Obesity and Gut Microbiota Population



Last week, on Chinese New Year’s eve, my brother and I chatted online.  As usual, our friendly chat quickly deteriorated into relentless teasing of each other.  Of course, as always, he started calling me “fatty,” (and, yes, he is the good looking one in the family), which triggered me calling him all kinds of names that I knew he hated.  The perpetual fun between siblings!
However, my brother’s comments on my weight did make me think about the weight and obesity.  As with skincare, obesity is directly related to lifestyle.  In my past post, I’ve discussed the relationship between skincare and the skin microbiota population.  This post is about the obesity and gut microbiota population.
Nobel laureate Lidberg postulated that the human body is a super organism that consists of human cells and symbiotic microorganisms cells of large number. Through the metabolic capacities encoded by both the human and symbiotic microorganisms genes, drugs and food entering the human body are processed and transformed, affecting human health.
Gut microbiota population is the largest symbiotic microorganism group inside the human body, mainly living in the large intestine and consisting of 1-2 kg of cells. Members of the gut microbiota population can produce a variety of metabolites that, when entering the human body, have positive or negative impacts. Metabolites produced by beneficial bacteria include nutrients such as vitamin K, short-chain fatty acids, and anti-inflammatory, analgesic and antioxidant substances. Beneficial bacteria also form a biofilm on the intestinal mucosa, which has a protective effect on the intestinal barrier. Harmful gut microbiota population members are usually pathogens or spoilage bacteria. The toxic substances they produce can be categorized into three groups: cytotoxins which are toxic to cells, genetic toxins which cause genetic mutations and immunotoxins which disrupt the immune system. If the intestinal barrier function is impaired, various types of toxins produced by bacteria may enter the blood, and break down the immune system, resulting in various diseases.
The latest scientific evidence suggests that gut microbiota population may play a critical role in the development of obesity.  Experiments show that germ free animals would not suffer from obesity even when they are fed a high-fat diet (Bäckhed, F., et al., PNAS, 2007. 104 (3): p. 979-984). The gut microbiota population may mediate the onset of obesity through the following mechanisms: first, they can ferment dietary fiber, which a host cannot utilize otherwise, into short-chain fatty acids for the host to absorb and use as an energy source.  Thus, the gut microbiota population can help a host to utilize healthy diet more efficiently and in turn reduces the host’s food intake through a negative feedback loop.  
More importantly, the gut microbiota population can directly participate in the regulation of host gene expression involved in fat metabolism. The product of fiaf gene is a starvation-induced transcriptional factor and a regulatory protein promoting fatty acids oxidation. The gut microbiota population can inhibit fiaf expression, therefore impeding the proper function of host's genes related to fatty acid oxidation. When fiaf is not functioning, the host cannot effectively utilize the stored fat, even in the state of starvation (Bäckhed, F., et al., PNAS, 2004. 101 (44): p. 15718-15723). This might explain the paradoxical observation that obese person does not tolerate hunger well, since the gut microbiota population deterioration that caused obesity also inhibits fatty acid oxidation.
In another pathway, the gut microbiota population can also increase the expression level of the genes related to fat synthesis in liver and promote the de novo synthesis of triglycerides.  Therefore, the gut microbiota population can directly participate in and to some extent control the host's fat metabolism and turn the host into a highly efficient fat synthesis and storage machine. Since the proper structure and function of gut microbiota population is intrinsic to fat metabolism, it is imperative to restore and maintain a healthy gut microbiota population; if the composition of the gut microbiota population cannot be effectively reinstated, it will be difficult to restore the distorted state of a host's energy metabolism to a normal state, thus the stored fat in an obese person's body cannot be effectively broken down, while food craving during a diet will be hard to overcome.
Gut microbiota population can be changed through diet.  It is known that fiber rich diets can graduately cause shifting of a gut microbiota population from a harmful population to a more beneficial population.  So do start chomp on those leafy greens and fruits.  They will make you feel great and look fabulous literally by changing your genes.
Thanks for reading.
Connie

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