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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Front+Physiol
2016 ; 7
(ä): 498
Nephropedia Template TP
gab.com Text
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English Wikipedia
Vitamin D Signaling through Induction of Paneth Cell Defensins Maintains Gut
Microbiota and Improves Metabolic Disorders and Hepatic Steatosis in Animal
Models
#MMPMID27895587
Su D
; Nie Y
; Zhu A
; Chen Z
; Wu P
; Zhang L
; Luo M
; Sun Q
; Cai L
; Lai Y
; Xiao Z
; Duan Z
; Zheng S
; Wu G
; Hu R
; Tsukamoto H
; Lugea A
; Liu Z
; Pandol SJ
; Han YP
Front Physiol
2016[]; 7
(ä): 498
PMID27895587
show ga
Metabolic syndrome (MetS), characterized as obesity, insulin resistance, and
non-alcoholic fatty liver diseases (NAFLD), is associated with vitamin D
insufficiency/deficiency in epidemiological studies, while the underlying
mechanism is poorly addressed. On the other hand, disorder of gut microbiota,
namely dysbiosis, is known to cause MetS and NAFLD. It is also known that
systemic inflammation blocks insulin signaling pathways, leading to insulin
resistance and glucose intolerance, which are the driving force for hepatic
steatosis. Vitamin D receptor (VDR) is highly expressed in the ileum of the small
intestine, which prompted us to test a hypothesis that vitamin D signaling may
determine the enterotype of gut microbiota through regulating the intestinal
interface. Here, we demonstrate that high-fat-diet feeding (HFD) is necessary but
not sufficient, while additional vitamin D deficiency (VDD) as a second hit is
needed, to induce robust insulin resistance and fatty liver. Under the two hits
(HFD+VDD), the Paneth cell-specific alpha-defensins including ?-defensin 5
(DEFA5), MMP7 which activates the pro-defensins, as well as tight junction genes,
and MUC2 are all suppressed in the ileum, resulting in mucosal collapse,
increased gut permeability, dysbiosis, endotoxemia, systemic inflammation which
underlie insulin resistance and hepatic steatosis. Moreover, under the vitamin D
deficient high fat feeding (HFD+VDD), Helicobacter hepaticus, a known murine
hepatic-pathogen, is substantially amplified in the ileum, while Akkermansia
muciniphila, a beneficial symbiotic, is diminished. Likewise, the VD receptor
(VDR) knockout mice exhibit similar phenotypes, showing down regulation of
alpha-defensins and MMP7 in the ileum, increased Helicobacter hepaticus and
suppressed Akkermansia muciniphila. Remarkably, oral administration of DEFA5
restored eubiosys, showing suppression of Helicobacter hepaticus and increase of
Akkermansia muciniphila in association with resolving metabolic disorders and
fatty liver in the HFD+VDD mice. An in vitro analysis showed that DEFA5 peptide
could directly suppress Helicobacter hepaticus. Thus, the results of this study
reveal critical roles of a vitamin D/VDR axis in optimal expression of defensins
and tight junction genes in support of intestinal integrity and eubiosis to
suppress NAFLD and metabolic disorders.