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Endotoxin fragments help drive obesity

Nottingham Trent University researchers have found that microbe fragments called endotoxin enter the blood stream and directly impact how well fat cells function, including their capacity to be metabolically active. The researchers said the study is a breakthrough in understanding the health of fat cells and how they drive weight gain and associated disease. The study, which also involved the University of Warwick, is published in the journal BMC Medicine.

Body mass index (BMI) correlates with reduced brown adipose tissue genes. The expression of key brown fat genes Cell death-inducing DFFA-like effector A (CIDEA), ELOVL fatty acid elongase 3 (ELOVL3), perilipin 5 (PLIN5) and Solute Carrier Family 27 Member 2 (SLC27A2) was measured in subcutaneous (Sc) and omental (Om) adipose tissue depots via RT-PCR using L19 as a housekeeping control. Pearson correlation test was used to calculate r values; all genes had a strong negative correlation with BMI. Credit: BMC Medicine (2023). DOI: 10.1186/s12916-023-02857-z

"Gut microbe fragments that enter the blood stream reduce normal fat cell function and their metabolic activity, which is exacerbated with weight gain, contributing to increased diabetes risk," said lead researcher Professor Mark Christian, a scientist in Nottingham Trent University's School of Science and Technology. "It appears that as we gain weight, our fat stores are less able to limit the damage that gut microbe fragments may cause to fat cells. Endotoxin from the gut reduces fat cell metabolic activity and its ability to become 'brown-like fat cells' that can be useful to help lose weight. Our study highlights the importance of the gut and fat as critical interlinked organs that influence our metabolic health."


The normal gut contains millions of microorganisms that have essential roles in many aspects of human health. In obesity, however, the wall of the gut can become impaired and leaky, allowing the release of these bacterial fragments into the blood, where they go on to travel through the body to different tissues.


As part of the study the team was aiming to understand how significant weight loss may help to reverse the amount of endotoxin circulating in the blood to reduce the resulting damage to fat cells. Using a series of experiments, they found that fat cells are significantly damaged by endotoxin thereby reducing their ability to transform into the more metabolically-active brown-like fat cells, which drive weight loss.

The study also found that white fat cells derived from participants with obesity were less likely to transform into brown-like fat cells, compared with fat cells from lean individuals, likely due to the higher levels of endotoxin found in the blood of participants with obesity.


The team also examined how weight loss could reverse the circulating gut-derived endotoxin and resulting fat cell damage. They found that bariatric surgery reduced the amount of endotoxin in the blood, which was also associated with improved metabolic health of the fat cells across the participants studied.


"This work has built upon previous studies by the team that show the importance of how gut-derived endotoxin damages our fat with weight gain,” added Christian. “As such this work suggests the need to limit endotoxin-induced fat cell damage is even more important when you have excess weight, as the endotoxin contributes to reduce healthy cellular metabolism."


"These studies with patients highlight that despite gaining weight, if we lose that weight, we can reverse the damage our gut can pose to our fat cells, which ultimately will have a major impact on our health and the benefits of weight loss,” explained Dr.Alice Murphy, a postdoctoral research fellow at Nottingham Trent University.


The findings were reported in the paper, ‘The impact of metabolic endotoxaemia on the browning process in human adipocytes’. To access this paper, please click here

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