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Short-chain fatty acids, secondary bile acids and indoles: gut microbial metabolites with effects on enteroendocrine cell function and their potential as therapies for metabolic disease
Open accessAbstract
The gastrointestinal tract hosts the largest ecosystem of microorganisms in the body. The metabolism of ingested nutrients by gut bacteria produces novel chemical mediators that can influence chemosensory cells lining the gastrointestinal tract. Specifically, hormone-releasing enteroendocrine cells which express a host of receptors activated by these bacterial metabolites. This review will focus on the activation mechanisms of glucagon-like peptide-1 releasing enteroendocrine cells by the three main bacterial metabolites produced in the gut: short-chain fatty acids, secondary bile acids and indoles. Given the importance of enteroendocrine cells in regulating glucose homeostasis and food intake, we will also discuss therapies based on these bacterial metabolites used in the treatment of metabolic diseases such as diabetes and obesity. Elucidating the mechanisms gut bacteria can influence cellular function in the host will advance our understanding of this fundamental symbiotic relationship and unlock the potential of harnessing these pathways to improve human health.
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“the gut microbiota-derived metabolites, including SCFAs, secondary BAs, and indoles, have been demonstrated to modulate gut hormone secretion from EECs.”
From Microbiota–gut–brain axis and its therapeutic applications in neurodegenerative diseases (2024) · cites this paper as [547]
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“A shift in microbiome composition away from SCFA-producing bacterial species has been linked to prediabetes (173), a key step in the progression of diabetes (202).”
BackgroundFXR is a molecular target for the effects of vertical sleeve gastrectomy
Ryan, K. K., Tremaroli, V., Clemmensen, C., Kovatcheva-Datchary, P., Myronovych, A., Karns, R., Wilson-Pérez, H. E., Sandoval, D. A., Kohli, R., Bäckhed, F., et al. (2014) · Nature · doi:10.1038/nature13135 · Cited by 931
Towards the human intestinal microbiota phylogenetic core
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“Actinobacteria), Pseudomonadota (aka Proteobacteria), or Verrucomicrobiota (aka Verrucomicrobia) are also represented (2).”
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“For example, SCFAs have been shown to stimulate the secretion of GLP-1 from intestinal L-cells (92, 95, 200) which promotes insulin release post-prandially.”
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Effects of gut microbes on nutrient absorption and energy regulation
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Microbially Produced Imidazole Propionate Impairs Insulin Signaling through mTORC1
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Gut hormones as mediators of appetite and weight loss after Roux-en-Y gastric bypass
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Intestinal FXR agonism promotes adipose tissue browning and reduces obesity and insulin resistance
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“Bacteria also express decarboxylases to convert indole to tryptamine (72).”
BackgroundMicrobes inside—from diversity to function: the case of Akkermansia
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Beneficial metabolic effects of a probiotic via butyrate-induced GLP-1 hormone secretion
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Endoplasmic reticulum stress, obesity and diabetes
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“Studies have shown that HFDfed mice subjected to a bile diversion procedure increased the abundance of circulating bile acids (141, 237, 238) and improved glucose homeostasis (142).”
BackgroundMicrobial tryptophan metabolites regulate gut barrier function via the aryl hydrocarbon receptor
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“AhR aryl hydrocarbon receptor ASBT apical sodium-dependent bile acid transporter ATP adenosine triphosphate BSH bile salt hydrolase C2/C3/C4 acetate/propionate/butyrate CA cholic acid cAMP cyclic adenosine monophosphate CAR constitutive androstane receptor CaSR calcium-sensing receptor CDCA chenodeoxycholic acid CYP45…”
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“AhR is a basic helix-loophelix (bHLH) transcription factor (157) primarily expressed in host immune cells and its activation has been shown to mediate lipid and fatty acid metabolism and intestinal homeostasis (158).”
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“Fecal concentrations of indole, IAA and tryptamine were significantly reduced in mice fed a HFD compared with chow-fed mice (18, 243).”
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Adiposity, gut microbiota and faecal short chain fatty acids are linked in adult humans
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The microbiota–gut–brain axis in obesity
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Whole-grain and fiber intake and the incidence of type 2 diabetes
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A metabolic pathway for bile acid dehydroxylation by the gut microbiome
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“The remaining bile acids that escape absorption in the small intestine (5%) act as substrates for anaerobic metabolism in the colon (15, 60) or are excreted with feces.”
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Quantitative Analysis of NAD Synthesis-Breakdown Fluxes
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“Following protein digestion, most of the liberated tryptophan is absorbed in the small intestine and endogenously metabolized: up to 95% of ingested tryptophan is converted to kynurenic acid or nicotinamide adenine dinucleotide (NAD) (63, 64) via the kynurenine pathway, and 1-2% of ingested tryptophan is converted to…”
BackgroundIntestine-selective farnesoid X receptor inhibition improves obesity-related metabolic dysfunction
Jiang, C., Xie, C., Lv, Y., Li, J., Krausz, K. W., Shi, J., Brocker, C. N., Desai, D., Amin, S. G., Bisson, W. H., et al. (2015) · Nature Communications · doi:10.1038/ncomms10166 · Cited by 559
Bacterial metabolite indole modulates incretin secretion from intestinal enteroendocrine L cells
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Modulation of intestinal barrier by intestinal microbiota: Pathological and therapeutic implications
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Whole-grain intake and the risk of type 2 diabetes: a prospective study in men
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SCFAs strongly stimulate PYY production in human enteroendocrine cells
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Pathways of acetate, propionate, and butyrate formation by the human fecal microbial flora
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“SCFAs are important regulators of gene expression through their actions as potent HDAC inhibitors (113).”
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Farnesoid X receptor inhibits glucagon-like peptide-1 production by enteroendocrine L cells
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“This section examines the various signaling pathways activated by bacterial metabolites highlighted in this review, and their known effects on GLP-1 release from EEC L-cells.”
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“A study found that the selective FFA3 agonist, AR420626, promoted GLP-1 release from primary colonic cultures (88) and perfused intact colons (103).”
BackgroundKars, M., Yang, L., Gregor, M. F., Mohammed, B. S., Pietka, T., Finck, B. N., Patterson, B. W., Horton, J. D., Mittendorfer, B., Hotamışlıgil, G. S., et al. (2010) · Diabetes · doi:10.2337/db10-0308 · Cited by 409 · cited 1×
“Other studies have shown that the administration of tauroursodeoxycholic acid, the taurine conjugated secondary bile acid of ursodeoxycholic acid, improved insulin sensitivity of obese humans (22) and obese mice (23).”
Role of Monocarboxylate Transporters in Drug Delivery to the Brain
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“Following production, SCFAs are almost exclusively taken up by colonocytes via H-dependent or sodium-dependent monocarboxylate transporters (MCTs and SMCTs, respectively; Figure 2) (52).”
Backgroundde Mello, V. D., Paananen, J., Lindström, J., Lankinen, M. A., Shi, L. S., Kuusisto, J., Pihlajamäki, J., Auriola, S. O. K., Lehtonen, M., Rolandsson, O., et al. (2017) · Scientific Reports · doi:10.1038/srep46337 · Cited by 395
Dissimilatory Amino Acid Metabolism in Human Colonic Bacteria
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“Bacterial fermentation of indigestible carbohydrates yields the majority of SCFAs produced, but a small fraction of SCFAs produced (1%) stem from bacterial metabolism of dietary amino acids (50).”
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Microbial Modulation of Energy Availability in the Colon Regulates Intestinal Transit
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“As further support, there is a reduction of GLP-1 releasing L-cells in germ-free mice lacking intestinal microbiota (115, 116).”
BackgroundImmune regulation by microbiome metabolites
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“AhR aryl hydrocarbon receptor ASBT apical sodium-dependent bile acid transporter ATP adenosine triphosphate BSH bile salt hydrolase C2/C3/C4 acetate/propionate/butyrate CA cholic acid cAMP cyclic adenosine monophosphate CAR constitutive androstane receptor CaSR calcium-sensing receptor CDCA chenodeoxycholic acid CYP45…”
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“In the colon, HDACs are inhibited by both butyrate and propionate (85, 86), though butyrate is the most effective inhibitor of HDACs (110, 111).”
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Mechanisms underlying weight loss after bariatric surgery
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Identification of a Bile Acid-responsive Element in the Human Ileal Bile Acid-binding Protein Gene
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“The functional role of FXR activation is well documented (120, 136, 137).”
BackgroundAnti-hyperglycemic activity of a TGR5 agonist isolated from Olea europaea
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Expression of short-chain fatty acid receptor GPR41 in the human colon
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“Interestingly, in epithelial cells of the human colonic mucosa, Tazoe et al. (2009), demonstrated co-localization of FFA3 with PYY, the gut hormone co-localized with GLP-1.”
BackgroundThe Landscape of Genetic Content in the Gut and Oral Human Microbiome
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“The gut microbiota is composed of trillions of microbes, with current estimates suggesting the collective genome of gut bacteria outnumbers the host human genome over 1000:1 (1).”
BackgroundExpression of the short-chain fatty acid receptor, GPR43, in the human colon
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Different accessibilities in chromatin to histone acetylase.
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“AhR aryl hydrocarbon receptor ASBT apical sodium-dependent bile acid transporter ATP adenosine triphosphate BSH bile salt hydrolase C2/C3/C4 acetate/propionate/butyrate CA cholic acid cAMP cyclic adenosine monophosphate CAR constitutive androstane receptor CaSR calcium-sensing receptor CDCA chenodeoxycholic acid CYP45…”
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The Footprints of Gut Microbial–Mammalian Co-Metabolism
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FGF-19, A NOVEL FIBROBLAST GROWTH FACTOR WITH UNIQUE SPECIFICITY FOR FGFR4
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Akkermansia muciniphila improves metabolic profiles by reducing inflammation in chow diet-fed mice
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β‐Sitosterol exhibits anti‐inflammatory activity in human aortic endothelial cells
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Microbial metabolites of tryptophan in the intestinal tract with special reference to skatole
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“The remaining ingested tryptophan that escapes absorption (46%) enters the colon and is metabolized by intestinal bacteria (13).”
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Effects of Diabetes Mellitus on Cholesterol Metabolism in Man
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BackgroundExpression and function of the bile acid receptor GpBAR1 (TGR5) in the murine enteric nervous system
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“In the intestine, GPBAR1 is highly expressed in the ileum and colon of EECs (129, 130) and in the enteric ganglia and nerve fiber plexuses (131).”
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“EECs express HDACs and SCFA-responsive GPCRs (85–89), except HCAR2 which is primarily localized in adipose and immune tissue (83).”
BackgroundInfluentialGut microbiome alterations in high-fat-diet-fed mice are associated with antibiotic tolerance
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“EECs express HDACs and SCFA-responsive GPCRs (85–89), except HCAR2 which is primarily localized in adipose and immune tissue (83).”
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“LCA/TLCA lithocholic acid/taurine conjugate of lithocholic acid LXR liver-X receptor MCA/wMCA/ TbMCA muricholic acid/omega-muricholic acid/taurine conjugate bmuricholic acid MCTs monocarboxylate transporters OR51E1/ OR51E2 human olfactory subfamily (Olfr558/Olfr78 in mouse) PXR pregnane-X receptor PYY peptide YY RYGB…”
BackgroundMetabolome analysis for investigating host-gut microbiota interactions
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Tryptophan Metabolic Pathways Are Altered in Obesity and Are Associated With Systemic Inflammation
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“Secondary bile acids, specifically LCA and the taurine conjugate TLCA, are the most potent stimulants of GPBAR1 activation (127, 133, 134).”
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Mediterranean diet and faecal microbiota: a transversal study
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Important Role of the GLP-1 Axis for Glucose Homeostasis after Bariatric Surgery
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BackgroundPhysiological studies of tryptophan transport and tryptophanase operon induction in Escherichia coli
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“For instance, complex carbohydrates undergo bacterial fermentation to produce short-chain fatty acids (SCFAs) (10–12) and the amino acid tryptophan is further metabolized by gut bacteria to produce indole and other indole-derivatives (13, 14).”
BackgroundColonic Microbiota Encroachment Correlates With Dysglycemia in Humans
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Background
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“57 Moreover, EECs are enriched for FFAR2 and TGR5 compared to other epithelial cell subtypes (Figures S7B–S7C).”
Microbiota in cancer: current understandings and future perspectives
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Metadata
- Authors
- Masse, K. E., & Lu, V. B.
- Affiliations
- Western University (CA)
- Corresponding author
- Lu, Van B.
- ORCID
- Lu, Van B.
- Venue
- Frontiers in Endocrinology
- Publisher
- Frontiers Media SA
- Published
- 2023-07-25
- Volume
- 14
- Pages
- 1169624-1169624
- ISSN
- 1664-2392 (ISSN-L)
- PMC
- PMC10407565
- OpenAlex
- W4385251361
- Cited by
- 120
- References
- 272
- Citations by year
- 2026: 66 · 2025: 23 · 2024: 29 · 2023: 2
- FWCI
- 3.16
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Endocrinology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Natural Sciences and Engineering Research Council of Canada
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- short-chain fatty acids, secondary bile acids, indole, gut microbiota metabolites, enteroendocrine cells, glucagon-like peptide-1, glucose homeostasis, food intake regulation, diabetes mellitus, obesity, metabolic disease treatment, gut microbiota, host-microbe symbiosis
- MeSH terms
- Gastrointestinal Microbiome, Bacteria, Bile Acids and Salts, Fatty Acids, Volatile, Humans, Indoles, Metabolic Diseases, Ecosystem, Enteroendocrine Cells
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