Dairy and Functional Foods Research Unit, Eastern Regional Research Center, Agricultural Research Service, US Department of Agriculture, Wyndmoor, Pennsylvania, USA.
Division of Gastroenterology and Hepatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
mBio. 2024 Jun 12;15(6):e0094324. doi: 10.1128/mbio.00943-24. Epub 2024 May 10.
UNLABELLED: Bile acids play a critical role in the emulsification of dietary lipids, a critical step in the primary function of the small intestine, which is the digestion and absorption of food. Primary bile acids delivered into the small intestine are conjugated to enhance functionality, in part, by increasing aqueous solubility and preventing passive diffusion of bile acids out of the gut lumen. Bile acid function can be disrupted by the gut microbiota via the deconjugation of primary bile acids by bile salt hydrolases (BSHs), leading to their conversion into secondary bile acids through the expression of bacterial bile acid-inducible genes, a process often observed in malabsorption due to small intestinal bacterial overgrowth. By modeling the small intestinal microbiota using human small intestinal ileostomy effluent as the inocula, we show here that the infusion of physiologically relevant levels of oxygen, normally found in the proximal small intestine, reduced deconjugation of primary bile acids, in part, through the expansion of bacterial taxa known to have a low abundance of BSHs. Further recapitulating the small intestinal bile acid composition of the small intestine, limited conversion of primary into secondary bile acids was observed. Remarkably, these effects were preserved among four separate communities, each inoculated with a different small intestinal microbiota, despite a high degree of taxonomic variability under both anoxic and aerobic conditions. In total, these results provide evidence for a previously unrecognized role that the oxygenated environment of the small intestine plays in the maintenance of normal digestive physiology. IMPORTANCE: Conjugated primary bile acids are produced by the liver and exist at high concentrations in the proximal small intestine, where they are critical for proper digestion. Deconjugation of these bile acids with subsequent transformation via dehydroxylation into secondary bile acids is regulated by the colonic gut microbiota and reduces their digestive function. Using an platform modeling the small intestinal microbiota, we analyzed the ability of this community to transform primary bile acids and studied the effect of physiological levels of oxygen normally found in the proximal small intestine (5%) on this metabolic process. We found that oxygenation of the small intestinal microbiota inhibited the deconjugation of primary bile acids . These findings suggest that luminal oxygen levels normally found in the small intestine may maintain the optimal role of bile acids in the digestive process by regulating bile acid conversion by the gut microbiota.
未加说明:胆汁酸在膳食脂质的乳化中起着关键作用,这是小肠的主要功能之一,即消化和吸收食物。递送至小肠的初级胆汁酸与增强功能有关,部分通过增加水溶解度和防止胆汁酸被动扩散出肠腔来实现。肠道微生物群可以通过胆汁盐水解酶(BSH)使初级胆汁酸去共轭,从而破坏胆汁酸的功能,导致它们通过细菌胆汁酸诱导基因的表达转化为次级胆汁酸,这一过程在小肠细菌过度生长引起的吸收不良中经常观察到。通过使用人类小肠回肠造口流出物作为接种物来模拟小肠微生物群,我们在这里表明,生理相关水平的氧气(通常在小肠近端发现)的输注减少了初级胆汁酸的去共轭,部分原因是通过扩展具有低 BSH 丰度的细菌分类群。进一步再现了小肠中的胆汁酸组成,观察到初级胆汁酸向次级胆汁酸的转化有限。值得注意的是,尽管在缺氧和有氧条件下都存在高度的分类群变异性,但在四个单独的群落中都保留了这些作用,每个群落都接种了不同的小肠微生物群。总的来说,这些结果为以前未被认识到的作用提供了证据,即小肠的含氧环境在维持正常消化生理中的作用。
重要性:由肝脏产生的共轭初级胆汁酸在小肠近端以高浓度存在,在那里它们对正常消化至关重要。这些胆汁酸的去共轭及其随后通过去羟化转化为次级胆汁酸的转化受结肠肠道微生物群的调节,并降低了它们的消化功能。使用模拟小肠微生物群的平台,我们分析了该群落转化初级胆汁酸的能力,并研究了在近端小肠(5%)中通常发现的生理水平的氧气对这一代谢过程的影响。我们发现,小肠微生物群的氧合抑制了初级胆汁酸的去共轭。这些发现表明,在小肠中通常发现的腔内氧水平可能通过调节肠道微生物群对胆汁酸的转化来维持胆汁酸在消化过程中的最佳作用。
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