In female cynomolgus macaques, eating a Western diet for over two years is linked to higher levels of the gut bacterium Prevotella copri compared to a Mediterranean diet, and this change correlates...
Mechanism
Synthesis from 1 study
Eating a high-fat, sugary diet for a long time makes a specific gut bacterium grow too much, which causes harmful waste products to build up in the blood. These toxins damage the kidneys and insulin-producing cells, leading to early signs of metabolic disease like sugar imbalance and kidney stress....
Most probable mechanism
When a high-fat, high-sugar diet is eaten for a long time, a specific gut bacterium called Prevotella copri becomes much more common. This bacterium changes the balance of other gut microbes, which then produce harmful waste products that leak into the bloodstream. These toxins overload the kidneys, making them less able to reabsorb important molecules like carnitine, so they spill into the urine. At the same time, one of these toxins damages insulin-producing cells in the pancreas, making it harder for the body to control blood sugar. Another toxin builds up in the blood and signals that the kidneys are starting to fail, which is an early sign of metabolic trouble.
Chronic consumption of a high-fat, high-sugar diet alters the gut microbial ecosystem to favor the dominance of Prevotella copri
Prevotella copri dominance reduces overall microbial diversity and shifts the community toward species that produce uremic toxins and acyl-carnitine derivatives
Elevated acyl-carnitine metabolites accumulate in urine due to reduced reabsorption by renal tubules, indicating early kidney tubular damage
Plasma levels of the uremic toxin SDMA increase, inhibiting nitric oxide production and impairing vascular and renal function
Plasma levels of CMPF rise, inducing oxidative stress in pancreatic beta cells and reducing insulin secretion
Allantoic acid accumulates in plasma as a marker of kidney tissue stress and early fibrotic changes
Less supported by current evidence, but not ruled out
When Prevotella copri is not dominant, another gut bacterium converts dietary fats into compounds that increase good cholesterol, helping the body manage fat storage and reduce inflammation.
Low abundance of Prevotella copri allows Eubacterium siraeum to thrive in the gut
Eubacterium siraeum converts linoleic acid into conjugated linoleic acids
Conjugated linoleic acids increase plasma HDL cholesterol levels
Higher HDL cholesterol correlates with reduced adiposity and improved metabolic health
A plant-rich diet supports gut bacteria that turn a dietary amino acid into a compound that seals the gut lining, preventing harmful bacterial parts from entering the blood and causing inflammation.
A Mediterranean diet increases abundance of Lactobacillus and Clostridium species in the gut
These bacteria convert tryptophan into indole-3-propionate
Indole-3-propionate enhances intestinal barrier integrity and reduces leakage of bacterial lipopolysaccharides into circulation
Reduced circulating bacterial lipopolysaccharides lower systemic inflammation
In some individuals on a poor diet, a different gut bacterium helps reduce inflammation and keeps metabolism healthier, even when eating the same food as others who become unhealthy.
Lean individuals on a Western diet have higher abundance of Bacteroides uniformis
Bacteroides uniformis reduces systemic inflammation and improves metabolic regulation
In some individuals on a high-fat diet, a gut bacterium breaks down fiber more efficiently, extracting extra calories and triggering stress hormone release, which promotes fat storage.
Obese individuals on a Western diet have higher abundance of Ruminococcus champaneliensis
Ruminococcus champaneliensis ferments indigestible carbohydrates to release absorbable energy substrates
Increased abundance of this bacterium correlates with higher plasma cortisol and greater body fat
Evidence from Studies
Supporting (1)
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Diet, obesity, and the gut microbiome as determinants modulating metabolic outcomes in a non-human primate model
Contradicting (0)
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