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Cited by 365

The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.

Restructuring of the Gut Microbiome by Intermittent Fasting Prevents Retinopathy and Prolongs Survival in db/db Mice

Open access
Beli, Eleni, Yan, Yuanqing, Moldovan, Leni, Vieira, Cristiano P., Gao, Ruli, Duan, Yaqian, Prasad, Ram, Bhatwadekar, Ashay, White, Fletcher A., Townsend, Steven D., Chan, Luisa, Ryan, Caitlin N., Morton, Daniel, Moldovan, Emil G., Chu, Fang-I, Oudit, Gavin Y., Derendorf, Hartmut, Adorini, Luciano, Wang, Xiaoxin X., Evans-Molina, Carmella, Mirmira, Raghavendra G., Boulton, Michael E., Yoder, Mervin C., Li, Qiuhong, Levi, Moshe, Busik, Julia V., Grant, Maria B.·2018·Diabetes

Abstract

Intermittent fasting (IF) protects against the development of metabolic diseases and cancer, but whether it can prevent diabetic microvascular complications is not known. In db/db mice, we examined the impact of long-term IF on diabetic retinopathy (DR). Despite no change in glycated hemoglobin, db/db mice on the IF regimen displayed significantly longer survival and a reduction in DR end points, including acellular capillaries and leukocyte infiltration. We hypothesized that IF-mediated changes in the gut microbiota would produce beneficial metabolites and prevent the development of DR. Microbiome analysis revealed increased levels of Firmicutes and decreased Bacteroidetes and Verrucomicrobia. Compared with db/db mice on ad libitum feeding, changes in the microbiome of the db/db mice on IF were associated with increases in gut mucin, goblet cell number, villi length, and reductions in plasma peptidoglycan. Consistent with the known modulatory effects of Firmicutes on bile acid (BA) metabolism, measurement of BAs demonstrated a significant increase of tauroursodeoxycholate (TUDCA), a neuroprotective BA, in db/db on IF but not in db/db on AL feeding. TGR5, the TUDCA receptor, was found in the retinal primary ganglion cells. Expression of TGR5 did not change with IF or diabetes. However, IF reduced retinal TNF-α mRNA, which is a downstream target of TGR5 activation. Pharmacological activation of TGR5 using INT-767 prevented DR in a second diabetic mouse model. These findings support the concept that IF prevents DR by restructuring the microbiota toward species producing TUDCA and subsequent retinal protection by TGR5 activation.

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Metadata

Authors
Beli, E., Yan, Y., Moldovan, L., Vieira, C. P., Gao, R., Duan, Y., Prasad, R., Bhatwadekar, A., White, F. A., Townsend, S. D., Chan, L., Ryan, C. N., Morton, D., Moldovan, E. G., Chu, F.-I., Oudit, G. Y., Derendorf, H., Adorini, L., Wang, X. X., Evans-Molina, C., Mirmira, R. G., Boulton, M. E., Yoder, M. C., Li, Q., Levi, M., Busik, J. V., & Grant, M. B.
Venue
Diabetes
Published
2018-04-30
Volume
67
Issue
9
Pages
1867-1879
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
OpenAlex
W2800520931
Cited by
365
References
60
FWCI
21.82
Type
journal article
Language
en
Open access
bronze

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Beli, E., Yan, Y., Moldovan, L., Vieira, C. P., Gao, R., Duan, Y., Prasad, R., Bhatwadekar, A., White, F. A., Townsend, S. D., Chan, L., Ryan, C. N., Morton, D., Moldovan, E. G., Chu, F.-I., Oudit, G. Y., Derendorf, H., Adorini, L., Wang, X. X., . . . Grant, M. B. (2018). Restructuring of the Gut Microbiome by Intermittent Fasting Prevents Retinopathy and Prolongs Survival in db/db Mice. Diabetes. https://doi.org/10.2337/db18-0158

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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