Endocrine disruption in Crohn's disease: Bisphenol A enhances systemic inflammatory response in patients with gut barrier translocation of dysbiotic microbiota products
Por:
Linares, R, Fernandez, M, Gutierrez, A, Garcia-Villalba, R, Suarez, B, Zapater, P, Martinez-Blazquez, J, Caparros, E, Tomas-Barberan, F and Frances, R
Publicada:
1 jul 2021
Resumen:
The relevance of environmental triggers in Crohn's disease remains poorly explored, despite the well-known association between industrialization and disease onset/progression. We have aimed at evaluating the influence of endocrine disrupting chemicals in CD patients. We performed a prospective observational study on consecutive patients diagnosed of CD. Serum levels of endocrine disruptors, short-chain fatty acids, tryptophan and cytokines were measured. Bacterial-DNA and serum endotoxin levels were also evaluated. Gene expression of ER-alpha, ER-beta and GPER was measured in PBMCs. All patients were genotyped for NOD2 and ATG16L1 polymorphisms. A series of 200 CD patients (140 in remission, 60 with active disease) was included in the study. Bisphenol A was significantly higher in patients with active disease versus remission and in colonic versus ileal disease. GPER was significantly increased in active patients and correlated with BPA levels. BPA was significantly increased in patients with bacterial-DNA and correlated with serum endotoxin levels, (r = 0.417; P = .003). Serum butyrate and tryptophan levels were significantly lower in patients with bacterial-DNA and an inverse relationship was present between them and BPA levels (r = -0.491; P = .001) (r = -0.611; P = .001). Serum BPA levels correlated with IL-23 (r = 0.807; P = .001) and IL-17A (r = 0.743; P = .001). The multivariate analysis revealed an independent significant contribution of BPA and bacterial-DNA to serum levels of IL-23 and IL-17A. In conclusion, bisphenol A significantly affects systemic inflammatory response in CD patients with gut barrier disruption and dysbiotic microbiota secretory products in blood. These results provide evidence of an endocrine disruptor playing an actual pathogenic role on CD.
Filiaciones:
:
Univ Miguel Hernandez, Dept Med Clin, Alacant, Spain
Fernandez, M:
Univ Granada, Ctr Invest Biomed CIBM, Granada, Spain
Inst Invest Biosanitaria Ibs GRANADA, Granada, Spain
Inst Salud Carlos III, CIBERESP, Madrid, Spain
:
Hosp Gen Univ Alicante, IIS Isabial, Alicante, Spain
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Garcia-Villalba, R:
Univ Murcia, CEBAS CSIC, Murcia, Spain
Suarez, B:
Univ Granada, Ctr Invest Biomed CIBM, Granada, Spain
Inst Invest Biosanitaria Ibs GRANADA, Granada, Spain
Inst Salud Carlos III, CIBERESP, Madrid, Spain
Zapater, P:
Hosp Gen Univ Alicante, IIS Isabial, Alicante, Spain
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Univ Miguel Hernandez, Dept Farmacol, Alacant, Spain
Martinez-Blazquez, J:
Univ Murcia, CEBAS CSIC, Murcia, Spain
:
Univ Miguel Hernandez, Dept Med Clin, Alacant, Spain
Hosp Gen Univ Alicante, IIS Isabial, Alicante, Spain
Tomas-Barberan, F:
Univ Murcia, CEBAS CSIC, Murcia, Spain
:
Univ Miguel Hernandez, Dept Med Clin, Alacant, Spain
Hosp Gen Univ Alicante, IIS Isabial, Alicante, Spain
Inst Salud Carlos III, CIBERehd, Madrid, Spain
Green Published, hybrid
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