Gut microbiota promotes cholesterol gallstone formation by modulating bile acid composition and biliary cholesterol secretion
Hai Hu,
Wentao Shao,
Qian Liu,
Ning Liu,
Qihan Wang,
Jin Xu,
Xin Zhang,
Zhenkun Weng,
Qifan Lu,
Long Jiao,
Chaobo Chen,
Haidong Sun,
Zhaoyan Jiang (),
Xiaoping Zhang () and
Aihua Gu ()
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Hai Hu: Tongji University School of Medicine
Wentao Shao: Tongji University School of Medicine
Qian Liu: Nanjing Medical University
Ning Liu: Shanghai Jiao Tong University
Qihan Wang: Tongji University School of Medicine
Jin Xu: Nanjing Medical University
Xin Zhang: Nanjing Medical University
Zhenkun Weng: Nanjing Medical University
Qifan Lu: Tongji University School of Medicine
Long Jiao: Tongji University School of Medicine
Chaobo Chen: Tongji University School of Medicine
Haidong Sun: Tongji University School of Medicine
Zhaoyan Jiang: Tongji University School of Medicine
Xiaoping Zhang: Tongji University School of Medicine
Aihua Gu: Nanjing Medical University
Nature Communications, 2022, vol. 13, issue 1, 1-13
Abstract:
Abstract Cholesterol gallstone disease is a worldwide common disease. Cholesterol supersaturation in gallbladder bile is the prerequisite for its pathogenesis, while the mechanism is not completely understood. In this study, we find enrichment of gut microbiota (especially Desulfovibrionales) in patients with gallstone disease. Fecal transplantation of gut microbiota from gallstone patients to gallstone-resistant strain of mice can induce gallstone formation. Carrying Desulfovibrionales is associated with enhanced cecal secondary bile acids production and increase of bile acid hydrophobicity facilitating intestinal cholesterol absorption. Meanwhile, the metabolic product of Desulfovibrionales, H2S increase and is shown to induce hepatic FXR and inhibit CYP7A1 expression. Mice carrying Desulfovibrionales present induction of hepatic expression of cholesterol transporters Abcg5/g8 to promote biliary secretion of cholesterol as well. Our study demonstrates the role of gut microbiota, Desulfovibrionales, as an environmental regulator contributing to gallstone formation through its influence on bile acid and cholesterol metabolism.
Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:13:y:2022:i:1:d:10.1038_s41467-021-27758-8
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DOI: 10.1038/s41467-021-27758-8
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