Adipose Tissue, Bile Acids, and Gut Microbiome Species Associated With Gallstones After Bariatric Surgery

Guman, Maimoena S S; Hoozemans, Jacqueline; Haal, Sylke; Jonge, Patrick A. de; Aydin, Ömrüm; Lappa, Dimitra; Meijnikman, Abraham S.; Westerink, Floris; Acherman, Yair I Z; Bäckhed, Fredrik; Brauw, Maurits de; Nielsen, Jens; Nieuwdorp, Max; Groen, Albert K.; Gerdes, Victor E. A.

doi:10.1016/j.jlr.2022.100280

Cited by 4 publications

(2 citation statements)

References 53 publications

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“…The mechanism of postoperative gallstone formation is not entirely understood but is believed to involve gallbladder hypomotility, cholesterol saturation of bile, decreased bile secretion, and hypersecretion of mucus [22][23][24][25] . However, recent studies explore other contributing factors [26] .…”

Section: Gallstonesmentioning

confidence: 99%

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Harrington,

Kang,

Telesca

et al. 2023

Metab Target Organ Damage

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The increasing prevalence of worldwide obesity calls for a comprehensive understanding of available treatment options. Bariatric surgery remains a very effective obesity treatment, showing substantial effects on obesity-related complications, including type 2 diabetes mellitus and cardiovascular disease, mainly related to significant long-term weight loss. Besides the benefits, weight loss can lead to some deleterious consequences, such as gallstones, constipation, muscle mass loss, bone fractures, vitamin deficiencies, peripheral neural palsy, suicide, eating disorders, alcohol dependency syndrome, and increased divorce. Those consequences may also be seen after long-term effective pharmacotherapy for obesity. Understanding these risks will lead to improved awareness and successful treatment with both surgical and nonsurgical treatments.

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Section: Gallstonesmentioning

confidence: 99%

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Harrington,

Kang,

Telesca

et al. 2023

Metab Target Organ Damage

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“…Therefore, the intestinal microbiota could influence the progression of biliary diseases. It has been reported that approximately 80% of patients with common bile duct stones show coliform in the bile (Guman et al, 2022). Currently, there is no systematic review on the association of biliary system diseases and intestinal bacteria.…”

Section: Introductionmentioning

confidence: 99%

Intestinal microbiota and biliary system diseases

Wang,

Gong,

Chen

et al. 2024

Front. Cell. Infect. Microbiol.

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IntroductionThe incidence of biliary system diseases has been continuously increasing in the past decade. Biliary system diseases bring a heavy burden to humanity and society. However, the specific etiology and pathogenesis are still unknown. The biliary system, as a bridge between the liver and intestine, plays an indispensable role in maintaining the physiological metabolism of the body. Therefore, prevention and treatment of biliary diseases are crucial. It is worth noting that the microorganisms participate in the lipid metabolism of the bile duct, especially the largest proportion of intestinal bacteria.MethodsWe systematically reviewed the intestinal microbiota in patients with gallstones (GS), non-calculous biliary inflammatory, and biliary tract cancer (BTC). And searched Pubmed, Embase and Web of science for research studies published up to November 2023.ResultsWe found that the abundance of Faecalibacterium genus is decreased in GS, primary sclerosing cholangitis (PSC), primary biliary cholangitis (PBC) and BTC. Veillonella, Lactobacillus, Streptococcus and Enterococcus genus were significantly increased in PSC, PBC and BTC. Interestingly, we found that the relative abundance of Clostridium was generally reduced in GS, PBC and BTC. However, Clostridium was generally increased in PSC.DiscussionThe existing research mostly focuses on exploring the mechanisms of bacteria targeting a single disease. Lacking comparison of multiple diseases and changes in bacteria during the disease process. We hope to provide biomarkers forearly diagnosis of biliary system diseases and provide new directions for the mechanism of intestinal microbiota in biliary diseases.

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The Black Box Orchestra of Gut Bacteria and Bile Acids: Who Is the Conductor?

Majait

Nieuwdorp

Kemper

et al. 2023

IJMS

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Over the past decades the potential role of the gut microbiome and bile acids in type 2 diabetes mellitus (T2DM) has been revealed, with a special reference to low bacterial alpha diversity. Certain bile acid effects on gut bacteria concern cytotoxicity, or in the case of the microbiome, bacteriotoxicity. Reciprocally, the gut microbiome plays a key role in regulating the bile acid pool by influencing the conversion and (de)conjugation of primary bile acids into secondary bile acids. Three main groups of bacterial enzymes responsible for the conversion of bile acids are bile salt hydrolases (BSHs), hydroxysteroid dehydrogenases (HSDHs) and enzymes encoded in the bile acid inducible (Bai) operon genes. Interventions such as probiotics, antibiotics and fecal microbiome transplantation can impact bile acids levels. Further evidence of the reciprocal interaction between gut microbiota and bile acids comes from a multitude of nutritional interventions including macronutrients, fibers, prebiotics, specific individual products or diets. Finally, anatomical changes after bariatric surgery are important because of their metabolic effects. The heterogeneity of studies, diseases, bacterial species and (epi)genetic influences such as nutrition may challenge establishing specific and detailed interventions that aim to tackle the gut microbiome and bile acids.

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Adipose Tissue, Bile Acids, and Gut Microbiome Species Associated With Gallstones After Bariatric Surgery

Cited by 4 publications

References 53 publications

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Intestinal microbiota and biliary system diseases

The Black Box Orchestra of Gut Bacteria and Bile Acids: Who Is the Conductor?

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