Analysis of lipid metabolites derived from gut microbiota in ischemia-reperfusion model

Keita Nakatsutsumi1, Koji Morishita, Todd W Costantini

  • 1From the Trauma and Acute Critical Care Center (K.N., K.M. M.K., T.A., A.S., K.S.), Tokyo Medical and Dental University Hospital, Tokyo, Japan; Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, Department of Surgery (K.N., T.W.C.), University of California, San Diego, California; Department of Acute Critical Care and Disaster Medicine (M.K.), Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University; Emergency and Critical Care Center (M.K.), Tokyo Women's Medical University, Adachi Medical Center, Tokyo; Laboratory for Metabolomics (M.A.), RIKEN Center for Integrative Medical Sciences, Yokohama, Kanagawa; Division of Physiological Chemistry and Metabolism (M.A.), Graduate School of Pharmaceutical Sciences, Keio University; and National Hospital Organization Disaster Medical Center (Y.O.), Tokyo, Japan.

Abstract

Insights

Intestinal ischemia increases gut bacteria-derived lipids like linoleic acid and 10-hydroxy-cis-12-octadecenoic acid (HYA) in mesenteric lymph. This highlights a link between gut microbiota and multiple organ dysfunction (MOD) after trauma.

Area of Science:

  • Gastroenterology
  • Metabolomics
  • Trauma Pathophysiology

Background:

  • Intestinal barrier disruption from ischemia-reperfusion (IR) injury contributes to multiple organ dysfunction (MOD) after severe trauma.
  • Mesenteric lymph (ML) is a key route for inflammatory mediator transport, including lipids.
  • Postbiotics, such as 10-hydroxy-cis-12-octadecenoic acid (HYA), are potential treatments, but their role in MOD is unclear.

Purpose of the Study:

  • To investigate lipid metabolites derived from gut microbiota in an intestinal IR rat model.
  • To analyze changes in lipid profiles within mesenteric lymph and plasma following IR injury.

Main Methods:

  • Male Sprague-Dawley rats underwent a 60-minute superior mesenteric artery (SMA) occlusion followed by 120 minutes of reperfusion.
  • Mesenteric lymph (ML) and plasma were collected pre- and post-IR.
  • Lipid extraction and liquid chromatography-tandem mass spectrometry (LC-MS/MS) were employed for analysis.

Main Results:

  • Linoleic acid concentrations increased in ML but not plasma after IR.
  • Gut microbiota-derived 10-hydroxy-cis-12-octadecenoic acid (HYA) showed higher concentrations in ML compared to plasma.
  • The relative increase of HYA in ML post-IR was significantly higher than in plasma (3.23 vs. 0.95, p=0.048).

Conclusions:

  • Intestinal IR leads to increased linoleic acids and HYA in ML, originating from gut bacteria.
  • These findings suggest a connection between gut microbiota-derived lipid metabolites and MOD development post-trauma.

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