Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota
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. Her...
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doaj-d308f5cfdd8c4f9cae2b0c718e87a89b2021-03-09T00:05:17ZengMDPI AGMetabolites2218-19892021-03-011115315310.3390/metabo11030153Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal MicrobiotaMohammed K. Hankir0Florian Seyfried1Isabel N. Schellinger2Nicolas Schlegel3Tulika Arora4Department of General, Visceral, Transplant, Vascular and Pediatric Surgery, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080 Würzburg, GermanyDepartment of General, Visceral, Transplant, Vascular and Pediatric Surgery, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080 Würzburg, GermanyDepartment of Endocrinology and Nephrology, University Hospital Leipzig, Liebigstraße 20, 04103 Leipzig, GermanyDepartment of General, Visceral, Transplant, Vascular and Pediatric Surgery, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080 Würzburg, GermanyNovo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Blegdamsvej 3B, 2200 København, DenmarkAltered 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 soluble 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.https://www.mdpi.com/2218-1989/11/3/153Roux-en-Y gastric bypass surgeryintestinal microbiotaintestinal epithelial barriersystemic endotoxemiaType 2 diabetes |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohammed K. Hankir Florian Seyfried Isabel N. Schellinger Nicolas Schlegel Tulika Arora |
spellingShingle |
Mohammed K. Hankir Florian Seyfried Isabel N. Schellinger Nicolas Schlegel Tulika Arora Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota Metabolites Roux-en-Y gastric bypass surgery intestinal microbiota intestinal epithelial barrier systemic endotoxemia Type 2 diabetes |
author_facet |
Mohammed K. Hankir Florian Seyfried Isabel N. Schellinger Nicolas Schlegel Tulika Arora |
author_sort |
Mohammed K. Hankir |
title |
Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota |
title_short |
Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota |
title_full |
Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota |
title_fullStr |
Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota |
title_full_unstemmed |
Leaky Gut as a Potential Culprit for the Paradoxical Dysglycemic Response to Gastric Bypass-Associated Ileal Microbiota |
title_sort |
leaky gut as a potential culprit for the paradoxical dysglycemic response to gastric bypass-associated ileal microbiota |
publisher |
MDPI AG |
series |
Metabolites |
issn |
2218-1989 |
publishDate |
2021-03-01 |
description |
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 soluble 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. |
topic |
Roux-en-Y gastric bypass surgery intestinal microbiota intestinal epithelial barrier systemic endotoxemia Type 2 diabetes |
url |
https://www.mdpi.com/2218-1989/11/3/153 |
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