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Article Dans Une Revue Liver International Année : 2020

Metabolomics and microbial composition increase insight into the impact of dietary differences in cirrhosis

I. Jane Cox
  • Fonction : Auteur
Andrew Fagan
Lola Ajayi
  • Fonction : Auteur
Simon D Taylor‐robinson
  • Fonction : Auteur
Robert Andrew Atkinson
Edith Gavis
  • Fonction : Auteur
Roger Williams
  • Fonction : Auteur
Masoumeh Sikaroodi
Patrick M Gillevet
Jasmohan S Bajaj

Résumé

Background & Aims: Dietary changes can modulate gut microbiota and interact with cirrhosis. Our prior study demonstrated that microbial diversity was higher in Turkish versus USA cirrhotics, which was associated with lower risk of 90-day hospitalizations. We aimed to define gut microbial functional and metabolomic changes to increase insight into benefits of the Mediterranean compared to Western diets. Methods: In all, 139 Turkish (46 controls/50 compensated/43 decompensated) and 157 American subjects (48 controls/59 compensated/50 decompensated) were studied. Turkish subjects consumed a modified Mediterranean diet with daily fermented milk intake, whereas Americans consumed a Western diet. Predicted gut microbial functionalities and plasma metabolomics were compared between/within countries. Correlation network differences between microbiota and metabolites in cirrhotics from Turkey vs the USA were evaluated. Results: Predicted microbial function showed lower amino acid, bioenergetics and lipid pathways, with functions related to vitamin B, glycan, xenobiotic metabolism, DNA/RNA synthesis, in cirrhotics from Turkey compared to the USA. Plasma metabolomics demonstrated higher relative lactate levels in Turkey vs the USA. The metabolite changes in decompensated cirrhosis, compared to controls, showed similar trends in Turkey and the USA, with reduced lipids and phosphocholines. Phosphocholines were significantly lower in patients hospitalized in 90 days (P = .03). Correlation networks in cirrhotics demonstrated linkage differences between beneficial taxa, Blautia and Oscillispira, and lactate and unsaturated lipids, in Turkey compared to American patients. Conclusions: A modified Mediterranean diet was associated with altered plasma metabolomics and beneficially alters microbiota functionality and correlations compared to Western diet in cirrhosis. These altered diet-microbial interactions could potentially affect the 90-day hospitalization risk.
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Dates et versions

hal-03407839 , version 1 (28-10-2021)

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I. Jane Cox, Ramazan Idilman, Andrew Fagan, Dilara Turan, Lola Ajayi, et al.. Metabolomics and microbial composition increase insight into the impact of dietary differences in cirrhosis. Liver International, 2020, 40 (2), pp.416-427. ⟨10.1111/liv.14256⟩. ⟨hal-03407839⟩
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