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Updated: Aug 12, 2025

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Published on: December 15, 2011
Host-microbe co-metabolism via MCAD generates circulating metabolites including hippuric acid
Kali M Pruss1, Haoqing Chen2, Yuanyuan Liu2
1Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA.
The gut microbiome and host metabolism are linked through hippuric acid production. This study reveals a novel pathway involving gut bacteria and host medium-chain acyl-CoA dehydrogenase (MCAD) for processing microbial metabolites.
Area of Science:
- Microbiology
- Metabolomics
- Human Physiology
Background:
- The human gut microbiota generates numerous circulating metabolites impacting host health.
- The origins and metabolic fate of most microbial molecules remain poorly understood.
- Hippuric acid is a prevalent urinary organic acid with largely unknown origins.
Purpose of the Study:
- To elucidate the host-microbe co-metabolic pathway for hippuric acid generation.
- To identify additional microbial metabolites processed by the host.
- To investigate the role of medium-chain acyl-CoA dehydrogenase (MCAD) in metabolizing microbial products.
Main Methods:
- Stable isotope tracing to track metabolic pathways.
- Bacterial and host genetics, including the use of MCAD knockout mice.
- Gnotobiotic colonization and untargeted metabolomics.
Main Results:
- Demonstrated microbial reduction of phenylalanine to phenylpropionic acid.
- Showed host re-oxidation of phenylpropionic acid via MCAD.
- Identified other microbial metabolites processed by MCAD in host circulation.
Conclusions:
- Uncovered a novel host-microbe pathway for hippurate production from phenylalanine.
- Identified MCAD-mediated beta-oxidation as a key mechanism for metabolizing microbial metabolites.
- Highlighted the intricate interplay between gut microbiota and host metabolism.
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