Statin therapy causes gut dysbiosis in mice through a PXR-dependent mechanism.

BACKGROUND: Statins are a class of therapeutics used to regulate serum cholesterol and reduce the risk of heart disease. Although statins are highly effective in removing cholesterol from the blood, their consumption has been linked to potential adverse effects in some individuals. The most common e...

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Main Authors: Caparrós-Martín, J., Lareu, R., Ramsay, J., Peplies, J., Jerry Reen, F., Headlam, H., Ward, Natalie, Croft, K., Newsholme, P., Hughes, J., O'Gara, F.
Format: Journal Article
Published: 2017
Online Access:http://hdl.handle.net/20.500.11937/55275
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author Caparrós-Martín, J.
Lareu, R.
Ramsay, J.
Peplies, J.
Jerry Reen, F.
Headlam, H.
Ward, Natalie
Croft, K.
Newsholme, P.
Hughes, J.
O'Gara, F.
author_facet Caparrós-Martín, J.
Lareu, R.
Ramsay, J.
Peplies, J.
Jerry Reen, F.
Headlam, H.
Ward, Natalie
Croft, K.
Newsholme, P.
Hughes, J.
O'Gara, F.
author_sort Caparrós-Martín, J.
building Curtin Institutional Repository
collection Online Access
description BACKGROUND: Statins are a class of therapeutics used to regulate serum cholesterol and reduce the risk of heart disease. Although statins are highly effective in removing cholesterol from the blood, their consumption has been linked to potential adverse effects in some individuals. The most common events associated with statin intolerance are myopathy and increased risk of developing type 2 diabetes mellitus. However, the pathological mechanism through which statins cause these adverse effects is not well understood. RESULTS: Using a murine model, we describe for the first time profound changes in the microbial composition of the gut following statin treatment. This remodelling affected the diversity and metabolic profile of the gut microbiota and was associated with reduced production of butyrate. Statins altered both the size and composition of the bile acid pool in the intestine, tentatively explaining the observed gut dysbiosis. As also observed in patients, statin-treated mice trended towards increased fasting blood glucose levels and weight gain compared to controls. Statin treatment affected the hepatic expression of genes involved in lipid and glucose metabolism. Using gene knockout mice, we demonstrated that the observed effects were mediated through pregnane X receptor (PXR). CONCLUSION: This study demonstrates that statin therapy drives a profound remodelling of the gut microbiota, hepatic gene deregulation and metabolic alterations in mice through a PXR-dependent mechanism. Since the demonstrated importance of the intestinal microbial community in host health, this work provides new perspectives to help prevent the statin-associated unintended metabolic effects.
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spelling curtin-20.500.11937-552752017-09-13T16:10:51Z Statin therapy causes gut dysbiosis in mice through a PXR-dependent mechanism. Caparrós-Martín, J. Lareu, R. Ramsay, J. Peplies, J. Jerry Reen, F. Headlam, H. Ward, Natalie Croft, K. Newsholme, P. Hughes, J. O'Gara, F. BACKGROUND: Statins are a class of therapeutics used to regulate serum cholesterol and reduce the risk of heart disease. Although statins are highly effective in removing cholesterol from the blood, their consumption has been linked to potential adverse effects in some individuals. The most common events associated with statin intolerance are myopathy and increased risk of developing type 2 diabetes mellitus. However, the pathological mechanism through which statins cause these adverse effects is not well understood. RESULTS: Using a murine model, we describe for the first time profound changes in the microbial composition of the gut following statin treatment. This remodelling affected the diversity and metabolic profile of the gut microbiota and was associated with reduced production of butyrate. Statins altered both the size and composition of the bile acid pool in the intestine, tentatively explaining the observed gut dysbiosis. As also observed in patients, statin-treated mice trended towards increased fasting blood glucose levels and weight gain compared to controls. Statin treatment affected the hepatic expression of genes involved in lipid and glucose metabolism. Using gene knockout mice, we demonstrated that the observed effects were mediated through pregnane X receptor (PXR). CONCLUSION: This study demonstrates that statin therapy drives a profound remodelling of the gut microbiota, hepatic gene deregulation and metabolic alterations in mice through a PXR-dependent mechanism. Since the demonstrated importance of the intestinal microbial community in host health, this work provides new perspectives to help prevent the statin-associated unintended metabolic effects. 2017 Journal Article http://hdl.handle.net/20.500.11937/55275 10.1186/s40168-017-0312-4 unknown
spellingShingle Caparrós-Martín, J.
Lareu, R.
Ramsay, J.
Peplies, J.
Jerry Reen, F.
Headlam, H.
Ward, Natalie
Croft, K.
Newsholme, P.
Hughes, J.
O'Gara, F.
Statin therapy causes gut dysbiosis in mice through a PXR-dependent mechanism.
title Statin therapy causes gut dysbiosis in mice through a PXR-dependent mechanism.
title_full Statin therapy causes gut dysbiosis in mice through a PXR-dependent mechanism.
title_fullStr Statin therapy causes gut dysbiosis in mice through a PXR-dependent mechanism.
title_full_unstemmed Statin therapy causes gut dysbiosis in mice through a PXR-dependent mechanism.
title_short Statin therapy causes gut dysbiosis in mice through a PXR-dependent mechanism.
title_sort statin therapy causes gut dysbiosis in mice through a pxr-dependent mechanism.
url http://hdl.handle.net/20.500.11937/55275