Adipose tissue derived bacteria are associated with inflammation in obesity and type 2 diabetes

ObjectiveBacterial translocation to various organs including human adipose tissue (AT) due to increased intestinal permeability remains poorly understood. We hypothesised that: (1) bacterial presence is highly tissue specific and (2) related in composition and quantity to immune inflammatory and met...

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Veröffentlicht in:Gut 2020-10, Vol.69 (10), p.1796-1806
Hauptverfasser: Massier, Lucas, Chakaroun, Rima, Tabei, Shirin, Crane, Alyce, Didt, Konrad David, Fallmann, Jörg, von Bergen, Martin, Haange, Sven-Bastiaan, Heyne, Henrike, Stumvoll, Michael, Gericke, Martin, Dietrich, Arne, Blüher, Matthias, Musat, Niculina, Kovacs, Peter
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container_end_page 1806
container_issue 10
container_start_page 1796
container_title Gut
container_volume 69
creator Massier, Lucas
Chakaroun, Rima
Tabei, Shirin
Crane, Alyce
Didt, Konrad David
Fallmann, Jörg
von Bergen, Martin
Haange, Sven-Bastiaan
Heyne, Henrike
Stumvoll, Michael
Gericke, Martin
Dietrich, Arne
Blüher, Matthias
Musat, Niculina
Kovacs, Peter
description ObjectiveBacterial translocation to various organs including human adipose tissue (AT) due to increased intestinal permeability remains poorly understood. We hypothesised that: (1) bacterial presence is highly tissue specific and (2) related in composition and quantity to immune inflammatory and metabolic burden.DesignWe quantified and sequenced the bacterial 16S rRNA gene in blood and AT samples (omental, mesenteric and subcutaneous) of 75 subjects with obesity with or without type 2 diabetes (T2D) and used catalysed reporter deposition (CARD) – fluorescence in situ hybridisation (FISH) to detect bacteria in AT.ResultsUnder stringent experimental and bioinformatic control for contaminants, bacterial DNA was detected in blood and omental, subcutaneous and mesenteric AT samples in the range of 0.1 to 5 pg/µg DNA isolate. Moreover, CARD-FISH allowed the detection of living, AT-borne bacteria. Proteobacteria and Firmicutes were the predominant phyla, and bacterial quantity was associated with immune cell infiltration, inflammatory and metabolic parameters in a tissue-specific manner. Bacterial composition differed between subjects with and without T2D and was associated with related clinical measures, including systemic and tissues-specific inflammatory markers. Finally, treatment of adipocytes with bacterial DNA in vitro stimulated the expression of TNFA and IL6.ConclusionsOur study provides contaminant aware evidence for the presence of bacteria and bacterial DNA in several ATs in obesity and T2D and suggests an important role of bacteria in initiating and sustaining local AT subclinical inflammation and therefore impacting metabolic sequelae of obesity.
doi_str_mv 10.1136/gutjnl-2019-320118
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We hypothesised that: (1) bacterial presence is highly tissue specific and (2) related in composition and quantity to immune inflammatory and metabolic burden.DesignWe quantified and sequenced the bacterial 16S rRNA gene in blood and AT samples (omental, mesenteric and subcutaneous) of 75 subjects with obesity with or without type 2 diabetes (T2D) and used catalysed reporter deposition (CARD) – fluorescence in situ hybridisation (FISH) to detect bacteria in AT.ResultsUnder stringent experimental and bioinformatic control for contaminants, bacterial DNA was detected in blood and omental, subcutaneous and mesenteric AT samples in the range of 0.1 to 5 pg/µg DNA isolate. Moreover, CARD-FISH allowed the detection of living, AT-borne bacteria. Proteobacteria and Firmicutes were the predominant phyla, and bacterial quantity was associated with immune cell infiltration, inflammatory and metabolic parameters in a tissue-specific manner. Bacterial composition differed between subjects with and without T2D and was associated with related clinical measures, including systemic and tissues-specific inflammatory markers. Finally, treatment of adipocytes with bacterial DNA in vitro stimulated the expression of TNFA and IL6.ConclusionsOur study provides contaminant aware evidence for the presence of bacteria and bacterial DNA in several ATs in obesity and T2D and suggests an important role of bacteria in initiating and sustaining local AT subclinical inflammation and therefore impacting metabolic sequelae of obesity.</description><identifier>ISSN: 0017-5749</identifier><identifier>EISSN: 1468-3288</identifier><identifier>DOI: 10.1136/gutjnl-2019-320118</identifier><identifier>PMID: 32317332</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Society of Gastroenterology</publisher><subject>Adipocytes ; Adipose tissue ; Adipose Tissue - immunology ; Adipose Tissue - microbiology ; Antibiotics ; Bacteria ; bacterial translocation ; Bacterial Translocation - immunology ; Body fat ; Cells, Cultured ; Complications ; Contaminants ; Deoxyribonucleic acid ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - immunology ; DNA ; DNA, Bacterial - isolation &amp; purification ; Female ; Firmicutes - isolation &amp; purification ; Fluorescence in situ hybridization ; Gastrointestinal surgery ; Gut microbiota ; Humans ; Inflammation ; Inflammation - immunology ; Insulin resistance ; Interleukin 6 ; Interleukin-6 - metabolism ; Intestinal Mucosa - metabolism ; intestinal permeability ; Intestine ; Male ; Metabolic disorders ; Microbiota ; Middle Aged ; Obesity ; Obesity - complications ; Obesity - immunology ; obesity surgery ; Permeability ; Proteobacteria - isolation &amp; purification ; RNA, Ribosomal, 16S - blood ; rRNA 16S ; Tumor Necrosis Factor-alpha - metabolism ; Tumor necrosis factor-TNF</subject><ispartof>Gut, 2020-10, Vol.69 (10), p.1796-1806</ispartof><rights>Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b452t-82b200706ab84c736adbcae80da346e211d4a429529df3291cde30a6a844de483</citedby><cites>FETCH-LOGICAL-b452t-82b200706ab84c736adbcae80da346e211d4a429529df3291cde30a6a844de483</cites><orcidid>0000-0002-0290-5423 ; 0000-0003-2952-1152</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32317332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Massier, Lucas</creatorcontrib><creatorcontrib>Chakaroun, Rima</creatorcontrib><creatorcontrib>Tabei, Shirin</creatorcontrib><creatorcontrib>Crane, Alyce</creatorcontrib><creatorcontrib>Didt, Konrad David</creatorcontrib><creatorcontrib>Fallmann, Jörg</creatorcontrib><creatorcontrib>von Bergen, Martin</creatorcontrib><creatorcontrib>Haange, Sven-Bastiaan</creatorcontrib><creatorcontrib>Heyne, Henrike</creatorcontrib><creatorcontrib>Stumvoll, Michael</creatorcontrib><creatorcontrib>Gericke, Martin</creatorcontrib><creatorcontrib>Dietrich, Arne</creatorcontrib><creatorcontrib>Blüher, Matthias</creatorcontrib><creatorcontrib>Musat, Niculina</creatorcontrib><creatorcontrib>Kovacs, Peter</creatorcontrib><title>Adipose tissue derived bacteria are associated with inflammation in obesity and type 2 diabetes</title><title>Gut</title><addtitle>Gut</addtitle><addtitle>Gut</addtitle><description>ObjectiveBacterial translocation to various organs including human adipose tissue (AT) due to increased intestinal permeability remains poorly understood. We hypothesised that: (1) bacterial presence is highly tissue specific and (2) related in composition and quantity to immune inflammatory and metabolic burden.DesignWe quantified and sequenced the bacterial 16S rRNA gene in blood and AT samples (omental, mesenteric and subcutaneous) of 75 subjects with obesity with or without type 2 diabetes (T2D) and used catalysed reporter deposition (CARD) – fluorescence in situ hybridisation (FISH) to detect bacteria in AT.ResultsUnder stringent experimental and bioinformatic control for contaminants, bacterial DNA was detected in blood and omental, subcutaneous and mesenteric AT samples in the range of 0.1 to 5 pg/µg DNA isolate. Moreover, CARD-FISH allowed the detection of living, AT-borne bacteria. Proteobacteria and Firmicutes were the predominant phyla, and bacterial quantity was associated with immune cell infiltration, inflammatory and metabolic parameters in a tissue-specific manner. Bacterial composition differed between subjects with and without T2D and was associated with related clinical measures, including systemic and tissues-specific inflammatory markers. Finally, treatment of adipocytes with bacterial DNA in vitro stimulated the expression of TNFA and IL6.ConclusionsOur study provides contaminant aware evidence for the presence of bacteria and bacterial DNA in several ATs in obesity and T2D and suggests an important role of bacteria in initiating and sustaining local AT subclinical inflammation and therefore impacting metabolic sequelae of obesity.</description><subject>Adipocytes</subject><subject>Adipose tissue</subject><subject>Adipose Tissue - immunology</subject><subject>Adipose Tissue - microbiology</subject><subject>Antibiotics</subject><subject>Bacteria</subject><subject>bacterial translocation</subject><subject>Bacterial Translocation - immunology</subject><subject>Body fat</subject><subject>Cells, Cultured</subject><subject>Complications</subject><subject>Contaminants</subject><subject>Deoxyribonucleic acid</subject><subject>Diabetes</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - immunology</subject><subject>DNA</subject><subject>DNA, Bacterial - isolation &amp; purification</subject><subject>Female</subject><subject>Firmicutes - isolation &amp; purification</subject><subject>Fluorescence in situ hybridization</subject><subject>Gastrointestinal surgery</subject><subject>Gut microbiota</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Inflammation - immunology</subject><subject>Insulin resistance</subject><subject>Interleukin 6</subject><subject>Interleukin-6 - metabolism</subject><subject>Intestinal Mucosa - metabolism</subject><subject>intestinal permeability</subject><subject>Intestine</subject><subject>Male</subject><subject>Metabolic disorders</subject><subject>Microbiota</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - immunology</subject><subject>obesity surgery</subject><subject>Permeability</subject><subject>Proteobacteria - isolation &amp; purification</subject><subject>RNA, Ribosomal, 16S - blood</subject><subject>rRNA 16S</subject><subject>Tumor Necrosis Factor-alpha - metabolism</subject><subject>Tumor necrosis factor-TNF</subject><issn>0017-5749</issn><issn>1468-3288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkEtrGzEURkVJqF23fyCLIMimm0n08oy0NCZ9gCGbdC2uRteNzDyckSbB_74y4zqQRelG0hXn-7gcQq44u-Vclne_x7TrmkIwbgqZT64_kDlXpc6T1hdkzhivimWlzIx8inHHGNPa8I9kJoXklZRiTuzKh30fkaYQ44jU4xBe0FMHdcpPoDAghRj7OkDK_68hPdHQbRtoW0ih7_JAe4cxpAOFztN02CMV1AdwmDB-JpdbaCJ-Od0L8uvb_eP6R7F5-P5zvdoUTi1FKrRwgrGKleC0qitZgnc1oGYepCpRcO4VKGGWwvitFIbXHiWDErRSHpWWC_J16t0P_fOIMdk2xBqbBjrsx2iFNHJpNKtMRm_eobt-HLq8nRVKsZIpnuUsiJioeuhjHHBr90NoYThYzuxRv53026N-O-nPoetT9eha9OfIX98ZKCbAtbv_K7x9489r_iPwB-Dknps</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Massier, Lucas</creator><creator>Chakaroun, Rima</creator><creator>Tabei, Shirin</creator><creator>Crane, Alyce</creator><creator>Didt, Konrad David</creator><creator>Fallmann, Jörg</creator><creator>von Bergen, Martin</creator><creator>Haange, Sven-Bastiaan</creator><creator>Heyne, Henrike</creator><creator>Stumvoll, Michael</creator><creator>Gericke, Martin</creator><creator>Dietrich, Arne</creator><creator>Blüher, Matthias</creator><creator>Musat, Niculina</creator><creator>Kovacs, Peter</creator><general>BMJ Publishing Group Ltd and British Society of Gastroenterology</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0290-5423</orcidid><orcidid>https://orcid.org/0000-0003-2952-1152</orcidid></search><sort><creationdate>20201001</creationdate><title>Adipose tissue derived bacteria are associated with inflammation in obesity and type 2 diabetes</title><author>Massier, Lucas ; Chakaroun, Rima ; Tabei, Shirin ; Crane, Alyce ; Didt, Konrad David ; Fallmann, Jörg ; von Bergen, Martin ; Haange, Sven-Bastiaan ; Heyne, Henrike ; Stumvoll, Michael ; Gericke, Martin ; Dietrich, Arne ; Blüher, Matthias ; Musat, Niculina ; Kovacs, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b452t-82b200706ab84c736adbcae80da346e211d4a429529df3291cde30a6a844de483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adipocytes</topic><topic>Adipose tissue</topic><topic>Adipose Tissue - immunology</topic><topic>Adipose Tissue - microbiology</topic><topic>Antibiotics</topic><topic>Bacteria</topic><topic>bacterial translocation</topic><topic>Bacterial Translocation - immunology</topic><topic>Body fat</topic><topic>Cells, Cultured</topic><topic>Complications</topic><topic>Contaminants</topic><topic>Deoxyribonucleic acid</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - immunology</topic><topic>DNA</topic><topic>DNA, Bacterial - isolation &amp; purification</topic><topic>Female</topic><topic>Firmicutes - isolation &amp; purification</topic><topic>Fluorescence in situ hybridization</topic><topic>Gastrointestinal surgery</topic><topic>Gut microbiota</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Inflammation - immunology</topic><topic>Insulin resistance</topic><topic>Interleukin 6</topic><topic>Interleukin-6 - metabolism</topic><topic>Intestinal Mucosa - metabolism</topic><topic>intestinal permeability</topic><topic>Intestine</topic><topic>Male</topic><topic>Metabolic disorders</topic><topic>Microbiota</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - immunology</topic><topic>obesity surgery</topic><topic>Permeability</topic><topic>Proteobacteria - isolation &amp; purification</topic><topic>RNA, Ribosomal, 16S - blood</topic><topic>rRNA 16S</topic><topic>Tumor Necrosis Factor-alpha - metabolism</topic><topic>Tumor necrosis factor-TNF</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Massier, Lucas</creatorcontrib><creatorcontrib>Chakaroun, Rima</creatorcontrib><creatorcontrib>Tabei, Shirin</creatorcontrib><creatorcontrib>Crane, Alyce</creatorcontrib><creatorcontrib>Didt, Konrad David</creatorcontrib><creatorcontrib>Fallmann, Jörg</creatorcontrib><creatorcontrib>von Bergen, Martin</creatorcontrib><creatorcontrib>Haange, Sven-Bastiaan</creatorcontrib><creatorcontrib>Heyne, Henrike</creatorcontrib><creatorcontrib>Stumvoll, Michael</creatorcontrib><creatorcontrib>Gericke, Martin</creatorcontrib><creatorcontrib>Dietrich, Arne</creatorcontrib><creatorcontrib>Blüher, Matthias</creatorcontrib><creatorcontrib>Musat, Niculina</creatorcontrib><creatorcontrib>Kovacs, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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We hypothesised that: (1) bacterial presence is highly tissue specific and (2) related in composition and quantity to immune inflammatory and metabolic burden.DesignWe quantified and sequenced the bacterial 16S rRNA gene in blood and AT samples (omental, mesenteric and subcutaneous) of 75 subjects with obesity with or without type 2 diabetes (T2D) and used catalysed reporter deposition (CARD) – fluorescence in situ hybridisation (FISH) to detect bacteria in AT.ResultsUnder stringent experimental and bioinformatic control for contaminants, bacterial DNA was detected in blood and omental, subcutaneous and mesenteric AT samples in the range of 0.1 to 5 pg/µg DNA isolate. Moreover, CARD-FISH allowed the detection of living, AT-borne bacteria. Proteobacteria and Firmicutes were the predominant phyla, and bacterial quantity was associated with immune cell infiltration, inflammatory and metabolic parameters in a tissue-specific manner. Bacterial composition differed between subjects with and without T2D and was associated with related clinical measures, including systemic and tissues-specific inflammatory markers. Finally, treatment of adipocytes with bacterial DNA in vitro stimulated the expression of TNFA and IL6.ConclusionsOur study provides contaminant aware evidence for the presence of bacteria and bacterial DNA in several ATs in obesity and T2D and suggests an important role of bacteria in initiating and sustaining local AT subclinical inflammation and therefore impacting metabolic sequelae of obesity.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Society of Gastroenterology</pub><pmid>32317332</pmid><doi>10.1136/gutjnl-2019-320118</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-0290-5423</orcidid><orcidid>https://orcid.org/0000-0003-2952-1152</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adipocytes
Adipose tissue
Adipose Tissue - immunology
Adipose Tissue - microbiology
Antibiotics
Bacteria
bacterial translocation
Bacterial Translocation - immunology
Body fat
Cells, Cultured
Complications
Contaminants
Deoxyribonucleic acid
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - immunology
DNA
DNA, Bacterial - isolation & purification
Female
Firmicutes - isolation & purification
Fluorescence in situ hybridization
Gastrointestinal surgery
Gut microbiota
Humans
Inflammation
Inflammation - immunology
Insulin resistance
Interleukin 6
Interleukin-6 - metabolism
Intestinal Mucosa - metabolism
intestinal permeability
Intestine
Male
Metabolic disorders
Microbiota
Middle Aged
Obesity
Obesity - complications
Obesity - immunology
obesity surgery
Permeability
Proteobacteria - isolation & purification
RNA, Ribosomal, 16S - blood
rRNA 16S
Tumor Necrosis Factor-alpha - metabolism
Tumor necrosis factor-TNF
title Adipose tissue derived bacteria are associated with inflammation in obesity and type 2 diabetes
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