Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota
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Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota. / Hankir, Mohammed K.; Seyfried, Florian; Schellinger, Isabel N.; Schlegel, Nicolas; Arora, Tulika.
In: Metabolites, Vol. 11, No. 3, 153, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota
AU - Hankir, Mohammed K.
AU - Seyfried, Florian
AU - Schellinger, Isabel N.
AU - Schlegel, Nicolas
AU - Arora, Tulika
PY - 2021
Y1 - 2021
N2 - Altered host-intestinal microbiota interactions are increasingly implicated in the metabolic benefits of Roux-en-Y gastric bypass (RYGB) surgery. We previously found, however, that RYGB-associated ileal microbiota can paradoxically impair host glycemic control when transferred to germ-free mice. Here we present complementary evidence suggesting that this could be due to the heightened development of systemic endotoxemia. Consistently, application of ileal content from RYGB-treated compared with sham-operated rats onto Caco-2 cell monolayers compromised barrier function and decreased expression of the barrier-stabilizing proteins claudin-4 and desmoglein-2. Our findings raise the possibility that RYGB-associated ileal microbiota produce and release sol-uble metabolites which locally increase intestinal permeability to promote systemic endotoxemia-induced insulin resistance, with potential implications for the treatment of RYGB patients who eventually relapse onto type 2 diabetes.
AB - Altered host-intestinal microbiota interactions are increasingly implicated in the metabolic benefits of Roux-en-Y gastric bypass (RYGB) surgery. We previously found, however, that RYGB-associated ileal microbiota can paradoxically impair host glycemic control when transferred to germ-free mice. Here we present complementary evidence suggesting that this could be due to the heightened development of systemic endotoxemia. Consistently, application of ileal content from RYGB-treated compared with sham-operated rats onto Caco-2 cell monolayers compromised barrier function and decreased expression of the barrier-stabilizing proteins claudin-4 and desmoglein-2. Our findings raise the possibility that RYGB-associated ileal microbiota produce and release sol-uble metabolites which locally increase intestinal permeability to promote systemic endotoxemia-induced insulin resistance, with potential implications for the treatment of RYGB patients who eventually relapse onto type 2 diabetes.
KW - Intestinal epithelial barrier
KW - Intestinal microbiota
KW - Roux-en-Y gastric bypass surgery
KW - Systemic endotoxemia
KW - Type 2 diabetes
U2 - 10.3390/metabo11030153
DO - 10.3390/metabo11030153
M3 - Journal article
C2 - 33800456
AN - SCOPUS:85103016127
VL - 11
JO - Metabolites
JF - Metabolites
SN - 2218-1989
IS - 3
M1 - 153
ER -
ID: 259677257