Abstract
Aims/hypothesis
Despite the current pandemic of metabolic diseases, our understanding of the diverse nature of the development of metabolic alterations in people who eat a high-fat diet (HFD) is still poor. We recently demonstrated a cardio-metabolic adaptation in mice fed an HFD, which was characterised by a specific gut and periodontal microbiota profile. Since the severity of hepatic disease is characterised by specific microRNA (miRNA) signatures and the gut microbiota is a key driver of both hepatic disease and miRNA expression, we analysed the expression of three hepatic miRNA and studied their correlation with hepatic triacylglycerol content and gut microbiota.
Methods
Two cohorts of C57BL/6 4-week-old wild-type (WT) male mice (n = 62 and n = 96) were fed an HFD for 3 months to provide a model of metabolic adaptation. Additionally 8-week-old C57BL/6 mice, either WT or of different genotypes, with diverse gut microbiota (ob/ob, Nod1, Cd14 knockout [Cd14KO] and Nod2) or without gut microbiota (axenic mice) were fed a normal chow diet. Following which, glycaemic index, body weight, blood glucose levels and hepatic triacylglycerol levels were measured. Gut (caecum) microbiota taxa were analysed by pyrosequencing. To analyse hepatic miRNA expression, real-time PCR was performed on total extracted miRNA samples. Data were analysed using two-way ANOVA followed by the Dunnett’s post hoc test, or by the unpaired Student’s t test. A cluster analysis and multivariate analyses were also performed.
Results
Our results demonstrated that the expression of miR-181a, miR-666 and miR-21 in primary murine hepatocytes is controlled by lipopolysaccharide in a dose-dependent manner. Of the gut microbiota, Firmicutes were positively correlated and Proteobacteria and Bacteroides acidifaciens were negatively correlated with liver triacylglycerol levels. Furthermore, the relative abundance of Firmicutes was negatively correlated with hepatic expression of miR-666 and miR-21. In contrast, the relative abundance of B. acidifaciens was positively correlated with miR-21.
Conclusions/interpretation
We propose the involvement of hepatic miRNA, liver triacylglycerols and gut microbiota as a new triad that underlies the molecular mechanisms by which gut microbiota governs hepatic pathophysiology during metabolic adaptation to HFD.
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Introduction
The current pandemic of metabolic diseases, such as obesity and type 2 diabetes, cannot be completely explained by genetic alterations and the growing consumption of a Western diet [1, 2]. Moreover, obesity is not an inevitable consequence of a fat-rich diet, since both people and mice consuming a high-fat diet (HFD) can display the opposite metabolic outcome, suggesting the existence of metabolic adaptations in some individuals [3, 4]. Among the factors that may affect the metabolic processes on an individual basis [5] are the gut microbiota [6], the impact of which on host metabolism has been established [7,8,9]. We previously found that adaptation to obesity in terms of insulin sensitivity was characterised by a specific gut microbiota profile in insulin-resistant vs insulin-sensitive obese individuals [10]. In addition, we showed that divergent gut microbiota profiles characterise the different metabolic phenotypes developed during metabolic adaptation to an HFD in mice [3, 4]. Recently, we reported that the periodontal microbiota profile correlates with cardio-metabolic adaptations to an HFD in mice [11].
Furthermore, along with xenobiotics [12], diet is considered to be the strongest modulator of gut microbiota [13]. Evidence from hepatic transcript profiles in mice has suggested that liver pathophysiology may be affected during metabolic adaptation to HFD in mice [14]. The existence of a gut–liver axis has been previously demonstrated and the liver is the organ in which xenobiotic metabolism occurs, especially with regard to our capacity of responding to gut microbial antigens [15].
Moreover, the alteration of gut microbiota, termed dysbiosis, is an additional causal factor in the development of hepatic steatosis [16], a condition that involves the accumulation of hepatic triacylglycerols, which is a common feature of metabolic disease [17]. Indeed, the different stages of hepatic diseases, including steatosis, hepatitis and hepatocellular carcinoma (HCC), are identifiable by a precise microRNA (miRNA) signature [18]. miRNA are pleiotropic modulators of gene expression [19] that have been shown to be under the control of gut microbiota [20]. Some miRNA, for example miR-181a, miR-666 and miR-21, are specifically involved in the modulation of liver pathophysiology [18, 21].
In the present study, we aimed to elucidate the gut microbiota profiles that are associated with metabolic adaptations to HFD in mice. We also aimed to investigate the associations between specific taxa of gut microbiota and hepatic expression of miR-181a, miR-666 and miR-21 in mouse models of hepatic steatosis. In addition, we explored the link between miRNA expression levels and metabolic parameters, such as glucose tolerance, body weight and fasting blood glucose.
Methods
Animal models and dietary treatment
All animal experimental procedures were approved by the local ethical committee of Rangueil University Hospital (Toulouse, France). All experimenters were blind to group assignment and outcome assessment. No data, samples or animals were excluded from this study.
Animal model for metabolic adaptation to HFD
An initial cohort of 62 and a second cohort of 96 C57BL/6 4-week-old wild-type (WT) male mice (Charles River, L'Arbresle, France) were fed an HFD (∼72% fat [corn oil and lard], 28% protein and <1% carbohydrate; SAFE, Augy, France) for 3 months [4]. Mice were housed in groups (10–11 mice per cage) in a specific pathogen-free controlled environment (inverted 12 h light cycle; lights off at 10:00 hours). Mice were killed by cervical dislocation after a 6 h fast. Tissues were collected and snap frozen in liquid nitrogen.
Axenic, WT, ob/ob, Nod1, Cd14KO and Nod2 mice
Eight-week-old C57BL/6 mice (Charles River) either WT or of different genotypes, with diverse gut microbiota (ob/ob, Nod1, Cd14 knockout [Cd14KO] and Nod2) or without gut microbiota (axenic mice) were fed a normal chow diet. Mice were housed in groups (4–6 mice per cage) in a specific pathogen-free controlled environment (inverted 12 h light cycle; lights off at 10:00 hours). After the mice were killed, the livers were collected and snap frozen in liquid nitrogen and stored at −80°C until analysis.
GTT and hepatic triacylglycerol measurement
After 3 months of HFD, an IPGTT or OGTT were performed. Briefly, for the IPGTT, 6 h fasted mice were injected with glucose (1 g/kg) into the peritoneal cavity, as previously described [22]. An OGTT was performed via oral administration of glucose (1.5 mg/g) following a 6 h fast. Blood glucose levels were measured 30 min before glucose administration and at 0, 15, 30, 60, 90 and 120 min following glucose challenge.
For both IPGTT and OGTT, the glycaemic index was calculated as the sum of the blood glucose values (mmol/l) divided by the total time of the curve in min to present value in mmol/l × min, or additionally multiplied by 1000 to give value in μmol/l × min.
Liver triacylglycerol content was measured by a colorimetric assay using free glycerol and triacylglycerol reagents (Sigma Aldrich, St Louis, MO, USA) and the plate was read using the Multiskan Spectrum plate reader and the SkanIt RE software (both Thermo Labsystems, Beverly, MA, USA).
Taxonomic analysis of gut microbiota by pyrosequencing
Caecum total DNA was extracted as previously described [4]. The whole 16S bacterial ribosomal RNA V2 region was targeted by the 28F-519R primers (designed by Research and Testing Laboratory [www.researchandtesting.com/, accessed 1 September 2016; Lubbock, TX, USA]) and pyrosequenced by the 454 GS FLX+ system (Roche, Branford, CT, USA) at the Research and Testing Laboratory. On average, 3000 sequences were generated per mouse. The minimum number of sequences guaranteed per mouse was 1606 (n = 62).
Preparation of murine primary hepatocytes and lipopolysaccharide stimulation
Hepatocytes were isolated by a non-recirculating collagenase perfusion through the portal vein of anesthetised 8-week-old C57BL/6 WT or Cd14KO male mice fed a normal chow diet. Isolated cells were filtered through a 100 μm pore mesh nylon filter and cultured (2.5 × 106 cells per well) onto 96-well plates in DMEM (BE12-614F; Lonza, Levallois, France) supplemented with 10% (vol./vol.) FCS, 1% (vol./vol.) penicillin/streptomycin and 0.2 nmol/l l-glutamine. After 12 h, the medium was replaced with medium plus industrially purified lipopolysaccharide (LPS; Sigma Aldrich, St Louis, MO, USA) either from the proinflammatory Escherichia coli serotype O55:B5 [22], or the E. coli strain O111:B4, which stimulates human hepatocytes [23]. Two doses of LPS were tested: 10 ng/ml (low dose) and 100 ng/ml (high dose), and cells were stimulated for 6 h. Experiments were performed in quadruplicates (control) or pooled duplicates (LPS).
miRNA-based quantitative PCR
Real-time PCR for miRNA expression was performed on total miRNA extracted from cells or livers using the miRNeasy kit (Qiagen, Courtaboeuf, France). The expression of each miRNA was normalised to U6 small nuclear RNA (snRNA) expression [23]. For in vitro analyses, cells were directly harvested into Qiazol solution, which was provided with the miRNeasy kit. For ex vivo analyses, frozen pieces of liver were put directly into the Qiazol and total miRNA was extracted following the manufacturer’s protocol. Expression values were quantified using the \( {2}^{-\Delta \Delta {\mathrm{C}}_{\mathrm{t}}} \) method [4].
Hepatic microarray analysis
Total RNA was isolated from the right lobe of the liver using TRIzol (Life Technologies, Villebon sur Yvette, France) according to the manufacturer’s protocol. Preparation, labelling and hybridisations of cDNA were performed as per the manufacturer’s protocol. Samples were analysed using an Agilent SurePrint G3 Mouse GE 8 × 60K chip (design 028005; Agilent Technologies, Courtaboeuf, France). The hybridised microarrays were washed and scanned using an Agilent G2505C scanner. Data were extracted from the scanned image using the Agilent Feature Extraction software version 10.10.1.1. All of these steps were performed at the GENOTOUL GeT-TRIX facility at the French National Institute for Agricultural Research (INRA; Toulouse, France).
Statistical analysis
Statistical analyses were performed by two-way ANOVA followed by the Dunnett’s post hoc test, or using the unpaired Student’s t test, using GraphPad Prism version 7.00 for Windows 7 (GraphPad, San Diego, CA, USA). A p value <0.05 was considered significant. Cluster analysis was performed using PermutMatrixEN software (http://download.cnet.com/PermutMatrix/3000-20432_4-75325452.html, accessed 20 June 2016) [24]. Multivariate analyses were performed using the Spearman correlation coefficient and p values were adjusted using the Benjamini–Hochberg correction (available at www.marum.de/Binaries/Binary745/BenjaminiHochberg.xlsx, accessed 12 November 2016). A String analysis was performed to study the network of genes targeted by miR-21; these genes were identified using the software miRTarBase (http://mirtarbase.mbc.nctu.edu.tw/, accessed 20 June 2016) [25].
Results
Hepatic triacylglycerol content correlates with metabolic adaptation to HFD feeding in mice
We aimed to investigate the effect of diabetogenic/non-obesogenic HFD in hepatic steatosis. To do this, hepatic triacylglycerol content was analysed in a murine model of metabolic adaptation to HFD [4, 11]. Glycaemic index (evaluated using IPGTT; Fig. 1a,c), body weight (Fig. 1a,b; trend over 3 months reported in ESM Fig. 1) and liver triacylglycerol content (Fig. 1b,c) were significantly correlated with each other. Liver triacylglycerol content showed high interindividual variation, which is typical of this animal model and suggests that liver triacylglycerol levels are dependent on the metabolic response of each mouse to HFD feeding (Fig. 1). Thus, we further confirm our previous findings from an analysis of hepatic gene expression during metabolic adaptation to HFD in mice, reinforcing the reproducibility of the animal model used in this study [14].
Specific bacterial groups in the gut microbiota are associated with hepatic triacylglycerol content during metabolic adaptation to HFD feeding in mice
We previously demonstrated that a specific gut microbiota profile characterises the mouse model of metabolic adaptation to HFD used in this study [4]. Hence, since the gut–liver axis manages our capacity to sense gut microbes [15], we investigated whether bacterial groups from the gut microbiota may be associated with the diversity of hepatic triacylglycerol content in HFD-fed mice. We sequenced the gut microbiota from all mice and performed a non a priori-based analysis to identify putative correlations between bacterial phyla and metabolic variables of interest. Out of the total 12 phyla identified, three were present in all mice: Firmicutes, Proteobacteria and Bacteroidetes (Table 1). As presented in Fig. 2a, all of the metabolic variables of interest (glycaemic index, body weight and liver triacylglycerol) were positively associated with Firmicutes, and negatively associated with Proteobacteria and Bacteroidetes. We challenged these associations by performing single linear regression analyses and found that Firmicutes showed a significant positive correlation with liver triacylglycerol content (Fig. 2b) and Proteobacteria showed a significant negative correlation with liver triacylglycerols (Fig. 2c). In contrast, single linear regression analysis revealed that Bacteroidetes showed a non-significant correlation with liver triacylglycerol content (Fig. 2d).
We also tested whether specific bacterial species were associated with liver triacylglycerol levels. Of the 421 bacterial species identified in the gut microbiota, 24 were present in all mice (Table 1). Among those that were significantly correlated with liver triacylglycerol content, Bacteroides acidifaciens (belonging to the Bacteroidetes phylum) showed the most robust negative correlation (Fig. 2e).
In summary, these data identify that Firmicutes, Proteobacteria and B. acidifaciens of the gut microbiota correlate with hepatic triacylglycerol content during metabolic adaptation to HFD feeding in mice.
Bacterial antigens drive hepatic miRNA expression in vitro
Gut microbiota dysbiosis can drive liver disease [26]; miRNA are known modulators of liver pathophysiology [18] and the gut microbiota modulates miRNA expression [20]. Therefore, we tested whether liver triacylglycerol content was associated with both gut microbiota and hepatic miRNA expression in a mouse model of metabolic adaptation to an HFD. First, we tested the capacity of bacterial antigens to modulate hepatic miRNA expression in vitro. The expression of three miRNA involved in the modulation of liver pathophysiology [18, 21], miR-181a, miR-666 and miR-21, was under the dose-dependent control of proinflammatory LPS from E. coli O55:B5 in primary WT murine hepatocytes. Also, 10 ng/ml LPS from the E. coli O111:B4 serotype, a known stimulator of nitric oxide synthase (NOS) in human hepatocytes [27], significantly decreased the expression of miR-181a, whilst treatment with 100 ng/ml showed a trend towards decreased expression of miR-181a and both 10 ng/ml and 100 ng/ml non-significantly decreased miR-21 expression. There was no significant effect of E. coli O111:B4 LPS on miR-666 levels (Fig. 3a). This LPS-induced modulation of miRNA expression was highly specific since it was not observed in primary hepatocytes from Cd14KO mice (Fig. 3b), known not to respond to LPS [22, 28].
We then analysed the hepatic expression of the above miRNA in animal models of metabolic diseases characterised by gut microbiota dysbiosis, fed a normal chow diet (Fig. 4). First, we analysed the diversity of liver triacylglycerol content between the different models (Fig. 4a) and confirmed that the liver of axenic mice had lower triacylglycerol content than all other models [29]. With regard to miRNA expression, there was less variation in miR-181a expression between models suggesting this miRNA did not undergo metabolic adaptation and that there was no link with liver triacylglycerol levels (Fig. 4b). In contrast, the regulation of miR-666 and, to a larger extent, miR-21 expression was significantly altered depending on the animal model used (Fig. 4c,d).
Together these data show that: (1) in vitro, bacterial antigens control hepatic miRNA expression in a dose-dependent manner; and (2) in vivo, hepatic miRNA expression is associated with liver triacylglycerol content during gut microbiota dysbiosis.
Hepatic miRNA expression is significantly associated with liver triacylglycerol content and with Firmicutes and B. acidifaciens relative abundance during metabolic adaptation to HFD feeding in mice
The hepatic expression of miR-181a, miR-666 and miR-21 was studied in our model of metabolic adaptation to HFD. We observed a high diversity of expression for all three miRNA (Fig. 5a–c). Furthermore, miR-181a was not significantly correlated with liver triacylglycerols (Fig. 5d), whereas miR-666 and, to a larger extent, miR-21 showed significant correlations with this variable (Fig. 5e,f). Given that Firmicutes modulation is a marker of dysbiosis during metabolic adaptation (as we have already shown [4, 11]), we analysed whether this phylum may be correlated with hepatic miRNA expression in this model, along with B. acidifaciens. Of note, miR-181a was not significantly correlated with Firmicutes or B. acidifaciens relative abundance (Fig. 5g,j). In contrast, miR-666 was significantly correlated with Firmicutes but not with relative abundance of B. acidifaciens (Fig. 5h,k), whereas miR-21 was significantly correlated with both taxa (Fig. 5i,l).
In summary, hepatic miRNA expression is associated with both variations in liver triacylglycerol content and specific taxa of the gut microbiota during metabolic adaptation to HFD (Fig. 2 and Fig. 5).
Hepatic miR-21-targeted genes and their metabolic relationships
To provide insight on the functional consequences of hepatic miR-21 expression on hepatic metabolic pathways, we performed a String analysis [30] of the network of genes targeted by this miRNA, which were identified by miRTarBase [25]. Notably, some genes targeted by miR-21 are involved in pathways associated with the hepatocyte apoptotic process, non-alcoholic fatty liver disease (NAFLD), insulin signalling and the proinflammatory RIG-I-like receptor signalling pathway (Fig. 6). This pathway regulates the production of proinflammatory cytokines, such as TNF-α and IL-8, in response to microbial antigens (i.e. LPS). Interestingly, we recently found that the RIG-I-like receptor signalling pathway is modulated in the periodontitis-induced periodontal dysbiosis during cardio-metabolic adaptation to HFD [11]. This result suggests an important association between the RIG-I-like receptor signalling microbial pathway and metabolic adaptation to an HFD in mice.
Next, we investigated whether genes targeted by miR-21 may correlate with key metabolic variables: glucose tolerance, body weight and fasting blood glucose. To corroborate our observations in the first HFD-fed murine cohort, the correlation analysis was conducted in a second independent murine cohort (n = 96) of metabolic adaptation to HFD, in which we performed a liver microarray analysis. Importantly, the expression of Fas, Pdcd4, Reck and Rmnd5a was significantly correlated with the glycaemic index evaluated during an OGTT (Fig. 7a–d). Moreover, the expression of Akt1, Fadd, Pten, Reck and Tns1 was significantly correlated with body weight (Fig. 7e–i). Additionally, the expression of Akt1 and Rmnd5a was significantly correlated with fasting blood glucose (Fig. 7j,k).
Together these data suggest that the association of gut microbiota with hepatic miR-21 expression may have metabolic consequences via the modulation of genes targeted by miR-21.
Discussion
In this study we report that, beyond the diversity already observed for blood glucose and body weight [3, 4, 11], liver triacylglycerol content is characterised by a high heterogeneity according to the individual response of mice to a diabetogenic/non-obesogenic HFD. Furthermore, liver triacylglycerol content was positively associated with the relative abundance of Firmicutes, and negatively associated with hepatic miR-21 expression and the relative abundance of Proteobacteria and B. acidifaciens.
Our finding that hepatic steatosis follows metabolic diversity on an individual basis, in mice fed a diabetogenic/non-obesogenic HFD, confirms our previous observations where hepatic lipid metabolism in this model, evaluated at the level of gene expression, was shown to be modulated according to the response to an HFD [14]. Therefore, our results reinforce the reproducibility of this animal model.
The observed positive association between hepatic triacylglycerol content and the relative abundance of Firmicutes is in contrast with the results of Henao-Mejia et al [26]. The authors found a reduction of Firmicutes in a model for inflammasome-mediated dysbiosis, regulating the progression of NAFLD and obesity [31]. However, the murine model used in our study is very different from the one used by Henao-Mejia and colleagues; we used C57BL/6 WT mice, whereas these authors used C56BL/6 Nlrp6 KO mice. Therefore, it is likely that the different genetic backgrounds and genotypes of these mouse models account for disparity in the manifestations of dysbiosis, and are also responsible for the observed colitogenic phenotype. Differences in murine models may also explain the discrepancies found in the literature with regard to B. acidifaciens. This bacterium has recently been shown to be associated with liver disease [32], in contrast to our findings. Again, the murine model used in our study is very different from the mouse model used by Xie et al (streptozotocin/HFD-induced non-alcoholic steatohepatitis [NASH]/HCC C57BL/6 J mice) [32]. Thus, it is likely that under two very different dietary conditions, B. acidifaciens may have different associations with hepatic pathophysiology. This explanation is corroborated by another recent study by Yang et al that showed that B. acidifaciens prevents obesity and improves insulin sensitivity in mice [33]. Hence, based on the adaptation of both mice and microbes to a fatty environment, a divergent metabolic phenotype may arise, as we also recently reported with regard to cardio-metabolic adaptation to HFD in mice [11].
From a molecular perspective, miRNA represent promising molecules that may link gut microbiota dysbiosis to metabolic outcomes. Gut microbiota can modulate intestinal miRNA expression [20]. Moreover, a specific miRNA profile defines every stage of hepatic pathophysiology during the progression of disease from NAFLD (characterised by accumulated hepatic triacylglycerols) to NASH, (characterised by inflammation and fibrosis), up to HCC [18]. Thus, taking into account the gut–liver axis with regard to our capacity to sense gut microbes [15] and the fact that gut microbiota dysbiosis can drive NAFLD [25], it is plausible to consider that, in our study microbes, or even their antigens (e.g. LPS), may affect the liver via the modulation of hepatic miRNA expression, as we have shown here in vitro.
Specifically, miR-21 regulates both regeneration [34] and progression of fibrosis [35] in the liver, and long-term (18 weeks) inhibition of miR-21 reduces both body weight and adipocyte size in aged db/db mice [36]. These data are in accordance with the definition of miR-21 as a ‘disease miRNA’ [21]. However, this definition appears to be dependent on both animal model and diet. In fact, in the absence of HFD feeding, hepatic miR-21 expression is not correlated with hepatic triacylglycerols (Fig. 4; r 2 = 0.08, p = 0.1 [correlation not shown]). Notably, there is no clear evidence in the literature as to whether miR-21 may act as a marker of hepatic fat deposition. On one hand, Wu et al recently showed that miR-21 knockdown impairs lipid accumulation [37], which is in contrast to our findings. In contrast, Ahn et al reported that lycopene inhibits hepatic steatosis via the upregulation of miR-21, which is in accordance with our findings [38].
However, during metabolic adaptation to HFD, hepatic miR-21 expression was observed to be negatively associated with liver triacylglycerol content (Fig. 5f). This evidence suggests that during the adaptation to HFD, hepatic miRNA expression follows a different pattern of regulation. We confirmed this interpretation by showing that among the genes targeted by miR-21 are Casp8 and Fadd, which are also part of the microbial RIG-I-like receptor signalling pathway. As previously mentioned, this pathway regulates the production of proinflammatory cytokines (such as TNF-α and IL-8) in response to microbial antigens (i.e. LPS). Importantly, we recently showed that the microbial RIG-I-like receptor signalling pathway is one of the most upregulated pathways during cardio-metabolic adaptation to HFD in mice [11], corroborating its implication in this phenomenon.
In conclusion, we propose a new triad linking gut microbiota, hepatic miRNA expression and liver triacylglycerol content. These findings may help to explain hepatic metabolism adaptation to an HFD in mice.
Abbreviations
- Cd14KO:
-
Cd14 knockout
- HCC:
-
Hepatocellular carcinoma
- HFD:
-
High-fat diet
- LPS:
-
Lipopolysaccharide
- miRNA:
-
MicroRNA
- NAFLD:
-
Non-alcoholic fatty liver disease
- NASH:
-
Non-alcoholic steatohepatitis
- snRNA:
-
Small nuclear RNA
- WT:
-
Wild-type
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Acknowledgements
We thank the Société Française d’Hypertension Artérielle and the Société Francophone du Diabète for supporting V. Blasco-Baque; the zootechnie-Rangueil Inserm/UPS US006 CREFRE (Toulouse, France); the GeT-TRIX facility at INRA (Toulouse, France). We also thank S. Dejean from the Institut de Mathématiques de Toulouse (Toulouse, France) for helping with the statistical analysis.
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The data that support the findings of this study are available from Vaiomer SAS but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. However, data are available from the authors upon reasonable request and with permission of Vaiomer SAS.
Funding
This work was supported in part by grants from Agence Nationale pour la Recherche (ANR) to RB and collaborators (ANR-Bactimmunodia and LPS diagra), and by the European Commission’s Seventh Framework programme under grant agreement No. 241913 (FLORINASH) to RB.
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The authors declare that there is no duality of interest associated with this manuscript.
Author contribution
VB-B, BC, AF, SH made substantial contributions to acquisition of data and reviewed the article critically for important intellectual content; PG, J-FA, MC, CS-K, BG, FT and RB made substantial contributions to the analysis and interpretation of data, and reviewed the article critically for important intellectual content; MS made substantial contributions to conception and design, acquisition, analysis and interpretation of data, as well as in drafting the article. All authors gave final approval of the version to be published. MS is the guarantor of this work.
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Blasco-Baque, V., Coupé, B., Fabre, A. et al. Associations between hepatic miRNA expression, liver triacylglycerols and gut microbiota during metabolic adaptation to high-fat diet in mice. Diabetologia 60, 690–700 (2017). https://doi.org/10.1007/s00125-017-4209-3
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DOI: https://doi.org/10.1007/s00125-017-4209-3