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PNAS 101 (44): 15718-15723

Copyright © 2004 by the National Academy of Sciences.


MEDICAL SCIENCES

The gut microbiota as an environmental factor that regulates fat storage

Fredrik Bäckhed *, {dagger} {ddagger}, Hao Ding {ddagger}, § ¶, Ting Wang ||, Lora V. Hooper {dagger} **, Gou Young Koh {dagger}{dagger}, Andras Nagy §, {ddagger}{ddagger}, Clay F. Semenkovich §§, and Jeffrey I. Gordon *, {dagger}, ¶¶

*Center for Genome Sciences and Departments of {dagger}Molecular Biology and Pharmacology, ||Genetics, and §§Medicine, Cell Biology, and Physiology, Washington University School of Medicine, St. Louis, MO 63110; §Samuel Luenfeld Research Institute, Mount Sinai Hospital, Toronto, ON, Canada M5G 1X5; {dagger}{dagger}Biomedical Center, Department of Biological Sciences, Korea Advanced Institute of Science and Technology, Daejeon, 305-701, Republic of Korea; and {ddagger}{ddagger}Department of Medical Genetics and Microbiology, University of Toronto, Toronto, ON, Canada M5S 1A8

Contributed by Jeffrey I. Gordon September 24, 2004

Abstract: 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.

Key Words: symbiosis • nutrient processing • energy storage • adiposity • fasting-induced adipose factor


Author contributions: F.B., C.F.S., and J.I.G. designed research; F.B., H.D., and L.V.H. performed research; F.B., H.D., G.Y.K., and A.N. contributed new reagents/analytic tools; F.B., T.W., A.N., C.F.S., and J.I.G. analyzed data; F.B. and J.I.G. wrote the paper.

Freely available online through the PNAS open access option.

Abbreviations: GF, germ-free; Fiaf, fasting-induced adipocyte factor; B6, C57BL/6J; PPAR, peroxisome proliferator-activator receptor; CONV-R, conventionally raised; CONV-D, conventionalized; qRT-PCR, quantitative RT-PCR; LPL, lipoprotein lipase; Acc1, acetyl-CoA carboxylase; Fas, fatty acid synthase; SREBP-1, sterol response element binding protein 1; ChREBP, carbohydrate response element binding protein.

Data deposition: The sequences reported in this paper have been deposited in the GenBank database (accession nos. AY667702-AY668946).

{ddagger} F.B. and H.D. contributed equally to this work.

Present address: Department of Biochemistry and Medical Genetics, University of Manitoba, Winnipeg, MB, Canada R3E OW3.

** Present address: Center for Immunology, University of Texas Southwestern Medical Center, Dallas, TX 75390.

¶¶ To whom correspondence should be addressed. E-mail: jgordon{at}molecool.wustl.edu.

© 2004 by The National Academy of Sciences of the USA


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V. Legry, S. Bokor, D. Cottel, L. Beghin, G. Catasta, E. Nagy, M. Gonzalez-Gross, A. Spinneker, P. Stehle, D. Molnar, et al. (2009)
J. Clin. Endocrinol. Metab. 94, 5070-5077
   Abstract »    Full Text »    PDF »
Gut Check: Testing a Role for the Intestinal Microbiome in Human Obesity.
J. S. Flier and J. J. Mekalanos (2009)
Science Translational Medicine 1, 6ps7
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Angiopoietin-like 4 (ANGPTL4, Fasting-induced Adipose Factor) Is a Direct Glucocorticoid Receptor Target and Participates in Glucocorticoid-regulated Triglyceride Metabolism.
S. K. Koliwad, T. Kuo, L. E. Shipp, N. E. Gray, F. Backhed, A. Y.-L. So, R. V. Farese Jr, and J.-C. Wang (2009)
J. Biol. Chem. 284, 25593-25601
   Abstract »    Full Text »    PDF »
The core gut microbiome, energy balance and obesity.
P. J. Turnbaugh and J. I. Gordon (2009)
J. Physiol. 587, 4153-4158
   Abstract »    Full Text »    PDF »
Therapeutic implications of manipulating and mining the microbiota.
F. Shanahan (2009)
J. Physiol. 587, 4175-4179
   Abstract »    Full Text »    PDF »
Effects of probiotics and commensals on intestinal epithelial physiology: implications for nutrient handling.
S. C. Resta (2009)
J. Physiol. 587, 4169-4174
   Abstract »    Full Text »    PDF »
Probiotic carbohydrates reduce intestinal permeability and inflammation in metabolic diseases.
M. Z. Strowski and B. Wiedenmann (2009)
Gut 58, 1044-1045
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Ontogeny and nutritional control of adipogenesis in zebrafish (Danio rerio).
E. J. Flynn III, C. M. Trent, and J. F. Rawls (2009)
J. Lipid Res. 50, 1641-1652
   Abstract »    Full Text »    PDF »
Changes in gut microbiota control inflammation in obese mice through a mechanism involving GLP-2-driven improvement of gut permeability.
P. D. Cani, S. Possemiers, T. Van de Wiele, Y. Guiot, A. Everard, O. Rottier, L. Geurts, D. Naslain, A. Neyrinck, D. M. Lambert, et al. (2009)
Gut 58, 1091-1103
   Abstract »    Full Text »    PDF »
Regulation of myocardial ketone body metabolism by the gut microbiota during nutrient deprivation.
P. A. Crawford, J. R. Crowley, N. Sambandam, B. D. Muegge, E. K. Costello, M. Hamady, R. Knight, and J. I. Gordon (2009)
PNAS 106, 11276-11281
   Abstract »    Full Text »    PDF »
AMPK in Health and Disease.
G. R. Steinberg and B. E. Kemp (2009)
Physiol Rev 89, 1025-1078
   Abstract »    Full Text »    PDF »
Diet-Induced Metabolic Improvements in a Hamster Model of Hypercholesterolemia Are Strongly Linked to Alterations of the Gut Microbiota.
I. Martinez, G. Wallace, C. Zhang, R. Legge, A. K. Benson, T. P. Carr, E. N. Moriyama, and J. Walter (2009)
Appl. Envir. Microbiol. 75, 4175-4184
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Metabolic activity of the enteric microbiota influences the fatty acid composition of murine and porcine liver and adipose tissues.
R. Wall, R P. Ross, F. Shanahan, L. O'Mahony, C. O'Mahony, M. Coakley, O. Hart, P. Lawlor, E. M Quigley, B. Kiely, et al. (2009)
Am J Clin Nutr 89, 1393-1401
   Abstract »    Full Text »    PDF »
Intestinal Microbiota: Does It Play a Role in Diseases of the Neonate?.
R. Sharma, C. Young, M. Mshvildadze, and J. Neu (2009)
NeoReviews 10, e166-e179
   Abstract »    Full Text »    PDF »

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