Abstract
Background & Aim Disrupted microbial tryptophan metabolism and impaired aryl hydrocarbon receptor (AhR) activation are implicated in inflammatory bowel disease (IBD) pathogenesis. However, strategies to restore this pathway through diet or microbial modulation remain poorly defined. This study investigates how dietary tryptophan and human and mouse microbiota modulate metabolism, AhR activation, and intestinal inflammation in preclinical models.
Methods
Gnotobiotic mice colonized with microbiota of varying complexity or human fecal microbiota from ulcerative colitis (UC) patients and healthy controls were used to assess the impact of microbiota and dietary tryptophan supplementation on AhR activation and colitis severity. Chemically induced and spontaneous colitis models were investigated.
Results
IBD fecal samples showed reduced AhR activation compared to healthy controls, and fecal microbiota transplantation into germ-free mice demonstrated that impaired AhR is microbiota-dependent. Mice colonized with minimal microbiota had impaired microbial tryptophan metabolism, lower AhR activation, and worsened colitis severity compared to those colonized with complex microbiota. Dietary tryptophan supplementation in conventional and UC-humanized mice enhanced microbial production of AhR agonists, restored AhR activation, and reduced colitis severity in an AhR-dependent manner. Co-colonization with a tryptophan-metabolizing bacterium, Clostridium sporogenes, further improved tryptophan metabolism and colitis severity in mice with impaired microbial tryptophan metabolism.
Conclusions
Microbial tryptophan metabolism is critical for determining intestinal inflammation. Dietary tryptophan supplementation restores microbial metabolic pathways, mitigates colitis severity in preclinical models, and may address key metabolic deficiencies in IBD patients with impaired tryptophan metabolism. This study demonstrates the therapeutic potential of targeting microbial metabolism with diet in IBD management.
Competing Interest Statement
HS reports lecture fees, board membership, or consultancy from Carenity, AbbVie, Astellas, Danone, Ferring, Mayoly Spindler, MSD, Novartis, Roche, Tillots, Enterome, BiomX, Biose, Novartis,Takeda, Biocodex and is cofounder of Exeliom Biosciences. All other authors declare no conflicts of interest.
Footnotes
Grant support: This study was funded by a Canadian Institutes of Health Research (CIHR) Project Grant [202010PJT], by a Grants-In-Aid Crohn’s and Colitis Canada (CCC) grant, and a Biocodex grant to AC, who also holds the Paul Douglas Chair in Intestinal Research. LER holds a Doctoral Scholarship from CIHR and a graduate scholarship from the Farncombe Family Digestive Health Research Institute. PB holds the Richard Hunt AstraZeneca Chair in Gastroenterology. HS is supported by the Agence Nationale de la Recherche under the reference ANR-23-CE18-0018-01 (TrypENGINE Project).
Abbreviations
- AhR
- aryl hydrocarbon receptor
- CD
- Crohn’s disease
- CON
- control diet
- GF
- germ-free
- HC
- healthy control
- HT
- high tryptophan diet
- IBD
- inflammatory bowel disease
- IAA
- indoleacrylic acid
- I3AA
- indole-3-acetic acid
- I3PA
- indole-3-propionic acid
- IL-10
- interleukin-10
- IND
- indoxyl
- KYN
- kynurenine
- MM
- minimal microbiota
- MM-C
- minimal microbiota co-colonized with Clostridium sporogenes
- SPF
- specific pathogen-free
- TAM
- tryptamine
- TRP
- tryptophan
- UC
- ulcerative colitis
- XANA
- xanthurenic acid
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