Phenethylamine-producing gut bacteria induces diarrhea-predominant irritable bowel syndrome by increasing serotonin biosynthesis
biorxiv(2022)
Abstract
Despite the strong association between gut microbial dysbiosis, serotonin (5-HT) dysregulation and diarrhea-predominant irritable bowel syndrome (IBS-D), the mechanism by which changes in the gut microbiota contribute to the pathogenesis of IBS-D, particularly the role of dysregulated 5-HT production, remains unclear. The present study identified Ruminococcus gnavus in the human gut microbiota as a key risk factor of IBS-D. R. gnavus was significantly enriched in IBS-D patients and exhibited positive correlation with serum 5- HT level and severity of diarrhea symptoms. We showed that R. gnavus induced diarrhea-like symptoms in mice by promoting microbial shunting of essential aromatic amino acids to aromatic trace amines including phenethylamine and tryptamine, thereby stimulating the biosynthesis of peripheral 5-HT, a potent stimulator for gastrointestinal transit. This study identify gut-microbial metabolism of dietary amino acids as a cause of IBS-D and lays a foundation for developing novel therapeutic target for the treatment of IBS-D.
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### Competing Interest Statement
The authors have declared no competing interest.
* 5-HIAA
: 5-Hydroxyindole acetic acid
5-HTP
: 5-Hydroxytryptophan
5-HT
: Serotonin
CaMKII
: Calmodulin-dependent protein kinase II
EC
: Enterochromaffin cells
GI
: Gastrointestinal
IAA
: 3-Indole acetic acid
IBS
: Irritable bowel syndrome
IBS-D
: Diarrhea-predominant irritable bowel syndrome
PA
: Phenylacetic acid
PEA
: Phenethylamine
Phe
: Phenylalanine
PKA
: Cyclic AMP-dependent protein kinase
TAAR1
: Trace amine-associated receptor 1
TpA
: Tryptamine
TPH1
: Tryptophan hydroxylase 1
Trp
: Tryptophan
[1]: pending:yes
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Key words
irritable bowel syndrome,serotonin biosynthesis,gut bacteria,phenethylamine-producing,diarrhea-predominant
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