Bile acids and the gut microbiome are involved in the hyperthermia mediated by 3,4-methylenedioxymethamphetamine

Srishti Rana1, Jeremy R Canfield2, Christopher S Ward1

  • 1Department of Biological Sciences, Bowling Green State University, Bowling Green, OH, 43403, USA.

Scientific Reports
|June 24, 2024
PubMed

Insights

The gut microbiome

Area of Science:

  • Pharmacology
  • Microbiology
  • Toxicology

Background:

  • Phenethylamines, like MDMA, can cause dangerous hyperthermia.
  • Sympathetic nervous system activation and uncoupling proteins are known mediators.
  • The gut microbiome's role in this hyperthermia is a recent area of investigation.

Purpose of the Study:

  • To test the hypothesis that gut microbiome-produced bile acids (BAs) are essential for phenethylamine-induced hyperthermia (PIH).

Main Methods:

  • Rats were treated with MDMA (3,4-methylenedioxymethamphetamine) after antibiotic pretreatment to deplete BAs.
  • Serum BA concentrations and body temperature were measured.
  • Gut microbiome composition and function were analyzed using 16S rRNA sequencing and bioinformatics.

Main Results:

  • MDMA induced hyperthermia and reduced serum BA levels.
  • Antibiotic pretreatment depleted BAs, reduced microbiome diversity, and resulted in hypothermia following MDMA.
  • Bacterial genes related to BA metabolism were less abundant in antibiotic-treated rats.

Conclusions:

  • Gut bacterial-derived bile acids may play a critical role in MDMA-induced hyperthermia.
  • Modulating the gut microbiome could be a potential strategy to mitigate PIH.

Related Concept Videos

Homeostatic Imbalances in Body Temperature01:19

Homeostatic Imbalances in Body Temperature

Hyperthermia occurs when the body's temperature becomes unusually high, often due to heat exposure, intense physical activity, or certain illnesses. This condition can create a dangerous cycle where elevated body temperature increases the metabolic rate, generating more heat and potentially leading to organ failure and brain damage. A severe form of hyperthermia, called heat stroke, can raise body temperature to life-threatening levels. Fever, on the other hand, is a controlled form of...
121
Increased Body Temperature01:25

Increased Body Temperature

A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
653
Phase II Reactions: Methylation Reactions01:17

Phase II Reactions: Methylation Reactions

Methylation is a phase II biotransformation process involving the attachment of a methyl group to a substrate. Enzymes known as methyltransferases orchestrate this reaction.
The mechanism of methylation unfolds in two stages. The first stage sees a methyltransferase enzyme facilitating the transfer of a methyl group from S-adenosylmethionine (SAM) to the substrate, forming S-adenosylhomocysteine (SAH). The second stage involves further metabolism of SAH into homocysteine, which can be recycled...
177
Thermoregulation01:26

Thermoregulation

The human body has a sophisticated thermoregulation system that employs negative feedback mechanisms to maintain an optimal core temperature. When the core temperature drops, peripheral and central thermoreceptors send signals to the hypothalamus, activating the heat-promoting center. This center triggers several responses aimed at increasing the core temperature. First, vasoconstriction reduces the flow of warm blood from internal organs to the skin so that the heat is not lost from the skin,...
958
Hepatic Drug Excretion: Enterohepatic Cycling01:17

Hepatic Drug Excretion: Enterohepatic Cycling

Enterohepatic cycling involves the active secretion of drugs and their metabolites into the bile via transporters in the canalicular membrane of hepatocytes. This secretion is an integral part of the digestive process, releasing these substances into the gastrointestinal (GI) tract.
Post-release drugs and metabolites can be reabsorbed into the body from the intestine. For conjugated metabolites like glucuronides, reabsorption requires enzymatic hydrolysis by intestinal microflora. This...
1.5K
Hepatic Drug Excretion: Influencing Factors01:16

Hepatic Drug Excretion: Influencing Factors

The biliary system of the liver, crucial for bile secretion and drug excretion, comprises intrahepatic bile ducts that merge to form the common hepatic duct. This duct, carrying hepatic bile, combines with the cystic duct, draining the gallbladder and forming the common bile duct, which empties into the duodenum. Bile, produced by hepatic cells lining the bile canaliculi, is composed primarily of water, bile salts, pigments, electrolytes, and lesser amounts of cholesterol and fatty acids. Bile...
123