Dysbiosis-Induced Secondary Bile Acid Deficiency Promotes Intestinal Inflammation

Secondary bile acids (SBAs) are derived from primary bile acids (PBAs) in a process reliant on biosynthetic capabilities possessed by few microbes. To evaluate the role of BAs in intestinal inflammation, we performed metabolomic, microbiome, metagenomic, and transcriptomic profiling of stool from il...

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Published inCell host & microbe Vol. 27; no. 4; pp. 659 - 670.e5
Main Authors Sinha, Sidhartha R., Haileselassie, Yeneneh, Nguyen, Linh P., Tropini, Carolina, Wang, Min, Becker, Laren S., Sim, Davis, Jarr, Karolin, Spear, Estelle T., Singh, Gulshan, Namkoong, Hong, Bittinger, Kyle, Fischbach, Michael A., Sonnenburg, Justin L., Habtezion, Aida
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 08.04.2020
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Abstract Secondary bile acids (SBAs) are derived from primary bile acids (PBAs) in a process reliant on biosynthetic capabilities possessed by few microbes. To evaluate the role of BAs in intestinal inflammation, we performed metabolomic, microbiome, metagenomic, and transcriptomic profiling of stool from ileal pouches (surgically created resevoirs) in colectomy-treated patients with ulcerative colitis (UC) versus controls (familial adenomatous polyposis [FAP]). We show that relative to FAP, UC pouches have reduced levels of lithocholic acid and deoxycholic acid (normally the most abundant gut SBAs), genes required to convert PBAs to SBAs, and Ruminococcaceae (one of few taxa known to include SBA-producing bacteria). In three murine colitis models, SBA supplementation reduces intestinal inflammation. This anti-inflammatory effect is in part dependent on the TGR5 bile acid receptor. These data suggest that dysbiosis induces SBA deficiency in inflammatory-prone UC patients, which promotes a pro-inflammatory state within the intestine that may be treated by SBA restoration. [Display omitted] •Secondary bile acids (SBAs) are reduced in UC pouch patients, relative to FAP patients•Reduced Ruminococcaceae in UC pouches is associates with SBA deficiency•SBA supplementation ameliorates inflammation in animal models of colitis•The protective effect of SBAs is in part dependent on the TGR5 bile acid receptor Secondary bile acids (SBAs) are some of the most concentrated bacterially derived gut metabolites. Sinha et al. find UC pouch patients have reduced SBAs and Ruminococcaceae (one of the few SBA-producing taxa) compared with FAP-control patients. In colitis models, SBAs ameliorate disease in a process reliant on the TGR5 bile acid receptor.
AbstractList Secondary bile acids (SBAs) are derived from primary bile acids (PBAs) in a process reliant on biosynthetic capabilities possessed by few microbes. To evaluate the role of BAs in intestinal inflammation, we performed metabolomic, microbiome, metagenomic, and transcriptomic profiling of stool from ileal pouches (surgically created resevoirs) in colectomy-treated patients with ulcerative colitis (UC) versus controls (familial adenomatous polyposis [FAP]). We show that relative to FAP, UC pouches have reduced levels of lithocholic acid and deoxycholic acid (normally the most abundant gut SBAs), genes required to convert PBAs to SBAs, and Ruminococcaceae (one of few taxa known to include SBA-producing bacteria). In three murine colitis models, SBA supplementation reduces intestinal inflammation. This anti-inflammatory effect is in part dependent on the TGR5 bile acid receptor. These data suggest that dysbiosis induces SBA deficiency in inflammatory-prone UC patients, which promotes a pro-inflammatory state within the intestine that may be treated by SBA restoration.
Secondary bile acids (SBAs) are derived from primary bile acids (PBAs) in a process reliant on biosynthetic capabilities possessed by few microbes. To evaluate the role of BAs in intestinal inflammation, we performed metabolomic, microbiome, metagenomic, and transcriptomic profiling of stool from ileal pouches (surgically created resevoirs) in colectomy-treated patients with ulcerative colitis (UC) versus controls (familial adenomatous polyposis, FAP). We show relative to FAP, UC pouches have reduced levels of lithocholic acid and deoxycholic acid (normally the most abundant gut SBAs), genes required to convert PBAs to SBAs, and Ruminococcaceae (one of few taxa known to include SBA-producing bacteria). In three murine colitis models, SBA supplementation reduces intestinal inflammation. This anti-inflammatory effect is in part dependent on the TGR5 bile acid receptor. These data suggest that dysbiosis induces SBA deficiency in inflammatory-prone UC patients, which promotes a pro-inflammatory state within the intestine that may be treated by SBA restoration. Secondary bile acids (SBAs) are some of the most concentrated bacterially-derived gut metabolites. Sinha et al. find UC pouch patients have reduced SBAs and Ruminococcaceae (one of few SBA-producing taxa) compared to FAP-control patients. In colitis models, SBAs ameliorate disease in a process reliant on the TGR5 bile acid receptor.
Secondary bile acids (SBAs) are derived from primary bile acids (PBAs) in a process reliant on biosynthetic capabilities possessed by few microbes. To evaluate the role of BAs in intestinal inflammation, we performed metabolomic, microbiome, metagenomic, and transcriptomic profiling of stool from ileal pouches (surgically created resevoirs) in colectomy-treated patients with ulcerative colitis (UC) versus controls (familial adenomatous polyposis [FAP]). We show that relative to FAP, UC pouches have reduced levels of lithocholic acid and deoxycholic acid (normally the most abundant gut SBAs), genes required to convert PBAs to SBAs, and Ruminococcaceae (one of few taxa known to include SBA-producing bacteria). In three murine colitis models, SBA supplementation reduces intestinal inflammation. This anti-inflammatory effect is in part dependent on the TGR5 bile acid receptor. These data suggest that dysbiosis induces SBA deficiency in inflammatory-prone UC patients, which promotes a pro-inflammatory state within the intestine that may be treated by SBA restoration.Secondary bile acids (SBAs) are derived from primary bile acids (PBAs) in a process reliant on biosynthetic capabilities possessed by few microbes. To evaluate the role of BAs in intestinal inflammation, we performed metabolomic, microbiome, metagenomic, and transcriptomic profiling of stool from ileal pouches (surgically created resevoirs) in colectomy-treated patients with ulcerative colitis (UC) versus controls (familial adenomatous polyposis [FAP]). We show that relative to FAP, UC pouches have reduced levels of lithocholic acid and deoxycholic acid (normally the most abundant gut SBAs), genes required to convert PBAs to SBAs, and Ruminococcaceae (one of few taxa known to include SBA-producing bacteria). In three murine colitis models, SBA supplementation reduces intestinal inflammation. This anti-inflammatory effect is in part dependent on the TGR5 bile acid receptor. These data suggest that dysbiosis induces SBA deficiency in inflammatory-prone UC patients, which promotes a pro-inflammatory state within the intestine that may be treated by SBA restoration.
Secondary bile acids (SBAs) are derived from primary bile acids (PBAs) in a process reliant on biosynthetic capabilities possessed by few microbes. To evaluate the role of BAs in intestinal inflammation, we performed metabolomic, microbiome, metagenomic, and transcriptomic profiling of stool from ileal pouches (surgically created resevoirs) in colectomy-treated patients with ulcerative colitis (UC) versus controls (familial adenomatous polyposis [FAP]). We show that relative to FAP, UC pouches have reduced levels of lithocholic acid and deoxycholic acid (normally the most abundant gut SBAs), genes required to convert PBAs to SBAs, and Ruminococcaceae (one of few taxa known to include SBA-producing bacteria). In three murine colitis models, SBA supplementation reduces intestinal inflammation. This anti-inflammatory effect is in part dependent on the TGR5 bile acid receptor. These data suggest that dysbiosis induces SBA deficiency in inflammatory-prone UC patients, which promotes a pro-inflammatory state within the intestine that may be treated by SBA restoration. [Display omitted] •Secondary bile acids (SBAs) are reduced in UC pouch patients, relative to FAP patients•Reduced Ruminococcaceae in UC pouches is associates with SBA deficiency•SBA supplementation ameliorates inflammation in animal models of colitis•The protective effect of SBAs is in part dependent on the TGR5 bile acid receptor Secondary bile acids (SBAs) are some of the most concentrated bacterially derived gut metabolites. Sinha et al. find UC pouch patients have reduced SBAs and Ruminococcaceae (one of the few SBA-producing taxa) compared with FAP-control patients. In colitis models, SBAs ameliorate disease in a process reliant on the TGR5 bile acid receptor.
Author Sonnenburg, Justin L.
Sim, Davis
Bittinger, Kyle
Nguyen, Linh P.
Tropini, Carolina
Spear, Estelle T.
Namkoong, Hong
Jarr, Karolin
Becker, Laren S.
Singh, Gulshan
Sinha, Sidhartha R.
Habtezion, Aida
Wang, Min
Fischbach, Michael A.
Haileselassie, Yeneneh
AuthorAffiliation 2 Department of Microbiology & Immunology, Stanford University School of Medicine, Stanford, CA 94305, USA
5 Chan Zuckerberg Biohub, San Francisco, CA 94158, USA
1 Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
7 Lead Contact
4 Division of Gastroenterology, Hepatology, and Nutrition, The Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
6 These authors contributed equally
3 Department of Bioengineering, Stanford University, Stanford, CA 94305, USA
AuthorAffiliation_xml – name: 3 Department of Bioengineering, Stanford University, Stanford, CA 94305, USA
– name: 4 Division of Gastroenterology, Hepatology, and Nutrition, The Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
– name: 7 Lead Contact
– name: 5 Chan Zuckerberg Biohub, San Francisco, CA 94158, USA
– name: 6 These authors contributed equally
– name: 1 Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– name: 2 Department of Microbiology & Immunology, Stanford University School of Medicine, Stanford, CA 94305, USA
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  givenname: Sidhartha R.
  surname: Sinha
  fullname: Sinha, Sidhartha R.
  email: sidsinha@stanford.edu
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
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  givenname: Yeneneh
  surname: Haileselassie
  fullname: Haileselassie, Yeneneh
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– sequence: 3
  givenname: Linh P.
  surname: Nguyen
  fullname: Nguyen, Linh P.
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– sequence: 4
  givenname: Carolina
  surname: Tropini
  fullname: Tropini, Carolina
  organization: Department of Microbiology & Immunology, Stanford University School of Medicine, Stanford, CA 94305, USA
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  surname: Wang
  fullname: Wang, Min
  organization: Department of Bioengineering, Stanford University, Stanford, CA 94305, USA
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  givenname: Laren S.
  surname: Becker
  fullname: Becker, Laren S.
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– sequence: 7
  givenname: Davis
  surname: Sim
  fullname: Sim, Davis
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
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  givenname: Karolin
  surname: Jarr
  fullname: Jarr, Karolin
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– sequence: 9
  givenname: Estelle T.
  surname: Spear
  fullname: Spear, Estelle T.
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– sequence: 10
  givenname: Gulshan
  surname: Singh
  fullname: Singh, Gulshan
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– sequence: 11
  givenname: Hong
  surname: Namkoong
  fullname: Namkoong, Hong
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
– sequence: 12
  givenname: Kyle
  surname: Bittinger
  fullname: Bittinger, Kyle
  organization: Division of Gastroenterology, Hepatology, and Nutrition, The Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
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  surname: Fischbach
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– sequence: 14
  givenname: Justin L.
  surname: Sonnenburg
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  organization: Department of Microbiology & Immunology, Stanford University School of Medicine, Stanford, CA 94305, USA
– sequence: 15
  givenname: Aida
  surname: Habtezion
  fullname: Habtezion, Aida
  email: aidah@stanford.edu
  organization: Department of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32101703$$D View this record in MEDLINE/PubMed
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IngestDate Thu Aug 21 14:01:31 EDT 2025
Wed Jul 30 10:43:00 EDT 2025
Thu Apr 03 06:59:41 EDT 2025
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Thu Apr 24 23:03:56 EDT 2025
Sun Apr 06 06:53:23 EDT 2025
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Issue 4
Keywords colitis
bile acids
metabolomics
pouchitis
ulcerative colitis
inflammatory bowel disease
dysbiosis
Language English
License Copyright © 2020 Elsevier Inc. All rights reserved.
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content type line 23
AUTHOR CONTRIBUTIONS
SS and AH designed the study; SS, YH, LN, CT, GS, MW, DS, KB, ES, and HN performed experiments; SS, LN, CT, YH, DS, KB, KJ, LB, MF, JS, and AH analyzed and interpreted the data; SS, YH, LN, and CT wrote the paper with assistance from KB. SS, YH, ES, JS, and AH revised the paper. All authors had the opportunity to discuss the results, review, and comment on the final manuscript.
OpenAccessLink http://www.cell.com/article/S1931312820300627/pdf
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Snippet Secondary bile acids (SBAs) are derived from primary bile acids (PBAs) in a process reliant on biosynthetic capabilities possessed by few microbes. To evaluate...
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SubjectTerms Adenomatous Polyposis Coli - microbiology
Animals
bile acids
Bile Acids and Salts - metabolism
Bile Acids and Salts - pharmacology
colitis
Colitis - etiology
Colitis - microbiology
Colonic Pouches - microbiology
Disease Models, Animal
dysbiosis
Dysbiosis - complications
Feces - microbiology
Humans
Inflammation - drug therapy
Inflammation - etiology
inflammatory bowel disease
Intestines - drug effects
Intestines - pathology
metabolomics
Metagenome
Mice
Microbiota
pouchitis
Receptors, G-Protein-Coupled - drug effects
Receptors, G-Protein-Coupled - metabolism
Ruminococcus - isolation & purification
Transcriptome
ulcerative colitis
Title Dysbiosis-Induced Secondary Bile Acid Deficiency Promotes Intestinal Inflammation
URI https://dx.doi.org/10.1016/j.chom.2020.01.021
https://www.ncbi.nlm.nih.gov/pubmed/32101703
https://www.proquest.com/docview/2366647240
https://pubmed.ncbi.nlm.nih.gov/PMC8172352
Volume 27
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