One Sentence Summary:We found that diet post-translationally modifies the gut microbiota proteome to modulate kidney function.
ABSTRACT:We identify a novel mechanism linking diet, gut microbial metabolism, and renal function. We found that a sulfur amino acid-based dietary intervention post-translationally modifies a microbial enzyme, blunting its uremic toxin-producing activity and alleviating chronic kidney disease (CKD) in a preclinical model. We also define a heretofore unknown role for the post-translational modification Ssulfhydration within the gut microbiome. This study provides a framework for understanding how diet can tune microbiota function via protein post-translational modification without altering microbial community composition to support healthy host physiology beyond the gut and specifically how a dietary modification can inhibit tryptophanase activity to ameliorate CKD progression.
Main Text:Chronic kidney disease (CKD) affects nearly 850 million people worldwide (1). Although dietary modification is a cornerstone of CKD treatment, the mechanistic roles of diet-microbiota interactions in CKD pathogenesis and treatment have been under-explored. While many dietmicrobiome studies have focused on the effects of dietary fiber, fat and carbohydrates (2), less is known about the specific effects of dietary protein and amino acids, although 5-10% of dietary amino acids reach the colon where most gut bacterial metabolism occurs (3). In humans, increasing dietary protein increases gut bacterial production of hydrogen sulfide (H 2 S), indole, and indoxyl sulfate (4, 5).Indole and indoxyl sulfate are uremic toxins; and H 2 S has diverse physiological functions, some of which are mediated by the post-translational modification S-sulfhydration (6, 7). While a vast number of studies have been performed in mammalian systems, the physiological roles of H 2 S in regulating gut bacterial function within a host are understudied. Additionally, whether there are bona fide opportunities to improve CKD by manipulating diet-microbiota interactions remain unclear.Given the knowledge gaps around dietary protein, gut microbial metabolism and H 2 S, and to address the role of gut microbial metabolism and diet in renal function; we employed a mouse model of CKD that is driven by elevated adenine (8) along with a sulfur amino acid (Saa)-based diet perturbation. We formulated isocaloric diets to represent edge cases of mouse Saa consumption, i.e.