Gut butyrate-producers confer post-infarction cardiac protection

Abstract The gut microbiome and its metabolites are increasingly implicated in several cardiovascular diseases, but their role in human myocardial infarction (MI) injury responses have yet to be established. To address this, we examined stool samples from 77 ST-elevation MI (STEMI) patients using 16...

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Main Authors: Hung-Chih Chen, Yen-Wen Liu, Kuan-Cheng Chang, Yen-Wen Wu, Yi-Ming Chen, Yu-Kai Chao, Min-Yi You, David J. Lundy, Chen-Ju Lin, Marvin L. Hsieh, Yu-Che Cheng, Ray P. Prajnamitra, Po-Ju Lin, Shu-Chian Ruan, David Hsin-Kuang Chen, Edward S. C. Shih, Ke-Wei Chen, Shih-Sheng Chang, Cindy M. C. Chang, Riley Puntney, Amy Wu Moy, Yuan-Yuan Cheng, Hsin-Yuan Chien, Jia-Jung Lee, Deng-Chyang Wu, Ming-Jing Hwang, Jennifer Coonen, Timothy A. Hacker, C-L. Eric Yen, Federico E. Rey, Timothy J. Kamp, Patrick C. H. Hsieh
Format: Article
Language:English
Published: Nature Portfolio 2023-11-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-43167-5
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author Hung-Chih Chen
Yen-Wen Liu
Kuan-Cheng Chang
Yen-Wen Wu
Yi-Ming Chen
Yu-Kai Chao
Min-Yi You
David J. Lundy
Chen-Ju Lin
Marvin L. Hsieh
Yu-Che Cheng
Ray P. Prajnamitra
Po-Ju Lin
Shu-Chian Ruan
David Hsin-Kuang Chen
Edward S. C. Shih
Ke-Wei Chen
Shih-Sheng Chang
Cindy M. C. Chang
Riley Puntney
Amy Wu Moy
Yuan-Yuan Cheng
Hsin-Yuan Chien
Jia-Jung Lee
Deng-Chyang Wu
Ming-Jing Hwang
Jennifer Coonen
Timothy A. Hacker
C-L. Eric Yen
Federico E. Rey
Timothy J. Kamp
Patrick C. H. Hsieh
author_facet Hung-Chih Chen
Yen-Wen Liu
Kuan-Cheng Chang
Yen-Wen Wu
Yi-Ming Chen
Yu-Kai Chao
Min-Yi You
David J. Lundy
Chen-Ju Lin
Marvin L. Hsieh
Yu-Che Cheng
Ray P. Prajnamitra
Po-Ju Lin
Shu-Chian Ruan
David Hsin-Kuang Chen
Edward S. C. Shih
Ke-Wei Chen
Shih-Sheng Chang
Cindy M. C. Chang
Riley Puntney
Amy Wu Moy
Yuan-Yuan Cheng
Hsin-Yuan Chien
Jia-Jung Lee
Deng-Chyang Wu
Ming-Jing Hwang
Jennifer Coonen
Timothy A. Hacker
C-L. Eric Yen
Federico E. Rey
Timothy J. Kamp
Patrick C. H. Hsieh
author_sort Hung-Chih Chen
collection DOAJ
description Abstract The gut microbiome and its metabolites are increasingly implicated in several cardiovascular diseases, but their role in human myocardial infarction (MI) injury responses have yet to be established. To address this, we examined stool samples from 77 ST-elevation MI (STEMI) patients using 16 S V3-V4 next-generation sequencing, metagenomics and machine learning. Our analysis identified an enriched population of butyrate-producing bacteria. These findings were then validated using a controlled ischemia/reperfusion model using eight nonhuman primates. To elucidate mechanisms, we inoculated gnotobiotic mice with these bacteria and found that they can produce beta-hydroxybutyrate, supporting cardiac function post-MI. This was further confirmed using HMGCS2-deficient mice which lack endogenous ketogenesis and have poor outcomes after MI. Inoculation increased plasma ketone levels and provided significant improvements in cardiac function post-MI. Together, this demonstrates a previously unknown role of gut butyrate-producers in the post-MI response.
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spelling doaj.art-6361bc3495944b3fb58bc006af3e56af2023-11-12T12:23:32ZengNature PortfolioNature Communications2041-17232023-11-0114111610.1038/s41467-023-43167-5Gut butyrate-producers confer post-infarction cardiac protectionHung-Chih Chen0Yen-Wen Liu1Kuan-Cheng Chang2Yen-Wen Wu3Yi-Ming Chen4Yu-Kai Chao5Min-Yi You6David J. Lundy7Chen-Ju Lin8Marvin L. Hsieh9Yu-Che Cheng10Ray P. Prajnamitra11Po-Ju Lin12Shu-Chian Ruan13David Hsin-Kuang Chen14Edward S. C. Shih15Ke-Wei Chen16Shih-Sheng Chang17Cindy M. C. Chang18Riley Puntney19Amy Wu Moy20Yuan-Yuan Cheng21Hsin-Yuan Chien22Jia-Jung Lee23Deng-Chyang Wu24Ming-Jing Hwang25Jennifer Coonen26Timothy A. Hacker27C-L. Eric Yen28Federico E. Rey29Timothy J. Kamp30Patrick C. H. Hsieh31Institute of Biomedical Sciences, Academia SinicaDivision of Cardiology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityDivision of Cardiovascular Medicine, China Medical University HospitalCardiovascular Medical Center, Far Eastern Memorial HospitalInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaGraduate Institute of Biomedical Materials and Tissue Engineering, Taipei Medical UniversityInstitute of Biomedical Sciences, Academia SinicaModel Organisms Research Core, Department of Medicine, University of Wisconsin-MadisonInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaDivision of Cardiovascular Medicine, China Medical University HospitalDivision of Cardiovascular Medicine, China Medical University HospitalModel Organisms Research Core, Department of Medicine, University of Wisconsin-MadisonWisconsin National Primate Research Center, University of Wisconsin–MadisonWisconsin National Primate Research Center, University of Wisconsin–MadisonInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaDivision of Nephrology, Department of Medicine, Kaohsiung Medical University & HospitalDivision of Gastroenterology, Department of Medicine, Kaohsiung Medical University & HospitalInstitute of Biomedical Sciences, Academia SinicaWisconsin National Primate Research Center, University of Wisconsin–MadisonModel Organisms Research Core, Department of Medicine, University of Wisconsin-MadisonInstitute of Biomedical Sciences, Academia SinicaDepartment of Bacteriology, University of Wisconsin-MadisonDepartment of Medicine and Stem Cell and Regenerative Medicine Center, University of Wisconsin-MadisonInstitute of Biomedical Sciences, Academia SinicaAbstract The gut microbiome and its metabolites are increasingly implicated in several cardiovascular diseases, but their role in human myocardial infarction (MI) injury responses have yet to be established. To address this, we examined stool samples from 77 ST-elevation MI (STEMI) patients using 16 S V3-V4 next-generation sequencing, metagenomics and machine learning. Our analysis identified an enriched population of butyrate-producing bacteria. These findings were then validated using a controlled ischemia/reperfusion model using eight nonhuman primates. To elucidate mechanisms, we inoculated gnotobiotic mice with these bacteria and found that they can produce beta-hydroxybutyrate, supporting cardiac function post-MI. This was further confirmed using HMGCS2-deficient mice which lack endogenous ketogenesis and have poor outcomes after MI. Inoculation increased plasma ketone levels and provided significant improvements in cardiac function post-MI. Together, this demonstrates a previously unknown role of gut butyrate-producers in the post-MI response.https://doi.org/10.1038/s41467-023-43167-5
spellingShingle Hung-Chih Chen
Yen-Wen Liu
Kuan-Cheng Chang
Yen-Wen Wu
Yi-Ming Chen
Yu-Kai Chao
Min-Yi You
David J. Lundy
Chen-Ju Lin
Marvin L. Hsieh
Yu-Che Cheng
Ray P. Prajnamitra
Po-Ju Lin
Shu-Chian Ruan
David Hsin-Kuang Chen
Edward S. C. Shih
Ke-Wei Chen
Shih-Sheng Chang
Cindy M. C. Chang
Riley Puntney
Amy Wu Moy
Yuan-Yuan Cheng
Hsin-Yuan Chien
Jia-Jung Lee
Deng-Chyang Wu
Ming-Jing Hwang
Jennifer Coonen
Timothy A. Hacker
C-L. Eric Yen
Federico E. Rey
Timothy J. Kamp
Patrick C. H. Hsieh
Gut butyrate-producers confer post-infarction cardiac protection
Nature Communications
title Gut butyrate-producers confer post-infarction cardiac protection
title_full Gut butyrate-producers confer post-infarction cardiac protection
title_fullStr Gut butyrate-producers confer post-infarction cardiac protection
title_full_unstemmed Gut butyrate-producers confer post-infarction cardiac protection
title_short Gut butyrate-producers confer post-infarction cardiac protection
title_sort gut butyrate producers confer post infarction cardiac protection
url https://doi.org/10.1038/s41467-023-43167-5
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