Exploring gut microbiome – host interactions in the extremes of health and disease

Abstract

Introduction: Multi ‘omics analyses, including metabonomic and metagenomic profiling techniques, have enabled new insights into systems biology over the past decade. Using two extremes of a continuum between health and disease – elite athletes and obese patients undergoing bariatric surgery – the work in this thesis aims to apply metabolic phenotyping to further understand the impact of exercise, diet and obesity on human metabolism. Furthermore, through combinatorial analysis of metabonomic and gut microbiome data sets, host – gut microbiome co-metabolism and its influence on health is explored in these two extreme populations. Methods: Biofluids were collected from three cohorts: i) elite athletes and age and sex matched controls, ii) healthy individuals before and after a high protein diet, exercise regime or both, and iii) obese subjects pre and post bariatric surgery. Multiple analytical platforms were utilised for metabolic profiling including 1H-NMR spectroscopy, UPLC-MS and GC-MS. Gut microbiome analysis was performed using next generation metagenomic sequencing. After pre-processing the metabonomic and metagenomic data; univariate, unsupervised and supervised multivariate analyses were performed as well as gut microbiome-metabolite association studies. Results: Distinct metabolic and microbial phenotypes existed between both athletes and controls and between obese patients before and after bariatric surgery. Discriminatory metabolites higher in athletes include metabolites associated with muscle turnover, vitamins and recovery supplements, a high protein diet and those derived from gut microbes. Interestingly, increased bacterial diversity seen in athletes correlated with a specific subset of metabolites. Similarly, bariatric surgery resulted in large changes to circulating metabolites. A number of these metabolites were linked to changes in the gut microbiome, including bile acids, short-chain fatty acids and amino acids. Conclusion: This thesis extends existing knowledge of the gut microbiome’s influence on human health through small molecule signalling. Mechanistic studies are now needed to establish causal links between gut microbes, changes to circulating metabolites and disease status.Open Acces