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       COMMENT PAGE FOR:
   URI   Microbial metabolite repairs liver injury by restoring hepatic lipid metabolism
       
       
        hinkley wrote 3 hours 33 min ago:
        It seems that the powers that be decided lactobacillus was getting a
        bit crowded and decided to split it into separate genuses.
        
        From the article we are talking about [1] and it’s apparently the
        most common fermenting bacteria for silage, and shows up in sauerkraut
        and kimchi. [2] is another interesting one that got split into a
        separate genus. No direct action has so far been found for this genus
        of bacteria, but it makes the GI tract more hospitable for a large
        number of probiotic species and less hospitable for others like C.
        difficile, which is one of the nastiest post-antibiotic infections one
        can get. So nasty it has the French word for “difficult” in its
        name.
        
        Found in cheddar cheese and yogurt. Any time I have problems or have to
        take antibiotics I make sure to line up some of both for recovery.
        
   URI  [1]: https://en.wikipedia.org/wiki/Lactiplantibacillus_plantarum
   URI  [2]: https://en.wikipedia.org/wiki/Lacticaseibacillus_casei
       
          lr4444lr wrote 3 hours 3 min ago:
          Makes me wonder how much of the positive research on fermented foods
          generally has to do with liver function improvement, since the organ
          is crucial to the health of most of the body.
       
            0cf8612b2e1e wrote 2 hours 34 min ago:
            Koreans live off of fermented kimchi, something like 80+ pounds per
            person every year. Do Koreans have lower incidence of gut
            complications?
       
              ginko wrote 54 min ago:
              They have a much higher stomach cancer rate.
       
                astrange wrote 26 min ago:
                They also drink like fish and eat hot foods. Both of those are
                known contributors.
       
              hungmung wrote 2 hours 29 min ago:
              I bet they've got lower rates of hep than America, but that
              probably doesn't have anything to do with the kimchi.
       
            hinkley wrote 2 hours 51 min ago:
            We’ve mostly studied gut health. Something about modern diets is
            messing that up substantially. Some think it may be Roundup, others
            dish detergent, others some microbe we can’t culture on Petri
            dishes.
       
              Llamamoe wrote 1 hour 12 min ago:
              Why assume it's the diets rather than antibiotics? Your gut
              microbiome develops during the first ~3y of life(including
              partial heritability from your mother), after which the total set
              of microbes in it remains approximately constant throughout your
              life, with only the relative proportions of them shifting with
              diet changes.
              
              In contrast, antibiotics often kill a strain of a few off
              completely, while suppressing everything else except for a few
              strains that resist the antibiotic, which also creates a massive
              opportunity for new bacteria to colonize. And these deficits are
              partially heritable.
       
              griffzhowl wrote 2 hours 33 min ago:
              What's the evidence that modern diets are substantially messing
              up gut health? (just curious, not (necessarily;) sceptical)
       
                hinkley wrote 2 hours 30 min ago:
                The incidence of crohn’s, IBD, celiac, etc going on out
                there. Some people want to throw obesity into that ring as
                well. Inflammation certainly causes weight gain.
       
                  griffzhowl wrote 2 hours 4 min ago:
                  Ah ok, well, obesity incidence is probably almost entirely
                  explained by the amount of sugar and fats in modern diets. I
                  wouldn't have thought of it as pertaining to gut health
                  specifically, but no doubt there can be relationships there.
                  
                  The other things seem more plausible. Purely anecdotally, my
                  step-dad always thought he was intolerant to gluten because
                  of his reactions to British bread, but when he spent a lot of
                  time in France and tried bread there, he was fine.
                  
                  Could be there's something about the production process of
                  the standard British "Chorleywood loaf" that aggravates some
                  bowels. [1] In general, I find it quite easy to believe that
                  a lot of mass-produced foods contain what are essentially
                  poisons, but I'm curious about evidential links (and I'm also
                  aware that lots of naturally-occurring foods can be poisons
                  if eaten too much, but that's a different question)
                  
   URI            [1]: https://en.wikipedia.org/wiki/Chorleywood_bread_proc...
       
                    astrange wrote 13 min ago:
                    > Ah ok, well, obesity incidence is probably almost
                    entirely explained by the amount of sugar and fats in
                    modern diets.
                    
                    The obesity epidemic started rapidly around 1980, but it's
                    unlikely diet changed for the worse since then.
                    
                    Also, it happened to lab animals and pets as well. [1]
                    Also, it appears to be correlated with low altitudes and
                    interventions that cause you to move to higher altitudes
                    cause weight loss. [2] >  Purely anecdotally, my step-dad
                    always thought he was intolerant to gluten because of his
                    reactions to British bread, but when he spent a lot of time
                    in France and tried bread there, he was fine.
                    
                    The American equivalent of this (people who go to Europe
                    and think the bread is healthier because it's easy to
                    digest) is because we fortify wheat and the extra nutrients
                    esp. iron cause stomach discomfort.
                    
   URI              [1]: https://royalsocietypublishing.org/doi/abs/10.1098...
   URI              [2]: https://journals.plos.org/plosone/article?id=10.13...
       
                    XorNot wrote 1 hour 46 min ago:
                    You need to define "spent some time". Was he working? On
                    sabbatical or holiday?
                    
                    "I travelled somewhere and things improved" has the serious
                    complication that you changed almost everything at once and
                    possibly removed major stress sources. You were even
                    outside of your own home - and buildings have ecosystems
                    themselves anyway as well as just systemic faults.
       
                      griffzhowl wrote 1 hour 32 min ago:
                      Yeah ok, but it's just an anecdote so it doesn't count as
                      generalisable evidence in any case.
                      
                      I would just add that when he got back to Britain and
                      tried baguette style bread there he found that he could
                      tolerate it in Britain too.
                      
                      Again, I'm just reporting a story as it was told to me
                      because I was reminded of it in response to the previous
                      comment.
       
                    DaveZale wrote 1 hour 50 min ago:
                    I believe that ultraprocessed foods are recognized as
                    borderline poisons.  Esp if they contain trans fats or
                    hydrogenated fats, which arw described as "slow acting
                    poisons" - but the same goes for "extruded foods" - stuff
                    that is processed to the point where it can be molded or
                    squeezed into funny looking shapes.
       
        wdwvt1 wrote 4 hours 53 min ago:
        There are so many interesting metabolites that the gut microbiome
        produces that modulate the immune system. My former startup (Interface
        Biosciences) was trying to develop a process for identifying and
        developing these as traditional pharmaceuticals (e.g. small molecule
        drugs).
        
        One of the big problems with most of these metabolites is that they
        work better in preventing the emergence of disease pathology than they
        do in ameliorating it. In other words, they aren't super reverse causal
        for disease. You'll note that in this study, the design was
        pretreatment with the beneficial metabolite to prevent injury, rather
        than rescue once injury occurred ([0], [1]).
        
        It's difficult to make a prophylactic pharmaceutical/intervention - the
        market is smaller, the therapeutic index must be larger, and the
        insurance reimbursement is harder to get. I hope that someone smarter
        can break this open at some point. Natural products are the source of
        over 50% of approved drugs (though weighted heavily towards
        antibiotics), and the gut microbiome has really not been explored
        enough for its natural products.
        
        As a note on the probiotics - be very skeptical of probiotic claims.
        Even if the microbe actually engrafts in your GI tract (a very big if),
        the probability that it is producing a given 'good' metabolite is
        unclear. Microbes have thousands of genes and they are constantly
        changing metabolism (=the metabolites they excrete) as a function of an
        innumerable array of factors including: energetic (what food sources
        are in the GI at that moment?), competitive (what competitor species
        are they sensing?), immune (what is the host immune state?), and
        physical (do I sense a high diffusion environment?) factors.
        
        [0] From the abstract: "Here, we report that oral administration of
        10-HSA prevented AFB1-induced gut epithelial barrier disruption and
        preserved mucosal T cell populations.
        
        [1] From the methods: "Mice were randomly assigned into three groups.
        One group (n = 6) was pretreated with 10-HSA (AstaTech A10837) at 100
        mg/kg/day in vehicle for one week and then aflatoxin-β1 (Sigma-Aldrich
        A6636) dissolved in DMSO (final concentration in water was 0.1%) was
        added to their drinking water for 21 days at a concentration of 5 mg/L.
        Another group (n = 6) was pretreated with the vehicle control for 1
        week and then aflatoxin-β1 was added to their drinking water for 21
        days at a concentration of 5 mg/L. The third group (n = 4) served as
        the negative control group and received vehicle for 1 week prior to
        DMSO addition to drinking water for 21 days.
       
        ck2 wrote 5 hours 37 min ago:
        10-HSA is a fatty-acid metabolite produced by Lactobacillus bacteria
        
        Lactobacillus Plantarum is a super common probiotic that produces
        10-HSA and other important metabolites
        
        its commercial name is also known as lp299v which has been studied for
        decades, tons of studies
        
        for example: [1] lp299v is extreme safe and can be taken in mega-doses
        however it will not colonize in the GI so would have to be taken
        routinely
        
   URI  [1]: https://www.mdpi.com/2073-4344/10/2/154
       
          0cf8612b2e1e wrote 2 hours 43 min ago:
          Wouldn’t it be easier to just take a gram of the metabolite itself
          vs hoping for long term colonization?
       
            DaveZale wrote 1 hour 56 min ago:
            yes, this is what's done with tributyrin which is a triester of
            butyric acid.  You want to ingest either a butyric acid salt or an
            ester of butyric acid, since the butyric acid itself is really
            stinky.
       
        mmmpetrichor wrote 7 hours 55 min ago:
        I'll drink to that!
       
          verst wrote 1 hour 49 min ago:
          Makes me wonder whether Makgeolli (a low alcohol fermented
          traditional Korean beverage) contains this too.
       
            DaveZale wrote 1 hour 49 min ago:
            Sure, or kombucha?
       
          DaveZale wrote 6 hours 3 min ago:
          kefir has that microbe.  So drink some kefir
          
          and eat a kraut dog. Or a Ruben.
          
   URI    [1]: https://en.m.wikipedia.org/wiki/Lactiplantibacillus_plantaru...
       
        searine wrote 8 hours 41 min ago:
        Supported by grants from NIH/NIAID Grants and the University of
        California Davis.
       
          DaveZale wrote 5 hours 59 min ago:
          yeah Davis is agriculturally oriented.    Because this microbe grows in
          cows stomachs it is added to silage (feed) - so dairy products have
          this metabolite.
          
          Amazing finding.  The statistics on liver damage from aflatoxins said
          to affect potentially 5 billion people.  And of course in the US,
          with its high incidence of obesity has liver issues due to NAFLD. 
          Then of course the heavy drinkers are all at risk.
       
            toomuchtodo wrote 4 hours 3 min ago:
            
            
   URI      [1]: https://www.fda.gov/news-events/press-announcements/fda-ap...
       
       
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