Chronic opioid use modulates human enteric microbiota and intestinal barrier integrity

Over the past three decades the United States has experienced a devastating opioid epidemic. One of the many debilitating side effects of chronic opioid use is opioid-induced bowel dysfunction. We investigated the impact of methadone maintenance treatment (MMT) on the gut microbiome, the gut bacteri...

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Autores principales: Angélica Cruz-Lebrón, Ramona Johnson, Claire Mazahery, Zach Troyer, Samira Joussef-Piña, Miguel E. Quiñones-Mateu, Christopher M Strauch, Stanley L. Hazen, Alan D. Levine
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Publicado: Taylor & Francis Group 2021
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Acceso en línea:https://doaj.org/article/2cfa106a74bf42a6a680b1086752c4b3
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spelling oai:doaj.org-article:2cfa106a74bf42a6a680b1086752c4b32021-11-26T11:19:48ZChronic opioid use modulates human enteric microbiota and intestinal barrier integrity1949-09761949-098410.1080/19490976.2021.1946368https://doaj.org/article/2cfa106a74bf42a6a680b1086752c4b32021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/19490976.2021.1946368https://doaj.org/toc/1949-0976https://doaj.org/toc/1949-0984Over the past three decades the United States has experienced a devastating opioid epidemic. One of the many debilitating side effects of chronic opioid use is opioid-induced bowel dysfunction. We investigated the impact of methadone maintenance treatment (MMT) on the gut microbiome, the gut bacterial metabolite profile, and intestinal barrier integrity. An imbalance in key bacterial communities required for production of short-chain fatty acids (SCFAs), mucus degradation, and maintenance of barrier integrity was identified. Consistent with dysbiosis, levels of fecal SCFAs were reduced in MMT. We demonstrated that metabolites synthesized by Akkermansia muciniphila modulate intestinal barrier integrity in vitro by strengthening the pore pathway and regulating tight junction protein expression. This study provides essential information about the therapeutic potential of A. muciniphila and warrants development of new clinical strategies that aim to normalize the gut microbiome in individuals affected by chronic opioid use.Angélica Cruz-LebrónRamona JohnsonClaire MazaheryZach TroyerSamira Joussef-PiñaMiguel E. Quiñones-MateuChristopher M StrauchStanley L. HazenAlan D. LevineTaylor & Francis Grouparticleintestinal permeabilitytight junctionsakkermansia muciniphilashort-chain fatty acidsmetabolomicsmethadoneDiseases of the digestive system. GastroenterologyRC799-869ENGut Microbes, Vol 13, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic intestinal permeability
tight junctions
akkermansia muciniphila
short-chain fatty acids
metabolomics
methadone
Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle intestinal permeability
tight junctions
akkermansia muciniphila
short-chain fatty acids
metabolomics
methadone
Diseases of the digestive system. Gastroenterology
RC799-869
Angélica Cruz-Lebrón
Ramona Johnson
Claire Mazahery
Zach Troyer
Samira Joussef-Piña
Miguel E. Quiñones-Mateu
Christopher M Strauch
Stanley L. Hazen
Alan D. Levine
Chronic opioid use modulates human enteric microbiota and intestinal barrier integrity
description Over the past three decades the United States has experienced a devastating opioid epidemic. One of the many debilitating side effects of chronic opioid use is opioid-induced bowel dysfunction. We investigated the impact of methadone maintenance treatment (MMT) on the gut microbiome, the gut bacterial metabolite profile, and intestinal barrier integrity. An imbalance in key bacterial communities required for production of short-chain fatty acids (SCFAs), mucus degradation, and maintenance of barrier integrity was identified. Consistent with dysbiosis, levels of fecal SCFAs were reduced in MMT. We demonstrated that metabolites synthesized by Akkermansia muciniphila modulate intestinal barrier integrity in vitro by strengthening the pore pathway and regulating tight junction protein expression. This study provides essential information about the therapeutic potential of A. muciniphila and warrants development of new clinical strategies that aim to normalize the gut microbiome in individuals affected by chronic opioid use.
format article
author Angélica Cruz-Lebrón
Ramona Johnson
Claire Mazahery
Zach Troyer
Samira Joussef-Piña
Miguel E. Quiñones-Mateu
Christopher M Strauch
Stanley L. Hazen
Alan D. Levine
author_facet Angélica Cruz-Lebrón
Ramona Johnson
Claire Mazahery
Zach Troyer
Samira Joussef-Piña
Miguel E. Quiñones-Mateu
Christopher M Strauch
Stanley L. Hazen
Alan D. Levine
author_sort Angélica Cruz-Lebrón
title Chronic opioid use modulates human enteric microbiota and intestinal barrier integrity
title_short Chronic opioid use modulates human enteric microbiota and intestinal barrier integrity
title_full Chronic opioid use modulates human enteric microbiota and intestinal barrier integrity
title_fullStr Chronic opioid use modulates human enteric microbiota and intestinal barrier integrity
title_full_unstemmed Chronic opioid use modulates human enteric microbiota and intestinal barrier integrity
title_sort chronic opioid use modulates human enteric microbiota and intestinal barrier integrity
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/2cfa106a74bf42a6a680b1086752c4b3
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