Two Bariatric Surgical Procedures Differentially Alter the Intestinal Microbiota in Obesity Patients
Aims To explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy (LSG) and laparoscopic roux-en-Y gastric bypass (LRYGB), in Chinese obesity patients. Methods Stool samples were collected from the obese patien...
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| Published in: | Obesity surgery Vol. 30; no. 6; pp. 2345 - 2361 |
|---|---|
| Main Authors: | , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Springer US
01.06.2020
Springer Nature B.V |
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| ISSN: | 0960-8923, 1708-0428, 1708-0428 |
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| Abstract | Aims
To explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy (LSG) and laparoscopic roux-en-Y gastric bypass (LRYGB), in Chinese obesity patients.
Methods
Stool samples were collected from the obese patients before (
n
= 87) and with follow-up after the surgery (
n
= 53). After DNA extraction, 16S rDNA (V3 + V4 regions) sequencing was completed on Illumina HiSeq 2500 sequencing platform. The samples were analyzed base on four groups, pre-LSG (
n
= 54), pre-LRYGB (
n
= 33), post-LSG (
n
= 33), and post-LRYGB (
n
= 20). The linear mixed models were used to analyze the alteration of intestinal microbiota before and after the surgeries of LSG or LRYGB. Student’s
t
test and
χ
2
test were used for analysis of independent groups; Metastats analysis was used to compare the relative abundance of bacteria, and Pearson correlation and Spearman correlation analysis were used to test the correlation between indicated groups.
Results
87 patients were included and 53 (60.92%) of them completed the follow-up (9.60 ± 3.92 months). Body mass index (BMI) decreased from 37.84 ± 6.16 kg/m
2
to 26.22 ± 4.33 kg/m
2
after LSG and from 45.75 ± 14.26 kg/m
2
to 33.15 ± 10.99 kg/m
2
after LRYGB. The relative abundance of 5 phyla and 42 genera were altered after the surgery in the cohort. Although no alteration of
Firmicutes
was observed at phylum level, 54.76% of the altered genera belong to phylum
Firmicutes
. Both LSG and LRYGB procedures increased the richness and evenness of intestinal microbiota in obese patients after the surgery. Particularly, 33 genera altered after LSG and 19 genera altered after LRYGB, in which 11 genera were common alterations in both procedures.
Conclusion
Both LSG and LRYGB altered the composition of intestinal microbiota in Chinese obesity patients, and particularly increased the richness and evenness of microbiota. Genera belonging to phylum
Firmicutes
were the most altered bacteria by bariatric surgery. The procedure of LSG resulted in much more pronounced alteration of the intestinal microbiota abundance than that observed in LRYGB. While different genera were altered after LSG and LRYGB procedures, 10 genera were the common altered genera in both procedures. Bacteria altered after LSG and LRYGB were functionally associated with BMI, and with relieving of the metabolic syndromes. |
|---|---|
| AbstractList | To explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy (LSG) and laparoscopic roux-en-Y gastric bypass (LRYGB), in Chinese obesity patients.
Stool samples were collected from the obese patients before (n = 87) and with follow-up after the surgery (n = 53). After DNA extraction, 16S rDNA (V3 + V4 regions) sequencing was completed on Illumina HiSeq 2500 sequencing platform. The samples were analyzed base on four groups, pre-LSG (n = 54), pre-LRYGB (n = 33), post-LSG (n = 33), and post-LRYGB (n = 20). The linear mixed models were used to analyze the alteration of intestinal microbiota before and after the surgeries of LSG or LRYGB. Student's t test and χ
test were used for analysis of independent groups; Metastats analysis was used to compare the relative abundance of bacteria, and Pearson correlation and Spearman correlation analysis were used to test the correlation between indicated groups.
87 patients were included and 53 (60.92%) of them completed the follow-up (9.60 ± 3.92 months). Body mass index (BMI) decreased from 37.84 ± 6.16 kg/m
to 26.22 ± 4.33 kg/m
after LSG and from 45.75 ± 14.26 kg/m
to 33.15 ± 10.99 kg/m
after LRYGB. The relative abundance of 5 phyla and 42 genera were altered after the surgery in the cohort. Although no alteration of Firmicutes was observed at phylum level, 54.76% of the altered genera belong to phylum Firmicutes. Both LSG and LRYGB procedures increased the richness and evenness of intestinal microbiota in obese patients after the surgery. Particularly, 33 genera altered after LSG and 19 genera altered after LRYGB, in which 11 genera were common alterations in both procedures.
Both LSG and LRYGB altered the composition of intestinal microbiota in Chinese obesity patients, and particularly increased the richness and evenness of microbiota. Genera belonging to phylum Firmicutes were the most altered bacteria by bariatric surgery. The procedure of LSG resulted in much more pronounced alteration of the intestinal microbiota abundance than that observed in LRYGB. While different genera were altered after LSG and LRYGB procedures, 10 genera were the common altered genera in both procedures. Bacteria altered after LSG and LRYGB were functionally associated with BMI, and with relieving of the metabolic syndromes. AimsTo explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy (LSG) and laparoscopic roux-en-Y gastric bypass (LRYGB), in Chinese obesity patients.MethodsStool samples were collected from the obese patients before (n = 87) and with follow-up after the surgery (n = 53). After DNA extraction, 16S rDNA (V3 + V4 regions) sequencing was completed on Illumina HiSeq 2500 sequencing platform. The samples were analyzed base on four groups, pre-LSG (n = 54), pre-LRYGB (n = 33), post-LSG (n = 33), and post-LRYGB (n = 20). The linear mixed models were used to analyze the alteration of intestinal microbiota before and after the surgeries of LSG or LRYGB. Student’s t test and χ2 test were used for analysis of independent groups; Metastats analysis was used to compare the relative abundance of bacteria, and Pearson correlation and Spearman correlation analysis were used to test the correlation between indicated groups.Results87 patients were included and 53 (60.92%) of them completed the follow-up (9.60 ± 3.92 months). Body mass index (BMI) decreased from 37.84 ± 6.16 kg/m2 to 26.22 ± 4.33 kg/m2 after LSG and from 45.75 ± 14.26 kg/m2 to 33.15 ± 10.99 kg/m2 after LRYGB. The relative abundance of 5 phyla and 42 genera were altered after the surgery in the cohort. Although no alteration of Firmicutes was observed at phylum level, 54.76% of the altered genera belong to phylum Firmicutes. Both LSG and LRYGB procedures increased the richness and evenness of intestinal microbiota in obese patients after the surgery. Particularly, 33 genera altered after LSG and 19 genera altered after LRYGB, in which 11 genera were common alterations in both procedures.ConclusionBoth LSG and LRYGB altered the composition of intestinal microbiota in Chinese obesity patients, and particularly increased the richness and evenness of microbiota. Genera belonging to phylum Firmicutes were the most altered bacteria by bariatric surgery. The procedure of LSG resulted in much more pronounced alteration of the intestinal microbiota abundance than that observed in LRYGB. While different genera were altered after LSG and LRYGB procedures, 10 genera were the common altered genera in both procedures. Bacteria altered after LSG and LRYGB were functionally associated with BMI, and with relieving of the metabolic syndromes. To explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy (LSG) and laparoscopic roux-en-Y gastric bypass (LRYGB), in Chinese obesity patients.AIMSTo explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy (LSG) and laparoscopic roux-en-Y gastric bypass (LRYGB), in Chinese obesity patients.Stool samples were collected from the obese patients before (n = 87) and with follow-up after the surgery (n = 53). After DNA extraction, 16S rDNA (V3 + V4 regions) sequencing was completed on Illumina HiSeq 2500 sequencing platform. The samples were analyzed base on four groups, pre-LSG (n = 54), pre-LRYGB (n = 33), post-LSG (n = 33), and post-LRYGB (n = 20). The linear mixed models were used to analyze the alteration of intestinal microbiota before and after the surgeries of LSG or LRYGB. Student's t test and χ2 test were used for analysis of independent groups; Metastats analysis was used to compare the relative abundance of bacteria, and Pearson correlation and Spearman correlation analysis were used to test the correlation between indicated groups.METHODSStool samples were collected from the obese patients before (n = 87) and with follow-up after the surgery (n = 53). After DNA extraction, 16S rDNA (V3 + V4 regions) sequencing was completed on Illumina HiSeq 2500 sequencing platform. The samples were analyzed base on four groups, pre-LSG (n = 54), pre-LRYGB (n = 33), post-LSG (n = 33), and post-LRYGB (n = 20). The linear mixed models were used to analyze the alteration of intestinal microbiota before and after the surgeries of LSG or LRYGB. Student's t test and χ2 test were used for analysis of independent groups; Metastats analysis was used to compare the relative abundance of bacteria, and Pearson correlation and Spearman correlation analysis were used to test the correlation between indicated groups.87 patients were included and 53 (60.92%) of them completed the follow-up (9.60 ± 3.92 months). Body mass index (BMI) decreased from 37.84 ± 6.16 kg/m2 to 26.22 ± 4.33 kg/m2 after LSG and from 45.75 ± 14.26 kg/m2 to 33.15 ± 10.99 kg/m2 after LRYGB. The relative abundance of 5 phyla and 42 genera were altered after the surgery in the cohort. Although no alteration of Firmicutes was observed at phylum level, 54.76% of the altered genera belong to phylum Firmicutes. Both LSG and LRYGB procedures increased the richness and evenness of intestinal microbiota in obese patients after the surgery. Particularly, 33 genera altered after LSG and 19 genera altered after LRYGB, in which 11 genera were common alterations in both procedures.RESULTS87 patients were included and 53 (60.92%) of them completed the follow-up (9.60 ± 3.92 months). Body mass index (BMI) decreased from 37.84 ± 6.16 kg/m2 to 26.22 ± 4.33 kg/m2 after LSG and from 45.75 ± 14.26 kg/m2 to 33.15 ± 10.99 kg/m2 after LRYGB. The relative abundance of 5 phyla and 42 genera were altered after the surgery in the cohort. Although no alteration of Firmicutes was observed at phylum level, 54.76% of the altered genera belong to phylum Firmicutes. Both LSG and LRYGB procedures increased the richness and evenness of intestinal microbiota in obese patients after the surgery. Particularly, 33 genera altered after LSG and 19 genera altered after LRYGB, in which 11 genera were common alterations in both procedures.Both LSG and LRYGB altered the composition of intestinal microbiota in Chinese obesity patients, and particularly increased the richness and evenness of microbiota. Genera belonging to phylum Firmicutes were the most altered bacteria by bariatric surgery. The procedure of LSG resulted in much more pronounced alteration of the intestinal microbiota abundance than that observed in LRYGB. While different genera were altered after LSG and LRYGB procedures, 10 genera were the common altered genera in both procedures. Bacteria altered after LSG and LRYGB were functionally associated with BMI, and with relieving of the metabolic syndromes.CONCLUSIONBoth LSG and LRYGB altered the composition of intestinal microbiota in Chinese obesity patients, and particularly increased the richness and evenness of microbiota. Genera belonging to phylum Firmicutes were the most altered bacteria by bariatric surgery. The procedure of LSG resulted in much more pronounced alteration of the intestinal microbiota abundance than that observed in LRYGB. While different genera were altered after LSG and LRYGB procedures, 10 genera were the common altered genera in both procedures. Bacteria altered after LSG and LRYGB were functionally associated with BMI, and with relieving of the metabolic syndromes. Aims To explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy (LSG) and laparoscopic roux-en-Y gastric bypass (LRYGB), in Chinese obesity patients. Methods Stool samples were collected from the obese patients before ( n = 87) and with follow-up after the surgery ( n = 53). After DNA extraction, 16S rDNA (V3 + V4 regions) sequencing was completed on Illumina HiSeq 2500 sequencing platform. The samples were analyzed base on four groups, pre-LSG ( n = 54), pre-LRYGB ( n = 33), post-LSG ( n = 33), and post-LRYGB ( n = 20). The linear mixed models were used to analyze the alteration of intestinal microbiota before and after the surgeries of LSG or LRYGB. Student’s t test and χ 2 test were used for analysis of independent groups; Metastats analysis was used to compare the relative abundance of bacteria, and Pearson correlation and Spearman correlation analysis were used to test the correlation between indicated groups. Results 87 patients were included and 53 (60.92%) of them completed the follow-up (9.60 ± 3.92 months). Body mass index (BMI) decreased from 37.84 ± 6.16 kg/m 2 to 26.22 ± 4.33 kg/m 2 after LSG and from 45.75 ± 14.26 kg/m 2 to 33.15 ± 10.99 kg/m 2 after LRYGB. The relative abundance of 5 phyla and 42 genera were altered after the surgery in the cohort. Although no alteration of Firmicutes was observed at phylum level, 54.76% of the altered genera belong to phylum Firmicutes . Both LSG and LRYGB procedures increased the richness and evenness of intestinal microbiota in obese patients after the surgery. Particularly, 33 genera altered after LSG and 19 genera altered after LRYGB, in which 11 genera were common alterations in both procedures. Conclusion Both LSG and LRYGB altered the composition of intestinal microbiota in Chinese obesity patients, and particularly increased the richness and evenness of microbiota. Genera belonging to phylum Firmicutes were the most altered bacteria by bariatric surgery. The procedure of LSG resulted in much more pronounced alteration of the intestinal microbiota abundance than that observed in LRYGB. While different genera were altered after LSG and LRYGB procedures, 10 genera were the common altered genera in both procedures. Bacteria altered after LSG and LRYGB were functionally associated with BMI, and with relieving of the metabolic syndromes. |
| Author | Yang, Wah Chen, Guolin Jiang, Shuwen Chen, Wanqun Cui, Qianwen Zhuang, Jingshen Tao, Weihua Wang, Cunchuan Yang, Jingge Wu, Lina Jia, Shiqi Liu, Fucheng Yu, Shuqing |
| Author_xml | – sequence: 1 givenname: Guolin surname: Chen fullname: Chen, Guolin organization: The First Affiliated Hospital, Jinan University, Joint Institute of Metabolic Medicine between Jinan University and the University of Hong Kong, Institute of Obesity and Metabolism, Jinan University – sequence: 2 givenname: Jingshen surname: Zhuang fullname: Zhuang, Jingshen organization: The First Affiliated Hospital, Jinan University, Joint Institute of Metabolic Medicine between Jinan University and the University of Hong Kong, Institute of Obesity and Metabolism, Jinan University – sequence: 3 givenname: Qianwen surname: Cui fullname: Cui, Qianwen organization: Department of Biochemistry and Molecular Biology, School of Basic Medical Science, Jinan University – sequence: 4 givenname: Shuwen surname: Jiang fullname: Jiang, Shuwen organization: The First Affiliated Hospital, Jinan University, Joint Institute of Metabolic Medicine between Jinan University and the University of Hong Kong, Institute of Obesity and Metabolism, Jinan University – sequence: 5 givenname: Weihua surname: Tao fullname: Tao, Weihua organization: The First Affiliated Hospital, Jinan University – sequence: 6 givenname: Wanqun surname: Chen fullname: Chen, Wanqun organization: Department of Biochemistry and Molecular Biology, School of Basic Medical Science, Jinan University – sequence: 7 givenname: Shuqing surname: Yu fullname: Yu, Shuqing organization: The First Affiliated Hospital, Jinan University – sequence: 8 givenname: Lina surname: Wu fullname: Wu, Lina organization: The First Affiliated Hospital, Jinan University – sequence: 9 givenname: Wah surname: Yang fullname: Yang, Wah organization: The First Affiliated Hospital, Jinan University, Joint Institute of Metabolic Medicine between Jinan University and the University of Hong Kong, Institute of Obesity and Metabolism, Jinan University – sequence: 10 givenname: Fucheng surname: Liu fullname: Liu, Fucheng organization: Department of Cardiology of the First Affiliated Hospital, Jinan University – sequence: 11 givenname: Jingge surname: Yang fullname: Yang, Jingge email: dukeyjg@126.com organization: The First Affiliated Hospital, Jinan University, Joint Institute of Metabolic Medicine between Jinan University and the University of Hong Kong, Institute of Obesity and Metabolism, Jinan University – sequence: 12 givenname: Cunchuan surname: Wang fullname: Wang, Cunchuan email: twcc@jnu.edu.cn organization: The First Affiliated Hospital, Jinan University, Joint Institute of Metabolic Medicine between Jinan University and the University of Hong Kong, Institute of Obesity and Metabolism, Jinan University – sequence: 13 givenname: Shiqi orcidid: 0000-0001-8595-9314 surname: Jia fullname: Jia, Shiqi email: jshiqi@aliyun.com organization: The First Affiliated Hospital, Jinan University, Joint Institute of Metabolic Medicine between Jinan University and the University of Hong Kong, Institute of Obesity and Metabolism, Jinan University, Institute of Clinical Medicine, Jinan University |
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| DOI | 10.1007/s11695-020-04494-4 |
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| Issue | 6 |
| Keywords | Obesity Intestinal microbiota Bariatric surgery |
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| PublicationSubtitle | The Journal of Metabolic Surgery and Allied Care |
| PublicationTitle | Obesity surgery |
| PublicationTitleAbbrev | OBES SURG |
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| PublicationYear | 2020 |
| Publisher | Springer US Springer Nature B.V |
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| References_xml | – reference: SenTCawthonCRIhdeBTHajnalADiLorenzoPMde La SerreCBDiet-driven microbiota dysbiosis is associated with vagal remodeling and obesityPhysiol Behav20171733053171:CAS:528:DC%2BC2sXksVeqsrs%3D282497835428886 – reference: TurnbaughPJHamadyMYatsunenkoTCantarelBLDuncanALeyREA core gut microbiome in obese and lean twinsNature.200945772284804841:CAS:528:DC%2BD1MXotlOlsw%3D%3D19043404 – reference: LarsSMarkkuPPeterJCDavidSKristjanKHansWBariatric surgery and long-term cardiovascular eventsJama.201330715665 – reference: AmarJBurcelinRRuidavetsJBCaniPDFauvelJAlessiMCChamontinBFerriéresJEnergy intake is associated with endotoxemia in apparently healthy menAm J Clin Nutr2008875121912231:CAS:528:DC%2BD1cXmtFWjsr8%3D18469242 – reference: PallejaAKashaniAAllinKHNielsenTZhangCLiYBrachTLiangSFengQJørgensenNBBojsen-MøllerKNDirksenCBurgdorfKSHolstJJMadsbadSWangJPedersenOHansenTArumugamMRoux-en-Y gastric bypass surgery of morbidly obese patients induces swift and persistent 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bloodGut.19872810122112271:STN:280:DyaL1c%2Fls1CrsA%3D%3D36789501433442 – reference: ThalerJPCummingsDEMinireview: hormonal and metabolic mechanisms of diabetes remission after gastrointestinal surgeryEndocrinology.20091506251825251:CAS:528:DC%2BD1MXmvVCqt7s%3D19372197 – reference: SchauerPRBhattDLKirwanJPWolskiKAminianABrethauerSANavaneethanSDSinghRPPothierCENissenSEKashyapSRSTAMPEDE InvestigatorsBariatric surgery versus intensive medical therapy for diabetes—5-year outcomesN Engl J Med20173767641651281998055451258 – reference: ShaoYDingRXuBHuaRShenQHeKYaoQAlterations of gut microbiota after roux-en-Y gastric bypass and sleeve gastrectomy in Sprague-Dawley ratsObes Surg201727229530227440168 – reference: EverardALazarevicVDerrienMGirardMMuccioliGGNeyrinckAMPossemiersSvan HolleAFrançoisPde VosWMDelzenneNMSchrenzelJCaniPDResponses of gut microbiota and glucose and lipid metabolism to prebiotics in genetic obese and diet-induced leptin-resistant 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To explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy... To explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy (LSG)... AimsTo explore the intestinal microbiota composition affected by the two most widely used procedures of bariatric surgery, laparoscopic sleeve gastrectomy... |
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| SubjectTerms | Bacteria Bariatric Surgery Gastrectomy Gastric Bypass Gastrointestinal Microbiome Gastrointestinal surgery Humans Laparoscopy Medicine Medicine & Public Health Microbiota Obesity Obesity - surgery Obesity, Morbid - surgery Original Contributions Surgery Treatment Outcome Weight Loss |
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| Title | Two Bariatric Surgical Procedures Differentially Alter the Intestinal Microbiota in Obesity Patients |
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