Suppression of trimethylamine N-oxide with DMB mitigates vascular dysfunction, exercise intolerance, and frailty associated with a Western-style diet in mice.

Autor: Brunt VE; Department of Integrative Physiology, University of Colorado, Boulder, Colorado., Greenberg NT; Department of Integrative Physiology, University of Colorado, Boulder, Colorado., Sapinsley ZJ; Department of Integrative Physiology, University of Colorado, Boulder, Colorado., Casso AG; Department of Integrative Physiology, University of Colorado, Boulder, Colorado., Richey JJ; Department of Integrative Physiology, University of Colorado, Boulder, Colorado., VanDongen NS; Department of Integrative Physiology, University of Colorado, Boulder, Colorado., Gioscia-Ryan RA; Department of Integrative Physiology, University of Colorado, Boulder, Colorado., Ziemba BP; Department of Integrative Physiology, University of Colorado, Boulder, Colorado., Neilson AP; Department of Food Science and Technology, Virginia Tech, Blacksburg, Virginia., Davy KP; Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virginia., Seals DR; Department of Integrative Physiology, University of Colorado, Boulder, Colorado.
Jazyk: angličtina
Zdroj: Journal of applied physiology (Bethesda, Md. : 1985) [J Appl Physiol (1985)] 2022 Oct 01; Vol. 133 (4), pp. 798-813. Date of Electronic Publication: 2022 Aug 11.
DOI: 10.1152/japplphysiol.00350.2022
Abstrakt: Consumption of a Western-style diet (WD; high fat, high sugar, low fiber) is associated with impaired vascular function and increased risk of cardiovascular diseases (CVD), which could be mediated partly by increased circulating concentrations of the gut microbiome-derived metabolite trimethylamine N-oxide (TMAO). We investigated if suppression of TMAO with 3,3-dimethyl-1-butanol (DMB; inhibitor of microbial TMA lyase) in mice could prevent: 1 ) WD-induced vascular endothelial dysfunction and aortic stiffening and 2 ) WD-induced reductions in endurance exercise tolerance and increases in frailty, as both are linked to WD, vascular dysfunction, and increased CVD risk. C57BL/6N mice were fed standard chow or WD (41% fat, ∼25% sugar, 4% fiber) for 5 mo beginning at ∼2 mo of age. Within each diet, mice randomly received ( n = 11-13/group) normal drinking water (control) or 1% DMB in drinking water for the last 8 wk (from 5 to 7 mo of age). Plasma TMAO was increased in WD-fed mice but suppressed by DMB. WD induced endothelial dysfunction, assessed as carotid artery endothelium-dependent dilation to acetylcholine, and progressive increases in aortic stiffness (measured serially in vivo as pulse wave velocity), both of which were fully prevented by supplementation with DMB. Endurance exercise tolerance, assessed as time to fatigue on a rotarod test, was impaired in WD-fed mice but partially recovered by DMB. Lastly, WD-induced increases in frailty (31-point index) were prevented by DMB. Our findings indicate DMB or other TMAO-lowering therapies may be promising for mitigating the adverse effects of WD on physiological function, and thereby reducing risk of chronic diseases. NEW & NOTEWORTHY We provide novel evidence that increased circulating concentrations of the gut microbiome-derived metabolite trimethylamine N-oxide (TMAO) contribute to vascular dysfunction associated with consumption of a Western-style diet and that this dysfunction can be prevented by suppressing TMAO with DMB, thereby supporting translation of this compound to humans. Furthermore, to our knowledge, we present the first evidence of the role of TMAO in mediating impairments in endurance exercise tolerance and increased frailty in any context.
Databáze: MEDLINE