학술논문

Ketogenic Diets Alter the Gut Microbiome Resulting in Decreased Intestinal Th17 Cells
Document Type
article
Source
Cell. 181(6)
Subject
Nutrition
Complementary and Integrative Health
Digestive Diseases
Human Genome
Genetics
Aetiology
2.1 Biological and endogenous factors
Oral and gastrointestinal
Adolescent
Adult
Animals
Diet
High-Fat
Diet
Ketogenic
Female
Gastrointestinal Microbiome
Humans
Intestines
Male
Mice
Mice
Inbred C57BL
Microbiota
Middle Aged
Th17 Cells
Young Adult
Th17 cells
adipose tissue
bifidobacteria
intestinal immunity
ketogenic diet
ketone bodies
ketone ester
microbiome
β-hydroxybutyrate
Biological Sciences
Medical and Health Sciences
Developmental Biology
Language
Abstract
Very low-carbohydrate, high-fat ketogenic diets (KDs) induce a pronounced shift in metabolic fuel utilization that elevates circulating ketone bodies; however, the consequences of these compounds for host-microbiome interactions remain unknown. Here, we show that KDs alter the human and mouse gut microbiota in a manner distinct from high-fat diets (HFDs). Metagenomic and metabolomic analyses of stool samples from an 8-week inpatient study revealed marked shifts in gut microbial community structure and function during the KD. Gradient diet experiments in mice confirmed the unique impact of KDs relative to HFDs with a reproducible depletion of bifidobacteria. In vitro and in vivo experiments showed that ketone bodies selectively inhibited bifidobacterial growth. Finally, mono-colonizations and human microbiome transplantations into germ-free mice revealed that the KD-associated gut microbiota reduces the levels of intestinal pro-inflammatory Th17 cells. Together, these results highlight the importance of trans-kingdom chemical dialogs for mediating the host response to dietary interventions.