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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-case14370676792021-08-03T06:32:07Z Transmission of Atherosclerosis and Thrombosis Susceptibility with Gut Microbial Transplantation Gregory, Jill Christine Biochemistry Biomedical Research Biology Bioinformatics Ecology Health Microbiology Molecular Biology Nutrition Atherosclerosis Choline Dyslipidemia Gut Microbiota Koch Postulate Lipid Nutrition Phospholipid Thrombosis Trimethylamine N-Oxide TMAO The overall goal of my thesis research is to further the understanding of the link among dietary trimethylamine-containing nutrients, intestinal microbiome, and cardiovascular disease (CVD) by testing the hypothesis that disease susceptibility is a transmissible trait via cecal microbial transplant. The positive correlation discovered between plasma TMAO and lesion in a panel of inbred mouse strains permitted the identification of atherosclerosis prone (high TMAO-producing, large lesion; C57BL/6J) and resistant mice (low TMAO-producing, small lesion; NZW/LacJ) to be used as donor strains for cecal microbial transplant into intestinal microbiota-suppressed recipient C57BL/6J Apoe-/- female mice. Recipients of C57BL/6J microbes on the choline diet initially had statistically significantly higher plasma TMA and TMAO as compared to choline diet NZW/LacJ recipients, and at the study endpoint, choline diet-dependent enhancement of atherosclerotic lesion area was observed in the recipients of C57BL/6J microbes but not in recipients of NZW/LacJ microbes. Examination of microbial communities from 16S rRNA bacterial gene sequencing analysis showed distinct donor communities faithfully transferred to the respective recipient mouse groups. Several donor strain-characteristic taxa were identified in recipient groups whose proportional abundances correlated with plasma TMAO and/or lesion area. The second set of studies explores thrombosis potential and platelet reactivity, the proximal events in heart attack and stroke, for a relationship with the microbiome. Plasma TMAO is associated with a 2-fold increased risk for thrombotic events in a large cohort (n=4007). TMAO enhances agonist dependent platelet responsiveness by increasing the release of intracellular calcium stores. In mice, provision of TMAO or dietary choline (solely in the setting of an intact microbial community) enhances platelet aggregation <i>ex vivo</i> and shortens the time to cessation of blood flow <i>in vivo</i>. Cecal microbial transplant study showed that germ-free recipients of the disease-prone donor microbes were transmitted bacterial communities, choline diet-dependent enhanced TMA lyase activity, elevated plasma TMAO, and prothrombotic phenotypes as compared to recipients of disease-resistant donors. Collectively, the results of these studies suggest that the body and its microbial inhabitants interact to promote health or disease. Targeting microbial communities could be an adjunct treatment for the management of cardiometabolic disease in the future. 2015-09-03 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1437067679 http://rave.ohiolink.edu/etdc/view?acc_num=case1437067679 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Biochemistry
Biomedical Research
Biology
Bioinformatics
Ecology
Health
Microbiology
Molecular Biology
Nutrition
Atherosclerosis
Choline
Dyslipidemia
Gut Microbiota
Koch Postulate
Lipid
Nutrition
Phospholipid
Thrombosis
Trimethylamine N-Oxide
TMAO
spellingShingle Biochemistry
Biomedical Research
Biology
Bioinformatics
Ecology
Health
Microbiology
Molecular Biology
Nutrition
Atherosclerosis
Choline
Dyslipidemia
Gut Microbiota
Koch Postulate
Lipid
Nutrition
Phospholipid
Thrombosis
Trimethylamine N-Oxide
TMAO
Gregory, Jill Christine
Transmission of Atherosclerosis and Thrombosis Susceptibility with Gut Microbial Transplantation
author Gregory, Jill Christine
author_facet Gregory, Jill Christine
author_sort Gregory, Jill Christine
title Transmission of Atherosclerosis and Thrombosis Susceptibility with Gut Microbial Transplantation
title_short Transmission of Atherosclerosis and Thrombosis Susceptibility with Gut Microbial Transplantation
title_full Transmission of Atherosclerosis and Thrombosis Susceptibility with Gut Microbial Transplantation
title_fullStr Transmission of Atherosclerosis and Thrombosis Susceptibility with Gut Microbial Transplantation
title_full_unstemmed Transmission of Atherosclerosis and Thrombosis Susceptibility with Gut Microbial Transplantation
title_sort transmission of atherosclerosis and thrombosis susceptibility with gut microbial transplantation
publisher Case Western Reserve University School of Graduate Studies / OhioLINK
publishDate 2015
url http://rave.ohiolink.edu/etdc/view?acc_num=case1437067679
work_keys_str_mv AT gregoryjillchristine transmissionofatherosclerosisandthrombosissusceptibilitywithgutmicrobialtransplantation
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