Toronto General Hospital Research Institute, UHN, Toronto, Canada.
Toronto General Hospital Research Institute, UHN, Toronto, Canada; Medical Research Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Mol Metab. 2021 Feb;44:101132. doi: 10.1016/j.molmet.2020.101132. Epub 2020 Nov 29.
OBJECTIVE: The mechanism of nutrient sensing in the upper small intestine (USI) and ileum that regulates glucose homeostasis remains elusive. Short-term high-fat (HF) feeding increases taurochenodeoxycholic acid (TCDCA; an agonist of farnesoid X receptor (FXR)) in the USI and ileum of rats, and the increase of TCDCA is prevented by transplantation of microbiota obtained from the USI of healthy donors into the USI of HF rats. However, whether changes of TCDCA-FXR axis in the USI and ileum alter nutrient sensing remains unknown. METHODS: Intravenous glucose tolerance test was performed in rats that received USI or ileal infusion of nutrients (i.e., oleic acids or glucose) via catheters placed toward the lumen of USI and/or ileum, while mechanistic gain- and loss-of-function studies targeting the TCDCA-FXR axis or bile salt hydrolase activity in USI and ileum were performed. RESULTS: USI or ileum infusion of nutrients increased glucose tolerance in healthy but not HF rats. Transplantation of healthy microbiome obtained from USI into the USI of HF rats restored nutrient sensing and inhibited FXR via a reduction of TCDCA in the USI and ileum. Further, inhibition of USI and ileal FXR enhanced nutrient sensing in HF rats, while inhibiting USI (but not ileal) bile salt hydrolase of HF rats transplanted with healthy microbiome activated FXR and disrupted nutrient sensing in the USI and ileum. CONCLUSIONS: We reveal a TCDCA-FXR axis in both the USI and ileum that is necessary for the upper small intestinal microbiome to govern local nutrient-sensing glucoregulatory pathways in rats.
目的:调节血糖稳态的上小肠(USI)和回肠中营养感应的机制仍不清楚。短期高脂肪(HF)喂养会增加大鼠 USI 和回肠中的牛磺胆酸(TCDCA;法尼醇 X 受体(FXR)的激动剂),而来自健康供体 USI 的微生物群移植到 HF 大鼠的 USI 中可防止 TCDCA 的增加。然而,USI 和回肠中 TCDCA-FXR 轴的变化是否改变营养感应仍不清楚。
方法:通过向 USI 和/或回肠的管腔中放置导管,对接受 USI 或回肠营养(即油酸或葡萄糖)输注的大鼠进行静脉葡萄糖耐量试验,同时针对 TCDCA-FXR 轴或 USI 和回肠中的胆汁盐水解酶活性进行功能获得和功能丧失的机制研究。
结果:USI 或回肠输注营养物质可增加健康大鼠而非 HF 大鼠的葡萄糖耐量。将来自 USI 的健康微生物组移植到 HF 大鼠的 USI 中可恢复营养感应,并通过减少 USI 和回肠中的 TCDCA 来抑制 FXR。此外,HF 大鼠 USI 和回肠 FXR 的抑制增强了营养感应,而 HF 大鼠 USI(而非回肠)胆汁盐水解酶的抑制激活了 FXR 并破坏了 USI 和回肠中的营养感应。
结论:我们揭示了 USI 和回肠中 TCDCA-FXR 轴是上小肠微生物群调节大鼠局部营养感应葡萄糖调节途径所必需的。
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