Li Yun, Hou Huiqin, Wang Xianglu, Dai Xin, Zhang Wanru, Tang Qiang, Dong Yue, Yan Chen, Wang Bangmao, Li Zhengxiang, Cao Hailong
Department of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University, Tianjin, China.
Department of Pharmacy, General Hospital, Tianjin Medical University, Tianjin, China.
Front Pharmacol. 2021 Dec 21;12:796590. doi: 10.3389/fphar.2021.796590. eCollection 2021.
Obesity is a worldwide epidemic metabolic disease. Gut microbiota dysbiosis and bile acids (BAs) metabolism disorder are closely related to obesity. Farnesoid X-activated receptor (FXR), served as a link between gut microbiota and BAs, is involved in maintaining metabolic homeostasis and regulating glucose and lipid metabolism. We previously reported that diammonium glycyrrhizinate (DG) could alter gut microbiota and prevent non-alcoholic fatty liver disease. However, it remains ambiguous how DG affects the gut microbiota to regulate host metabolism. In this present study, 16S rRNA Illumina NovaSeq and metabolomic analysis revealed that DG treatment suppressed microbes associated with bile-salt hydrolase (BSH) activity, which, in turn, increased the levels of taurine-conjugated BAs accompanied by inhibition of ileal FXR-FGF15 signaling. As a result, several obesity-related metabolism were improved, like lower serum glucose and insulin levels, increased insulin sensitivity, few hepatic steatosis and resistance to weight gain. Additionally, decreased level of serum lipopolysaccharide was observed, which contributed to a strengthened intestinal barrier. The effect of DG on weight loss was slightly enhanced in the antibiotics-treated obese mice. Collectively, the efficacy of DG in the treatment of obesity might depend on gut microbiota-conjugated BAs-FXR axis. Hence, it will provide a potential novel approach for the treatment of obesity.
肥胖是一种全球性的流行性代谢疾病。肠道微生物群失调和胆汁酸(BAs)代谢紊乱与肥胖密切相关。法尼酯X激活受体(FXR)作为肠道微生物群和BAs之间的联系,参与维持代谢稳态并调节葡萄糖和脂质代谢。我们之前报道过甘草酸二铵(DG)可以改变肠道微生物群并预防非酒精性脂肪性肝病。然而,DG如何影响肠道微生物群以调节宿主代谢仍不明确。在本研究中,16S rRNA Illumina NovaSeq和代谢组学分析表明,DG处理抑制了与胆汁盐水解酶(BSH)活性相关的微生物,这反过来又增加了牛磺酸结合型BAs的水平,同时抑制了回肠FXR-FGF15信号通路。结果,一些与肥胖相关的代谢得到改善,如血清葡萄糖和胰岛素水平降低、胰岛素敏感性增加、肝脂肪变性减少以及体重增加抵抗。此外,观察到血清脂多糖水平降低,这有助于增强肠道屏障。在抗生素处理的肥胖小鼠中,DG对体重减轻的作用略有增强。总的来说,DG治疗肥胖的疗效可能取决于肠道微生物群-结合型BAs-FXR轴。因此,它将为肥胖治疗提供一种潜在的新方法。
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