Neurogastroenterology & Motility. 2020;00:e13990. wileyonlinelibrary.com/journal/nmo | 1 of 15
https://doi.org/10.1111/nmo.13990
© 2020 John Wiley & Sons Ltd
Received: 10 October 2019
|
Revised: 12 August 2020
|
Accepted: 25 August 2020
DOI: 10.1111/nmo.13990
ORIGINAL ARTICLE
Supernatants of intestinal luminal contents from mice fed high-
fat diet impair intestinal motility by injuring enteric neurons
and smooth muscle cells
Yvonne Nyavor
1
| Catherine R. Brands
1
| Jessica Nicholson
1
| Sydney Kuther
1
|
Kortni K. Cox
1
| George May
1
| Christopher Miller
1
| Allysha Yasuda
1
|
Forrest Potter
1
| Joshua Cady
1
| Heino M. Heyman
2
| Thomas O. Metz
2
|
Timo D. Stark
3
| Thomas Hofmann
3
| Onesmo B. Balemba
1
Abbreviations: ALC10 +11, HPLC subfractions 10 and 11 of the aqueous SPE1 fractions of ICS; ANNA1, anti-neuronal nuclear antibody 1; DHE, dihydroethidium; ENS, enteric nervous
system; GI, gastrointestinal; GS, anti-glutathione synthase antibody; HFD, high-fat diet; HFD-ICS, ileocecal supernatants from HFD mice; HFD-SPE1, aqueous solid-phase extraction
fraction of HFD-ICS; HPLC, high-performance liquid chromatography; ICS, ileocecal supernatants; IJPs, inhibitory junction potentials; IL-6, Interleukin 6; iNOS, inducible nitric oxide
synthase; LPS, lipopolysaccharide; MCP1, monocyte chemo-attractant protein 1; MLC1, HPLC subfraction 1 of the methanolic SPE4 fractions of ICS; nNOS, neuronal nitric oxide
synthase; PAI-1, plasminogen activator inhibitor-1; SCD- SPE1, aqueous solid-phase extraction fraction of SCD-ICS; SCD, standard chow diet; SCD-ICS, ileocecal supernatants from SCD
mice; SMCs, smooth muscle cells; SPE, solid-phase extraction; T2D, type 2 diabetes; TNFα, Tumor necrosis factor-alpha; VIP, vasoactive intestinal peptide.
1
Department of Biological Sciences,
University of Idaho, Moscow, ID, USA
2
Earth and Biological Sciences Directorate,
Pacific Northwest National Laboratory,
Richland, WA, USA
3
Lehrstuhl für Lebensmittelchemie
und Molekulare Sensorik, Technische
Universität München, Freising, Germany
Correspondence
Onesmo B. Balemba, Department of
Biological Sciences, University of Idaho,
875 Perimeter Drive, LSS 252, Moscow, ID
83844, USA.
Email: obalemba@uidaho.edu
Funding information
This study was supported by the
University of Idaho—Dyess Faculty
Fellowship and National Institutes of
Health grant number S10OD018044 to
Deborah Stenkamp. Additional support
was by Institutional Development Awards
(IDeA) from the National Institute of
General Medical Sciences of the National
Institutes of Health under grant numbers
P20 RR016454 and the National Center
for Research Resources grant number P20
GM103408 through IDAHO INBRE.
Abstract
Background: Damage to enteric neurons and impaired gastrointestinal muscle contrac-
tions cause motility disorders in 70% of diabetic patients. It is thought that enteric
neuropathy and dysmotility occur before overt diabetes, but triggers of these abnor-
malities are not fully known. We tested the hypothesis that intestinal contents of mice
with and without high-fat diet- (HFD-) induced diabetic conditions contain molecules
that impair gastrointestinal movements by damaging neurons and disrupting muscle
contractions.
Methods: Small and large intestinal segments were collected from healthy, standard
chow diet (SCD) fed mice. Filtrates of ileocecal contents (ileocecal supernatants; ICS)
from HFD or SCD mice were perfused through them. Cultured intact intestinal mus-
cularis externa preparations were used to determine whether ICS and their fractions
obtained by solid-phase extraction (SPE) and SPE subfractions collected by high-per-
formance liquid chromatography (HPLC) disrupt muscle contractions by injuring neu-
rons and smooth muscle cells.
Key Results: ICS from HFD mice reduced intestinal motility, but those from SCD mice
had no effect. ICS, aqueous SPE fractions and two out of twenty HPLC subfractions of
aqueous SPE fractions from HFD mice blocked muscle contractions, caused a loss of
nitrergic myenteric neurons through inflammation, and reduced smooth muscle excit-
ability. Lipopolysaccharide and palmitate caused a loss of nitrergic myenteric neurons
but did not affect muscle contractions.
Conclusions & Inferences: Unknown molecules in intestinal contents of HFD mice trig-
ger enteric neuropathy and dysmotility. Further studies are required to identify the
toxic molecules and their mechanisms of action.