NAPE-expressing bacteria persisted for at least 4 weeks after their removal from the drinking water. Moreover, administration of NAPE-expressing bacteria to TallyHo mice, a polygenic mouse model of obesity, inhibited weight gain. Our results demonstrate that incorporation of appropriately modified bacteria into the gut microbiota has potential as an effective strategy to inhibit the development of metabolic disorders.
包括肥胖症、糖尿病和心血管疾病在内的代谢紊乱在西方国家广泛存在。肠道微生物群组成是个体易患这些疾病的一个促成因素;因此,改变一个人的微生物群可能会改善疾病。一种潜在的改变微生物群的策略是将表达治疗因子的改良细菌引入肠道微生物群。例如,N-酰基磷脂酰乙醇胺(NAPEs)是N-酰基乙醇胺(NAEs)脂质家族的前体,它们在小肠中因进食而合成,并能减少食物摄入量和肥胖。在此,我们证明在饮用水中给予工程化表达NAPE的大肠杆菌Nissle 1917细菌8周可降低高脂饮食喂养小鼠的肥胖水平。与接受标准水或对照细菌的小鼠相比,接受改良细菌的小鼠食物摄入量、肥胖程度、胰岛素抵抗和肝脂肪变性显著降低。从饮用水中去除表达NAPE的细菌后,其赋予的保护作用至少持续4周。此外,将表达NAPE的细菌给予肥胖多基因小鼠模型TallyHo小鼠可抑制体重增加。我们的结果表明,将适当改良的细菌引入肠道微生物群有潜力成为抑制代谢紊乱发展的有效策略。