Translocation of Viable Gut Microbiota to Mesenteric Adipose Drives Formation of Creeping Fat in Humans

Autor: Shannan J. Ho Sui, Anthony Martin, Kelly Kaihara, Karenina Sanders, Gregory Humphrey, Jacob E. Moskowitz, J.R. Caldera, Phillip Fleshner, Michael J. Steinbaugh, Matthew J. Brady, Huiying Li, Rob Knight, Yasiru Ratnayake, Connie W.Y. Ha, Kelvin S.L. Chan, Yizhou Wang, Kenneth Gouin, Suzanne Devkota, Dermot P.B. McGovern, David M. Underhill, Baochen Shi, Simon R.V. Knott, Gustaf Hendrick, Shaohong Yang, Christian Arias, Gregory D. Sepich-Poore
Rok vydání: 2020
Předmět:
Lipopolysaccharides
Crohn’s disease
Adipose tissue
translocation
Chromosomal translocation
Ulcerative
Crohn's Disease
Gut flora
Inbred C57BL
Medical and Health Sciences
Oral and gastrointestinal
Mice
0302 clinical medicine
Crohn Disease
Fibrosis
RNA
Ribosomal
16S

2.1 Biological and endogenous factors
Mesentery
Aetiology
Cells
Cultured

0303 health sciences
Clostridium innocuum
Cultured
biology
Stem Cells
Cell Polarity
human microbiome
Biodiversity
Biological Sciences
Colitis
macrophages
mesenteric adipose
medicine.anatomical_structure
Phenotype
Adipose Tissue
Adipogenesis
ileum
16S
Cells
Ileum
inflammatory bowel diseases
General Biochemistry
Genetics and Molecular Biology

Article
Microbiology
adipogenesis
03 medical and health sciences
Immune system
medicine
Animals
Humans
Germ-Free Life
030304 developmental biology
Ribosomal
Macrophages
Prevention
fibrosis
Inflammatory Bowel Disease
biology.organism_classification
medicine.disease
Gastrointestinal Microbiome
Mice
Inbred C57BL

Gene Expression Regulation
Bacterial Translocation
RNA
Metagenome
Colitis
Ulcerative

Metagenomics
creeping fat
Digestive Diseases
030217 neurology & neurosurgery
Biomarkers
Developmental Biology
Zdroj: Cell, vol 183, iss 3
Cell
Popis: A mysterious feature of Crohn’s disease (CD) is the extra-intestinal manifestation of “creeping fat” (CrF), defined as expansion of mesenteric adipose tissue around the inflamed and fibrotic intestine. In the current study, we explore whether microbial translocation in CD serves as a central cue for CrF development. We discovered a subset of mucosal-associated gut bacteria that consistently translocated and remained viable in CrF in CD ileal surgical resections, and identified Clostridium innocuum as a signature of this consortium with strain variation between mucosal and adipose isolates, suggesting preference for lipid-rich environments. Single-cell RNA sequencing characterized CrF as both pro-fibrotic and pro-adipogenic with a rich milieu of activated immune cells responding to microbial stimuli, which we confirm in gnotobiotic mice colonized with C. innocuum. Ex vivo validation of expression patterns suggests C. innocuum stimulates tissue remodeling via M2 macrophages, leading to an adipose tissue barrier that serves to prevent systemic dissemination of bacteria.
Graphical Abstract
Highlights • Gut bacterial translocation to mesenteric adipose tissue (MAT) naturally occurs • MAT from Crohn’s disease (CD) harbors a bacterial consortium defined by C. innocuum • These bacteria in CD promote restructuring of MAT and formation of “creeping fat” • Creeping fat expansion and fibrosis prevent systemic translocation of gut bacteria
Ha et al. provide evidence that, in humans with inflammatory bowel disease, the phenomenon known as “creeping fat” is a protective response where mesenteric adipose tissue migrates (or “creeps”) to sites of gut barrier dysfunction to prevent systemic dissemination of potentially harmful bacterial antigens that have translocated across the barrier from the gut lumen.
Databáze: OpenAIRE