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肠道微生物群衍生的4-羟基苯乙酸(4-HPAA)可抑制体重增加,且与儿童肥胖呈负相关。

Gut microbiota-derived 4-hydroxyphenylacetic acid (4-HPAA) inhibits weight gain and is negatively associated with childhood obesity.

作者信息

Li Qianru, Zhang Jiahui, Fan Minhao, Wu Ningxi, Li Tianyu, Wang Mingxin, Zhang Le

机构信息

Department of Pediatric Laboratory, Affiliated Children's Hospital of Jiangnan University, Wuxi Children's Hospital, Wuxi Key Laboratory of Genetic and Metabolic Diseases in Children, Wuxi School of Medicine, Jiangnan University, Wuxi, China.

Department of Neonatology, Affiliated Children's Hospital of Jiangnan University, Wuxi Children's Hospital, Wuxi Key Laboratory of Genetic and Metabolic Diseases in Children, Wuxi, China.

出版信息

Transl Pediatr. 2025 Jun 27;14(6):1156-1167. doi: 10.21037/tp-2025-158. Epub 2025 Jun 25.

Abstract

BACKGROUND

Childhood obesity has rapidly increased, becoming a significant global public health concern. Obese children exhibit distinct gut microbiome compositions compared to their normal-weight peers, leading to differences in the metabolic products derived from gut microbiota between the two groups. However, the causal relationship between these microbial-derived metabolites and childhood obesity remains unclear. Therefore, we investigate association between the microbial-derived metabolites and childhood obesity.

METHODS

In this study, we conducted an analysis of multiple childhood obesity gut microbiota databases. We utilized curated children's microbiota data at the genus level from the GMrepo database. To investigate metabolic pathways, we used the MetOrigin database to analyze the gut microbiota metabolites.

RESULTS

We found that the abundances of , , , , , , and were increased in the gut microbiome of obese children, while , , , , , , and were decreased compared to their normal-weight counterparts. Furthermore, the gut microbial metabolites acetic acid, propionic acid, and butyric acid were elevated in the feces of obese children, while 4-hydroxyphenylacetic acid (4-HPAA), valeric acid, and lactic acid were decreased in the feces or urine of obese children. Trace analysis and literature review revealed that produces 4-HPAA via the tyrosine metabolism pathway, while generates lactic acid through glycolysis, gluconeogenesis, and pyruvate metabolism pathways. Notably, 4-HPAA treatment reduced weight gain and improved glucose intolerance in mice on a high-fat diet.

CONCLUSIONS

Our study analyzed the gut microbiota characteristics of obese children across multiple regions and suggests that the downregulation of 4-HPAA may be associated with the development of obese children.

摘要

背景

儿童肥胖率迅速上升,已成为全球重大公共卫生问题。与体重正常的同龄人相比,肥胖儿童表现出独特的肠道微生物群组成,导致两组肠道微生物群衍生的代谢产物存在差异。然而,这些微生物衍生代谢产物与儿童肥胖之间的因果关系仍不清楚。因此,我们研究微生物衍生代谢产物与儿童肥胖之间的关联。

方法

在本研究中,我们对多个儿童肥胖肠道微生物群数据库进行了分析。我们利用了GMrepo数据库中经过整理的属水平儿童微生物群数据。为了研究代谢途径,我们使用MetOrigin数据库分析肠道微生物群代谢产物。

结果

我们发现,肥胖儿童肠道微生物群中,[此处原文部分微生物名称缺失,无法完整翻译]的丰度增加,而与体重正常的儿童相比,[此处原文部分微生物名称缺失,无法完整翻译]的丰度降低。此外,肥胖儿童粪便中肠道微生物代谢产物乙酸、丙酸和丁酸升高,而肥胖儿童粪便或尿液中4-羟基苯乙酸(4-HPAA)、戊酸和乳酸降低。微量分析和文献综述表明,[此处原文部分微生物名称缺失,无法完整翻译]通过酪氨酸代谢途径产生4-HPAA,而[此处原文部分微生物名称缺失,无法完整翻译]通过糖酵解、糖异生和丙酮酸代谢途径产生乳酸。值得注意的是,4-HPAA处理可减少高脂饮食小鼠的体重增加并改善葡萄糖不耐受。

结论

我们的研究分析了多个地区肥胖儿童的肠道微生物群特征,并表明4-HPAA的下调可能与肥胖儿童的发育有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afac/12268645/48fbe507f0e8/tp-14-06-1156-f1.jpg

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