Cited by 666Gut microbiota and healthGenetics, Aging, and Longevity in Model OrganismsProbiotics and Fermented Foods

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index; none of the 34 sources its claims cite is checked for support yet.

Healthspan and lifespan extension by fecal microbiota transplantation into progeroid mice

Open access
Bárcena, Clea, Valdés-Mas, Rafael, Mayoral, Pablo, Garabaya, Cecilia, Durand, Sylvère, Rodríguez, Francisco, Fernández-García, María Teresa, Salazar, Nuria, Nogacka, Alicja M., Garatachea, Nuria, Bossut, Noélie, Aprahamian, Fanny, Lucia, Alejandro, Kroemer, Guido, Freije, José M. P., Quirós, Pedro M., López-Otín, Carlos·2019·Nature Medicine

Abstract

The gut microbiome is emerging as a key regulator of several metabolic, immune and neuroendocrine pathways 1,2. Gut microbiome deregulation has been implicated in major conditions such as obesity, type 2 diabetes, cardiovascular disease, non-alcoholic fatty acid liver disease and cancer 3-6, but its precise role in aging remains to be elucidated. Here, we find that two different mouse models of progeria are characterized by intestinal dysbiosis with alterations that include an increase in the abundance of Proteobacteria and Cyanobacteria, and a decrease in the abundance of Verrucomicrobia. Consistent with these findings, we found that human progeria patients also display intestinal dysbiosis and that long-lived humans (that is, centenarians) exhibit a substantial increase in Verrucomicrobia and a reduction in Proteobacteria. Fecal microbiota transplantation from wild-type mice enhanced healthspan and lifespan in both progeroid mouse models, and transplantation with the verrucomicrobia Akkermansia muciniphila was sufficient to exert beneficial effects. Moreover, metabolomic analysis of ileal content points to the restoration of secondary bile acids as a possible mechanism for the beneficial effects of reestablishing a healthy microbiome. Our results demonstrate that correction of the accelerated aging-associated intestinal dysbiosis is beneficial, suggesting the existence of a link between aging and the gut microbiota that provides a rationale for microbiome-based interventions against age-related diseases.

Overview

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Written from the paper’s full text.

TL;DR

Fecal microbiota transplantation from wild-type donors into progeroid mice extends healthspan and lifespan, while progeroid microbiota can induce metabolic alterations in wild-type recipients. The study links progeria-associated gut dysbiosis to loss of Akkermansia and altered bile acid metabolism, with A. muciniphila supplementation modestly extending lifespan in progeroid mice.

Key findings

  • Progeroid mouse models and human progeria patients show intestinal dysbiosis; Lmna G609G/G609G mice at 4 months lose Akkermansia and show increased Enterobacteriaceae, while centenarians have higher Akkermansia, Ruminococcaceae, Christensenellaceae, and Enterobacteriaceae.
  • FMT from WT donors into Lmna G609G/G609G mice improved survival (P = 0.0029), with a 13.5% increase in median lifespan (160 vs 141 days) and 9% extended maximal survival (P = 0.04); FMT from old progeroid donors reduced survival (P = 0.045; median 129 days).
  • FMT from WT donors into Zmpste24−/− mice enhanced survival (P = 0.0092), with a 13.4% median lifespan increase (279 vs 246 days) and almost 8% maximal survival increase (P = 0.09).
  • Oral A. muciniphila supplementation in Lmna G609G/G609G mice modestly extended lifespan (P = 0.016), induced ileal Reg3g and Tff3, thickened intestinal mucosa, and FMT restored depleted secondary bile acids and metabolites including arabinose, ribose, inosine, and PCae(18:0).

Methods

  • Gut metagenomic profiling by 16S rRNA V3–V4 sequencing in Lmna G609G/G609G and Zmpste24−/− mice, human HGPS/NGPS families, centenarians (n = 17) and healthy controls (n = 14), using QIIME 2/DADA2, LEfSe, PICRUSt, and HUMAnN2.
  • FMT experiments: antibiotic cocktail followed by oral gavage of microbiome suspensions from WT or old progeroid donors into progeroid or WT mice, with assessment of survival, body weight/temperature, glucose, histology, and calorimetry.
  • A. muciniphila culture and oral gavage; metabolomic profiling of ileal content by GC-MS and UHPLC-MS; survival analyzed by Kaplan-Meier log-rank tests and maximal survival by Fisher’s exact test at the 80th percentile.

Limitations

  • The paper states that human progeria samples were low in number and that environment may have more influence on the gut microbiome than the pathological condition.
  • The paper states that future work is needed to identify the functional mechanisms by which specific bacterial species and metabolites mediate the healthspan and lifespan extension conferred by FMT, and to explore applicability in normal or accelerated aging.
  • Evident from the text: human progeria analyses included only four HGPS children and one NGPS patient with siblings, and the centenarian cohort was small (17 centenarians vs 14 controls), limiting generalizability; the study also notes a possible beneficial effect of the FMT protocol per se in old-donor transplanted progeroid mice.

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Integrity signals

Registry

Crossref · 10.1038/s41591-019-0504-5

Cites

49 of 49 references verified0 citation errors · 0 not checkable

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56 Own result · 19 Not checked yet · 8 Own method · 3 Own interpretation · 1 No basis given

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  • The paper relies on this without support.

    No alterations in the gut microbiome have been described in accelerated aging syndromes.

    “Although some works have explored the microbiome profile of long-lived humans 12,13 , no alterations have been described in accelerated aging syndromes.”
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Metadata

Authors
Bárcena, C., Valdés-Mas, R., Mayoral, P., Garabaya, C., Durand, S., Rodríguez, F., Fernández-García, M. T., Salazar, N., Nogacka, A. M., Garatachea, N., Bossut, N., Aprahamian, F., Lucia, A., Kroemer, G., Freije, J. M. P., Quirós, P. M., & López-Otín, C.
Affiliations
  • Universidad de Oviedo (ES)
  • Inserm (FR)
  • Consejo Superior de Investigaciones Científicas (ES)
  • Universidad de Zaragoza (ES)
  • Karolinska University Hospital (SE)
Corresponding author
Quirós, Pedro M.
Venue
Nature Medicine
Published
2019-07-22
Volume
25
Issue
8
Pages
1234-1242
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2963531283
Cited by
661
References
49
Citations by year
2026: 78 · 2025: 110 · 2024: 124 · 2023: 90 · 2022: 95 · 2021: 86 · 2020: 65 · 2019: 12
FWCI
22.10
Type
journal article
Language
en
Open access
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, cc-by-nc-nd)
  • ABACUS. Repositorio de Producción Científica (Universidad Europea) (submittedVersion)
  • Consultation of the Doctoral Thesis Database (TESEO) (Ministerio de Educación, Cultura y Deporte) (submittedVersion, cc-by-nc-nd)
  • DIGITAL.CSIC (Spanish National Research Council (CSIC)) (submittedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
Funders
Agence Nationale de la Recherche (ANR-16-ECVD-0008)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
Keywords
fecal microbiota transplantation, gut microbiota, aging, healthspan, lifespan extension, Hutchinson-Gilford progeria syndrome, gut dysbiosis, Akkermansia muciniphila, Verrucomicrobia, Proteobacteria, centenarians, secondary bile acids, microbiota-targeted interventions
MeSH terms
Gastrointestinal Microbiome, Fecal Microbiota Transplantation, Animals, Disease Models, Animal, Female, Humans, Longevity, Male, Mice, Inbred C57BL, Progeria, Mice, Metabolomics, Dysbiosis

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