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Human intestinal microbiota composition is associated with local and systemic inflammation in obesity

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TLDR
The relationship between microbiota composition, intestinal permeability, and inflammation in nonobese and obese subjects was investigated and it was found that gut microbiota composition and inflammation are related to obesity.
Abstract
Objective Intestinal microbiota have been suggested to contribute to the development of obesity, but the mechanism remains elusive. The relationship between microbiota composition, intestinal permeability, and inflammation in nonobese and obese subjects was investigated. Design and Methods Fecal microbiota composition of 28 subjects (BMI 18.6-60.3 kg m−2) was analyzed by a phylogenetic profiling microarray. Fecal calprotectin and plasma C-reactive protein levels were determined to evaluate intestinal and systemic inflammation. Furthermore, HbA1c, and plasma levels of transaminases and lipids were analyzed. Gastroduodenal, small intestinal, and colonic permeability were assessed by a multisaccharide test. Results Based on microbiota composition, the study population segregated into two clusters with predominantly obese (15/19) or exclusively nonobese (9/9) subjects. Whereas intestinal permeability did not differ between clusters, the obese cluster showed reduced bacterial diversity, a decreased Bacteroidetes/Firmicutes ratio, and an increased abundance of potential proinflammatory Proteobacteria. Interestingly, fecal calprotectin was only detectable in subjects within the obese microbiota cluster (n = 8/19, P = 0.02). Plasma C-reactive protein was also increased in these subjects (P = 0.0005), and correlated with the Bacteroidetes/Firmicutes ratio (rs = −0.41, P = 0.03). Conclusions Intestinal microbiota alterations in obese subjects are associated with local and systemic inflammation, suggesting that the obesity-related microbiota composition has a proinflammatory effect.

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Circadian rhythms and the gut microbiota: from the metabolic syndrome to cancer.

TL;DR: The role of intestinal microbiota and microbial metabolites in mediating the effects of disruption of circadian rhythms on human health is discussed.
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The stool microbiota of insulin resistant women with recent gestational diabetes, a high risk group for type 2 diabetes

TL;DR: It is suggested that distinctive features of the intestinal microbiota are already present in young adults at risk for type 2 diabetes and that further investigations of a potential pathophysiological role of gut bacteria in early T2D development are warranted.
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Postoperative Changes in Fecal Bacterial Communities and Fermentation Products in Obese Patients Undergoing Bilio-Intestinal Bypass.

TL;DR: The gut microbial ecology of 11 severely obese patients before and after bilio-intestinal bypass (BIB) was assessed, with an overall decrease of bacterial diversity, with a significant reduction in Lachnospiraceae, Clostridiaceae, Ruminococcaceae, Eubacteri Families, and Coriobacteriaceae.
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Soy and Gut Microbiota: Interaction and Implication for Human Health.

TL;DR: It was found that consumption of soy foods can increase the levels of bifidobacteria and lactobacilli and alter the ratio between Firmicutes and Bacteroidetes, which are consistent with reported reductions in pathogenic bacteria populations in the gut, thereby lowering the risk of diseases and leading to beneficial effects on human health.
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Analysis of gut microbiota of obese individuals with type 2 diabetes and healthy individuals.

TL;DR: The gut microbiota signature of 60 Pakistani adults was studied and it was revealed that bacteria from Firmicutes were predominant along with those from Clostridia and Negativicutes, whereas bacteria from Verrucomicrobia, Bacteroidetes, Proteobacteria, and Elusimicrobia were less abundant among the obese T2DM patients.
References
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Journal ArticleDOI

Microbial ecology: Human gut microbes associated with obesity

TL;DR: It is shown that the relative proportion of Bacteroidetes is decreased in obese people by comparison with lean people, and that this proportion increases with weight loss on two types of low-calorie diet.
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Obesity alters gut microbial ecology

TL;DR: Analysis of the microbiota of genetically obese ob/ob mice, lean ob/+ and wild-type siblings, and their ob/+ mothers, all fed the same polysaccharide-rich diet, indicates that obesity affects the diversity of the gut microbiota and suggests that intentional manipulation of community structure may be useful for regulating energy balance in obese individuals.
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The gut microbiota as an environmental factor that regulates fat storage

TL;DR: In this article, the authors found that conventionalization of adult germ-free C57BL/6 mice with a normal microbiota harvested from the distal intestine (cecum) of conventionally raised animals produces a 60% increase in body fat content and insulin resistance within 14 days despite reduced food intake.
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