Metabolic improvements and activation of HIF2α signaling in the duodenum following administration of probiotics that contain Lactobacillus spp. and HIF luciferase responses to lactate treatment in the organoids from HIF-reporter mice. A. Experimental design and timeline of VSL#3 study (VSL#3 n = 6, Vehicle n = 7). B. Body weight. C. Cumulative food intake. D. Intraperitoneal glucose tolerance test (I.P. GTT, 2 g/kg) and Area Under the Curve (AUC). E. Relative expressions of Hif2α and its target genes in the duodenum of VSL#3- vs. vehicle-treated mice. F. Experimental design of the ex-vivo study. G. Luciferase activity of duodenal enteroids collected from HIF-reporter mice in response to lactate treatment (10ug/ml) vs. vehicle for indicated periods (lactate: n = 8 cell extracts for 1 and 4 h of treatment, n = 16 cell extracts for 16 h of treatment; vehicle: n = 7–8 cell extracts for each period of treatment). Data are presented as means ± S.E.M. Two-way ANOVA with post hoc Sidak test for multiple comparisons (Panel B, C, and Panel D–I.P. GTT curve) and Student's t-test (Panel D-AUC, Panel E and Panel G) were used for significance assessments. ∗∗∗P < 0.001, ∗∗P < 0.01, ∗P < 0.05.