Abstract

A decrease in ovarian estrogens in postmenopausal women increases the risk of weight gain, cardiovascular disease, type 2 diabetes, and chronic inflammation. While it is known that gut microbiota regulates energy homeostasis, it is unclear if gut microbiota is associated with estradiol regulation of metabolism. In this study, we tested if estradiol-mediated protection from high-fat diet (HFD)-induced obesity and metabolic changes are associated with longitudinal alterations in gut microbiota in female mice. Ovariectomized adult mice with vehicle or estradiol (E2) implants were fed chow for two weeks and HFD for four weeks. As reported previously, E2 increased energy expenditure, physical activity, insulin sensitivity, and whole-body glucose turnover. Interestingly, E2 decreased the tight junction protein occludin, suggesting E2 affects gut epithelial integrity. Moreover, E2 increased Akkermansia and decreased Erysipleotrichaceae and Streptococcaceae. Furthermore, Coprobacillus and Lactococcus were positively correlated, while Akkermansia was negatively correlated, with body weight and fat mass. These results suggest that changes in gut epithelial barrier and specific gut microbiota contribute to E2-mediated protection against diet-induced obesity and metabolic dysregulation. These findings provide support for the gut microbiota as a therapeutic target for treating estrogen-dependent metabolic disorders in women.

Highlights

  • More than 40% of the US population is obese (CDC, 2018), which is a leading cause of morbidity and mortality worldwide [1]

  • Metabolic and gut microbiota data were collected at different points through the study (Figure 1A)

  • During the two weeks on STND, Veh and E2 mice did not differ in body weight

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Summary

Introduction

More than 40% of the US population is obese (CDC, 2018), which is a leading cause of morbidity and mortality worldwide [1]. Obesity is more prevalent in women [3], in particular during menopause, and is positively associated with a steep decline in ovarian hormones. Increased fat weight gain in postmenopausal women elevates their risk of hyperglycemia, insulin resistance, hyperlipidemia, low-grade inflammation, osteoporosis, cognitive decline, breast cancer and colorectal cancer [4,5,6,7,8,9]. Estrogen replacement therapy decreases the postmenopausal adiposity and protects women from diabetes, coronary heart disease, and increases overall lifespan [8,10]. Ovariectomy causes dietinduced obesity, hyperglycemia and insulin resistance in rodents, which can be rescued by estradiol (E2) treatment [11,12,13,14,15]. In further support of a protective role for estrogens, mice lacking estrogen receptors or the estrogen synthesizing enzyme, aromatase, develop obesity [16,17,18]

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