Department of Epidemiology and Population Health, Yeshiva University Albert Einstein College of Medicine, Bronx, New York, USA
Department of Nutrtion, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Gut. 2022 Jun;71(6):1095-1105. doi: 10.1136/gutjnl-2021-324053. Epub 2021 Jun 14.
OBJECTIVE: Tryptophan can be catabolised to various metabolites through host kynurenine and microbial indole pathways. We aimed to examine relationships of host and microbial tryptophan metabolites with incident type 2 diabetes (T2D), host genetics, diet and gut microbiota. METHOD: We analysed associations between circulating levels of 11 tryptophan metabolites and incident T2D in 9180 participants of diverse racial/ethnic backgrounds from five cohorts. We examined host genome-wide variants, dietary intake and gut microbiome associated with these metabolites. RESULTS: Tryptophan, four kynurenine-pathway metabolites (kynurenine, kynurenate, xanthurenate and quinolinate) and indolelactate were positively associated with T2D risk, while indolepropionate was inversely associated with T2D risk. We identified multiple host genetic variants, dietary factors, gut bacteria and their potential interplay associated with these T2D-relaetd metabolites. Intakes of fibre-rich foods, but not protein/tryptophan-rich foods, were the dietary factors most strongly associated with tryptophan metabolites. The fibre-indolepropionate association was partially explained by indolepropionate-associated gut bacteria, mostly fibre-using . We identified a novel association between a host functional variant (determining lactase persistence) and serum indolepropionate, which might be related to a host gene-diet interaction on gut , a probiotic bacterium significantly associated with indolepropionate independent of other fibre-related bacteria. Higher milk intake was associated with higher levels of gut and serum indolepropionate only among genetically lactase non-persistent individuals. CONCLUSION: Higher milk intake among lactase non-persistent individuals, and higher fibre intake were associated with a favourable profile of circulating tryptophan metabolites for T2D, potentially through the host-microbial cross-talk shifting tryptophan metabolism toward gut microbial indolepropionate production.
目的:色氨酸可通过宿主犬尿酸和微生物吲哚途径代谢为各种代谢物。我们旨在研究宿主和微生物色氨酸代谢物与 2 型糖尿病(T2D)发病的关系,以及与宿主遗传、饮食和肠道微生物群的关系。
方法:我们分析了来自五个队列的 9180 名不同种族/族裔背景参与者循环中 11 种色氨酸代谢物与 T2D 发病之间的关系。我们研究了与这些代谢物相关的宿主全基因组变异、饮食摄入和肠道微生物组。
结果:色氨酸、四种犬尿酸途径代谢物(犬尿酸、犬尿酸盐、黄尿酸盐和喹啉酸盐)和吲哚乳酸与 T2D 风险呈正相关,而吲哚丙酸与 T2D 风险呈负相关。我们确定了多个与这些与 T2D 相关的代谢物相关的宿主遗传变异、饮食因素、肠道细菌及其潜在相互作用。富含纤维的食物摄入,而不是富含蛋白质/色氨酸的食物摄入,是与色氨酸代谢物最密切相关的饮食因素。纤维-吲哚丙酸的相关性部分可以通过与吲哚丙酸相关的肠道细菌来解释,这些细菌主要是利用纤维的。我们发现了一个宿主功能变异(决定乳糖酶持续存在)与血清吲哚丙酸之间的新关联,这可能与宿主基因-饮食相互作用有关,这种相互作用与肠道中的一种益生菌有关,这种益生菌与其他纤维相关细菌无关,独立于其他纤维相关细菌与吲哚丙酸显著相关。只有在乳糖酶非持续存在的个体中,较高的牛奶摄入量与较高的肠道和血清吲哚丙酸水平相关。
结论:乳糖酶非持续存在的个体中较高的牛奶摄入量以及较高的纤维摄入量与 T2D 循环色氨酸代谢物的有利特征相关,这可能是通过宿主-微生物的交叉对话,将色氨酸代谢向肠道微生物吲哚丙酸的产生转移。
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