Diet-Independent Correlations between Bacteria and Dysfunction of Gut, Adipose Tissue, and Liver: A Comprehensive Microbiota Analysis in Feces and Mucosa of the Ileum and Colon in Obese Mice with NAFLD

Development of non-alcoholic fatty liver disease (NAFLD) is linked to obesity, adipose tissue inflammation, and gut dysfunction, all of which depend on diet. So far, studies have mainly focused on diet-related fecal microbiota changes, but other compartments may be more informative on host health. We present a first systematic analysis of microbiota changes in the ileum and colon using multiple diets and investigating both fecal and mucosal samples. Ldlr−/−.Leiden mice received one of three different energy-dense (ED)-diets (n = 15/group) for 15 weeks. All of the ED diets induced obesity and metabolic risk factors, altered short-chain fatty acids (SCFA), and increased gut permeability and NAFLD to various extents. ED diets reduced the diversity of high-abundant bacteria and increased the diversity of low-abundant bacteria in all of the gut compartments. The ED groups showed highly variable, partially overlapping microbiota compositions that differed significantly from chow. Correlation analyses demonstrated that (1) specific groups of bacteria correlate with metabolic risk factors, organ dysfunction, and NAFLD endpoints, (2) colon mucosa had greater predictive value than other compartments, (3) correlating bacteria differed per compartment, and (4) some bacteria correlated with plasma SCFA levels. In conclusion, this comprehensive microbiota analysis demonstrates correlations between the microbiota and dysfunctions of gut, adipose tissue, and liver, independent of a specific disease-inducing diet.

[1]  G. Gibson,et al.  Impact of high fat diets, prebiotics and probiotics on gut microbiota and immune function, with relevance to elderly populations , 2016 .

[2]  T. van de Wiele,et al.  Prebiotic Effects of Wheat Arabinoxylan Related to the Increase in Bifidobacteria, Roseburia and Bacteroides/Prevotella in Diet-Induced Obese Mice , 2011, PloS one.

[3]  Jens V. Stein,et al.  The outer mucus layer hosts a distinct intestinal microbial niche , 2015, Nature Communications.

[4]  H. C. Beck Branched-chain fatty acid biosynthesis in a branched-chain amino acid aminotransferase mutant of Staphylococcus carnosus. , 2005, FEMS microbiology letters.

[5]  A. Diehl,et al.  Implication of Gut Microbiota in Nonalcoholic Fatty Liver Disease , 2015, PLoS pathogens.

[6]  J. Friedman,et al.  Multivariate generalizations of the Wald--Wolfowitz and Smirnov two-sample tests , 1979 .

[7]  Lawrence A. David,et al.  Diet rapidly and reproducibly alters the human gut microbiome , 2013, Nature.

[8]  W. M. Vos,et al.  The relationship between faecal‐associated and mucosal‐associated microbiota in irritable bowel syndrome patients and healthy subjects , 2015, Alimentary pharmacology & therapeutics.

[9]  G. Barlow,et al.  Methane and hydrogen positivity on breath test is associated with greater body mass index and body fat. , 2013, The Journal of clinical endocrinology and metabolism.

[10]  M. Manns,et al.  Modeling NAFLD disease burden in China, France, Germany, Italy, Japan, Spain, United Kingdom, and United States for the period 2016-2030. , 2018, Journal of hepatology.

[11]  Lawrence A. David,et al.  The severity of nonalcoholic fatty liver disease is associated with gut dysbiosis and shift in the metabolic function of the gut microbiota , 2016, Hepatology.

[12]  Barbara M. Bakker,et al.  The role of short-chain fatty acids in the interplay between diet, gut microbiota, and host energy metabolism , 2013, Journal of Lipid Research.

[13]  S. Cornick,et al.  Roles and regulation of the mucus barrier in the gut , 2015, Tissue barriers.

[14]  F. Lu,et al.  Effects of four Bifidobacteria on obesity in high-fat diet induced rats. , 2010, World journal of gastroenterology.

[15]  P. Savelkoul,et al.  Diet drives quick changes in the metabolic activity and composition of human gut microbiota in a validated in vitro gut model. , 2016, Research in microbiology.

[16]  Ş. Kızıltaş Toll-like receptors in pathophysiology of liver diseases , 2016, World journal of hepatology.

[17]  R. Spang,et al.  Comparison of Gene Expression Patterns Between Mouse Models of Nonalcoholic Fatty Liver Disease and Liver Tissues From Patients. , 2016, Gastroenterology.

[18]  T. Kooistra,et al.  A casein hydrolysate based formulation attenuates obesity and associated non-alcoholic fatty liver disease and atherosclerosis in LDLr-/-.Leiden mice , 2017, PloS one.

[19]  D. Bonthron,et al.  High‐fat and high‐sucrose (western) diet induces steatohepatitis that is dependent on fructokinase , 2013, Hepatology.

[20]  H. Flint,et al.  High-protein, reduced-carbohydrate weight-loss diets promote metabolite profiles likely to be detrimental to colonic health. , 2011, The American journal of clinical nutrition.

[21]  T. Kooistra,et al.  Surgical removal of inflamed epididymal white adipose tissue attenuates the development of non-alcoholic steatohepatitis in obesity , 2015, International Journal of Obesity.

[22]  M. Nyman,et al.  Fasting serum concentration of short-chain fatty acids in subjects with microscopic colitis and celiac disease: no difference compared with controls, but between genders , 2013, Scandinavian journal of gastroenterology.

[23]  G. Brinkworth,et al.  Comparative effects of very low-carbohydrate, high-fat and high-carbohydrate, low-fat weight-loss diets on bowel habit and faecal short-chain fatty acids and bacterial populations. , 2009, The British journal of nutrition.

[24]  N. Chavez-Tapia,et al.  The role of the gut microbiota in the pathology and prevention of liver disease. , 2018, The Journal of nutritional biochemistry.

[25]  R. Kleemann,et al.  Key Inflammatory Processes in Human NASH Are Reflected in Ldlr−/−.Leiden Mice: A Translational Gene Profiling Study , 2018, Front. Physiol..

[26]  T. Kooistra,et al.  Replacement of Dietary Saturated Fat by PUFA-Rich Pumpkin Seed Oil Attenuates Non-Alcoholic Fatty Liver Disease and Atherosclerosis Development, with Additional Health Effects of Virgin over Refined Oil , 2015, PloS one.

[27]  P. O’Toole,et al.  Gut microbiota and aging , 2015, Science.

[28]  M. Blaut,et al.  Small Intestinal Permeability and Gut-Transit Time Determined with Low and High Molecular Weight Fluorescein Isothiocyanate-Dextrans in C3H Mice , 2018, Nutrients.

[29]  A. Horská,et al.  The effect of a probiotic on hepatic steatosis. , 2008, Journal of clinical gastroenterology.

[30]  C. Ackerley,et al.  The intestinal epithelial insulin-like growth factor-1 receptor links glucagon-like peptide-2 action to gut barrier function. , 2014, Endocrinology.

[31]  Bootstrap Methods and Permutation Tests * , 2022 .

[32]  K. Korpela Diet, Microbiota, and Metabolic Health: Trade-Off Between Saccharolytic and Proteolytic Fermentation. , 2018, Annual review of food science and technology.

[33]  R. Goldschmeding,et al.  Uncovering a Predictive Molecular Signature for the Onset of NASH-Related Fibrosis in a Translational NASH Mouse Model , 2017, Cellular and molecular gastroenterology and hepatology.

[34]  M. Schilling Multivariate Two-Sample Tests Based on Nearest Neighbors , 1986 .

[35]  D. Kleiner,et al.  Nonalcoholic Fatty Liver Disease: Pathologic Patterns and Biopsy Evaluation in Clinical Research , 2012, Seminars in Liver Disease.

[36]  D. Raoult,et al.  Diet influence on the gut microbiota and dysbiosis related to nutritional disorders , 2016 .

[37]  W. Huber,et al.  Moderated estimation of fold change and dispersion for RNA-seq data with DESeq2 , 2014, Genome Biology.

[38]  H. Ogata,et al.  Dietary fructose exacerbates hepatocellular injury when incorporated into a methionine‐choline‐deficient diet , 2010, Liver international : official journal of the International Association for the Study of the Liver.

[39]  A. Nusrat,et al.  Gastrointestinal , Hepatobiliary , and Pancreatic Pathology Probiotic Bacteria Induce Maturation of Intestinal Claudin 3 Expression and Barrier Function , 2012 .

[40]  Min-Soo Kim,et al.  Chronic Repression of mTOR Complex 2 Induces Changes in the Gut Microbiota of Diet-induced Obese Mice , 2016, Scientific Reports.

[41]  P. Loke,et al.  Inferred metagenomic comparison of mucosal and fecal microbiota from individuals undergoing routine screening colonoscopy reveals similar differences observed during active inflammation , 2015, Gut microbes.

[42]  A. Diehl,et al.  Nonalcoholic Fatty Liver Disease and the Gut Microbiome. , 2016, Clinics in liver disease.

[43]  J. Tiedje,et al.  Naïve Bayesian Classifier for Rapid Assignment of rRNA Sequences into the New Bacterial Taxonomy , 2007, Applied and Environmental Microbiology.

[44]  A. Suzuki,et al.  Increased fructose consumption is associated with fibrosis severity in patients with nonalcoholic fatty liver disease , 2010, Hepatology.

[45]  H. Flint,et al.  Contribution of diet to the composition of the human gut microbiota , 2015, Microbial ecology in health and disease.

[46]  R. Kleemann,et al.  Establishment of a General NAFLD Scoring System for Rodent Models and Comparison to Human Liver Pathology , 2014, PloS one.

[47]  R. Adan,et al.  Microbiota in obesity: interactions with enteroendocrine, immune and central nervous systems , 2018, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[48]  C. Newgard Interplay between lipids and branched-chain amino acids in development of insulin resistance. , 2012, Cell metabolism.

[49]  R. Kleemann,et al.  Obeticholic Acid Modulates Serum Metabolites and Gene Signatures Characteristic of Human NASH and Attenuates Inflammation and Fibrosis Progression in Ldlr‐/‐.Leiden Mice , 2018, Hepatology communications.

[50]  M. Kleerebezem,et al.  Saturated fat stimulates obesity and hepatic steatosis and affects gut microbiota composition by an enhanced overflow of dietary fat to the distal intestine. , 2012, American journal of physiology. Gastrointestinal and liver physiology.

[51]  Susan Holmes,et al.  phyloseq: An R Package for Reproducible Interactive Analysis and Graphics of Microbiome Census Data , 2013, PloS one.

[52]  M. Birnbaum,et al.  The Small Intestine Converts Dietary Fructose into Glucose and Organic Acids. , 2018, Cell metabolism.

[53]  R. Willén,et al.  Intestinal permeability in humans is increased after radiation therapy , 2000, Diseases of the colon and rectum.

[54]  Jing Li,et al.  Dysbiosis gut microbiota associated with inflammation and impaired mucosal immune function in intestine of humans with non-alcoholic fatty liver disease , 2015, Scientific Reports.

[55]  G. Marchesini,et al.  AISF position paper on nonalcoholic fatty liver disease (NAFLD): Updates and future directions. , 2017, Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver.

[56]  K. Verbeke,et al.  Relevance of protein fermentation to gut health. , 2012, Molecular nutrition & food research.

[57]  R. Kleemann,et al.  Metabolically induced liver inflammation leads to NASH and differs from LPS- or IL-1β-induced chronic inflammation , 2014, Laboratory Investigation.

[58]  Rolph E. Anderson,et al.  Canonical Correlation , 2016 .

[59]  K. Clément,et al.  The importance of the gut microbiota after bariatric surgery , 2012, Nature Reviews Gastroenterology &Hepatology.

[60]  F. Marotta,et al.  Gut microbiota: A player in aging and a target for anti-aging intervention , 2017, Ageing Research Reviews.