Son Sang-Yong, Wang Bo, Hur Hoon, Kim Hyung-Ho, Han Sang-Uk
Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Ann Surg Treat Res. 2022 Jun;102(6):342-352. doi: 10.4174/astr.2022.102.6.342. Epub 2022 Jun 7.
Bisphenol A (BPA) is a widely used environmental contaminant that is associated with type 2 diabetes mellitus and a shift of gut microbial community. However, little is known about the influence of BPA on gut microbial changes related to bariatric surgery. We investigated whether long-term exposure to dietary BPA causing alterations of gut microbiome occurred after bariatric surgery.
Six-week-old male Wistar rats were fed either a high-fat diet (HFD) or HFD + BPA for 40 weeks. Then sleeve gastrectomy (SG) or Roux-en Y gastric bypass (RYGB) was performed in each diet group and observed for 12 weeks postoperatively. Fecal samples were collected at the 40th weeks and 12th postoperative weeks. Using 16S ribosomal RNA gene sequencing analysis on fecal samples, a comparative metagenomic analysis on gut microbiome composition was performed.
Long-term exposure to HFD with BPA showed higher body weight change and higher level of fasting blood sugar after 40 weeks-diet challenge than those of the HFD only group. After bariatric surgeries, mean body weight of the HFD with BPA group was significantly higher than the HFD only group, but there was no difference between the SG and RYGB groups. The metagenomic analyses demonstrated that long-term exposure to dietary BPA did not affect significant alterations of gut microbiome before and after bariatric surgery, compared with the HFD groups.
Our results highlighted that BPA was a risk factor for obesity and may contribute to glucose intolerance, but it did not affect alterations of gut microbiome after bariatric/metabolic surgery.
双酚A(BPA)是一种广泛使用的环境污染物,与2型糖尿病及肠道微生物群落变化有关。然而,关于BPA对减重手术相关肠道微生物变化的影响知之甚少。我们研究了减重手术后长期膳食暴露于BPA是否会导致肠道微生物群改变。
六周龄雄性Wistar大鼠分别喂食高脂饮食(HFD)或HFD + BPA,持续40周。然后在每个饮食组中进行袖状胃切除术(SG)或Roux-en Y胃旁路术(RYGB),术后观察12周。在第40周和术后第12周收集粪便样本。对粪便样本进行16S核糖体RNA基因测序分析,对肠道微生物群组成进行比较宏基因组分析。
在40周饮食挑战后,长期暴露于含BPA的HFD组体重变化更大,空腹血糖水平更高,高于仅喂食HFD的组。减重手术后,含BPA的HFD组平均体重显著高于仅喂食HFD的组,但SG组和RYGB组之间无差异。宏基因组分析表明,与HFD组相比,长期膳食暴露于BPA对减重手术前后肠道微生物群的显著改变无影响。
我们的结果强调,BPA是肥胖的一个风险因素,可能导致葡萄糖不耐受,但它不影响减重/代谢手术后肠道微生物群的改变。