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. 2019 Aug 22;11(9):1981. doi: 10.3390/nu11091981

High-dose Glycerol Monolaurate Up-Regulated Beneficial Indigenous Microbiota without Inducing Metabolic Dysfunction and Systemic Inflammation: New Insights into Its Antimicrobial Potential

Qiufen Mo 1,2, Aikun Fu 3, Lingli Deng 1,2,, Minjie Zhao 1,2, Yang Li 1,2,, Hui Zhang 1,2, Fengqin Feng 1,2,*
PMCID: PMC6770898  PMID: 31443470

Abstract

Glycerol monolaurate (GML) has potent antimicrobial and anti-inflammatory activities. The present study aimed to assess the dose-dependent antimicrobial-effects of GML on the gut microbiota, glucose and lipid metabolism and inflammatory response in C57BL/6 mice. Mice were fed on diets supplemented with GML at dose of 400, 800 and 1600 mg kg−1 for 4 months, respectively. Results showed that supplementation of GML, regardless of the dosages, induced modest body weight gain without affecting epididymal/brown fat pad, lipid profiles and glycemic markers. A high dose of GML (1600 mg kg−1) showed positive impacts on the anti-inflammatory TGF-β1 and IL-22. GML modulated the indigenous microbiota in a dose-dependent manner. It was found that 400 and 800 mg kg−1 GML improved the richness of Barnesiella, whereas a high dosage of GML (1600 mg kg−1) significantly increased the relative abundances of Clostridium XIVa, Oscillibacter and Parasutterella. The present work indicated that GML could upregulate the favorable microbial taxa without inducing systemic inflammation and dysfunction of glucose and lipid metabolism.

Keywords: glycerol monolaurate, gut microbiota, metabolic dysfunction, barrier function, anti-inflammation

1. Introduction

Glycerol monolaurate (GML) is a nutritional medium-chain fatty acid (MCFA) monoester that is found in human breast milk and coconut oil. According to the Food and Drug Administration, GML was designated as a safe food additive (GRAS); it possesses antibacterial, antiviral and anti-inflammatory functions [1,2,3]. GML was bactericidal for most gram-positive pathogens and some gram-negative bacteria with lipo-oligosaccharides, but completely inactive against lipopolysaccharide-generated Pseudomonas aeruginosa and Enterobacteriaceae [1,3,4]. In addition, GML was safe for chronic use (50 mg mL−1) in Rhesus Macaque [3] and protected against repeated intravaginal infection by high doses of simian immunodeficiency virus (SIV) [2]. Furthermore, an in-depth clinical study concluded that GML applied on tampons (approximately 8 mg) was of great benefit to vaginal health by reducing Staphylococcus aureus exotoxin production and resulting vaginal pro-inflammatory interleukin 8 (IL-8) secretion [5]. What’s more, an investigation into the underlying mechanisms established GML as a potential immunosuppressant for therapeutic applications, including autoimmune, psoriasis and inflammatory bowel disease, based on the effective anti-inflammatory activity and the T cell-suppressed functions of GML [6].

Gut microbiota have a mutualistic relationship with the host [7]. There is a growing appreciation of the role of the gut microbiota and their metabolites in the body’s weight control, metabolic function and immune/inflammatory homeostasis [7,8,9]. Recently, the influence of GML on the gut microbial community has been explored. However, recent data illustrated the paradoxical regulation of gut microbiota by dose and duration of GML feeding. Jiang et al. [10]. reported that the administration of 150 mg kg−1 GML for 8 weeks induced microbial dysbiosis and metabolic-related dyslipidemia in healthy mice. In contrast, Li et al. [11] showed that GML (150 mg kg−1) intake for 6 weeks did not result in the same microbial change. Furthermore, the nearest finding suggested that a comparatively higher dose of GML supplementation (450 mg kg−1) improved metabolic disorder in high fat diet-fed mice by increasing the abundance of beneficial microbiota, such as Akkermansia, Bifidobacterium and Lactobacillus (doi: 10.1002/mnfr.201801417). GML is generally known as a chemically glycerol derivative of a saturated 12 carbon medium chain fatty acid (MCFAs) [12]. Similarly, previous studies have demonstrated that MCFAs caused a dose-dependent microbial change in animals. At low concentrations (about 3.78 mmol kg−1), MCFAs acted as modulators of the gastric bacterial ecology without composition shift in weaned piglets [13], while at higher concentrations (i.e., up to 250 mmol), MCFAs exerted mainly antimicrobial activities [13,14,15]. Due to the conflicting outcomes with regards to gut microbiota, the precise functional role of GML on the microbial community needs to be ascertained. Hence, this study aimed to distinguish the modulating effect and the antimicrobial effects of varying doses of GML on indigenous microbiota in mice.

Previous research has indicated that some commonly-used emulsifiers might affect the host (intestinal permeability, colitis and metabolic syndrome) directly or by impacting the intestinal microbiota [16,17]. Given GML is an effective antimicrobial emulsifier, it is important to determine the systemic effects triggered by different doses of GML, including the influence on metabolic functions, intestinal barrier and immune/inflammatory state, as well as on the gut microbiota.

2. Materials and Methods

2.1. Mice

Male C57BL/6 mice aged 4–5 weeks were purchased from the Shanghai SLAC Laboratory Animal Co. Ltd. (Shanghai, China) and maintained in specific pathogen-free conditions at Laboratory Animal Research Center of Zhejiang Chinese Medical University (Hangzhou, China) under institutionally-approved protocols (ZJU-BEFS-2017002).

2.2. Experimental Processes

Mice in the control group (NCD) were fed with a regular chow diet (no. M01-F25), while mice in the experimental groups (G400, G800 and G1600 groups) were fed on customized basal diet incorporated with 400, 800 and 1600 mg kg−1 GML (Hangzhou Kangyuan Food Science and Technology Co., Ltd., Hangzhou, China), respectively. The diets were purchased from Shanghai SLAC Laboratory Animal Co. (Shanghai, China). Feed intake for each cage and body weights were determined every week. After 4 months, fresh feces were collected for 16S rRNA gene sequencing and short-chain fatty acids (SCFAs) measurement; blood was also collected and serum was generated by centrifugation (3000× g for 20 min at 4 °C). Mice were euthanized and liver weight and adipose fat pads were measured. Organs, including the jejunum, ileum, and epididymal fat were dissected for further analysis.

2.3. Histology Analysis

Epididymal fat, duodenum, jejunum, and colon samples were fixed in 10% (v/v) buffered formalin at room temperature, embedded in paraffin and then sectioned at 4 μm thickness. Epididymal fat, duodenum and colon sections were stained with haematoxylin and eosin (H&E), and jejunum sections were stained with Alcian-Blue/Periodic acid-Schiff (AB/PAS) to visualize the total mucins at core facilities, Zhejiang University School of Medicine (Hangzhou, China). Images were obtained under a microscope (Leica ICC50W, Wetzlar, Germany). The number and size of the stained epididymal adipocytes were analyzed by the Image J software (National Institutes of Health, Bethesda, MD, USA), and then calculated as the mean size of the 6 images of each sample, and finally, as the average size of each group [11]. The number of mucin-secreted goblet cells was identified by the number of PAS positive cell per villus-crypt axis, as previously described [18].

The morphology of jejunum was characterized by transmission electron microscope (TEM) as previous described [19]. Briefly, a 2-cm-long jejunum specimen was excised and fixed in 2.5% (w/v) glutaraldehyde in PBS (0.1 M, pH 7.0) overnight at 4 °C and fixed with 1% osmium tetroxide for 2 h. After three rinses with PBS, the specimens were dehydrated, embedded and sectioned in LEICA EM UC7 ultratome (Leica Microsystems, Wetzlar, Germany), and the ultrathin sections were obtained and stained using uranyl acetate and alkaline lead citrate for 5 to 10 min, respectively; samples were observed using a Hitachi Model H-7650 TEM (Hitachi, Tokyo, Japan).

2.4. Quantitative Reverse-Transcription PCR (qRT-PCR) Analysis

Ileal samples were determined for the mRNA expression of muc2, zo1, occludin, claudin-1 and jam-1. Total RNAs were isolated using TRIzol (Vazyme Biotech Co., Ltd., Shanghai, China) according to the manufacturer’s instructions. The qRT-PCR analysis was performed using the 2×ChamQ SYBR Color qPCR Master Mix (Vazyme Biotech Co., Ltd., Nanjing, China) in a LightCycler 480 system (Roche, Basel, Switzerland) with specific mouse primers (Supplemental Table S1). The results were normalized to the housekeeping β-actin gene using the 2–ΔΔCt method [20].

2.5. Plasma Parameters Analysis

The levels of serum total triglycerides (TG), total cholesterol (TC), low-density lipoprotein-cholesterol (LDL-C), high-density lipoprotein-cholesterol (HDL-C), glutamic-oxaloacetic transaminase (GOT), glutamic-pyruvic transaminase (GOT) and alkaline phosphatase (AKP) were measured using commercial kits (Nanjing Jiancheng Bioengineering Institute, Nanjing, China) according to the respective protocols.

Fasting blood-glucose (fasting Glu), serum insulin, free fatty acid (FFA), adiponectin, leptin, lipopolysaccharide (LPS) and lipopolysaccharide-binding protein (LBP) were measured with the ELISA kit (Cloud-Clone corp., Wuhan, China) according to the prescribed protocols, respectively. HOMA-IR, an index of insulin resistance, was calculated as previous described [21].

Cytokines, including tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), IL-1β, IL-10, IL-22, IL-12/P70, interferon-γ (IFN-γ) and transforming growth factor β1 (TGF-β1), were analyzed with the ELISA kit (eBioscience, San Diego, CA, USA) according to the manufacturer’s instructions.

2.6. Fecal Microbiota Analysis by 16S rRNA Gene Sequencing

Bacterial DNA were extracted from frozen feces using a QIAamp DNA Stool Mini Kit (QIAGEN, Venlo, The Netherlands) according to the manufacturer’s protocol. 16S rRNA paired-end sequencing targeting the V3-V4 hypervariable region was performed using Illumina HiSeq technology at Realbio Technology Inc. (Shanghai, China). 16S rRNA gene sequence analysis was carried out according to previous work [17]. In detail, raw reads in 2 × 250 bp length were merged using the PANDAseq software package (GitHub, Inc. San Francisco, CA, USA) [22], and were assigned to respective sample according to the specific barcodes. The sequences went through quality filtered steps using the Quantitative Insights Into Microbial Ecology software (QIIME, version 1.8.0) [23], including adaptor removal and trimming 3’ bases with quality scores below 20. Reads showing more than three consecutive low-quality base calls were discarded. The processed sequences defined at a 97% similarity threshold were assigned to operational taxonomic units (OTUs), and taxonomical classification was performed using the RDP-classifier with the RDP Release 11.5 database [24].

The OTU absolute abundance table was converted to relative abundances by normalizing to total OTU clustering to analyze the composition and structure of gut microbiota using QIIME, version 1.8.0 [23]. The linear discriminant analysis (LDA) effect size (LEfSe) algorithm was applied to identify specific taxa among different groups.

2.7. Short-Chain Fatty Acids Composition Analysis

Short-chain fatty acid composition was analyzed from fecal samples via gas chromatography following the previously-described protocol [25]. Fresh fecal samples were collected from each mouse and weighed; they were then homogenized in 250 μL of ultrapure water for 5 min. The fecal suspension (pH 2–3) was generated by adding 5 M HCl and incubation for 15 min at room temperature with intermittent shaking. After centrifugation at 3000× g for 20 min, the resulting supernatant was transferred into a new eppendorf tube, and 2-ethylbutyric acid (TEBA) was supplemented into the supernatant at a final concentration of 1 mmol L−1. The Shimadzu GC-2014 system and a column (30 m, 0.53 mm, 0.50 μm) with a free fatty acid phase (DB-FFAP 125–3237, J&W Scientific, Agilent Technologies Inc., Santa Clara, CA, USA) were used for chromatographic analysis.

Nitrogen was the carrier at a flow rate of 15 mL min−1. The initial oven temperature was set at 100 °C and maintained for 30 s, increased to 180 °C at a rate of 8 °C min−1 and finally, for 60 s, then raised to 200 °C at 20 °C min−1 and continued for 15 min. The flame ionization detector and injection port were kept at 240 °C and 200 °C, respectively. The flow rates of hydrogen, nitrogen and air were 30, 20 and 300 mL min−1, respectively. The injected volume of each sample for GC analysis was 1 μL, and each analysis had a run period of 27.5 min.

2.8. Statistical Analysis

The data were expressed as the mean ± standard deviation (SD), and were analyzed by one-way ANOVA using GraphPad Prism (version 6.0, GraphPad Software Inc., San Diego, CA, USA) followed by Tukey’s multiple-comparison test. A value of p < 0.05 indicated a statistically-significant difference.

3. Results

3.1. Effect of GML on the Body Weight, Feed Intake, Liver Index and Adipocyte size

Dietary supplementation of GML resulted in significant gains in total weight, regardless of the doses of GML (Figure 1A). The total feed intake in mice fed with 400 and 800 mg kg−1 GML showed a marked increase (Figure 1B, p < 0.05 and p < 0.001, respectively), but there was no significant elevation in the G1600 group (Figure 1B) compared with the NCD group. Despite the body weight gain, GML exposure has no detectable effect on epididymal fat pad, brown fat pad and live index (Figure 1C). Consistent with the result of the unchanged epididymal fat pad, no significant differences on the size of epididymal adipocyte were observed among different groups (Figure 1D).

Figure 1.

Figure 1

Effect of intake of different doses of GML on the (A) body weight, which expressed as a percentage compared to the initial body weight defined as 100%, (B) total food intake and (C) the liver indices, epididymal fat pad and brown fat pad of mice. (D) H&E staining of the epididymal adipose tissue (n = 6, magnification: 100×). Data were means ± SD; * p < 0.05, *** p < 0.001 compared with the NCD group.

3.2. Effect of GML on the Blood Biochemical Parameters

The effects of GML on the blood biochemical parameters are shown in Table 1. A diet containing 400 mg kg−1 GML led to a significant increase in TG. In contrast, adding 1600 mg kg−1 GML into diets tended to downregulate the plasma LDL-C level and upregulate the plasma HDL-C concentration. Consequently, a trend of reduction was observed in the G1600 group in terms of the LDL-C/HDL-C ratio when compared with the NCD group. GML exerted no significant effect on plasma TC and atherogenic index (TC − HDL-C)/HDL-C). Mice exposed to different doses of GML showed no obvious changes in the amounts of fasting Glu, insulin, adiponectin, leptin, FFA, GOT, GPT and AKP, relative to the NCD group.

Table 1.

Effect of GML on the metabolic-related biochemical parameters.

Parameters NCD G400 G800 G1600
TC (mmol L−1) 3.71 ± 0.47 3.81 ± 0.76 3.91 ± 0.86 3.66 ± 0.53
TG (mmol L−1) 0.82 ± 0.08 1.21 ± 0.25 * 1.03 ± 0.19 0.85 ± 0.32
LDL-C (mmol L−1) 0.93 ± 0.56 0.88 ± 0.37 0.75 ± 0.51 0.42 ± 0.34
HDL-C (mmol L−1) 1.75 ± 0.39 1.99 ± 0.38 1.88 ± 0.51 2.38 ± 0.77
LDL-C/HDL-C 0.69 ± 0.34 0.54 ± 0.13 0.56 ± 0.25 0.29 ± 0.06 #
atherogenic index 1.20 ± 0.45 0.92 ± 0.20 1.28 ± 1.01 0.60 ± 0.30
fasting Glu (mmol L−1) 3.43 ± 0.72 4.54 ± 0.51 4.77 ± 1.47 4.39 ± 0.65
insulin (mU L−1) 7.20 ± 1.26 6.36 ± 0.69 6.93 ± 0.85 5.85 ± 0.53
HOMA-IR score 1.09 ± 0.27 1.28 ± 0.11 1.49 ± 0.56 1.14 ± 0.18
adiponectin (pg mL−1) 16.32 ± 3.23 13.03 ± 4.51 18.06 ± 2.93 14.13 ± 3.31
leptin (pg mL−1) 70.20 ± 16.82 63.51 ± 7.17 99.44 ± 43.24 97.51 ± 43.70
FFA (mmol L−1) 145.85 ± 70.79 89.77 ± 25.73 102.05 ± 20.60 125.48 ± 28.36
GOT (U L−1) 12.70 ± 2.46 14.73 ± 4.86 16.64 ± 4.76 14.40 ± 2.72
GPT (U L−1) 11.83 ± 10.26 15.15 ± 5.94 17.04 ± 2.00 15.52 ± 2.60
AKP (U L−1) 7.95 ± 0.85 6.77 ± 1.23 7.27 ± 1.39 8.76 ± 1.51

Data were expressed as mean ± SD (n = 6–8). # 0.05 < p < 0.1, * p < 0.05 vs. NCD group.

3.3. Effect of GML on the Histological Feature and Barrier Function of Intestine

A detailed histological examination of the duodenal and colonic tissue revealed that the global features were unchanged, including the intact epithelial layer and the cell membrane, normal mucosal thickness and well-organized villi and crypt (Supplemental Figure S1). An ultrastructural analysis of the jejunum specimens showed that the rows of epithelial cells were organized closely with narrow paracellular spaces; the microvilli on the cell surface were well-arranged, and the marginal zone of tight junction was clear and complete in the GML-treated mice, similar to the morphological characteristics of the jejunum in the NCD group (Figure 2A). It is important to highlight that GML treatment did not affect the total mucins secretion, as the numbers of PAS-positive goblet cells in the jejunum of GML-treated mice were comparable to the NCD group (Figure 2B,C). Goblet cells generate mucins, mainly Muc2, which constitute the first line of the intestinal barrier [26]. Similarly, there was no significant difference in the mRNA expression of muc2, zo1, occludin, claudin-1 and jam-1 in the ileal section among the different groups (Figure 2C), indicating that GML maintained the integrity of histological features and barrier function of intestine.

Figure 2.

Figure 2

Effect of different doses of GML on the intestinal barrier function. (A) TEM analysis of the jejunum section, (B) AB/PAS staining of jejunum to define the secretion of mucus of goblet cells, (C) The mRNA levels of different genes (muc2, zo1, occludin, claudin-1 and jam-1) in the distal ileum measured using qRT-PCR and normalized to the β-actin mRNA expression. Data were expressed as mean ± SD (n = 6–8).

3.4. Effect of GML on Serum Inflammatory-Related Parameters

The circulating levels of the pro-inflammatory factors TNF-α, IL-6, IL-1β, IFN-γ, IL-12/p70, LPS and LBP showed no obvious difference between the NCD- and GML-treated groups (Table 2). The administration of 1600 mg kg−1 GML, rather than 400 mg kg−1 and 800 mg kg−1, increased the circulating levels of anti-inflammatory cytokines including TGF-β1 and IL-22, but not for IL-10 (Table 2). The results revealed that a high dose of GML may contribute to the promotion of an anti-inflammatory environment instead of inducing systemic inflammation.

Table 2.

Effect of GML on the serum anti-inflammatory and pro-inflammatory factors.

Parameters NCD G400 G800 G1600
TGF-β1 (ng mL−1) 14.34 ± 6.98 14.08 ± 7.11 13.72 ± 7.25 23.32 ± 8.87 *
IL-22 (pg mL−1) 25.42 ± 5.03 23.63 ± 1.60 21.52 ± 1.31 31.09 ± 2.59 *
IL-10 (pg mL−1) 269.21 ± 131.29 369.26 ± 149.80 219.96 ± 183.82 147.65 ± 43.92
TNFα (pg mL−1) 22.23 ± 6.24 17.99 ± 7.98 19.63 ± 5.87 20.66 ± 7.63
IL-6 (pg mL−1) 28.95 ± 8.05 24.56 ± 8.01 29.19 ± 13.95 26.90 ± 12.56
IL-1β (pg mL−1) 13.20 ± 10.23 4.57 ± 3.80 8.03 ± 6.94 24.21 ± 12.26
IL-12/p70 (pg mL−1) 33.99 ± 9.78 32.10 ± 10.70 39.12 ± 14.85 37.95 ± 6.43
IFNγ (pg mL−1) 36.70 ± 2.00 38.97 ± 2.91 39.86 ± 3.33 40.28 ± 2.62
LPS (U mL−1) 11.18 ± 0.44 9.92 ± 4.72 11.11 ± 0.93 10.53 ± 0.77
LBP (μg mL−1) 1.59 ± 1.19 1.54 ± 0.81 1.55 ± 0.47 1.53 ± 0.58

Values were expressed as mean ± SD (n = 6–8). * p < 0.05 vs. NCD group.

3.5. Effects of GML on Fecal Microbiota

Venn diagrams demonstrated that 241 OTUs existed among all four groups, and that 36, 16, 14 and 31 specific OTUs were unique to the NCD, G400, G800 and G1600 group, respectively (Figure 3A). A beta diversity analysis revealed a distinct clustering of fecal microbiota among the NCD and GML-treated groups, as calculated by unweighted UniFrac principal coordinates analysis (PCoA) (Figure 3B). Specifically, supplementation of GML shifted the microbial composition away from that of the NCD group in PC2, which explained the observed 10.72% of total variance. PC1 showed that the microbiota in the G400 and G800 groups separated from the NCD group, whereas the microbiota between the NCD and G1600 groups were not divided (Figure 3B). No significant differences were observed for indices of Chao1, goods coverage, observed species, and PD whole tree among the four groups. However, the Simpson and Shannon indices in higher-dose GML groups (800 and 1600 mg kg−1) were lower than those in the NCD group (Figure 3C).

Figure 3.

Figure 3

Change in fecal microbiota in mice fed with different doses of GML-supplemented diets. (A) Venn diagram of OTUs. (B) β-diversity analysis was performed by using the unweighted version of the UniFrac-based PCoA. (C) α-diversity analysis based on indices of chao1, Shannon, Simpson, Observed species, PD whole tree and goods coverage. Data were means ± SD (n = 8–10); * p < 0.05 and ** p < 0.01 compared with the NCD group.

Taxonomic profiling indicated that supplementation of GML led to a decrease in the phylum Tenericutes (Figure 4A,C), especially in the family Anaeroplasmataceae (Figure 4B,D). However, 1600 mg kg−1 GML induced a sharp increase in the Proteobacteria content, compared to the NCD and G400 groups (Figure 4A,C). Within the phylum Proteobacteria, significantly increased Sutterellaceae in the G1600 group and decreased Desulfovibrionaceae in all GML-treated groups were observed at the family level (Figure 4B,D). Adding GML to the diet had no effect on the relative richness of phylum Firmicutes and Bacteriodetes (Figure 4A). Regarding the family levels, Porphyromonadaceae was significantly elevated in the G400 and G800 groups, while Bacteroidaceae and Erysipelotrichaceae were markedly declined in the G800 and G1600 groups relative to the NCD group (Figure 4B,D).

Figure 4.

Figure 4

GML altered the fecal microbiota composition in mice. Microbial taxonomic profiling in the (A) phylum level and (B) family level among different groups, and different colors represent different taxa. Relative abundance of the bacterial (C) phylum and (D) families that differentially detected in fecal samples. Results were expressed as mean ± SD (n = 8–10), * p < 0.05; ** p < 0.01; *** p < 0.001.

To illustrate the specific changes in the microbial taxa, we further analyzed the relative abundance of the 20 predominant genera in the four groups. The results showed that the 400 and 800 mg kg−1 GML-treated groups showed a significantly higher level of Barnesiella. However, the 1600 mg kg−1 GML-treated group had a similar abundance of Barnesiella as the NCD group (Figure 5A,B). Of note, GML dose-dependently boosted the relative abundant of Clostridium XIVa and Oscillibacter, which reached statistical significance at high dosage (1600 mg kg−1) relative to the NCD group (Figure 5A,B). Within the phylum Proteobacteria, Parasutterella notably thrived (p < 0.05), but Desulfovibrio was not detected in the G1600 group compared with the NCD group. As expected, we found that the level of Anaeroplasma in all the GML-treated groups was considerably lower than the NCD group (Figure 5A,B). The collective results demonstrate that although several particular deviations were observed, GML showed a dose-dependent capacity to modulate the microbial communities, as 400 and 800 mg kg−1 GML regulated some taxa at the family and genus levels, while 1600 mg kg−1 GML operated a more in-depth reconstruction of the microbial community.

Figure 5.

Figure 5

GML altered the fecal microbiota composition in mice. (A) The heat map of the relative abundance of the top 20 genera among different groups. The red color indicates high values while the green color means low values. (B) Relative abundance of the bacterial genera that differentially detected in fecal samples among different groups. (C) a total of 35 taxa showed significant differences in their relative abundance among the NCD, G400, G800 and G1600 groups with 2.5 as LDA score threshold. (D) The relative abundance of genus Akkermansia among four groups after eliminating the outlier which were detected with the ROUT method (Q = 1%) using GraphPad Prism Version 6. Results were expressed as mean ± SD (n = 8–10), * p < 0.05; ** p < 0.01; *** p < 0.001.

3.6. Effect of GML on Phylotypes

Linear discriminant analysis effect size (LEfSe) analysis was conducted to identify the key bacterial phylotypes that were differentially represented among the four groups. As showed in Figure 5C, mice in the NCD group showed a higher abundance of phylum Tenericutes, as well as the homologous lower branches Mollicutes, Anaeroplasmatales, Anaeroplasmataceae, Anaeroplasma. Furthermore, the Pseudomonadaceae (Pseudomonas) and Desulfovibrionaceae (Desulfovibrio) predominated in the NCD group. The G400 group showed enrichment of family Porphyromonadaceae and Eubacteriaceae (mainly genus Eubacterium). Only Deltaproteobacteria was observed to be significantly abundant in the G800 group. Of note, Clostridium XIVa was significantly overrepresented in the G1600 group. It was found that 1600 mg kg−1 GML led to the enrichment of phylum Proteobacteria, class Betaproteobacteria and Gammaproteobacteria, order Burkholderiales and Pseudomonadales, family Sutterellaceae and Moraxellaceae, as well as genera Parasutterella and Acinetobacter (Figure 5C). However, we observed one exception as well: the LEfSe analysis showed that the genus Akkermansia within the family Verrucomicrobiaceae was identified as being enriched in the NCD group. However, this effect was caused by a single outlier, shown in Figure 5A (marked with red box). Hence, we measured the relative abundance of genus Akkermansia among the four groups (Figure 5D) after eliminating the outlier which was detected with the ROUT method (Q = 1%). The result showed that the richness of Akkermansia declined in the G400 group compared with the NCD group, although no statistical difference was observed (0.146% in the NCD group vs. 0.007% in the G400 group). However, the abundance of Akkermansia increased with increasing the dose of GML.

3.7. Effects of GML on Fecal Short Chain Fatty Acid

The effect of GML on the concentrations of fecal short-chain fatty acid (SCFAs) is summarized in Table 3. As expected, the most abundant SCFAs in feces were acetic acid, followed by propionic acid and butyric acid. Adding GML into the diet decreased the production of fecal acetic acid by a wide margin, but had no evident effect on other SCFAs, including propionic acid, butyric acid, isobutyric acid, isovaleric acid valeric acid and hexanoic acid. Consequently, total SCFAs showed a significant reduction in the G400 and G800 groups, and tended to decrease in the G1600 group.

Table 3.

Effect of GML on the concentrations of fecal SCFAs.

Parameters NCD G400 G800 G1600
acetic acid 98.15 ± 5.03 68.73 ± 12.14 ** 64.95 ± 5.17 *** 75.84 ± 12.55 **
propionic acid 6.97 ± 2.15 6.83 ± 0.64 7.79 ± 1.39 6.60 ± 0.99
butyric acid 5.93 ± 5.42 3.33 ± 0.93 6.72 ± 3.65 7.90 ± 4.11
isobutyric acid 0.60 ± 0.30 0.68 ± 0.27 0.79 ± 0.30 0.82 ± 0.27
valeric acid 0.84 ± 0.35 0.63 ± 0.29 0.83 ± 0.42 0.68 ± 0.33
isovaleric acid 1.19 ± 0.30 0.96 ± 0.17 1.29 ± 0.33 1.37 ± 0.31
hexanoic acid 0.30 ± 0.09 0.35 ± 0.04 0.36 ± 0.07 0.43 ± 0.18
total SCFAs 113.98 ± 12.83 81.50 ± 11.75 ** 82.73 ± 8.46 ** 93.65 ± 15.05

Data were expressed as mean ± SD (n = 6–8). ** p < 0.01, *** p < 0.001 vs. NCD group.

4. Discussion

In the present study, we fed mice with different dosages of GML following years of experiments with GML as an antimicrobial-emulsifier under different circumstances [3,6,10], and aimed to provide more practical and relevant information on the modulating effect and the antimicrobial effects of GML with regard to gut microbiota.

According to the Shannon and Simpson indices, supplementation with a relatively high dose of GML led to a decrease in microbial diversity. GML was known to have a wide antibacterial spectrum, especially at higher concentrations [3]. The decrease in the α-diversity in the G800 and G1600 groups may be related to bactericidal effect of GML. The results support the hypothesis that a low dose of GML may act as modulator of the gut microbiota, while a higher dose introduces its antimicrobial potential.

GML-supplemented diets affected the gut microbial structure, with reduced abundance of phylum Tenericutes (genus Anaeroplasma) and dose-dependently elevated levels of phylum Proteobacteria. The result was different from the previous finding that emulsifier carboxymethylcellulose leaded to an increase in Anaeroplasma [27]. Mice in the G400 and G800 groups, but not the G1600 group, harbored significantly greater abundances of Barnesiella, which was positively associated with a healthy state [28], and may confer anti-inflammatory properties in the context of DSS challenge [29]. In the G1600 group, the augmentation of the phylum Proteobacteria was mainly due to the genus Parasutterella within the family Sutterellaceae and the genus Acinetobacter within family Moraxellaceae, as determined by LEfSe analysis. Parasutterella has been defined as a taxon of the healthy core microbiota in the human gut [30]. Several trials have highlighted that Parasutterella showed a negative correlation with high fat diet-induced metabolic disorder in mice [31,32] and with hypothalamic inflammation in humans [33]. Consistent with the favorable effect of GML on Parasutterella content, supplementations of prebiotic or resistance starch, which were proposed as approaches to polarize the gut microbiota to a beneficial community [34], have the same positive effect on the richness of Parasutterella. In addition, Acinetobacter has been recognized as a specific core species that resides in the colonic crypts of healthy animals [35]. Despite the high content of Proteobacteria in the G1600 group, GML supplement markedly reduced the quantity of family Desulfovibrionaceae and genus Desulfovibrio, which have been linked to adverse effects on host health, such as producing toxic sulphide, which contributes to the development of ulcerative colitis [36], and inducing LPS endotoxemia [37]. Mice in the G1600 group exhibited higher levels of Clostridium XIVa and Oscillibacter, which have been shown to have anti-inflammatory functions and play crucial roles in the maintenance of mucosal homeostasis [38]. In the preceding evidence, most gram-positive pathogens were susceptible to the bactericidal effects of GML [3]. The antigram-positive germs effect of GML may open up ecological niches for occupation by Clostridium XIVa and Oscillibacter in a dose-dependent manner. In contrast to Desulfovibrio, both Oscillibacter and Barnesiella showed negative associations with LPS [39]. A previous report suggested that 150 mg kg−1 GML could significantly decrease Akkermansia muciniphila [10]. In the present study, 400 mg kg−1 GML caused a similar decline in the level of Akkermansia; however, GML rescued and promoted the richness of Akkermansia with increasing the dose of GML. Therefore, the outcomes in the current study deepen our understanding of the dose-dependent regulation of GML on the compositions of gut microbiota.

Accumulating reports showcase that adding other commonly-used emulsifiers to diets tends to be linked to the erosion of the protective mucus, the increase of gut permeability, the induction of low-grade inflammation and metabolic disorders in mice [17,34]. Hence, in the present study, the properties of the different amounts of GML-supplemented diets on the host health were investigated by measuring various parameters related to glucose and lipid metabolism, barrier function and inflammation.

Hyperlipidemia is a metabolic disorder with abnormally elevated contents of TC, TG and LDL-C, and with a reduced concentration of HDL-C in the blood [40]. In our work, 1600 mg kg−1 GML reduced the concentration of LDL-C by half, compared to the NCD group, and had 36% higher level of HDL-C than the NCD group, though no statistical difference was observed. Furthermore, the LDL-C/HDL-C ratio, which is regarded as an accurate predictor of arteriosclerosis and stroke risk [41], were decreased in the G1600 group at a trend level. The outcomes disagreed with previous studies which reported that the administration of GML at a dosage of 150 mg kg−1 for no more than 8 weeks caused a significant changed in serum lipids, especially HDL-C and LDL-C [10,11]. In contrast, the present findings paralleled the results of previous two studies, in which long-term intervention with a coconut oil-rich diet resulted in lower fasting LDL-C concentrations [42,43]. GML is known as a naturally-occurring monoglyceride of coconut oil [44]. The inconsistent results between our study and previous studies could be largely due to the variations in feeding dosages and duration. Another possible explanation was that, in the G1600 group, the increase in the relative abundance of Parasutterella and Oscillibacter may be associated with the lipid profiles. Two previous studies revealed that Parasutterella showed positive correlation with the serum HDL-C levels [45,46]. Li et al. indicated that Oscillibacter showed an opposite correlation to serum LDL-C [47].

Hyperglycemia is accompanied by a high fasting glucose level, and is triggered by long-term insulin resistance. Both insulin resistance and hyperglycemia are the main initiators of metabolic features [48]. In the present trial, no significant changes were observed in the levels of glycemic markers, such as fasting blood glucose and insulin, as well as HOMA-IR score. The results were in line with a previous report which demonstrated that no obvious changes in the level of the serum fasting blood glucose, insulin and HOMA-IR were noted between 150 mg kg−1 GML-treated group and the control group [10]. In addition, Perry et al. reported that the elevated plasma and fecal levels of microbiota-derived acetate can disrupt glucose/insulin homeostasis, and thus, contribute to metabolic disorder by mediating the gut-brain axis [49]. In our study, the significant reduction in the case of fecal acetate may be a desired health benefit which maintains the glucose/insulin balance.

The levels of leptin and adiponectin, two adipocyte-secreted hormones [50], in the GML-supplemented groups were similar to those of the NCD group. No increase in the serum FFA, which was proved to be released from larger adipocytes [21], was observed in the GML-treated groups. The unchanged concentrations of leptin, adiponectin and FFA were in agreement with the unaffected epididymal fat pad, as well as the epididymal adipocyte size in the present study. Thus, we conclude that the diets supplemented with different amounts of GML did not lead to hyperglycemia and insulin resistance.

What’s more, intact morphology of the jejunum, the unchanged number of mucus-secreted goblet cells and the normal expressions of the barrier-related genes, viz., zo1, occludin, claudin-1, jam-1 and muc2 in the ileum after feeding of GML-added diets were highlighted in the current study, suggesting the possible role of GML in the maintenance of mucosal barrier and intestinal health. Similarly, the administration of carrageenan (0.02%) and monoglyceride and diglyceride containing 16 and 18 carbons (0.1%) in dairy cream was reported to promote the expression of zo1, occludin and muc2 [18]. Furthermore, in this study, we found no clear alteration in the levels of serum inflammatory markers, such as IL-6, TNF-α, IL-1β, IL-12/p70, IFNγ, LPS and LBP. The same was true for serum anti-inflammatory cytokine IL-10. Instead, the concentrations of serum anti-inflammatory factors, including TGF-β1 and IL-22, were statistically increased in the G1600 group. Extensive evidence revealed that endogenous IL-22 also played an important role in counteracting uncontrolled or chronic inflammation and maintaining homeostasis [51,52]. The pleiotropic functions of IL-22 have been reviewed elsewhere [53]. TGFβ1 is an anti-inflammatory cytokine that regulates many biological and physiological processes including cell proliferation and differentiation, immune response and inflammation [54]. Hence, the positive effects of GML at dose of 1600 mg kg−1 on the increased production of anti-inflammatory cytokines can be considered as a favorable benefit.

5. Conclusions

The present study provided further insights into the antimicrobial effect of GML from the aspect of the indigenous microbiota. A low dose of GML (400 mg kg−1) can be regarded as modulator of gut microbiota without obviously affecting the microbial diversity, whereas a high dose, especially 1600 mg kg−1, exerted antimicrobial activity, and consequently allowed specific profitable taxa to flourish. Of importance, most of the metabolic-related parameters, including blood lipid profiles, glucose metabolism and systemic inflammation, as well as intestinal barrier function, were not adversely regulated by GML. Collectively, the current work provided a comprehensive appraisal of the effects of GML on the gut microbiota and host metabolic function; the functional role of GML on gut microbiota as a modulator or antimicrobial compound inspired the further application of GML in microbial dysbiosis-related disorders for preventive purposes.

Acknowledgments

The authors are grateful to Bio-ultrastructure analysis Lab. of Analysis Center of Agrobiology and Environmental Sciences, Zhejiang University.

Supplementary Materials

The following are available online at https://www.mdpi.com/2072-6643/11/9/1981/s1, Figure S1: H&E staining of the (A) duodenum and (B) colon section from mice treated with different doses of GML to study inflammation of the intestine (n = 6), Table S1: Primer sequences used in qRT-PCR assays.

Author Contributions

F.F., Q.M. and M.Z. designed research; Q.M., A.F., M.Z., L.D. and Y.L. performed the experiments and analyzed data; Q.M. and A.F. wrote the manuscript. F.F. and H.Z. contributed to the discussion of the data and had responsibility for final content. All authors read and approved the final manuscript.

Funding

The present research was supported by Key Project of Natural Science Foundation of Zhejiang Province (Grant No. LD19C200001), Zhejiang University New Rural Development Research Institute Agricultural Technology Promotion Fund (Grant No. 2017ZDNT006), Achievement Transformation Project of Hangzhou, China (Grant No.20161631E01).

Conflicts of Interest

The authors declare no conflict of interest.

References

  • 1.Schlievert P.M., Peterson M.L. Glycerol Monolaurate Antibacterial Activity in Broth and Biofilm Cultures. PLoS ONE. 2012;7 doi: 10.1371/journal.pone.0040350. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Li Q.S., Estes J.D., Schlievert P.M., Duan L.J., Brosnahan A.J., Southern P.J., Reilly C.S., Peterson M.L., Schultz-Darken N., Brunner K.G., et al. Glycerol monolaurate prevents mucosal SIV transmission. Nature. 2009;458:1034–1038. doi: 10.1038/nature07831. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Schlievert P.M., Strandberg K.L., Brosnahan A.J., Peterson M.L., Pambuccian S.E., Nephew K.R., Brunner K.G., Schultz-Darken N.J., Haase A.T. Glycerol Monolaurate Does Not Alter Rhesus Macaque (Macaca mulatta) Vaginal Lactobacilli and Is Safe for Chronic Use. Antimicrob. Agents Chemother. 2008;52:4448–4454. doi: 10.1128/AAC.00989-08. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Schlievert P.M., Kilgore S.H., Kaus G.M., Ho T.D., Ellermeier C.D. Glycerol Monolaurate (GML) and a Nonaqueous Five-Percent GML Gel Kill Bacillus and Clostridium Spores. mSphere. 2018;3 doi: 10.1128/mSphereDirect.00597-18. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Strandberg K.L., Peterson M.L., Schaefers M.M., Case L.C., Pack M.C., Chase D.J., Schlievert P.M. Reduction in Staphylococcus aureus Growth and Exotoxin Production and in Vaginal Interleukin 8 Levels Due to Glycerol Monolaurate in Tampons. Clin. Infect. Dis. 2009;49:1711–1717. doi: 10.1086/644614. [DOI] [PubMed] [Google Scholar]
  • 6.Zhang M.S., Sandouk A., Houtman J.C.D. Glycerol Monolaurate (GML) inhibits human T cell signaling and function by disrupting lipid dynamics. Sci. Rep. 2016;6 doi: 10.1038/srep30225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Honda K., Littman D.R. The microbiota in adaptive immune homeostasis and disease. Nature. 2016;535:75–84. doi: 10.1038/nature18848. [DOI] [PubMed] [Google Scholar]
  • 8.Ridaura V.K., Faith J.J., Rey F.E., Cheng J., Duncan A.E., Kau A.L., Griffin N.W., Lombard V., Henrissat B., Bain J.R., et al. Gut microbiota from twins discordant for obesity modulate metabolism in mice. Science. 2013;341:1241214. doi: 10.1126/science.1241214. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Thaiss C.A., Itav S., Rothschild D., Meijer M.T., Levy M., Moresi C., Dohnalova L., Braverman S., Rozin S., Malitsky S., et al. Persistent microbiome alterations modulate the rate of post-dieting weight regain. Nature. 2016;540:544–551. doi: 10.1038/nature20796. [DOI] [PubMed] [Google Scholar]
  • 10.Jiang Z.L., Zhao M.J., Zhang H., Li Y., Liu M.Y., Feng F.Q. Antimicrobial Emulsifier-Glycerol Monolaurate Induces Metabolic Syndrome, Gut Microbiota Dysbiosis, and Systemic Low-Grade Inflammation in Low-Fat Diet Fed Mice. Mol. Nutr. Food Res. 2018;62 doi: 10.1002/mnfr.201700547. [DOI] [PubMed] [Google Scholar]
  • 11.Li Y., Liu T., Zhang X., Zhao M., Zhang H., Feng F. Lactobacillus plantarum helps to suppress body weight gain, improve serum lipid profile and ameliorate low-grade inflammation in mice administered with glycerol monolaurate. J. Funct. Foods. 2019;53:54–61. doi: 10.1016/j.jff.2018.12.015. [DOI] [Google Scholar]
  • 12.Yoon B.K., Jackman J.A., Kim M.C., Cho N.-J. Spectrum of membrane morphological responses to antibacterial fatty acids and related surfactants. Langmuir. 2015;31:10223–10232. doi: 10.1021/acs.langmuir.5b02088. [DOI] [PubMed] [Google Scholar]
  • 13.Zentek J., Buchheit-Renko S., Manner K., Pieper R., Vahjen W. Intestinal concentrations of free and encapsulated dietary medium-chain fatty acids and effects on gastric microbial ecology and bacterial metabolic products in the digestive tract of piglets. Arch. Anim. Nutr. 2012;66:14–26. doi: 10.1080/1745039X.2011.644916. [DOI] [PubMed] [Google Scholar]
  • 14.Dierick N.A., Decuypere J.A., Molly K., Van Beek E., Vanderbeke E. The combined use of triacylglycerols (TAGs) containing medium chain fatty acids (MCFAs) and exogenous lipolytic enzymes as an alternative to nutritional antibiotics in piglet nutrition—II. In Vivo release of MCFAs in gastric cannulated and slaughtered piglets by endogenous and exogenous lipases; effects on the luminal gut flora and growth performance. Livest. Prod. Sci. 2002;76:1–16. doi: 10.1016/S0301-6226(01)00331-1. [DOI] [Google Scholar]
  • 15.Sprong R.C., Hulstein M.F., Van der Meer R. High intake of milk fat inhibits intestinal colonization of Listeria but not of Salmonella in rats. J. Nutr. 1999;129:1382–1389. doi: 10.1093/jn/129.7.1382. [DOI] [PubMed] [Google Scholar]
  • 16.Levine A., Boneh R.S., Wine E. Evolving role of diet in the pathogenesis and treatment of inflammatory bowel diseases. Gut. 2018;67:1726–1738. doi: 10.1136/gutjnl-2017-315866. [DOI] [PubMed] [Google Scholar]
  • 17.Chassaing B., Koren O., Goodrich J.K., Poole A.C., Srinivasan S., Ley R.E., Gewirtz A.T. Dietary emulsifiers impact the mouse gut microbiota promoting colitis and metabolic syndrome. Nature. 2015;519:92–96. doi: 10.1038/nature14232. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Milard M., Laugerette F., Bugeat S., Plaisancie P., Letisse M., Meugnier E., Loizon E., Durand A., Buisson C., Geloen A., et al. Metabolic effects in mice of cream formulation: Addition of both thickener and emulsifier does not alter lipid metabolism but modulates mucus cells and intestinal endoplasmic reticulum stress. J. Dairy Sci. 2018;101:10649–10663. doi: 10.3168/jds.2018-14783. [DOI] [PubMed] [Google Scholar]
  • 19.Li Y., Han J., Chen Y., Chen C., Chu B., Zhang Y. p-Coumaric acid as a prophylactic measure against normobaric hypoxia induced pulmonary edema in mice. Life Sci. 2018;211:215–223. doi: 10.1016/j.lfs.2018.09.039. [DOI] [PubMed] [Google Scholar]
  • 20.Livak K.J., Schmittgen T.D. Analysis of relative gene expression data using real-time quantitative PCR and the 2−ΔΔCT method. Methods. 2001;25:402–408. doi: 10.1006/meth.2001.1262. [DOI] [PubMed] [Google Scholar]
  • 21.Jangra S., Kuruva R.S., Sharma R.K., Pothuraju R., Mohanty A.K. Ameliorative effect of fermentable fibres on adiposity and insulin resistance in C57BL/6 mice fed a high-fat and sucrose diet. Food Funct. 2019;10:3696–3705. doi: 10.1039/C8FO02578A. [DOI] [PubMed] [Google Scholar]
  • 22.Masella A.P., Bartram A.K., Truszkowski J.M., Brown D.G., Neufeld J.D. PANDAseq: Paired-end assembler for illumina sequences. BMC Bioinform. 2012;13:31. doi: 10.1186/1471-2105-13-31. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Caporaso J.G., Kuczynski J., Stombaugh J., Bittinger K., Bushman F.D., Costello E.K., Fierer N., Pena A.G., Goodrich J.K., Gordon J.I., et al. QIIME allows analysis of high-throughput community sequencing data. Nat. Methods. 2010;7:335–336. doi: 10.1038/nmeth.f.303. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Dominguez-Bello M.G., De Jesus-Laboy K.M., Shen N., Cox L.M., Amir A., Gonzalez A., Bokulich N.A., Song S.J., Hoashi M., Rivera-Vinas J.I., et al. Partial restoration of the microbiota of cesarean-born infants via vaginal microbial transfer. Nat. Med. 2016;22:250–253. doi: 10.1038/nm.4039. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Cho I., Yamanishi S., Cox L., Methe B.A., Zavadil J., Li K., Gao Z., Mahana D., Raju K., Teitler I., et al. Antibiotics in early life alter the murine colonic microbiome and adiposity. Nature. 2012;488:621–626. doi: 10.1038/nature11400. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Ramanan D., Cadwell K. Intrinsic Defense Mechanisms of the Intestinal Epithelium. Cell Host Microbe. 2016;19:434–441. doi: 10.1016/j.chom.2016.03.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Holder M.K., Peters N.V., Whylings J., Fields C.T., Gewirtz A.T., Chassaing B., de Vries G.J. Dietary emulsifiers consumption alters anxiety-like and social-related behaviors in mice in a sex-dependent manner. Sci. Rep. 2019;9 doi: 10.1038/s41598-018-36890-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Denis M.C., Roy D., Yeganeh P.R., Desjardins Y., Varin T., Haddad N., Amre D., Sane A.T., Garofalo C., Furtos A., et al. Apple peel polyphenols: A key player in the prevention and treatment of experimental inflammatory bowel disease. Clin. Sci. 2016;130:2217–2237. doi: 10.1042/CS20160524. [DOI] [PubMed] [Google Scholar]
  • 29.Weiss G.A., Chassard C., Hennet T. Selective proliferation of intestinal Barnesiella under fucosyllactose supplementation in mice. Br. J. Nutr. 2014;111:1602–1610. doi: 10.1017/S0007114513004200. [DOI] [PubMed] [Google Scholar]
  • 30.Willing B.P., Dicksved J., Halfvarson J., Andersson A.F., Lucio M., Zheng Z., Järnerot G., Tysk C., Jansson J.K., Engstrand L. A Pyrosequencing Study in Twins Shows That Gastrointestinal Microbial Profiles Vary with Inflammatory Bowel Disease Phenotypes. Gastroenterology. 2011;139:1844–1854.e1. doi: 10.1053/j.gastro.2010.08.049. [DOI] [PubMed] [Google Scholar]
  • 31.Zhang C.H., Zhang M.H., Pang X.Y., Zhao Y.F., Wang L.H., Zhao L.P. Structural resilience of the gut microbiota in adult mice under high-fat dietary perturbations. ISME J. 2012;6:1848–1857. doi: 10.1038/ismej.2012.27. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Ju T.T., Kong J.Y., Stothard P., Willing B.P. Defining the role of Parasutterella, a previously uncharacterized member of the core gut microbiota. ISME J. 2019;13:1520–1534. doi: 10.1038/s41396-019-0364-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Kreutzer C., Peters S., Schulte D.M., Fangmann D., Turk K., Wolff S., van Eimeren T., Ahrens M., Beckmann J., Schafmayer C., et al. Hypothalamic Inflammation in Human Obesity is Mediated by Environmental and Genetic Factors. Diabetes. 2017;66:2407–2415. doi: 10.2337/db17-0067. [DOI] [PubMed] [Google Scholar]
  • 34.Zmora N., Suez J., Elinav E. You are what you eat: Diet, health and the gut microbiota. Nat. Rev. Gastroenterol. Hepatol. 2018;16 doi: 10.1038/s41575-018-0061-2. [DOI] [PubMed] [Google Scholar]
  • 35.Nigro G., Sansonetti P.J. Microbiota and gut stem cells cross-talks: A new view of epithelial homeostasis. Curr. Stem Cell Rep. 2015;1:48–52. doi: 10.1007/s40778-014-0005-x. [DOI] [Google Scholar]
  • 36.Rowan F.E., Docherty N.G., Coffey J.C., O’Connell P.R. Sulphate-reducing bacteria and hydrogen sulphide in the aetiology of ulcerative colitis. Br. J. Surg. 2009;96:151–158. doi: 10.1002/bjs.6454. [DOI] [PubMed] [Google Scholar]
  • 37.Portune K.J., Benitez-Paez A., Del Pulgar E.M.G., Cerrudo V., Sanz Y. Gut microbiota, diet, and obesity-related disorders-The good, the bad, and the future challenges. Mol. Nutr. Food Res. 2017;61 doi: 10.1002/mnfr.201600252. [DOI] [PubMed] [Google Scholar]
  • 38.Lopetuso L.R., Scaldaferri F., Petito V., Gasbarrini A. Commensal Clostridia: Leading players in the maintenance of gut homeostasis. Gut Pathog. 2013;5 doi: 10.1186/1757-4749-5-23. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Schirmer M., Smeekens S.P., Vlamakis H., Jaeger M., Oosting M., Franzosa E.A., ter Horst R., Jansen T., Jacobs L., Bonder M.J., et al. Linking the Human Gut Microbiome to Inflammatory Cytokine Production Capacity. Cell. 2016;167:1897. doi: 10.1016/j.cell.2016.11.046. [DOI] [PubMed] [Google Scholar]
  • 40.Zhang Y., Wang Z.W., Jin G., Yang X.D., Zhou H.L. Regulating dyslipidemia effect of polysaccharides from Pleurotus ostreatus on fat-emulsion-induced hyperlipidemia rats. Int. J. Biol. Macromol. 2017;101:107–116. doi: 10.1016/j.ijbiomac.2017.03.084. [DOI] [PubMed] [Google Scholar]
  • 41.Bharosay A., Bharosay V.V., Bandyopadhyay D., Choubey R., Varma V., Saxena K., Varma A. Neurological worsening and association between LDL, HDL ratio, mean platelet volume and platelet count in cerebrovascular ischemic stroke. Int. J. Health Sci. Res. 2016;6:209–215. [Google Scholar]
  • 42.Cox C., Mann J., Sutherland W., Chisholm A., Skeaff M. Effects of Coconut Oil, Butter, and Safflower Oil on Lipids and Lipoproteins in Persons with Moderately Elevated Cholesterol Levels. J. Lipid Res. 1995;36:1787–1795. doi: 10.1016/0021-9150(94)93598-X. [DOI] [PubMed] [Google Scholar]
  • 43.Cox C., Sutherland W., Mann J., de Jong S., Chisholm A., Skeaff M. Effects of dietary coconut oil, butter and safflower oil on plasma lipids, lipoproteins and lathosterol levels. Eur. J. Clin. Nutr. 1998;52:650–654. doi: 10.1038/sj.ejcn.1600621. [DOI] [PubMed] [Google Scholar]
  • 44.Zhang M.S. Ph.D. Thesis. University of Iowa; Iowa City, IA, USA: 2018. Characterizing how Glycerol Monolaurate (GML) Affects Human T Cell Signaling and Function. [Google Scholar]
  • 45.Lv X.C., Guo W.L., Li L., Yu X.D., Liu B. Polysaccharide peptides from Ganoderma lucidum ameliorate lipid metabolic disorders and gut microbiota dysbiosis in high-fat diet-fed rats. J. Funct. Foods. 2019;57:48–58. doi: 10.1016/j.jff.2019.03.043. [DOI] [Google Scholar]
  • 46.Hua P.P., Yu Z.Y., Xiong Y., Liu B., Zhao L.N. Regulatory Efficacy of Spirulina platensis Protease Hydrolyzate on Lipid Metabolism and Gut Microbiota in High-Fat Diet-Fed Rats. Int. J. Mol. Sci. 2018;19 doi: 10.3390/ijms19124023. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Li T.T., Tong A.J., Liu Y.Y., Huang Z.R., Wan X.Z., Pan Y.Y., Jia R.B., Liu B., Chen X.H., Zhao C. Polyunsaturated fatty acids from microalgae Spirulina platensis modulates lipid metabolism disorders and gut microbiota in high-fat diet rats. Food Chem. Toxicol. 2019;131:110558. doi: 10.1016/j.fct.2019.06.005. [DOI] [PubMed] [Google Scholar]
  • 48.Boulange C.L., Neves A.L., Chilloux J., Nicholson J.K., Dumas M.E. Impact of the gut microbiota on inflammation, obesity, and metabolic disease. Genome Med. 2016;8 doi: 10.1186/s13073-016-0303-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.Perry R.J., Peng L., Barry N.A., Cline G.W., Zhang D.Y., Cardone R.L., Petersen K.F., Kibbey R.G., Goodman A.L., Shulman G.I. Acetate mediates a microbiome-brain-beta-cell axis to promote metabolic syndrome. Nature. 2016;534:213–217. doi: 10.1038/nature18309. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 50.Yamauchi T., Kamon J., Waki H., Terauchi Y., Kubota N., Hara K., Mori Y., Ide T., Murakami K., Tsuboyama-Kasaoka N., et al. The fat-derived hormone adiponectin reverses insulin resistance associated with both lipoatrophy and obesity. Nat. Med. 2001;7:941–946. doi: 10.1038/90984. [DOI] [PubMed] [Google Scholar]
  • 51.Sugimoto K., Ogawa A., Mizoguchi E., Shimomura Y., Andoh A., Bhan A.K., Blumberg R.S., Xavier R.J., Mizoguchi A. IL-22 ameliorates intestinal inflammation in a mouse model of ulcerative colitis. J. Clin. Investig. 2008;118:534–544. doi: 10.1172/JCI33194. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 52.Waldner M.J., Neurath M.F. Mechanisms of Immune Signaling in Colitis-Associated Cancer. Cell. Mol. Gastroenterol. Hepatol. 2015;1:6–16. doi: 10.1016/j.jcmgh.2014.11.006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 53.Dudakov J.A., Hanash A.M., van den Brink M.R.M. Interleukin-22: Immunobiology and Pathology. Annu. Rev. Immunol. 2015;33:747–785. doi: 10.1146/annurev-immunol-032414-112123. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54.Zhu L., Chen S.S., Chen Y. Unraveling the biological functions of Smad7 with mouse models. Cell Biosci. 2011;1 doi: 10.1186/2045-3701-1-44. [DOI] [PMC free article] [PubMed] [Google Scholar]

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