Summary Paragraph
A mosaic of cross-phylum chemical interactions occurs between all metazoans and their microbiomes. A number of molecular families known to be produced by the microbiome have a profound impact on the balance between health and disease1-9. Considering the diversity of the human microbiome, numbering over 40,000 operational taxonomic units10, the impact of the microbiome on the chemistry of an entire animal remains underexplored. In this study, mass spectrometry informatics and data visualization approaches11-13 were used to provide an assessment of the impacts of the microbiome on the chemistry of an entire mammal by comparing metabolomics data from germ-free (GF) and specific pathogen free (SPF) mice. We found that the microbiota affected the chemistry of all organs. This included amino acid conjugations of host bile acids that have evaded characterization despite the extensive research on bile acid chemistry14. These bile acid conjugates were also found in humans, where they were enriched in states of disease. These compounds agonized the farnesoid X receptor (FXR) in vitro and a gavage of mice resulted in reduced expression of bile acid synthesis genes in vivo. Further studies are required to confirm that these compounds have a physiological role in the host and whether they contribute to gut diseases associated with microbiome dysbiosis.
Main
Metabolomics of GF and SPF mice.
In total, 768 samples from 96 sample sites of 29 different organs were analyzed from four GF and four colonized mice by LC-MS/MS mass spectrometry and 16S rRNA gene sequencing (Table S1). Mapping the 1st principal coordinate position of each sample from SPF mice onto a 3D mouse model13 enabled visualization of the similarity of the microbiome and metabolome through all organs and organ systems (Fig. 1a and b, 3D-model available in supplementary data). Different sections through the GI tract had unique microbiome and metabolome profiles. There was a distinct difference between the similarity of the two data types in murine fecal samples. The metabolome differed between fecal samples and the distal gastrointestinal (GI) tract, whereas the microbiome was more similar between feces and colon/cecum samples.
To characterize the chemical impact of the microbiome, the mass spectrometry data was subjected to molecular networking12. The algorithm identified 7,913 spectra of which 14.7+/−2.2% were observed in colonized mice and 10.0+/−0.7% were exclusive to GF (Fig. 1b, Extended Data Fig. 1). Although the overall profiles showed the strongest differences between GF and SPF were in the GI tract, molecular networking identified unique chemical signatures from the microbiome in all organs, ranging from 2% in the bladder to 44% in stool (Fig. 1b). The metabolome of the cecum, the main site of microbial fermentation of food, was most profoundly affected by the microbiota. Spectral library searching enabled annotation of 8.9% of nodes in the molecular network11,15 (level two or three according to16). Many of the changes attributed to the microbiome were location specific, resulting from the metabolism of plant natural products from food and bile acids (Fig. 1c, Extended data Fig. 2, 3, 4, supplemental Data,). The Shannon diversity of the GF and SPF mouse metabolome was mirrored in the upper GI tract, both being low in the esophagus and higher in the stomach and duodenum. Upon transition to the cecum, however, the diversity of the two groups of mice began to separate (Fig. 1d). The molecular diversity in the cecum and colon of colonized mice was higher than that of GF mice, but not in the stool samples (Fig. 1d). In the duodenum, the location where the gallbladder adds bile to the intestine, there was a contrast in microbiome and metabolome diversity, where a high metabolome diversity corresponded to a low microbial diversity.
Molecular networking enabled meta-mass shift chemical profiling17 of the GF and SPF GI tracts, which is an analysis of chemical transformations based on parent mass shifts between related spectra without the requirement of knowing the molecular structures. In colonized animals, there was a signature for water loss in the duodenum and jejunum and the loss of H2, acetyl and methyl groups in latter parts of the GI tract (Fig. 1e). Of all the H2 shifts, 23.1% were associated with bile acids, indicating that colonization resulted in oxidation of bile acids, a known microbial transformation18. Deacetylations were also prevalent in colonized animals, though the metabolites upon which this was occurring remain unidentified. GF mice had mass gains corresponding to saccharides in all regions of the GI tract (Fig. 1e), which were primarily associated with plant natural products (e.g. soyasaponins and flavonoids). The absence of these sugars in SPF mice implicates the microbiome in their metabolism (Extended data Fig. 2, 3). A unique mass gain of C4H8 was detected in the jejunum and ileum of SPF mice (Fig. 1e) and 18.2% of spectra with this mass gain were derived from an unknown molecule related to the conjugated bile acid glycocholic acid (GCA) (Fig. 2a). Overall, both GF and SPF mice had frequent and diverse mass losses between related molecules, but there were fewer molecules in colonized mice that gained a molecular group (Fig. 1e). This indicates that the microbiome contributed more to the catabolic breakdown of molecules and less to anabolism. However, we found the addition of C4H8 to GCA to be a particularly interesting anabolic reaction that was dependent on the gut microbiome, and we sought to investigate this further.
Discovery of new conjugated bile acids.
Glycine and taurine conjugated bile acids were detected in both GF and SPF mice. The glycine and taurine amino acids were removed as they passed through the GI tract in SPF mice only, which is a known microbial transformation19 (Fig. 1b, Extended data Fig. 4). The conjugated bile acid molecular network had several modified forms of these compounds that were only present in colonized animals, including the C4H8 addition described above that was related to the MS/MS of GCA (Fig. 2a). Analysis of the MS/MS spectra of three of these SPF nodes (m/z 556.363, 572.358 and 522.379) showed maintenance of the core cholic acid, but with a fragmentation pattern characteristic of the presence of the amino acids phenylalanine, tyrosine and leucine through an amide bond at the conjugation site in place of glycine or taurine (Extended data Fig. 5, Table S2). This represents a set of unique amino acid amide conjugations to cholic acid that are mediated by the microbiome creating the novel bile acids phenylalanocholic acid (Phe-chol), tyrosocholic acid (Tyr-chol) and leucocholic acid (Leu-chol). These structures were validated with synthesized standards by retention time and MS/MS matching on several instrument platforms including targeted MS (level one matches16, Extended data Fig. 5,6, Table S2, S5). These molecules were detected in the duodenum, jejunum and ileum of SPF mice only, with 10-fold lower levels found in the cecum and colon after targeted mass spectrometry analysis using isotopically labeled internal standards (Table S4). The liver-synthesized glycine and taurine conjugates were found in these same gut locations, but also observed in the gall bladder and liver (Fig. 2b, Extended Data Fig. 6). Phe-chol was the most abundant microbial conjugate on average across the GI tract, present at 147.0 nmol/g tissue (SD+/−99.9) in the jejunum, 83.6 nmol/g tissue (SD+/−81.3) in the ileum, 4.7 nmol/g tissue (SD+/−3.4) in the cecum and 11.6 nmol/g tissue (SD+/−12.2) in the colon; with its highest concentration at 447.2 nmol/g tissue in a single jejunum sample (LOD in table S4, S6, S7).
The decreased abundance of these unique bile conjugates in the lower GI tract prompted us to investigate if there was reabsorption in the ileum or further metabolism by the microbiota. Portal and peripheral blood was collected from additional SPF (n=4) and GF (n=6) mice and screened for the presence of conjugated bile acids. Taurocholic acid (TCA) and GCA were both present in portal and peripheral blood of colonized and sterile mice, but the new amino acid amide conjugates were not detected (Extended data Fig. 6). Furthermore, incubation of these molecules with an actively growing human fecal batch culture showed that the Tyr-, Phe- and Leu- bile acids were not deconjugated by the microbiota, even when deconjugation readily occurred on the host synthesized GCA control, a well-known bile acid amidate hydrolase activity mediated by human microbiota20 (Extended Data Fig. 6). However, an oxidation of the cholate core occurred on all three novel conjugates, indicating that they could be modified by microbial enzymes, even when no concurrent oxidation of GCA was observed (Extended Data Fig. 6).
In the extensive bile acid literature, comprising greater than 42,000 publication records in PubMed21-27, descriptions of unusual conjugations of bile acids are rare. Through 170 years of bile acid chemistry research, the accepted standard has been that mammalian bile acids are amide conjugated by a host liver enzyme (Bile acid-CoA:amino acid N-acyltransferase, BAAT) with either glycine or taurine. Here we report amide conjugations with phenylalanine, tyrosine and leucine associated with the microbiome in mice, and as shown below, these compounds are common in humans.
Translation to humans using Mass Spectrometry Search Tool (MASST)
A MASST search of 1,004 public data sets available in the Global Natural Products Social Molecular Networking (GNPS) database revealed spectral matches corresponding to Phe-chol, Tyr-chol and Leu-chol in 28 studies comprising samples from the GI tract of both mice (3.2 to 59.4% of all samples) and humans (1.6 to 25.3% of all samples, Extended Data Fig. 7)11. In data from fecal samples collected for the American Gut Project28, at least one of these unique bile acids was found in 1.6% of human fecal samples, with Tyr-chol being most prevalent (n=490, Fig. 3a). They were found in higher frequency from patients with inflammatory bowel disease (IBD), cystic fibrosis (CF) and in infants (Fig. 3a).
Re-analysis of GNPS deposited data from a previously published study of the murine microbiome and liver cancer enabled a comparison of the abundance of these molecules in mice fed a high-fat-diet (HFD) and treated with antibiotics29 (Extended data Fig. 7). The Phe, Tyr, and Leu amino acid conjugates were undetectable upon antibiotic exposure, whereas GCA remained, supporting the role of the microbiome in the novel conjugation. In the same study, Phe-chol and Leu-chol were more abundant in mice fed a HFD, with no change observed in the host-conjugated GCA29 (Extended data Fig. 7). We further validated this association in data from a separate study where atherosclerosis-prone mice fed HFD also had elevated levels of the microbial conjugates without a corresponding change in the host-produced TCA (Extended data Fig. 7). CF is known to result in insufficient production of pancreatic lipase, microbial dysbiosis and the buildup of fat in the gut30. In public data from a pediatric CF patient cohort, we found these compounds were more prevalent in CF patients than healthy controls, particularly those with pancreatic insufficiency (Fig. 3a). Finally, detection of the novel conjugates in IBD patients led to mining metabolome data from the second stage of the human microbiome project (HMP231) that focused on differences between IBD patients and controls, including those with the IBD subtypes Crohn’s disease (CD) and ulcerative colitis (UC)31 (Fig. 3b, Table S8). All three metabolites were significantly higher in the dysbiotic state of CD patients but not UC patients (Figure 3b, statistics in supplemental data). Thus, MASST-based mining of GNPS public data showed that these compounds are not only found in healthy humans, but enriched in individuals with fatty guts and IBD, implicating a potential role in, or symptom of, gut dysbiosis and human disease.
Microbes produce the novel bile acids.
There was a strong positive correlation between a Clostridium sp. and all three bile acids when mice were fed HFD (Pearson’s r for Phe-cholate r = 0.73, Tyr-cholate, r = 0.50 and Leu-cholate, r = 0.74, Extended data Fig. 7, Table S3). Clostridia are known to oxidize, epimerize, and deconjugate bile acids32,33. We therefore cultured 20 human gut microbes (with emphasis on Clostridia) in fecal culture media34 that contained amino acids and cholic acid precursors to screen for production of the novel conjugates. C. bolteae strain WAL-14578 and strain CC43001B synthesized both Phe-chol and Tyr-chol (Extended data Fig. 8). Addition of labeled 13C-phenylalanine to the media verified that C. bolteae strain WAL-1457 could synthesize Phe-chol from the amino acid and cholate precursors (Extended data Fig. 8). Similarly, we fed mice HFD with 13C-phenylalanine and were able to detect labelled Phe-chol in their feces; demonstrating microbial synthesis in vivo and that the amino acid precursors could come from diet (Fig. 3d). C. bolteae is a bile resistant gut bacterium that is more common in autistic children35, associated with abdominal infections36, and together with Blautia producta, prevented colonization from vancomycin resistant Enterococcus in mice37. The production of these bile acids by C. bolteae further verifies their association with the microbiota of the murine gut and implicates them as potentially important for inter-microbial interactions in the gut microbiome. However, addition of the novel conjugates to batch cultures of human fecal samples did not affect community structure (Extended data Fig. 8), leading to our investigation of how these compounds may affect gut physiology through host receptor signaling.
Novel Bile Acids and FXR.
The farnesoid X receptor (FXR) is a key receptor for bile acids expressed in the intestine, liver and other tissues. The most potent naturally occurring agonistic ligand of FXR is chenodeoxycholic acid (CDCA), while Tauro-beta-muricholic acid (T-βMCA) is an FXR antagonist38. To assess the ability of the novel bile acids from this study to affect human FXR signaling, a luciferase reporter assay was established in HEK-293 embryonic kidney cells39. Phe-chol and Tyr-chol were strong human FXR agonists (Extended data Fig. 9, Table S9). The phenylalanine conjugate (R2=0.92, EC50=4.5 μM) was twice as strong of an agonist as CDCA (R2=0.88, EC50= 9.7 μM), while the tyrosine conjugate was the most potent (R2 =0.93, EC50=0.14μM). Furthermore, gavage of mice with these compounds increased expression of the FXR effector genes Fgf15 and Shp in the intestine (12.2 and 13.3-fold with Tyr-Chol at 24 hrs, p=0.029 and 0.009; 6.2 and 9.3-fold at 72 hrs, p=0.009 and 0.019, Fig. 3e, Extended data Fig. 9). Although Shp expression did not change detectably in the liver at 24 hrs after gavage, levels were increased 2.3-fold after 72 hrs (p=0.017, Fig. 3e, Extended data Fig. 9). Changes in expression of the bile acid synthesis genes Cyp7a1 and Cyp8b1 also showed a time dependent effect. Cyp7a1 was 9% of control levels at 24 hrs (p=0.001) and Cyp8b1 was at 69% (p=0.004, Extended data Fig. 9). At 72 hrs (4 gavages), Cyp7a1 expression was 8% of control (p=0.004) while Cyp8b1 the transcript was further reduced to 2% (p=0.0002, Fig. 3e). The strong time-dependent reduction of liver Cyp7a1 and Cyp8b1 transcripts indicates that similar to the primary bile acid cholic acid, gavage of mice with these compounds reduced the expression of downstream FXR target genes responsible for bile acid synthesis in the liver. It cannot be excluded, however, that this effect was due to FXR agonism through release of cholate from amide conjugate hydrolysis.
Bile acid metabolism by the microbiome has been described since the 1960s40. The four known mechanisms of microbial metabolism are dehydroxylation, dehydration and epimerization of the cholesterol backbone, and deconjugation of the amino acids glycine or taurine1,41,42. Here, we identified a fifth mechanism of bile acid transformation by the microbiome mediated by a completely different mechanism: amide conjugation of the cholate backbone with the amino acids phenylalanine, tyrosine and leucine. Though there are homologues of the human bile acid conjugation gene BAAT in clostridial genomes, the microbial enzyme in question remains unknown. Regardless of the mechanism of their synthesis, these novel conjugates stimulate the human FXR receptor in a cell-based system and the expression of FXR-target genes responsible for bile acid production in the liver were reduced when administered to mice. Additional studies are needed to understand the health implications of bile acid re-conjugation by the human microbiome and their potential effects on FXR-related diseases.
Conclusion.
This study shows that the chemistry of all organ systems are affected by the presence of a microbiome. The strongest signatures come from the gut, particularly via the breakdown of plant natural products from food and the manipulation of bile acids. The microbiome is primarily a catabolic entity, breaking down compounds through enzymatic removal of chemical groups. However, an anabolic reaction was found that represented a fifth mechanism of bile acid metabolism by the microbiome through unique amino acid conjugations of cholic acid. As the connections between humans and our microbial symbionts becomes increasingly appreciated, a combination of globally untargeted approaches and the development of tools that interlink these data sets, such as the GNPS and MASST analysis infrastructure, will enable more efficient characterization of microbial molecules and efficient translation between model animals and human studies, leading to a better understanding of the deep connection between our microbiota, our metabolites, and our health.
Extended Data
Supplementary Material
Acknowledgements:
The authors would like to acknowledge funding from the National Institutes of Health 5U01AI124316-03, 1R03CA211211-01, 1R01HL116235 U54DE023798, R24DK110499, GMS10RR029121 and R01HD084163. Additionally, B.S.B. was supported by UCSD KL2 (1KL2TR001444), J.L. by grant 13EIA14660045 from the American Heart Association. T.D.A National Library of Medicine Training Grant: NIH grant T15LM011271. R.M.E is an investigator of the Howard Hughes Medical Institute and March of Dimes Chair in Molecular and Developmental Biology at the Salk Institute. RME was funded by grants from the NIH (DK057978, HL105278, HL088093, and ES010337), and Samuel Waxman Cancer Research Foundation. T.F. is supported by a Hewitt Medical Foundation Fellowship. We would like to acknowledge Gail Ackermann for her contributions. This work was also supported in part by Seed Grants from the UC San Diego Center for Microbiome Innovation. This work was funded by grants from the NIH (DK057978, HL105278 and HL088093), National Cancer Institute (CA014195), National Health and Medical Research Council of Australia Project grants (grant 1087297 to C.L. and M.D.), the Leona M. and Harry B. Helmsley Charitable Trust (2017PG-MED001), SWCRF Investigator Award and Ipsen/Biomeasure. T.F. is supported by Hewitt Medical Foundation Fellowship, a Salk Alumni Fellowship and Crohn’s & Colitis Foundation (CCFA) Visiting IBD Research Fellowship. R.M.E. and M.D. are supported, in part, by a Stand Up to Cancer-Cancer Research UK-Lustgarten Foundation Pancreatic Cancer Dream Team Research Grant (Grant Number: SU2C-AACR-DT-20-16). Stand Up To Cancer is a program of the Entertainment Industry Foundation. Research grants are administered by the American Association for Cancer Research, the scientific partner of SU2C. R.M.E is an investigator of the Howard Hughes Medical Institute and March of Dimes Chair in Molecular and Developmental Biology at the Salk Institute. Research reported in this publication was also supported by the National Institute of Environmental Health Sciences of the National Institutes of Health under Award Number P42ES010337. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Footnotes
Data Availability: All metabolomics data that support the findings of this study is available at GNPS (gnps.ucsd.edu) under the MassIVE ID numbers: MSV000079949 (original GF and SPF mouse data), MSV000082480, MSV000082467, MSV000079134, MSV000082406, MSV000083032, MSV000083004, MSV000083446. The sequencing data for the GF and SPF mouse study is available on the Qiita microbiome data analysis platform at qiita.ucsd.edu under study ID 10801 and through the European Bioinformatics Institute accession number ERP109688. Source data is available with the online article for figures 1, 2 and 3.
Ethics Statement: We have complied with all relevant ethical regulations pertaining to this manuscript. Study subjects in this manuscript provided informed consent. Institutional review boards from the following institutions reviewed this study under the listed IRB#s: UC San Diego #160034, #131487, Yale University #1206010476 and the University of Michigan #103575.
Code Availability: MASST can be accessed at masst.ucsd.edu and the development is described in the following preprint https://www.biorxiv.org/content/10.1101/591016v1 the code for MS/MS-based MASST Searching is available here: https://github.com/CCMS-UCSD/GNPS_Workflows/tree/master/search_single_spectrum
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