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      Microbiota depletion promotes browning of white adipose tissue and reduces obesity

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          Abstract

          Brown adipose tissue (BAT) promotes a lean and healthy phenotype and improves insulin sensitivity 1 . In response to cold or exercise brown fat cells also emerge in the white adipose tissue (named beige cells), a process known as browning 2, 3, 4 . Here, we show that the development of functional beige fat is promoted by microbiota depletion either by antibiotic treatment or in germ-free mice within the inguinal subcutaneous and perigonadal visceral adipose tissues (ingSAT and pgVAT, respectively). This leads to improved glucose tolerance, insulin sensitivity and decreased white fat and adipocyte size in lean mice and obese leptin-deficient (ob/ob) and high fat diet (HFD)-fed mice. These metabolic improvements are mediated by eosinophil infiltration and enhanced type 2 cytokine signaling and M2 macrophage polarization in the subcutaneous white fat depots of microbiota-depleted animals. The metabolic phenotype and the browning of the subcutaneous fat are impaired by suppression of the type 2 signaling and are reversed by recolonization of the antibiotic-treated, or the germ-free mice with microbes. These results provide insight into microbiota-fat signaling axis and beige fat development in health and metabolic disease.

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          Most cited references30

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          The gut microbiota as an environmental factor that regulates fat storage.

          New therapeutic targets for noncognitive reductions in energy intake, absorption, or storage are crucial given the worldwide epidemic of obesity. The gut microbial community (microbiota) is essential for processing dietary polysaccharides. We found that conventionalization of adult germ-free (GF) C57BL/6 mice with a normal microbiota harvested from the distal intestine (cecum) of conventionally raised animals produces a 60% increase in body fat content and insulin resistance within 14 days despite reduced food intake. Studies of GF and conventionalized mice revealed that the microbiota promotes absorption of monosaccharides from the gut lumen, with resulting induction of de novo hepatic lipogenesis. Fasting-induced adipocyte factor (Fiaf), a member of the angiopoietin-like family of proteins, is selectively suppressed in the intestinal epithelium of normal mice by conventionalization. Analysis of GF and conventionalized, normal and Fiaf knockout mice established that Fiaf is a circulating lipoprotein lipase inhibitor and that its suppression is essential for the microbiota-induced deposition of triglycerides in adipocytes. Studies of Rag1-/- animals indicate that these host responses do not require mature lymphocytes. Our findings suggest that the gut microbiota is an important environmental factor that affects energy harvest from the diet and energy storage in the host. Data deposition: The sequences reported in this paper have been deposited in the GenBank database (accession nos. AY 667702--AY 668946).
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            Functional interactions between the gut microbiota and host metabolism.

            The link between the microbes in the human gut and the development of obesity, cardiovascular disease and metabolic syndromes, such as type 2 diabetes, is becoming clearer. However, because of the complexity of the microbial community, the functional connections are less well understood. Studies in both mice and humans are helping to show what effect the gut microbiota has on host metabolism by improving energy yield from food and modulating dietary or the host-derived compounds that alter host metabolic pathways. Through increased knowledge of the mechanisms involved in the interactions between the microbiota and its host, we will be in a better position to develop treatments for metabolic disease.
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              Gut microbiota from twins discordant for obesity modulate metabolism in mice.

              The role of specific gut microbes in shaping body composition remains unclear. We transplanted fecal microbiota from adult female twin pairs discordant for obesity into germ-free mice fed low-fat mouse chow, as well as diets representing different levels of saturated fat and fruit and vegetable consumption typical of the U.S. diet. Increased total body and fat mass, as well as obesity-associated metabolic phenotypes, were transmissible with uncultured fecal communities and with their corresponding fecal bacterial culture collections. Cohousing mice harboring an obese twin's microbiota (Ob) with mice containing the lean co-twin's microbiota (Ln) prevented the development of increased body mass and obesity-associated metabolic phenotypes in Ob cage mates. Rescue correlated with invasion of specific members of Bacteroidetes from the Ln microbiota into Ob microbiota and was diet-dependent. These findings reveal transmissible, rapid, and modifiable effects of diet-by-microbiota interactions.
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                Author and article information

                Journal
                9502015
                8791
                Nat Med
                Nat. Med.
                Nature medicine
                1078-8956
                1546-170X
                15 October 2015
                16 November 2015
                December 2015
                01 June 2016
                : 21
                : 12
                : 1497-1501
                Affiliations
                [1 ]University of Geneva, Faculty of Medicine, Department of Cell Physiology and Metabolism, Centre Médical Universitaire (CMU), Geneva, Switzerland
                [2 ]University of Geneva, Diabetes Centre, Faculty of Medicine, Geneva, Switzerland
                [3 ]University Hospital of Geneva, Centre for BioMedical Imaging (CIBM), Geneva, Switzerland
                [4 ]Alkaloid AD Skopje, Skopje, Republic of Macedonia
                [5 ]University Hospital of Geneva, Division of radiology, Geneva, Switzerland
                [6 ]University Hospital of Geneva, Cyclotron unit, Division of Nuclear Medicine, Geneva, Switzerland
                [7 ]University of Bern, Institute for Infectious Diseases, Bern, Switzerland
                [8 ]University College London (UCL), Division of Biosciences, Institute of Structural and Molecular Biology, London, UK
                Author notes
                []Correspondence: Mirko Trajkovski, Mirko.Trajkovski@ 123456unige.ch

                Author Contributions

                N.S.-Z. and S.F. designed and performed experiments, analyzed data and prepared figures; C.C., O.S., C.V.-D. and A.S. performed experiments and analyzed data; D.J.C., S.G., X.M., and Y.S. did the PET-CT and the CT experiments; V.T. and D.R. participated in experiments and D.R. gave technical support; S.H. and M.I. provided germ-free mice and antibiotics, respectively, and advised on their use; M.T. designed the work, participated in experiments, analyzed data, prepared the figures and wrote the manuscript with input from all co-authors.

                Article
                EMS65627
                10.1038/nm.3994
                4675088
                26569380
                9d43a265-ddc6-4a46-958d-244db15f19fb

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