Diabetes Mellitus and Increased Tuberculosis Susceptibility: The Role of Short-Chain Fatty Acids

Type 2 diabetes mellitus confers a threefold increased risk for tuberculosis, but the underlying immunological mechanisms are still largely unknown. Possible mediators of this increased susceptibility are short-chain fatty acids, levels of which have been shown to be altered in individuals with diab...

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Main Authors: Ekta Lachmandas, Corina N. A. M. van den Heuvel, Michelle S. M. A. Damen, Maartje C. P. Cleophas, Mihai G. Netea, Reinout van Crevel
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/6014631
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author Ekta Lachmandas
Corina N. A. M. van den Heuvel
Michelle S. M. A. Damen
Maartje C. P. Cleophas
Mihai G. Netea
Reinout van Crevel
author_facet Ekta Lachmandas
Corina N. A. M. van den Heuvel
Michelle S. M. A. Damen
Maartje C. P. Cleophas
Mihai G. Netea
Reinout van Crevel
author_sort Ekta Lachmandas
collection DOAJ
description Type 2 diabetes mellitus confers a threefold increased risk for tuberculosis, but the underlying immunological mechanisms are still largely unknown. Possible mediators of this increased susceptibility are short-chain fatty acids, levels of which have been shown to be altered in individuals with diabetes. We examined the influence of physiological concentrations of butyrate on cytokine responses to Mycobacterium tuberculosis (Mtb) in human peripheral blood mononuclear cells (PBMCs). Butyrate decreased Mtb-induced proinflammatory cytokine responses, while it increased production of IL-10. This anti-inflammatory effect was independent of butyrate’s well-characterised inhibition of HDAC activity and was not accompanied by changes in Toll-like receptor signalling pathways, the eicosanoid pathway, or cellular metabolism. In contrast blocking IL-10 activity reversed the effects of butyrate on Mtb-induced inflammation. Alteration of the gut microbiota, thereby increasing butyrate concentrations, can reduce insulin resistance and obesity, but further studies are needed to determine how this affects susceptibility to tuberculosis.
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series Journal of Diabetes Research
spelling doaj-art-975ad265140f493393de877701c0b0232025-02-03T01:09:07ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/60146316014631Diabetes Mellitus and Increased Tuberculosis Susceptibility: The Role of Short-Chain Fatty AcidsEkta Lachmandas0Corina N. A. M. van den Heuvel1Michelle S. M. A. Damen2Maartje C. P. Cleophas3Mihai G. Netea4Reinout van Crevel5Department of Internal Medicine and Radboudumc Center for Infectious Diseases, Radboud University Medical Center, Internal Postal Code 463, P.O. Box 9101, 6500 HB Nijmegen, NetherlandsDepartment of Internal Medicine and Radboudumc Center for Infectious Diseases, Radboud University Medical Center, Internal Postal Code 463, P.O. Box 9101, 6500 HB Nijmegen, NetherlandsDepartment of Internal Medicine and Radboudumc Center for Infectious Diseases, Radboud University Medical Center, Internal Postal Code 463, P.O. Box 9101, 6500 HB Nijmegen, NetherlandsDepartment of Internal Medicine and Radboudumc Center for Infectious Diseases, Radboud University Medical Center, Internal Postal Code 463, P.O. Box 9101, 6500 HB Nijmegen, NetherlandsDepartment of Internal Medicine and Radboudumc Center for Infectious Diseases, Radboud University Medical Center, Internal Postal Code 463, P.O. Box 9101, 6500 HB Nijmegen, NetherlandsDepartment of Internal Medicine and Radboudumc Center for Infectious Diseases, Radboud University Medical Center, Internal Postal Code 463, P.O. Box 9101, 6500 HB Nijmegen, NetherlandsType 2 diabetes mellitus confers a threefold increased risk for tuberculosis, but the underlying immunological mechanisms are still largely unknown. Possible mediators of this increased susceptibility are short-chain fatty acids, levels of which have been shown to be altered in individuals with diabetes. We examined the influence of physiological concentrations of butyrate on cytokine responses to Mycobacterium tuberculosis (Mtb) in human peripheral blood mononuclear cells (PBMCs). Butyrate decreased Mtb-induced proinflammatory cytokine responses, while it increased production of IL-10. This anti-inflammatory effect was independent of butyrate’s well-characterised inhibition of HDAC activity and was not accompanied by changes in Toll-like receptor signalling pathways, the eicosanoid pathway, or cellular metabolism. In contrast blocking IL-10 activity reversed the effects of butyrate on Mtb-induced inflammation. Alteration of the gut microbiota, thereby increasing butyrate concentrations, can reduce insulin resistance and obesity, but further studies are needed to determine how this affects susceptibility to tuberculosis.http://dx.doi.org/10.1155/2016/6014631
spellingShingle Ekta Lachmandas
Corina N. A. M. van den Heuvel
Michelle S. M. A. Damen
Maartje C. P. Cleophas
Mihai G. Netea
Reinout van Crevel
Diabetes Mellitus and Increased Tuberculosis Susceptibility: The Role of Short-Chain Fatty Acids
Journal of Diabetes Research
title Diabetes Mellitus and Increased Tuberculosis Susceptibility: The Role of Short-Chain Fatty Acids
title_full Diabetes Mellitus and Increased Tuberculosis Susceptibility: The Role of Short-Chain Fatty Acids
title_fullStr Diabetes Mellitus and Increased Tuberculosis Susceptibility: The Role of Short-Chain Fatty Acids
title_full_unstemmed Diabetes Mellitus and Increased Tuberculosis Susceptibility: The Role of Short-Chain Fatty Acids
title_short Diabetes Mellitus and Increased Tuberculosis Susceptibility: The Role of Short-Chain Fatty Acids
title_sort diabetes mellitus and increased tuberculosis susceptibility the role of short chain fatty acids
url http://dx.doi.org/10.1155/2016/6014631
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