2. Gut Microbiota
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Research Collection Doctoral Thesis Towards understanding the modulation potential of dietary fibers on intestinal microbiota using human and a novel murine intestinal fermentation model Author(s): Poeker, Sophie Annick Thérèse Marie Publication Date: 2019 Permanent Link: https://doi.org/10.3929/ethz-b-000361486 Rights / License: In Copyright - Non-Commercial Use Permitted This page was generated automatically upon download from the ETH Zurich Research Collection. For more information please consult the Terms of use. ETH Library DISS. ETH NO 25786 Towards understanding the modulation potential of dietary fibers on intestinal microbiota using human and a novel murine intestinal fermentation model A thesis submitted to attain the degree of DOCTOR OF SCIENCES of ETH ZURICH (Dr. sc. ETH Zurich) Presented by SOPHIE ANNICK THERESE MARIE POEKER Master of Science ETH in Biology, ETH Zurich, Zurich, Switzerland born on July 7, 1988 citizen of Luxembourg on the recommendation of Prof. Dr. Christophe Lacroix, examiner Prof. Dr. med. Michael Scharl, co-examiner Dr. Annelies Geirnaert, co-examiner 2019 Content Content 1 Abbreviations 4 Summary 7 Zusammenfassung 13 Chapter 1 19 General introduction 19 The gastrointestinal tract in humans and mice 20 Gut microbiota 24 Inflammatory Bowel Disease 39 Strategies to modulate the gut microbiota and to improve health 52 Models in gut microbiota research 61 Objectives of this thesis 67 Chapter 2 69 Understanding the prebiotic potential of different dietary fibers using an in vitro continuous adult fermentation model (PolyFermS) 69 Chapter 3 97 Stepwise development of an in vitro continuous fermentation model for the murine caecal microbiota. 97 Chapter 4 128 In vitro modulation of intestinal microbiota towards eubiosis and dysbiosis by dietary fibers, oxidative stress and antibiotic treatment 129 Chapter 5 171 General conclusion and perspectives 171 References 177 Acknowledgements 208 Curriculum vitae 209 3 Abbreviations Abbreviations AIEC Adherent-invasive E.coli AMPs Antimicrobial peptides ATG Autophagy gene ATP Adenosine triphosphate BCFA Branched chain fatty acid ButCoA ButyrylCoA CAT Catalase CD Crohn’s Disease CH4 Methane CO2 Carbon dioxide COX Cyclooxygenase Cu Copper DF Dietary fiber DNA Deoxyribonucleic acid DP Degree of polymerization DSS Dextran sodium sulfate FA Fatty acids FAD Flavin adenine dinucleotide Fe Iron FMT Fecal microbiota transplant FOS Fructooligosaccharide FUT Fucosyltransferase gene GALT Gut associated lymphoid tissue GIT Gastrointestinal tract GOS Galactooligosaccharide GPR G Protein-coupled receptor GPX Glutathione peroxidase H2 Hydrogen HCl Hydrochloric acid HLA Human leukocyte antigen HMA Human microbiota associated HO·¯ Hydroxyl radical HO2· Hydroperoxyl HOCl Hydrochlorus HPLC High performance liquid chromatography H2O2 Hydrogen peroxide H2S Hydrogen sulfide IBD Inflammatory bowel disease IFN Interferone Ig Immunoglobulin IL- Interleukin 4 Abbreviations IRGM Immunity-related GTPase family M protein MLN Mesenteric lymph nodes NADPH Nicotinamide adenine dinucleotide phosphate NF-КB Necrosis factor КB NH3 Ammonia NOD Nitric oxide deoxygenase NOX NADPH oxidase NSAID Nonsteroidal anti-inflammatory drugs OTU Operational taxonomic unit O2 Oxygen O2·¯ Superoxide O3 Ozone PEP Phosphoenolpyruvate PP Peyer’s Patch PRR Pattern recognition receptor PTPN Protein tyrosine phosphatase non-receptor type PUFA Polyunsaturated fatty acids qPCR Quantitative polymerase chain reaction rDNA Ribosomal deoxyribonucleic acid RNA Ribonucleic acid rRNA Ribosomal ribonucleic acid RNHCl Chloramine RNS Reactive nitrogen sepcies RO· Alcoxyl RO2· Peroxyl ROS Reactive oxygen species RT Retention time SCFA Short chain fatty acid SOD Superoxide dismutase spp. Species SRB Sulphate-reducing bacteria Th cell T helper cell TGF Transforming growth factor TLR Toll-like receptor TNF Tumor necrosis factor Cu Copper UC Ulcerative colitis WT Wild type XOS Xylooligosaccharide 5 Abbreviations 6 Summary Summary The mammalian gastrointestinal tract harbors a complex and diverse community of bacteria, called gut microbiota that exerts elemental physiological functions in health and disease. Diet shapes the gut microbiota composition and activity, which in turn modulates host metabolism and homeostasis. Non-digestible dietary fibers (DFs) for example, have beneficial effects on intestinal wellbeing by acting as a carbon source for growth and functionality of selective commensal bacteria within the gut. In the colon, microbial fermentation of complex carbohydrates generates short chain fatty acids (SCFAs), such as acetate, propionate and butyrate, which are absorbed by the intestinal epithelium conferring systemic health effects. The intake of DFs can lead to increased SCFA production due to promoted bacterial cross-feeding activities, a subsequent acidification of the lumen and thus homeostasis. An adverse disruption of the structure or functionality of the gut microbiota, called microbial dysbiosis, induces significant alternations in the delicate microbe-host synergy and is associated with chronic inflammatory disorders, such as inflammatory bowel disease (IBD). There has been a rapid increase in IBD incidence, especially in Western style countries. Therefore, a Western-diet characterized by low DF intake might be a potential trigger for IBD. Besides diet, other environmental factors influence the intestinal microbiota and its activity and may induce microbial dysbiosis and trigger IBD. For example, oxidative stress caused by excessive reactive oxygen species and antibiotics are potential inducers of microbial dysbiosis. The immediate impact of microbiota modulatory factors promoting health (dietary factors) or disease (oxidative stress and antibiotics) on intestinal microbial activity and structure is difficult to assess due to inaccessibility of human colon samples or end-point samples in mouse models. In vitro fermentation models mimicking the intestinal conditions offer the possibility of investigating the microbe-microbe interactions independent of the host. The main objective of this thesis was to investigate the potential modulating effects of different dietary fibers and direct adverse effects of oxidative and antibiotic stress on gut microbiota composition and functionality using an in vitro continuous fermentation model of the human colon and mouse cecum. Study 1 In a first part, continuous in vitro colonic fermentation models using immobilized human faecal gut microbiota were set-up mimicking proximal colon condition to study the modulatory potential of four different dietary fibers. We immobilized two distinct faecal microbiota (D3 and D4) differing within the Bacteroidetes phylum with higher levels of Bacteroidaceae in D3 and higher levels of Prevotellaceae in D4, and we successfully maintained the two distinct microbiota, both on metabolic and phylogenetic levels in the PolyFermS model. We used three continuous in vitro fermentation PolyFermS models to study the modulating effects of inulin, β-glucan, xylo-oligosaccharide (XOS) and α-galacto-oligosaccharide (α-GOS) on two distinct gut microbiota, independently from host factors. The four dietary fibers (DF) were supplemented at a physiologic 8 Summary concentration, equivalent to 9 g daily intake. DF treatments resulted in increased short-chain fatty acid production, evidencing fermentability of all tested fibers by the two microbiota, and led to consistent metabolic responses depending on the donor microbiota. Irrespectively of the DF, D3 in vitro microbiota responded by increased butyrate production, whereas D4 in vitro microbiota displayed higher propionate production. Moreover, supplementation of the two short-chain carbohydrates XOS and α-GOS resulted in high acetate production in all treatments for both microbiota. Interestingly, metabolic cross-feeding of butyrate- producers on acetate within both PolyFermS microbiota was microbiota-dependent and particularly observed upon inulin supplementation, with either increase in butyrate or acetate levels. At phylogenetic level, we also observed changes in abundance of specific bacterial taxa within one depending on the microbiota, which could explain the observed short-chain fatty acid profiles and possible cross-feeding interactions between the different functional bacterial populations. Study 2 Next, a novel continuous fermentation model based on the PolyFermS platform inoculated with immobilized murine caecal microbiota was developed and validated. Murine models are the model of choice for studying the role of gut microbiota in health and disease. However, mice and human microbiota differ in species composition, and further investigation of the murine gut microbiota is important to improve current murine models and mechanistic understanding of the gut microbiota. Continuous in vitro fermentation models are powerful tools to investigate microbe-microbe interactions while circumventing animal testing and host factors. There is no model developed yet for murine intestinal microbiota fermentation. In a first step, we determined the pH, bacterial composition and the metabolic profile in the caeca of C57BL/6 mice. To support growth and activity of the murine caecal bacterial populations, a complex murine nutritive growth medium was developed to mimic substrate conditions encountered in chyme entering the mouse caecum. Different factors of the fermentation model, including caecum sampling, fermentation starting mode, pH, retention time and growth medium composition were investigated in a sequential