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Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference, April 6-8, 2016 Better Foods for Better Health Microbiota & Health: The Challenges of a Promising Approach Eugene B. Chang, M.D. Knapp Center for Biomedical Discovery University of Chicago

Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

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Page 1: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Underlying mechanisms & causal links: high fat feeding & circadian rhythms

Fondation Merieux Conference, April 6-8, 2016

Better Foods for Better Health Microbiota & Health: The Challenges of a Promising Approach

Eugene B. Chang, M.D.Knapp Center for Biomedical Discovery

University of Chicago

Page 2: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Type 2 Diabetes

Obesity (BMI ≥ 30kg/m2)

The obesity and diabetes epidemic

1994 2000 2010

No Data <4.5% 4.5%–5.9% 6.0%–7.4% 7.5%–8.9% >9.0%

1994 2000 20101985

No Data <10% 10-13.9% <14% 14–17.9% 18–21.9% 22.0%–25.9% 26.0%

Page 3: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

High fat diets affect the murine enteric microbiome differently

16S rRNA gene sequences determined by Sanger-based clone library sequencing

Devkota et al. Nature (2012)

Suzanne Devkota

Page 4: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Western-diet induced changes in humanized mouse gut microbiota promote adipose tissue

Turnbaugh, et al. Sci. Transl. Med. 2010

Microbiota from Human subjects on different diets transferred to GF mice

LF/PP – Low fat, plant polysaccharide-richWestern – High fat, high simple sugar

Page 5: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

FMT from lean donors reduces insulin resistance in obese subjects

Lean male

donorsObese male recipients

BMI ≥ 30

6 weeks

*Improved

symptoms of

Type II Diabetes

and

Metabolic

syndrome

Vrieze et al., Gastro.

(2012) 143:913-916

Page 6: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Hepatic genes upregulated in GF versus conventionalized mice

0 3 6 9

Androgen and Estrogen Metabolism

PXR/RXR Activation

Methionine Metabolism

LXR/RXR Activation

Fatty Acid Metabolism

Linoleic Acid Metabolism

Circadian Rhythm Signaling

Xenobiotic Metabolism Signaling

Metabolism of Xenobiotics by Cytochrome P450

Biosynthesis of Steroids

LPS/IL-1 Mediated Inhibition of RXR Function

p<0.05

Vanessa Leone

Leone, et al. Cell Host & Microbe (2015)

Page 7: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Circadian clock networks regulate daily metabolic functions

Bass, J. Nature 2012

Page 8: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Germ free (GF) mice are resistant to obesogenic diets

Body weight Caloric consumption

n = 17 or 18 age-matched individually housed male mice/trt group

Leone, et al. Cell Host & Microbe (2015)

Page 9: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Germ-free mice have altered circadian

mediobasal hypothalamic and liver circadian

clock gene expression profiles

(Leone, et al., 2015)

0 4 8 12 16 20 240.00

0.01

0.02

0.03

0.04

SPF - LFSPF - HF

Zeitgeber Time (ZT)

Bm

al1

exp

ressio

n (

rela

tive G

AP

DH

)

0 4 8 12 16 20 24

0.000

0.004

0.008

0.012

0.016

0.020

0.024

0.028

SPF - LF

SPF - HF

Zeitgeber Time (ZT)

Bm

al1

exp

ressio

n (

rela

tive G

AP

DH

)

0 4 8 12 16 20 240.00

0.01

0.02

0.03

0.04

GF - LFGF - HF

Zeitgeber Time (ZT)

Bm

al1

exp

ressio

n (

rela

tive G

AP

DH

)

0 4 8 12 16 20 24

0.000

0.004

0.008

0.012

0.016

0.020

0.024

0.028

GF - LFGF - HF

Zeitgeber Time (ZT)

Bm

al1

exp

ressio

n (

rela

tive G

AP

DH

)Mediobasal hypothalamus

Liver

Mediobasal hypothalamus

Liver

0 4 8 12 16 20 24

0.02

0.04

0.06

0.08

SPF - LF

SPF - HF

Zeitgeber Time (ZT)

Per2

exp

ressio

n (

rela

tive G

AP

DH

)

0 4 8 12 16 20 24

0.00

0.08

0.16

0.24

0.32SPF - LFSPF - HF

Zeitgeber Time (ZT)

Per2

exp

ressio

n (

rela

tive G

AP

DH

)

0 4 8 12 16 20 24

0.00

0.02

0.04

0.06

0.08

GF - LFGF - HF

Zeitgeber Time (ZT)

Per2

exp

ressio

n (

rela

tive G

AP

DH

)

0 4 8 12 16 20 24

0.00

0.08

0.16

0.24

0.32

GF - LFGF - HF

Zeitgeber Time (ZT)

Per2

exp

ressio

n (

rela

tive G

AP

DH

)

Bmal1 (Inducer) Per2 (repressor)

Page 10: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

High fat dietary intake shifts cecal microbial

diversity and taxonomic structure

Highfat Lowfat

PCoA – PC1 vs. PC2

Highfat Lowfat3.5

4.0

4.5

5.0

5.5

6.0

6.5***

Sh

an

no

n D

iversit

y In

dex

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Highfat Lowfat

Verrucomicrobia

Spirochaetes

Cyanobacteria

Proteobacteria

Actinobacteria

Tenericutes

Bacteroidetes

Firmicutes

Bacteria;Other

V4-V5 16s rRNA amplicon sequencing

performed using Illumina Miseq

PC1 – 56.20%

PC

2 –

13

.95

%

Leone, et al. Cell Host & Microbe (2015)

Page 11: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Shifts in microbial diversity exhibit diurnal

oscillations that are influenced by diet

Leone, et al. Cell Host & Microbe (2015)

– 56.20%

-1

3.9

5%

Page 12: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Enteral feeding is not the only driver of

diurnal variations in gut microbes

Leone, et al. Cell Host & Microbe (2015)

Page 13: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

OTU #306066 - Lachnospiraceae

0 4 8 12 16 20 240

20

40

60

80

100

120

140

*

SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve

ab

un

da

nce

OTU #265793 - Oscillospira

0 4 8 12 16 20 240

1

2

100

150

200

250SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve a

bu

nd

an

ce

OTU #2374993 - Lachnospiraceae

0 4 8 12 16 20 240

25

50

75

100

125

SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve

ab

un

da

nce

OTU #263272 - Ruminococcus

0 4 8 12 16 20 240

25

50

75

100

125 SPF - RCSPF - HF

Zeitgeber Time (ZT)

Rela

tive

ab

un

da

nc

e

OTU #267411 - Lachnospiraceae

0 4 8 12 16 20 240

10

20

30

100

150

200

250 SPF - RCSPF - HF

Zeitgeber Time (ZT)

Rela

tive

ab

un

dan

ce

OTU #167034 - Oscillospira

0 4 8 12 16 20 240

25

50

75

100

125

150SPF - RCSPF - HF

Zeitgeber Time (ZT)

Rela

tive a

bu

nd

an

ce

OTU #261365 - Ruminococcus

0 4 8 12 16 20 240

1

2

3

4

255075

100125150

SPF - HFSPF - RC

Zeitgeber Time (ZT)

Re

lati

ve a

bu

nd

an

ce

OTU #180535 - Oscillospira

0 4 8 12 16 20 240

25

50

75

100

125

150

175SPF - RCSPF - HF

Zeitgeber Time (ZT)

Rela

tive a

bu

nd

an

ce

RC oscillating OTUs

HF oscillating OTUs

OTU #306066 - Lachnospiraceae

0 4 8 12 16 20 240

25

50

75

100

125

150

175SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve

ab

un

da

nc

e

OTU #176691 - Clostridiales

0 4 8 12 16 20 240

100

200

300

400

500

600

700SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve

ab

un

da

nc

e

Oscillatory cecal OTUs found in mice fed regular, low fat chow (RC) diets

Leone, et al. Cell Host & Microbe (2015)

OTU #306066 - Lachnospiraceae

0 4 8 12 16 20 240

20

40

60

80

100

120

140

*

SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve

ab

un

da

nce

OTU #265793 - Oscillospira

0 4 8 12 16 20 240

1

2

100

150

200

250SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve a

bu

nd

an

ce

OTU #2374993 - Lachnospiraceae

0 4 8 12 16 20 240

25

50

75

100

125

SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve

ab

un

da

nce

OTU #263272 - Ruminococcus

0 4 8 12 16 20 240

25

50

75

100

125 SPF - RCSPF - HF

Zeitgeber Time (ZT)

Rela

tive

ab

un

da

nc

e

OTU #267411 - Lachnospiraceae

0 4 8 12 16 20 240

10

20

30

100

150

200

250 SPF - RCSPF - HF

Zeitgeber Time (ZT)

Rela

tive

ab

un

dan

ce

OTU #167034 - Oscillospira

0 4 8 12 16 20 240

25

50

75

100

125

150SPF - RCSPF - HF

Zeitgeber Time (ZT)

Rela

tive a

bu

nd

an

ce

OTU #261365 - Ruminococcus

0 4 8 12 16 20 240

1

2

3

4

255075

100125150

SPF - HFSPF - RC

Zeitgeber Time (ZT)

Re

lati

ve a

bu

nd

an

ce

OTU #180535 - Oscillospira

0 4 8 12 16 20 240

25

50

75

100

125

150

175SPF - RCSPF - HF

Zeitgeber Time (ZT)

Rela

tive a

bu

nd

an

ce

RC oscillating OTUs

HF oscillating OTUs

OTU #306066 - Lachnospiraceae

0 4 8 12 16 20 240

25

50

75

100

125

150

175SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve

ab

un

da

nc

e

OTU #176691 - Clostridiales

0 4 8 12 16 20 240

100

200

300

400

500

600

700SPF - RCSPF - HF

Zeitgeber Time (ZT)

Re

lati

ve

ab

un

da

nc

e

Page 14: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

High fat diet-induced gut microbes exhibit altered diurnal oscillations of known microbial metabolites

0 4 8 12 16 20 240

25

50

75

100

125

150

175

200

225

250

275SPF - RCSPF - HF

***

** *

*

Zeitgeber Time (ZT)

Bu

tyra

te (

mm

ol/g

of

co

nte

nts

)

0 4 8 12 16 20 240.0

2.0

4.0

6.0

SPF - RCSPF - HF

** *

Zeitgeber Time (ZT)

H2S

(m

mo

l/g

of

co

nte

nts

)

Leone, et al. Cell Host & Microbe (2015)

Page 15: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Effects of SCFAs and H2S

(NaHS) on hepatocyte

circadian clock functionHepatic organoid

Butyrate

NaHS

0

0.002

0.004

0.006

0.008

0.01

0 8 16 24 32 40 48

No trt

5mM Butyrate

0

0.002

0.004

0.006

0.008

0.01

0 8 16 24 32 40 48

No trt

1mM NaHS

0

0.001

0.002

0.003

0.004

0.005

0.006

0.007

0 8 16 24 32 40 48

No trt

5mM Butyrate

0

0.001

0.002

0.003

0.004

0.005

0.006

0.007

0 8 16 24 32 40 48

No trt

1mM NaHS

Pe

r2 e

xp

ress

ion

(r

ela

tive

GA

PD

H)

Pe

r2 e

xp

ress

ion

(r

ela

tive

GA

PD

H)

Bm

al1

ex

pre

ss

ion

(r

ela

tive G

AP

DH

)

Time after serum-shock (hours)

*** *

**

* *

Time after serum-shock (hours)

Bm

al1

exp

ressio

n(r

ela

tive G

AP

DH

)

Leone, et al. Cell Host & Microbe (2015)

Page 16: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Figure 4

0

0.002

0.004

0.006

0.008

0.01

0 8 16 24 32 40 48

No trt

5mM Butyrate

0 8 16 24 32 40 48

0

0.002

0.004

0.006

0.008

0.01

0 8 16 24 32 40 48

No trt

1mM NaHS

0

0.001

0.002

0.003

0.004

0.005

0.006

0.007

0 8 16 24 32 40 48

No trt

5mM Butyrate

0 8 16 24 32 40 48

0

0.001

0.002

0.003

0.004

0.005

0.006

0.007

0 8 16 24 32 40 48

No trt

1mM NaHS

Pe

r2 e

xp

ressio

n

(re

lati

ve G

AP

DH

)

Pe

r2 e

xp

res

sio

n

(rela

tive

GA

PD

H)

Per2

ex

pre

ss

ion

(r

ela

tive

GA

PD

H)

Bm

al1

exp

res

sio

n

(re

lati

ve

GA

PD

H)

Bm

al1

exp

res

sio

n

(re

lati

ve G

AP

DH

)

Bm

al1

exp

ressio

n

(re

lati

ve G

AP

DH

)

Time after serum-shock (hours)

*** *

*

**

* *

*

Time after serum-shock (hours)

Diet

Absent microbial Zeitgeber Time

Diet

Effects of diet on host CC function and metabolism in absence of gut microbiota

Normal CC function

Lean Normal CC rhythm

Normal

microbe-

derived

metabolic

signals

MBH Regulation by central

clock

CC dysfunction

Obese Disturbed CC rhythm

Altered microbe-

derived metabolic

signals

MBH

MBH

Lean Disturbed CC rhythm

CC dysfunction

MBH

CC dysfunction

Differential regulation by central clock

Lean

Disturbed CC rhythm

Diet

Normal CCfunction

LeanNormal N lCC rhythm

Normal

microbe-m

derived

metabolic m

signals

MBH Regulationn by centrall

clock

CC

Obese Disturbed CC rhythm

Altered microbe-

derived metabolic

signals

MBH

Zeitgeber Time Ab

Diet

Effects of diet on host CC function and metabolism in absence of gut microbiota

MBH

Lean Disturbed CC rhythm CC h th

CC dysfunction

MBH

CC dysfunction

Differential regulation bycentral clock

LeanDisturbed CC rhythm CC rhythm

Eff t f di t h t CC f ti d t b li i b f t i bi t

Absent microbe-

derived metabolic

signals

Absent microbe-

derived metabolic

signals

Effects of diet on host CC function and metabolism with gut microbiota present

Differential regulation by central clock

A B

high fat

diet

high fat

diet

low fat

diet

low fat

diet

Working model

Saline But - ZT2 But - ZT142.5

3.0

3.5

4.0

4.5

5.0 NS,p = 0.053

NS,p = 0.135

Treatment group

per2

:bm

al1

mR

NA

rati

o

Saline But - ZT2 But - ZT140

2

4

6

8

10

12

14

16

18

20

22 *

NS,

p = 0.018

p = 0.281

Treatment group

pe

r2:b

mal1

mR

NA

ra

tio

Mediobasal hypothalamus

Liver

C D

Figure 4

0

0.002

0.004

0.006

0.008

0.01

0 8 16 24 32 40 48

No trt

5mM Butyrate

0 8 16 24 32 40 48

0

0.002

0.004

0.006

0.008

0.01

0 8 16 24 32 40 48

No trt

1mM NaHS

0

0.001

0.002

0.003

0.004

0.005

0.006

0.007

0 8 16 24 32 40 48

No trt

5mM Butyrate

0 8 16 24 32 40 48

0

0.001

0.002

0.003

0.004

0.005

0.006

0.007

0 8 16 24 32 40 48

No trt

1mM NaHS

Pe

r2 e

xp

ressio

n

(re

lati

ve G

AP

DH

)

Pe

r2 e

xp

res

sio

n

(rela

tive

GA

PD

H)

Per2

ex

pre

ss

ion

(r

ela

tive

GA

PD

H)

Bm

al1

exp

res

sio

n

(re

lati

ve

GA

PD

H)

Bm

al1

exp

res

sio

n

(re

lati

ve G

AP

DH

)

Bm

al1

exp

ressio

n

(re

lati

ve G

AP

DH

)

Time after serum-shock (hours)

*** *

*

**

* *

*

Time after serum-shock (hours)

Diet

Absent microbial Zeitgeber Time

Diet

Effects of diet on host CC function and metabolism in absence of gut microbiota

Normal CC function

Lean Normal CC rhythm

Normal

microbe-

derived

metabolic

signals

MBH Regulation by central

clock

CC dysfunction

Obese Disturbed CC rhythm

Altered microbe-

derived metabolic

signals

MBH

MBH

Lean Disturbed CC rhythm

CC dysfunction

MBH

CC dysfunction

Differential regulation by central clock

Lean

Disturbed CC rhythm

Diet

Normal CCfunction

LeanNormal N lCC rhythm

Normal

microbe-m

derived

metabolic m

signals

MBH Regulationn by centrall

clock

CC

Obese Disturbed CC rhythm

Altered microbe-

derived metabolic

signals

MBH

Zeitgeber Time Ab

Diet

Effects of diet on host CC function and metabolism in absence of gut microbiota

MBH

Lean Disturbed CC rhythm CC h th

CC dysfunction

MBH

CC dysfunction

Differential regulation bycentral clock

LeanDisturbed CC rhythm CC rhythm

Eff t f di t h t CC f ti d t b li i b f t i bi t

Absent microbe-

derived metabolic

signals

Absent microbe-

derived metabolic

signals

Effects of diet on host CC function and metabolism with gut microbiota present

Differential regulation by central clock

A B

high fat

diet

high fat

diet

low fat

diet

low fat

diet

Working model

Saline But - ZT2 But - ZT142.5

3.0

3.5

4.0

4.5

5.0 NS,p = 0.053

NS,p = 0.135

Treatment group

per2

:bm

al1

mR

NA

rati

o

Saline But - ZT2 But - ZT140

2

4

6

8

10

12

14

16

18

20

22 *

NS,

p = 0.018

p = 0.281

Treatment group

pe

r2:b

mal1

mR

NA

ra

tio

Mediobasal hypothalamus

Liver

C D

Effects of intraperitoneal administration of butyrate on CC networks of GF mice

control Sal Sal

But ZT2 But Sal

But ZT14 Sal But

ZT 0 ZT2

6 12 ZT14

18 24

Page 17: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Gut microbiota sense dietary cues and translating into an output that needed for Circadian networks

Microbial

Oscillations

Gut microbiota

Microbial

signals

Metabolome

Circadian NetworksDietary intake• When• How much• What

Page 18: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Aberrant Microbial

Oscillations

Conventionally-

raised

High fat diet

Obese

Aberrant

microbial

signals

Circadian disruption

Normal Microbial

Oscillations

Conventionally-

raised

Lean

Normal

microbial

signals

Normal

circadian function

Low-fat diet

Absent Microbial

Oscillations

Germ-free

High fat diet

Lean

Absent

microbial

signals

Circadian disruption

Low-fat diet

or

Impact of gut microbes on host metabolism

Page 19: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

Body

Weight

Age

The challenge to treating obesity –

changing energy balance

2015

50-100 yr ago

Challenge

Page 20: Underlying mechanisms & causal links: high fat feeding & … · 2017-01-20 · Underlying mechanisms & causal links: high fat feeding & circadian rhythms Fondation Merieux Conference,

AcknowledgementsUniversity of ChicagoVanessa Leone

Mark Musch

A. Murat Eren

Brian Prendergast

Betty Theriault

Joseph Pierre

Candace Cham

Aaron Dinner

Kristina Martinez

Edmond Huang

Yong Huang

Sean Gibbons

Alan Hutchison

Nathaniel Hubert, M.S.

Anuradha Nadimpalli

Elizabeth Zale

UW-MadisonKenneth Kudsk

Aaron Heneghan

Argonne National Lab Jack Gilbert

Rick Stevens

Chris Henry

Dionysios Antonopoulos

Marine Biological LabMitch Sogin

Joe Vineis

Hilary Morisson

Biofortis - Merieux

NutriScienceChad M. Cook

DeAnn Liska

Pam Coleman

Funding

NIDDK P30 DDRCC

Sunrise from the Knapp

Center for Biomedical

Discovery after a long

circadian study

Funding: NIDDK, Gastrointestinal Research Foundation of Chicago