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减重手术后,一种微生物代谢产物重塑了肠道-肝脏轴。

A microbial metabolite remodels the gut-liver axis following bariatric surgery.

机构信息

Department of Biological Chemistry and Molecular Pharmacology, Blavatnik Institute, Harvard Medical School, Boston, MA 02115, USA.

Laboratory for Surgical and Metabolic Research, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Cell Host Microbe. 2021 Mar 10;29(3):408-424.e7. doi: 10.1016/j.chom.2020.12.004. Epub 2021 Jan 11.


DOI:10.1016/j.chom.2020.12.004
PMID:33434516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7954942/
Abstract

Bariatric surgery is the most effective treatment for type 2 diabetes and is associated with changes in gut metabolites. Previous work uncovered a gut-restricted TGR5 agonist with anti-diabetic properties-cholic acid-7-sulfate (CA7S)-that is elevated following sleeve gastrectomy (SG). Here, we elucidate a microbiome-dependent pathway by which SG increases CA7S production. We show that a microbial metabolite, lithocholic acid (LCA), is increased in murine portal veins post-SG and by activating the vitamin D receptor, induces hepatic mSult2A1/hSULT2A expression to drive CA7S production. An SG-induced shift in the microbiome increases gut expression of the bile acid transporters Asbt and Ostα, which in turn facilitate selective transport of LCA across the gut epithelium. Cecal microbiota transplant from SG animals is sufficient to recreate the pathway in germ-free (GF) animals. Activation of this gut-liver pathway leads to CA7S synthesis and GLP-1 secretion, causally connecting a microbial metabolite with the improvement of diabetic phenotypes.

摘要

减重手术是治疗 2 型糖尿病最有效的方法,它与肠道代谢物的变化有关。之前的研究发现了一种具有抗糖尿病特性的肠道限制型 TGR5 激动剂——胆酸-7-硫酸盐(CA7S),它在袖状胃切除术(SG)后升高。在这里,我们阐明了一种微生物组依赖的途径,通过该途径,SG 增加 CA7S 的产生。我们表明,一种微生物代谢物,石胆酸(LCA),在 SG 后在小鼠门静脉中增加,并且通过激活维生素 D 受体,诱导肝 mSult2A1/hSULT2A 表达以驱动 CA7S 的产生。SG 诱导的微生物组的转变增加了肠道胆汁酸转运体 Asbt 和 Ostα 的表达,这反过来又促进了 LCA 穿过肠道上皮的选择性转运。来自 SG 动物的盲肠微生物群移植足以在无菌(GF)动物中重现该途径。该肠道-肝脏途径的激活导致 CA7S 的合成和 GLP-1 的分泌,将微生物代谢物与改善糖尿病表型联系起来。

相似文献

[1]
A microbial metabolite remodels the gut-liver axis following bariatric surgery.

Cell Host Microbe. 2021-3-10

[2]
Bariatric surgery reveals a gut-restricted TGR5 agonist with anti-diabetic effects.

Nat Chem Biol. 2021-1

[3]
A small intestinal bile acid modulates the gut microbiome to improve host metabolic phenotypes following bariatric surgery.

Cell Host Microbe. 2024-8-14

[4]
Sleeve gastrectomy drives persistent shifts in the gut microbiome.

Surg Obes Relat Dis. 2017-6

[5]
TGR5 contributes to glucoregulatory improvements after vertical sleeve gastrectomy in mice.

Gut. 2017-2

[6]
Dietary fat and gut microbiota interactions determine diet-induced obesity in mice.

Mol Metab. 2016-10-13

[7]
Differential Changes in Gut Microbiota After Gastric Bypass and Sleeve Gastrectomy Bariatric Surgery Vary According to Diabetes Remission.

Obes Surg. 2017-4

[8]
Gut Microbial Predictors of Type 2 Diabetes Remission Following Bariatric Surgery.

Obes Surg. 2020-9

[9]
Effects of sleeve gastrectomy on the composition and diurnal oscillation of gut microbiota related to the metabolic improvements.

Surg Obes Relat Dis. 2018-3-7

[10]
Bile acid profiles within the enterohepatic circulation in a diabetic rat model after bariatric surgeries.

Am J Physiol Gastrointest Liver Physiol. 2017-12-21

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[5]
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[6]
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[7]
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[8]
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[10]
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本文引用的文献

[1]
Bariatric surgery reveals a gut-restricted TGR5 agonist with anti-diabetic effects.

Nat Chem Biol. 2021-1

[2]
A metabolic pathway for bile acid dehydroxylation by the gut microbiome.

Nature. 2020-6-17

[3]
Development of a covalent inhibitor of gut bacterial bile salt hydrolases.

Nat Chem Biol. 2020-2-10

[4]
Comparison of early type 2 diabetes improvement after gastric bypass and sleeve gastrectomy: medication cessation at discharge predicts 1-year outcomes.

Surg Obes Relat Dis. 2019-4-22

[5]
Measurement of gut microbial metabolites in cardiometabolic health and translational research.

Rapid Commun Mass Spectrom. 2020-4

[6]
The Structure and Function of the Human Small Intestinal Microbiota: Current Understanding and Future Directions.

Cell Mol Gastroenterol Hepatol. 2020

[7]
Antibiotic-induced Disruption of Intestinal Microbiota Contributes to Failure of Vertical Sleeve Gastrectomy.

Ann Surg. 2019-6

[8]
Role of Bile Acids in Bariatric Surgery.

Front Physiol. 2019-4-2

[9]
Important Role of the GLP-1 Axis for Glucose Homeostasis after Bariatric Surgery.

Cell Rep. 2019-2-5

[10]
and characterization of bile acid transformations.

Gut Microbes. 2018-12-27

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