Conserved shifts in the gut microbiota due to gastric bypass reduce host weight and adiposity
Open accessAbstract
Roux-en-Y gastric bypass (RYGB) results in rapid weight loss, reduced adiposity, and improved glucose metabolism. These effects are not simply attributable to decreased caloric intake or absorption, but the mechanisms linking rearrangement of the gastrointestinal tract to these metabolic outcomes are largely unknown. Studies in humans and rats have shown that RYGB restructures the gut microbiota, prompting the hypothesis that some of the effects of RYGB are caused by altered host-microbial interactions. To test this hypothesis, we used a mouse model of RYGB that recapitulates many of the metabolic outcomes in humans. 16S ribosomal RNA gene sequencing of murine fecal samples collected after RYGB surgery, sham surgery, or sham surgery coupled to caloric restriction revealed that alterations to the gut microbiota after RYGB are conserved among humans, rats, and mice, resulting in a rapid and sustained increase in the relative abundance of Gammaproteobacteria (Escherichia) and Verrucomicrobia (Akkermansia). These changes were independent of weight change and caloric restriction, were detectable throughout the length of the gastrointestinal tract, and were most evident in the distal gut, downstream of the surgical manipulation site. Transfer of the gut microbiota from RYGB-treated mice to nonoperated, germ-free mice resulted in weight loss and decreased fat mass in the recipient animals relative to recipients of microbiota induced by sham surgery, potentially due to altered microbial production of short-chain fatty acids. These findings provide the first empirical support for the claim that changes in the gut microbiota contribute to reduced host weight and adiposity after RYGB surgery.
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Changes in the composition and diversity of the gut microbiota have been observed after vertical sleeve gastrectomy and RYGB in mice.
“Recent work has also indicated that the gut microbiota may mediate some of the beneficial effects of bariatric surgery, and changes in the composition and diversity of the gut microbiota have been observed in the short term after RYGB in humans (Furet et al., 2010; Graessler et al., 2013; Kong et al., 2013; Zhang et al., 2009), as well as after vertical sleeve gastrectomy and RYGB in mice (Liou et”
From Roux-en-Y Gastric Bypass and Vertical Banded Gastroplasty Induce Long-Term Changes on the Human Gut Microbiome Contributing to Fat Mass Regulation (2015) · cites this paper as Liou et al., 2013
The results are consistent with a mouse study showing a reduced ability of the RYGB microbiota to promote adiposity.
“These results are also consistent with a mouse study showing a reduced ability of the RYGB microbiota to promote adiposity (Liou et al., 2013).”
From Roux-en-Y Gastric Bypass and Vertical Banded Gastroplasty Induce Long-Term Changes on the Human Gut Microbiome Contributing to Fat Mass Regulation (2015) · cites this paper as Liou et al., 2013
Early-life antibiotic treatment predisposes animal models to obesity.
“Antibiotic treatment in early life predisposes to obesity in animal models81”
From Update on Fecal Microbiota Transplantation 2015: Indications, Methodologies, Mechanisms, and Outlook (2015) · cites this paper as [81]
Multiple evidence streams indicate that gut microbes contribute to obesity.
“Several lines of evidence support the role of gut microbiota in obesity.”
From Update on Fecal Microbiota Transplantation 2015: Indications, Methodologies, Mechanisms, and Outlook (2015) · cites this paper as [81]
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- Authors
- Liou, A. P., Paziuk, M., Luevano, J.-M., Machineni, S., Turnbaugh, P. J., & Kaplan, L. M.
- Affiliations
- Massachusetts General Hospital (US)
- FAS Center for Systems Biology, Harvard University, Cambridge, MA 02138, USA.
- Harvard University (US)
- Corresponding author
- Turnbaugh, Peter J.
- Kaplan, Lee M.
- Venue
- Science Translational Medicine
- Published
- 2013-03-27
- Volume
- 5
- Issue
- 178
- Pages
- 178ra41-178ra41
- ISSN
- 1946-6234 (ISSN-L)
- 1946-6242
- PMC
- PMC3652229
- OpenAlex
- W2157176317
- Cited by
- 1,007
- References
- 57
- Citations by year
- 2026: 22 · 2025: 32 · 2024: 36 · 2023: 57 · 2022: 68 · 2021: 92 · 2020: 88 · 2019: 103 · 2018: 84 · 2017: 90 · 2016: 105 · 2015: 114 · 2014: 69 · 2013: 47
- FWCI
- 49.98
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Science Translational Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of General Medical Sciences (P50GM068763)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-088661, RC2DK088661, F32DK095561, P30DK034854, P30DK043351)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- Roux-en-Y gastric bypass, gut microbiota, bariatric surgery, weight loss, adiposity, host-microbe interactions, Akkermansia, Escherichia, Verrucomicrobia, Gammaproteobacteria, short-chain fatty acids, fecal microbiota transplantation, germ-free mice, caloric restriction
- MeSH terms
- Animals, Body Weight, Eating, Male, Mice, Inbred C57BL, Gastric Bypass, Gastrointestinal Tract, Adiposity, Mice, Metagenome
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