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Gut Bacteria and Hydrogen Sulfide: The New Old Players in Circulatory System Homeostasis

Lenka Tomasova, Piotr Konopelski, Marcin Ufnal

Molecules · 2016 · Review · CC BY

doi:10.3390/molecules21111558

Abstract

Accumulating evidence suggests that gut bacteria play a role in homeostasis of the circulatory system in mammals. First, gut bacteria may affect the nervous control of the circulatory system via the sensory fibres of the enteric nervous system. Second, gut bacteria-derived metabolites may cross the gut-blood barrier and target blood vessels, the heart and other organs involved in the regulation of the circulatory system. A number of studies have shown that hydrogen sulfide (H2S) is an important biological mediator in the circulatory system. Thus far, research has focused on the effects of H2S enzymatically produced by cardiovascular tissues. However, some recent evidence indicates that H2S released in the colon may also contribute to the control of arterial blood pressure. Incidentally, sulfate-reducing bacteria are ubiquitous in mammalian colon, and H2S is just one among a number of molecules produced by the gut flora. Other gut bacteria-derived compounds that may affect the circulatory system include methane, nitric oxide, carbon monoxide, trimethylamine or indole. In this paper, we review studies that imply a role of gut microbiota and their metabolites, such as H2S, in circulatory system homeostasis.

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    Whiticar M.J., Faber E., Schoell M. Biogenic methane formation in marine and freshwater environments: CO2 reduction vs. acetate fermentation-Isotope evidence. Geochim. Cosmochim. Acta. 1986;50:693-709.

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    McKay L.F., Holbrook W.P., Eastwood M.A. Methane and hydrogen production by human intestinal anaerobic bacteria. Acta Pathol. Microbiol. Immunol. Scand. B. 1982;90:257-260.

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    McKay L.F., Eastwood M.A., Brydon W.G. Methane excretion in man-A study of breath, flatus, and faeces. Gut. 1985;26:69-74.

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    Furnari M., Savarino E., Bruzzone L., Moscatelli A., Gemignani L., Gianini E.G., Zentilin P., Dulbecco P., Savarino V. Reassessment of the role of methane production between irritable bowel syndrome and functional constipation. J. Gastrointest. Liver Dis. 2012;21:157-163.

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    Bratten J.R., Spanier J., Jones M.P. Lactulose breath testing does not discriminate patients with irritable bowel syndrome from healthy controls. Am. J. Gastroenterol. 2008;103:958-963.

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    Lee K.M., Paik C.N., Chung W.C., Yang J.M., Choi M.G. Breath methane positivity is more common and higher in patients with objectively proven delayed transit constipation. Eur. J. Gastroenterol. Hepatol. 2013;25:726-732.

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    Pimentel M., Lin H.C., Enayati P., Van Den Burg B., Lee H.R., Chen J.H., Park S., Kong Y., Conklin J. Methane, a gas produced by enteric bacteria, slows intestinal transit and augments small intestinal contractile activity. Am. J. Physiol. Gastrointest. Liver Physiol. 2006;290:G1089-G1095.

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    Jahng J., Jung I.S., Choi E.J., Conklin J.L., Park H. The effects of methane and hydrogen gases produced by enteric bacteria on ileal motility and colonic transit time. Neurogastroenterol. Motil. 2012;24:185-192.

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    Pimentel M., Kong Y., Park S. IBS Subjects with Methane on Lactulose Breath Test Have Lower Postprandial Serotonin Levels Than Subjects with Hydrogen. Dig. Dis. Sci. 2004;49:84-87.

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    Liu Y., Luo H.S., Liang C.B., Tan W., Xia H., Xu W.J. Effects of methane on proximal colon motility of rats and ion channel mechanisms. Zhonghua Yi Xue Za Zhi. 2013;93:459-463.

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    Mathur R., Kim G., Morales W., Sung J., Rooks E., Pokkunuri V., Weitsman S., Barlow G.M., Chang C., Pimentel M. Intestinal Methanobrevibacter smithii but not total bacteria is related to diet-induced weight gain in rats. Obesity. 2013;21:748-754.

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    Mathur R., Amichai M., Chua K.S., Mirocha J., Barlow G.M., Pimentel M. Methane and hydrogen positivity on breath test is associated with greater body mass index and body fat. J. Clin. Endocrinol. Metab. 2013;98:E698-E702.

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    Romano K.A., Vivas E.I., Amador-Noguez D., Rey F.E. Intestinal microbiota composition modulates choline bioavailability from diet and accumulation of the proatherogenic metabolite trimethylamine-N-oxide. mBio. 2015;6:e02481.

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    Koeth R.A., Wang Z., Levison B.S., Buffa J.A., Org E., Sheehy B.T., Britt E.B., Fu X., Wu Y., Li L., et al. Intestinal microbiota metabolism of l-carnitine, a nutrient in red meat, promotes atherosclerosis. Nat. Med. 2013;19:576-585.

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    Ufnal M., Jazwiec R., Dadlez M., Drapala A., Sikora M., Skrzypecki J. Trimethylamine-N-oxide: A carnitine-derived metabolite that prolongs the hypertensive effect of angiotensin II in rats. Can. J. Cardiol. 2014;30:1700-1705.

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    Fukami K., Yamagishi S.I., Sakai K., Kaida Y., Yokoro M., Ueda S., Wada Y., Takeuchi M., Shimizu M., Yamazaki H., Okuda S. Oral l-carnitine supplementation increases trimethylamine-N-oxide but reduces markers of vascular injury in hemodialysis patients. J. Cardiovasc. Pharmacol. 2015;65:289-295.

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    Lee J.H., Lee J. Indole as an intercellular signal in microbial communities. FEMS Microbiol. Rev. 2010;34:426-444.

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    DeMoss R.D., Moser K. Tryptophanase in diverse bacterial species. J. Bacteriol. 1969;98:167-171.

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    Smith E.A., Macfarlane G.T. Formation of phenolic and indolic compounds by anaerobic bacteria in the human large intestine. Microbial. Ecol. 1997;33:180-188.

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    Darkoh C., Chappell C., Gonzales C., Okhuysen P. A rapid and specific method for the detection of indole in complex biological samples. Appl. Environ. Microbiol. 2015;81:8093-8097.

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    Kim J., Park W. Indole: A signaling molecule or a mere metabolic byproduct that alters bacterial physiology at a high concentration? J. Microbiol. 2015;53:421-428.

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    Atoh K., Itoh H., Haneda M. Serum indoxyl sulfate levels in patients with diabetic nephropathy: Relation to renal function. Diabetes Res. Clin. Pract. 2009;83:220-226.

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    Yoshikawa D., Ishii H., Suzuki S., Takeshita K., Kumagai S., Hayashi M., Niwa T., Izawa H., Murohara T. Plasma Indoxyl sulfate and estimated Glomerular filtration rate-Association with long-term clinical outcome in patients with coronary artery disease. Circ. J. 2014;78:2477-2482.

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    Barreto F.C., Barreto D.V., Liabeuf S., Meert N., Glorieux G., Temmar M., Choukroun G., Vanholder R., Massy Z.A. Serum indoxyl sulfate is associated with vascular disease and mortality in chronic kidney disease patients. Clin. J. Am. Soc. Nephrol. 2009;4:1551-1558.

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    Wu I.W., Hsu K.H., Lee C.C., Sun C.Y., Hsu H.J., Tsai C.J., Tzen C.Y., Wang Y.C., Lin C.Y., Wu M.S. P-cresyl sulphate and indoxyl sulphate predict progression of chronic kidney disease. Nephrol. Dial. Transplant. 2011;26:938-947.

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    Miyazaki T., Aoyama I., Ise M., Seo H., Niwa T. An oral sorbent reduces overload of indoxyl sulphate and gene expression of TGF-β1 in uraemic rat kidneys. Nephrol. Dial. Transplant. 2000;15:1773-1781.

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    Lekawanvijit S., Adrahtas A., Kelly D.J., Kompa A.R., Wang B.H., Krum H. Does indoxyl sulfate, a uraemic toxin, have direct effects on cardiac fibroblasts and myocytes? Eur. Heart J. 2010;31:1771-1779.

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    Bansal T., Alaniz R.C., Wood T.K., Jayaraman A. The bacterial signal indole increases epithelial-cell tight-junction resistance and attenuates indicators of inflammation. Proc. Natl. Acad. Sci. USA. 2010;107:228-233.

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    Zelante T., Iannitti R., Cunha C., DeLuca A., Giovannini G., Pieraccini G., Zecchi R., D’Angelo C., Massi-Benedetti C., Fallarino F., Carvalho A., Puccetti P., Romani L. Tryptophan catabolites from microbiota engage aryl hydrocarbon receptor and balance mucosal reactivity via interleukin-22. Immunity. 2013;39:372-385.

    Not in our library10.1016/j.immuni.2013.08.003

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    Richardson A.J., McKain N., Wallace R.J. Ammonia production by human faecal bacteria, and the enumeration, isolation and characterization of bacteria capable of growth on peptides and amino acids. BMC Microbiol. 2013;13.

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    Zhang Q., Meng Z. The inotropic effects of ammonia on isolated perfused rat hearts and the mechanisms involved. J. Exp. Biol. 2011;214:4048-4054.

    Not in our library10.1242/jeb.055947

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    Perry B.G., Pritchard H.J., Barnes M.J. Cerebrovascular, cardiovascular and strength responses to acute ammonia inhalation. Eur. J. Appl. Physiol. 2016;116:583-592.

    Not in our library10.1007/s00421-015-3313-7

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