Source: PENNSYLVANIA STATE UNIVERSITY submitted to
EFFECTS OF LIQUID VEGETABLE OILS ON THE GUT MICROBIOME, MICROBIAL METABOLITES, AND CARDIOMETABOLIC DISEASE RISK
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
TERMINATED
Funding Source
Reporting Frequency
Annual
Accession No.
1015547
Grant No.
2018-67011-28201
Project No.
PENW-2017-07029
Proposal No.
2017-07029
Multistate No.
(N/A)
Program Code
A7101
Project Start Date
May 1, 2018
Project End Date
Apr 30, 2019
Grant Year
2018
Project Director
Bowen, K. J.
Recipient Organization
PENNSYLVANIA STATE UNIVERSITY
408 Old Main
UNIVERSITY PARK,PA 16802-1505
Performing Department
Nutritional Sciences
Non Technical Summary
The gut microbiota in human health and disease has garnered substantial attention as of late, particularly the relationship between the gut and development of cardiometabolic diseases of public health concern. Unhealthy dietary patterns increase the risk of developing these chronic diseases, such as obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. However, the exact progression from diet to disease state is unclear, and the gut microbial composition may bridge the gap through a diet-gut-health/disease interrelationship. The gut environment, which includes bacterial communities and molecules produced by bacteria that interact with the host, can be directly modulated by dietary nutrients. There is a substantial amount of research on the gut response to dietary sources of carbohydrates and proteins, but very few clinical studies have investigated the response to dietary fats consumed in recommended quantities. These scientific data are critical to develop evidence-based, dietary strategies to prevent and reduce chronic disease incidence. Therefore, the purpose of this research project is to determine the effects of different types of dietary oils as sources of fats on the human gut environment and to assess the associations between these gut parameters and risk factors for cardiometabolic disease (i.e., cholesterol, blood sugar, blood pressure, etc.).We plan to investigate the gut bacterial communities and molecules produced by bacteria in human fecal samples that were collected from a previously conducted clinical trial. This trial consisted of three, six-week diet periods in which participants consumed a weight-maintenance diet containing a dietary oil intervention (two vegetable oils and one oil blend). The three diet periods contained exactly the same foods and only differed in the oil provided, providing a unique model to assess the precise effects of the dietary oils and their respective fat profiles. Participants underwent various clinical tests before and after each diet period, including the collection of fecal samples. Established laboratory techniques will be performed to characterize the microbial communities and target microbial products in each fecal sample. This research project will address knowledge gaps to enhance understanding of the relationships among dietary fat intake, the gut microbiota, and disease, and will inform the development of methods to modify the gut environment for beneficial health outcomes. The ultimate goal is to utilize the human gut environment as a diagnostic biomarker of disease and/or as a therapeutic target for microbial manipulation by dietary approaches.
Animal Health Component
0%
Research Effort Categories
Basic
50%
Applied
50%
Developmental
0%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70218991010100%
Goals / Objectives
The purpose of this project is to determine the effects of dietary monounsaturated fatty acids (MUFA) and saturated fatty acids (SFA) on the gut microbial composition and bacterial metabolites, and to correlate these changes with cardiometabolic disease risk factors. The overarching goal is to improve our knowledge of the diet, gut, and disease interrelationship to ultimately identify dietary strategies to modulate the microbiota and reduce chronic metabolic disease. The supporting objectives are to: 1) Compare the effects of high-MUFA versus high-SFA oils on the gut microbial composition, with investigation into adiposity-related interactions; 2) Determine the effects of high-MUFA versus high-SFA oils on microbial metabolites, including short chain fatty acids and lipopolysaccharide; 3) Relate changes in the gut environment to cardiometabolic disease risk factors, including lipids, lipoproteins, apolipoproteins, inflammatory makers, glucose, insulin, andblood pressure.
Project Methods
I propose to use human fecal and serum samples previously collected (2014-2016) from a multi-center, double blind, randomized, controlled feeding, three period crossover, clinical trial. Participants were fed isocaloric, weight maintenance diets containing conventional canola oil, high-oleic acid canola oil, or control oil (blend of butter, safflower, coconut, and flax oils) for six weeks separated by 4-12 week washout periods. The nutrient profile of the three test diets was of fixed macronutrient composition (35% energy from fat, 50% carbohydrates, 15% protein) with varied fatty acid composition due to the treatment oil: 1) Canola oil [17.5% MUFA, 9.2% polyunsaturated fatty acids (PUFA), 6.6% SFA]; 2) High-oleic acid canola oil (19.1% MUFA, 7.0% PUFA, 6.4% SFA); 3) Control oil (10.5% MUFA, 10.0% PUFA, 12.3% SFA). The control diet was designed to reflect the fatty acid profile characteristic of a typical Westerndiet. The oils were incorporated into a smoothie, which was divided into two portions and consumed twice daily. All meals and snacks were prepared and provided to the participants.Males and females aged20-65 yearsat risk for metabolic syndrome were eligible for the study. Risk for metabolic syndrome was defined as an increased waist circumference (men ≥ 94 cm, women ≥ 80 cm) plus at least one of the following: elevated fasting blood glucose (≥ 5.6 mmol/L), triglycerides (≥1.7 mmol/L), systolic blood pressure (≥130 mmHg), diastolic blood pressure (≥85 mmHg); and/or decreased high-density lipoprotein-cholesterol (men <1 mmol/L, women <1.3 mmol/L). Exclusion criteria included: smokers; consumption of > 14 alcoholic beverages per week; use of prescription lipid-modifying medications in the last three months or chronic anti-inflammatory medications; kidney disease, liver disease, diabetes, or uncontrolled thyroid disease; and pregnant or lactating women.Participants underwent various clinical tests on two consecutive days at baseline (days 1 and 2) and endpoint (days 41 and 42) of each diet period, with anthropometric measures including weight, height, and waist circumference, and clinical procedures including seated blood pressure, Dual-energy X-ray Absorptiometry body composition scans (including visceral and subcutaneous adiposity measures), and fasting blood draw (12-hours without food or drink except water, 48-hours without alcohol). Biomarkers assessed in blood include: total cholesterol, high-density lipoprotein-cholesterol, low-density lipoprotein-cholesterol, triglycerides, apolipoproteins A1 and B, free fatty acids, insulin, glucose, C-reactive protein, and cytokines. Fecal samples were collected at baseline and the end of each diet period (i.e., four total). Participants were instructed to collect the sample in a stool hat, transfer to a collection tube with the provided kit supplies, and temporarily store in the freezer. The sample was returned on ice to the clinic the following day and immediately stored at -80°C.For this research proposal, the following experimental methods will be performed on the preexisting samples. Bacterial DNA will be extracted from fecal samples using the QIAamp DNA Stool Mini Kit and the ratio of absorbance will determined (A260/A280) to assess DNA purity and integrity on a Take3 micro-volume plate with BioTek cytation3 multimode plate reader. Total bacterial load/g of fecal sample and quantification of specific bacteria (e.g., butyrate producers, bacteria responsive to fatty acids in the existing literature) will be done by using qPCR on the LightCycler480 real time PCR system. To assess total microbial composition, the 16S rRNA gene V4 variable region will be amplified by PCR and the amplicons will be sequenced using the Illumina MiSeq system. Short-chain fatty acids will be extracted with ethyl acetate anddetermined by GC-MS/MS analysis. Lipopolysaccharide will be measured in serum using the Limulus Amebocyte LysateEndosafe Endochrome-K kit and BioTek cytation3 multimode plate reader.Statistical analyseswill be performed using SAS 9.4 (SAS Institute Inc., Cary, NC). Data will be assessed for normality using the univariate procedure, with evaluation of the distributions, skewness value, and Sharpiro-Wilk P-value. Appropriate transformations will be performed to meet the assumptions of normality prior to using the mixed procedure. Treatment effects will be assessed using a mixed model, with investigation of a treatment x adipose tissue type (i.e. visceral and subcutaneous)interaction. Tukey's post-hoc test will be used for multiple comparisons. Data will be presented as least squares mean +/- standard error of the mean and P<0.05 will be considered significant. For sequencing data, similar sequences will be binned into operational taxonomic units and compared to reference databases (e.g., greengenes) for identification. Alpha and beta diversity will be calculated to describe within and between sample diversity using qiime and qiita. Spearman correlations will be used toinvestigate associations between identified gut parameters and cardiometabolic risk factor outcomescollected at the clinical visits.Planned efforts to cause a change in and deliver the science-based knowledge generated in this project include: submit abstracts to national conferences and university-wide seminars and research exhibitions, present research in oral and poster formats, apply for meeting-specific graduate student awards and participate in student competitions, publish results in high-impact journals, incorporate data into a substantial component of my dissertation, update professional social media sites with publications and video/print interviews, and prepare USDA NIFA progress reports.Plans to evaluate the success of the project plan are as follows. I will meet with my mentors biweekly as individuals, and monthly as a team. All meetings will address progress towards project objectives, short/long term goals, strengths and weaknesses, expectations, outcomes, and project management. I will also meet with my dissertation committee quarterly. Project milestones will adhere to a timetable to verify that the project is on schedule for successful conclusion. Indicators to evaluate achievement of goals, outcomes, and impacts include completion of the following: execute experimental techniques and skills measured by usable data, explain bench skills to students in journal clubs, present research at scientific meetings, expand professional network, publish manuscripts, attend workshops/seminars/trainings, complete scientific service activities, present lectures to undergraduates, mentor junior graduate students, defend dissertation, graduate with a PhD in Nutritional Sciences, and secure a postdoctoral research position. All activities will be documented in a logbook.

Progress 05/01/18 to 04/30/19

Outputs
Target Audience:The target audeince reached by my efforts during this project includes PhD students, master students, undergradautes, faculty, and staff at my institution. The data collected were presented at a national scientific meeting, reaching individuals from private industry, the public sector, academic institutions, and medical centers. These data were also presented during my dissertation defense, which was open to the public and included an audience of academics and non-scientistsalike. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? I attended lab meetings and journal clubs in the lab of my collaborating mentor, Dr. Lavanya Reddivari. Dr. Reddivari's lab focuses on the interaction between gut bacteria and bioactive compounds in improving health, using both in vitro and in vivo models of colonic inflammation and metabolic endotoxemia to understand the bioavailability, bacterial metabolism, and health benefits of bioactive compounds, and the inflammatory potential of microbiota. Attending her lab meetings allowed me to read the latest research findings in the field, increased my familiarity of assays utilized to conduct gut microbiome research at the bench, and helped with my understanding of translating bench research to clinical research. I also presented articles at journal club of the relevant clinical research in the gut microbiota and heart disease field to educate her graduate students. This discourse furthered my communication skills tomeaningfully interactwith animal scientists and translating clinical findings. I attended the NRI/AFRI Project Director's meeting at ASN in Boston, Massachusetts. At this meeting, I learned about ongoing AFRI-funded projects via poster presentations and select talks, and also networked with USDA representations, graduate students, and post-doctoral fellows. I attended webinars and in person seminars for academic and professional development, including: Elsevier Research Academy "How to turn your thesis into an article"; Penn State Graduate Writing Center "Drafting and Revising for Publication." I completed CITI trainings during the tenure of this award to further advance my research skills and ethical approaches to clinical trials, including the Responsible Conduct of Research course. I also completed a semester-longcourse in Professional Development in Health and Human Develpment offered through my university. Throughout this project, I received extensive training at the bench as a clinical research scientist. Skill acquired include, but are not limited to:proper collection of human fecal samples; fecal specimen handling, processing, and storage; fecal SCFA extraction and quantification methodology using gas chromatography-mass spectrometry (GC-MS); use of GC-MS instrumentation and interpretation of generatedoutput; general lab maintenance and safety skills. I successfully defended my dissertation in October 2018 and graduated with my PhD in December 2018. I leveraged my skills and knowledge obtained during my PhD to secure my current position as a Post-Doctoral Fellow on a T32 training grant at an NIH-funded research center. TheUSDA Pre-Doctoral fellowship was a vital step in my career to help me achieve my goal of becomingan independentclinical scientist in the food, nutrition, and human sciences. How have the results been disseminated to communities of interest? I presented a talk at Bucknell University in Lewisburg, Pennsylvania to increase the visibility, importance, and application of Nutritional Sciences. My lecture was titled "Ph.D. in Nutritional Sciences: A Research Path to Improve Human Health Through Diet" and focused on mytrajectory from an undergraduate student-athlete at Bucknell to my role as a Ph.D. Nutritional Sciences student at Penn State. I discussed the Penn State Nutritional Sciences graduate program, and provided details on the broad research areas - ranging from basic cellular and molecular mechanisms of nutrients to applied community health promotion programs. I emphasized the research projects within the Cardiometabolic Nutrition Research Laboratory and described ongoing clinical studies on the effects of dietary components on cardiovascular disease risk factors.The completed and ongoing components of my dissertation, including gut-related outcomes from this NIFA project, were described.Science, psychology, and pre-health majors were the primary attendees, and the major piece of feedback was the importance of presenting such scientific research at a liberal arts university to increase interest in non-physician science careers. I presented my findings from this project at the American Heart Association Epidemiology, Prevention, Lifestyle, & Cardiometabolic Health Conference in Houston, Texas. The title of my presentation was "Effects of Diets That Vary in Fatty Acid Composition on Fecal Short-chain Fatty Acid Levels and Their Relationship With Circulating Lipids and Lipoproteins" and was presented in the Nutrition session. The findings presented generated a great deal of interest and productive discussion by attendees, includingphysicians, clinicians, research scientistics, graduate students, post-docs, and representatives frompharmaceutical companies, hospital systems, and private industry. The research findings generated from this project compromised a full chapter of my dissertation, which were presented at my dissertation defense. The defense was opened to the public an announced university-wide, resulting in attendees from both academia and the community. My talk was titled "Effects of diets enriched in conventional and high-oleic acid canola oils compared to a Western diet on lipids and lipoproteins, gene expression, and the gut environment in adults with metabolic syndrome factors." Ongoing data collection and resultswere presented at lab meetings in the Cardiometabolic Nutrition Research Laboratory, with discussion of findings among, post-docs, faculty, PhD students, and undergraduate students. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? The purpose of the project was to improve our knowledge of the diet, gut, and disease interrelationship to identify dietary strategies to modulate the microbiota and reduce chronic metabolic disease. The project results have a direct impact through contributing knowledge to the expanding diet-gut-health and disease challenge area, andsupporting thegrowing public demand for methods to modify the gut environment forhealth benefits. The short-chain fatty acids (SCFA) acetic acid, propionic acid, and butyric acid are microbial-produced metabolites that can influence host physiology through regulation of hepatic cholesterol metabolism. These biologically relevant gut metabolites may play a role in the hypocholesterolemic effects of select dietary components. We previously reported that diets containing canola oil and HOCO improved circulating lipids, lipoproteins, and apolipoproteins compared to a macronutrient-matched diet with a Western-like fatty acid profile. The biological mechanisms driving this cholesterol-lowering response are unknown. In a double-blind, randomized, controlled, three period crossover, controlled feeding clinical trial, participants with ≥2 Metabolic Syndromemeasures (n=20) were provided with an isocaloric, weight maintenance diet plus conventional canola oil, high-oleic acid canola oil (HOCO), or a control oil (control diet formulated to represent a Western diet fatty acid profile) for 6 weeks followed by washout periods of ≥4 weeks. Fecal samples were collected at the study enrollment and the end of each diet period. SCFA were extracted with ethyl acetate and quantified by gas chromatography-mass spectrometry. Blood was collected at the same time points for analysis of circulating lipids, lipoproteins, and apolipoproteins. After 6 weeks, a trend toward a treatment effect on endpoint fecal propionic acid was observed (P=0.09), with a trend toward a higher concentration following the control compared to the canola diet (P=0.09). Acetic acid was increased from baseline following the control diet (P=0.04). After the control diet only, fecal levels of propionic acid were positively correlated with blood levels of LDL-C, non-HDL-C, and apo B (r=0.52 to 0.64,P=0.003 to 0.02), with a trend in total cholesterol (r=0.39,P=0.10), and acetic acid was positively correlated with LDL-C and apo B (r=0.48 to 0.49,P=0.03 to 0.04), with a trend in non-HDL-C (r=0.44,P=0.06). No significant correlations between fecal SCFA and lipids and lipoproteins were observed after the two canola-based diets. These data suggest that the adverse effects of a contemporary Western diet fatty acid profile (i.e., higher-SFA/lower-USFA) on circulating lipid and lipoprotein parameters compared to diets higher in USFA/lower in SFA may be mediated, at least in part, by gut-derived SCFA. Future research is warranted to confirm these findings.

Publications