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      Sodium Butyrate Supplementation Inhibits Hepatic Steatosis by Stimulating Liver Kinase B1 and Insulin-Induced Gene

      research-article
      1 , 2 , , 1 , , 1 , 3 , 4 , 4 , 4 , 1 , 1 , 5 , 1 , 4 , 4 , 4 , 4 , 6 , 4 , 4 , 4 , 7 , 1 , 1 , 4 , , 1 , 8 , ∗∗
      Cellular and Molecular Gastroenterology and Hepatology
      Elsevier
      Sodium Butyrate, Insulin-Induced Gene, LKB1, Hepatic Lipogenesis, NAFLD, ACC, acetyl-CoA carboxylase, AMP, adenosine monophosphate, AMPK, AMP-activated protein kinase, ATP, adenosine triphosphate, GLP-1, glucagon-like peptide 1, GST, glutathione S-transferase, HFD, high-fat diet, Insig, insulin-induced gene, LKB1, liver kinase B1, NaB, sodium butyrate, NAFLD, nonalcoholic fatty liver disease, PYY, peptide YY

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          Abstract

          Background and Aims

          Butyric acid is an intestinal microbiota-produced short-chain fatty acid, which exerts salutary effects on alleviating nonalcoholic fatty liver disease (NAFLD). However, the underlying mechanism of butyrate on regulating hepatic lipid metabolism is largely unexplored.

          Methods

          A mouse model of NAFLD was induced with high-fat diet feeding, and sodium butyrate (NaB) intervention was initiated at the eighth week and lasted for 8 weeks. Hepatic steatosis was evaluated and metabolic pathways concerning lipid homeostasis were analyzed.

          Results

          Here, we report that administration of NaB by gavage once daily for 8 weeks causes an augmentation of insulin-induced gene (Insig) activity and inhibition of lipogenic gene in mice fed with high-fat diet. Mechanistically, NaB is sufficient to enhance the interaction between Insig and its upstream kinase AMP-activated protein kinase (AMPK). The stimulatory effects of NaB on Insig-1 activity are abolished in AMPKα1/α2 double knockout (AMPK−/−) mouse primary hepatocytes. Moreover, AMPK activation by NaB is mediated by LKB1, as evidenced by the observations showing NaB-mediated induction of phosphorylation of AMPK, and its downstream target acetyl-CoA carboxylase is diminished in LKB1–/– mouse embryonic fibroblasts.

          Conclusions

          These studies indicate that NaB serves as a negative regulator of hepatic lipogenesis in NAFLD and that NaB attenuates hepatic steatosis and improves lipid profile and liver function largely through the activation of LKB1-AMPK-Insig signaling pathway. Therefore, NaB has therapeutic potential for treating NAFLD and related metabolic diseases.

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          Most cited references45

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          Commensal microbe-derived butyrate induces the differentiation of colonic regulatory T cells.

          Gut commensal microbes shape the mucosal immune system by regulating the differentiation and expansion of several types of T cell. Clostridia, a dominant class of commensal microbe, can induce colonic regulatory T (Treg) cells, which have a central role in the suppression of inflammatory and allergic responses. However, the molecular mechanisms by which commensal microbes induce colonic Treg cells have been unclear. Here we show that a large bowel microbial fermentation product, butyrate, induces the differentiation of colonic Treg cells in mice. A comparative NMR-based metabolome analysis suggests that the luminal concentrations of short-chain fatty acids positively correlates with the number of Treg cells in the colon. Among short-chain fatty acids, butyrate induced the differentiation of Treg cells in vitro and in vivo, and ameliorated the development of colitis induced by adoptive transfer of CD4(+) CD45RB(hi) T cells in Rag1(-/-) mice. Treatment of naive T cells under the Treg-cell-polarizing conditions with butyrate enhanced histone H3 acetylation in the promoter and conserved non-coding sequence regions of the Foxp3 locus, suggesting a possible mechanism for how microbial-derived butyrate regulates the differentiation of Treg cells. Our findings provide new insight into the mechanisms by which host-microbe interactions establish immunological homeostasis in the gut.
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            Metabolites produced by commensal bacteria promote peripheral regulatory T cell generation

            Intestinal microbes provide multicellular hosts with nutrients and confer resistance to infection. The delicate balance between pro- and anti-inflammatory mechanisms, essential for gut immune homeostasis, is affected by the composition of the commensal microbial community. Regulatory T (Treg) cells expressing transcription factor Foxp3 play a key role in limiting inflammatory responses in the intestine 1 . Although specific members of the commensal microbial community have been found to potentiate the generation of anti-inflammatory Treg or pro-inflammatory Th17 cells 2-6 , the molecular cues driving this process remain elusive. Considering the vital metabolic function afforded by commensal microorganisms, we hypothesized that their metabolic by-products are sensed by cells of the immune system and affect the balance between pro- and anti-inflammatory cells. We found that a short-chain fatty acid (SCFA), butyrate, produced by commensal microorganisms during starch fermentation, facilitated extrathymic generation of Treg cells. A boost in Treg cell numbers upon provision of butyrate was due to potentiation of extrathymic differentiation of Treg cells as the observed phenomenon was dependent upon intronic enhancer CNS1, essential for extrathymic, but dispensable for thymic Treg cell differentiation 1, 7 . In addition to butyrate, de novo Treg cell generation in the periphery was potentiated by propionate, another SCFA of microbial origin capable of HDAC inhibition, but not acetate, lacking this activity. Our results suggest that bacterial metabolites mediate communication between the commensal microbiota and the immune system, affecting the balance between pro- and anti-inflammatory mechanisms.
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              Host-gut microbiota metabolic interactions.

              The composition and activity of the gut microbiota codevelop with the host from birth and is subject to a complex interplay that depends on the host genome, nutrition, and life-style. The gut microbiota is involved in the regulation of multiple host metabolic pathways, giving rise to interactive host-microbiota metabolic, signaling, and immune-inflammatory axes that physiologically connect the gut, liver, muscle, and brain. A deeper understanding of these axes is a prerequisite for optimizing therapeutic strategies to manipulate the gut microbiota to combat disease and improve health.
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                Author and article information

                Contributors
                Journal
                Cell Mol Gastroenterol Hepatol
                Cell Mol Gastroenterol Hepatol
                Cellular and Molecular Gastroenterology and Hepatology
                Elsevier
                2352-345X
                11 May 2021
                2021
                11 May 2021
                : 12
                : 3
                : 857-871
                Affiliations
                [1 ]Center for Fatty Liver, Department of Gastroenterology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
                [2 ]Department of Hepatology, Qilu Hospital of Shandong University, Jinan, China
                [3 ]Department of Gastroenterology and Hepatology, Zhongshan Hospital, Fudan University, Shanghai, China
                [4 ]CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of the Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China
                [5 ]Department of Gastroenterology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China
                [6 ]Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University, Shanghai, China
                [7 ]School of Bioscience and Technology, Chengdu Medical College, Chengdu, China
                [8 ]Shanghai Key Lab of Pediatric Gastroenterology and Nutrition, Shanghai, China
                Author notes
                [] Correspondence Address correspondence to Yu Li, PhD, Shanghai Institute of Nutrition and Health, Chinese Academy of Sciences, 320 Yue Yang Road, Life Science Research Building A1816, Shanghai 200031, China. liyu@ 123456sibs.ac.cn
                [∗∗ ]Jian-Gao Fan, PhD, Center for Fatty Liver, Department of Gastroenterology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Key Lab of Pediatric Gastroenterology and Nutrition, 1665 Kong Jiang Road, Shanghai 200092, China. fanjiangao@ 123456xinhuamed.com.cn
                [∗]

                Authors share co-first authorship

                Article
                S2352-345X(21)00095-3
                10.1016/j.jcmgh.2021.05.006
                8346675
                33989817
                67f65e2f-69a4-431b-a51a-c57b5767a0c2
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 26 January 2021
                : 5 May 2021
                Categories
                Original Research

                sodium butyrate,insulin-induced gene,lkb1,hepatic lipogenesis,nafld,acc, acetyl-coa carboxylase,amp, adenosine monophosphate,ampk, amp-activated protein kinase,atp, adenosine triphosphate,glp-1, glucagon-like peptide 1,gst, glutathione s-transferase,hfd, high-fat diet,insig, insulin-induced gene,lkb1, liver kinase b1,nab, sodium butyrate,nafld, nonalcoholic fatty liver disease,pyy, peptide yy

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