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BMC Biol. 2019 Nov 27;17(1):94. doi: 10.1186/s12915-019-0715-8.

The intestinal microbiota regulates host cholesterol homeostasis.

Author information

1
INSERM, UMRS 1166, team "Integrative Biology of Atherosclerosis", Sorbonne Universités, Hôpital Pitié-Salpêtrière, Paris, France.
2
Institute of Cardiometabolism and Nutrition (ICAN), Hôpital Pitié-Salpêtrière, Paris, France.
3
Neuroscience Institute and Institute for Biomedical Sciences, Georgia State University, Atlanta, GA, USA.
4
INSERM, U1016, team "Mucosal microbiota in chronic inflammatory diseases", Paris, France.
5
Université de Paris, Paris, France.
6
Institut Micalis, INRA, AgroParisTech, Université Paris-Saclay, Jouy-en-Josas, France.
7
Laboratoire de Coprologie Fonctionnelle, Hôpital Pitié-Salpêtrière, Paris, France.
8
EA 4065 "Ecosystème intestinal, probiotiques, antibiotiques", Faculté des Sciences Pharmaceutiques et Biologiques Paris Descartes, Paris, France.
9
Sorbonne/INSERM, UMRS 1269, Nutrition et obésités : approches systémiques (nutriOmics), Hôpital Pitié-Salpêtrière, Paris, France.
10
INSERM, UMRS 1166, team "Integrative Biology of Atherosclerosis", Sorbonne Universités, Hôpital Pitié-Salpêtrière, Paris, France. philippe.lesnik@inserm.fr.
11
Institute of Cardiometabolism and Nutrition (ICAN), Hôpital Pitié-Salpêtrière, Paris, France. philippe.lesnik@inserm.fr.

Abstract

BACKGROUND:

Management of blood cholesterol is a major focus of efforts to prevent cardiovascular diseases. The objective of this study was to investigate how the gut microbiota affects host cholesterol homeostasis at the organism scale.

RESULTS:

We depleted the intestinal microbiota of hypercholesterolemic female Apoe-/- mice using broad-spectrum antibiotics. Measurement of plasma cholesterol levels as well as cholesterol synthesis and fluxes by complementary approaches showed that the intestinal microbiota strongly regulates plasma cholesterol level, hepatic cholesterol synthesis, and enterohepatic circulation. Moreover, transplant of the microbiota from humans harboring elevated plasma cholesterol levels to recipient mice induced a phenotype of high plasma cholesterol levels in association with a low hepatic cholesterol synthesis and high intestinal absorption pattern. Recipient mice phenotypes correlated with several specific bacterial phylotypes affiliated to Betaproteobacteria, Alistipes, Bacteroides, and Barnesiella taxa.

CONCLUSIONS:

These results indicate that the intestinal microbiota determines the circulating cholesterol level and may thus represent a novel therapeutic target in the management of dyslipidemia and cardiovascular diseases.

KEYWORDS:

Antibiotics; Cholesterol metabolism; Dyslipidemia; Enterohepatic cycle; Intestinal microbiota; Microbiome; Microbiota transfer

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