Society: AGA

Background: Marine omega-3 fatty acids (MO3FAs) - which include eicosapentaenoic acid (EPA), docosapentaenoic acid (DPA), and docosahexaenoic acid (DHA) - are fatty acids that have anti-inflammatory properties, reducing C-reactive protein (CRP) and proinflammatory cytokines. Additionally, gut microbes may interact with MO3FA, but it is unknown how MO3FA intake shapes gut microbiome activity and thereby influences systemic inflammation in humans.
Methods: In a sub-cohort of 307 generally healthy men from a prospective cohort study established in 1986, we collected up to two pairs of stools 6 months apart, assessed MO3FA intake from two sets of 7-day diet records, and measured plasma CRP as a marker for chronic systemic inflammation at stool collection (Fig. 1A). Using metagenomic shotgun sequencing, we calculated the abundances of microbial species, functional pathways (MetaCyc), and enzyme families (ECs). We assessed the association of MO3FA intake with microbial features using MaAsLin 2 and the modifying effect by microbial species on the association of MO3FA intake with plasma CRP levels.
Results: MO3FA intake was associated with changes in specific microbial abundances (although not overall composition), with EPA and DHA showing distinct patterns from DPA (Fig. 1G). The strongest association was found between higher EPA and DHA intakes and increased abundance of Lachnospira pectinoschiza (FDR q = 0.011 for EPA and 0.007 for DHA), one of a broad set of gut microbes associated with strict anaerobicity and eubiosis(Fig. 1H). Similar associations were identified for L. pectinoschiza ECs and pathways (Fig. 1I,L). Gut microbial features modified the association between MO3FA intakes and lower plasma CRP levels, with a stronger association among participants with the presence of Eubacterium rectale (P_interaction= 0.017 for EPA, 0.011 for DPA, 0.005 for DHA, Fig. 2B) and the absence of Phocaeicola vulgatus (P_interaction= 0.001 for EPA and 0.008 for DHA, Fig. 2C). Both taxa are prevalent gut residents, with E. rectale again associated with strict anaerobicity and P. vulgatus known to have strain-dependent influences on immune and inflammatory responses. Similar significant interactions were found for the 4 MetaCyc pathways contributed by E. rectale (Fig. 2D,E), and 5 ECs and 1 MetaCyc pathway contributed by P. vulgatus (Fig. 2F,G). A higher level of phosphatidyl-myo-inositol alpha-mannosyltransferase (mannosyltransferase PimA) contributed by P. vulgatus, an enzyme related to the synthesis of surface-exposed lipoglycans, reversed the association of MO3FA intake and plasma CRP from a negative to positive direction (Fig. 2I).
Conclusions: Our findings support the potential role of MO3FA intake in gut microbiome composition and function, and the effect modification by the gut microbiome on the effect of MO3FA on systemic inflammation.

<b>Figure 1. Marine omega-3 fatty acids (MO3FAs), plasma C-reactive protein (CRP), the gut microbiome, and the association between MO3FAs and the gut microbiome.</b> <i>Lanchnospira pectinoschiza</i>, their enzymes and pathways are positively associated with MO3FA, eicosapentaenoic acid (EPA) and docosapentaenoic acid (DPA) but not docosahexaenoic acid (DHA). <b>A,</b> Study design of the study <b>B-D,</b> Characteristics of MO3FA intakes, and CRP levels of participants <b>E</b>, Principal coordinate (PCo) analyses using species-level dissimilarity. <b>F</b>, Taxonomic variation explained by MO3FA intakes, CRP, and covariates using permutational multivariate analysis of variance. <b>G, </b>Significant associations of MO3FAs with species, and the scatter plot of <i>L. pectinoschiza </i>(<b>H</b>) <b>I,L </b>Significant associations of MO3FAs with enzymes (<b>I</b>) or pathways (<b>L</b>) of <i>L. pectinoschiza</i>, and the scatter plot of EC 3.1.4.52<b> (J</b>) or EC 5.2.1.8 (<b>K</b>).

Figure 1. Marine omega-3 fatty acids (MO3FAs), plasma C-reactive protein (CRP), the gut microbiome, and the association between MO3FAs and the gut microbiome. Lanchnospira pectinoschiza, their enzymes and pathways are positively associated with MO3FA, eicosapentaenoic acid (EPA) and docosapentaenoic acid (DPA) but not docosahexaenoic acid (DHA). A, Study design of the study B-D, Characteristics of MO3FA intakes, and CRP levels of participants E, Principal coordinate (PCo) analyses using species-level dissimilarity. F, Taxonomic variation explained by MO3FA intakes, CRP, and covariates using permutational multivariate analysis of variance. G, Significant associations of MO3FAs with species, and the scatter plot of L. pectinoschiza (H) I,L Significant associations of MO3FAs with enzymes (I) or pathways (L) of L. pectinoschiza, and the scatter plot of EC 3.1.4.52 (J) or EC 5.2.1.8 (K).

<b>Figure 2. The effect modification of gut microbiome on the association between Marine omega-3 fatty acids (MO3FAs) intakes and plasma C-reactive protein (CRP) levels. </b><i>Eubacterium rectale, Phocaeicola vulgatus</i> and their enzymes and pathways modify the association between MO3FA intakes and CRP level<b>. A, </b>The interaction of the top 10 abundant species with MO3FA intakes on the CRP level. <b>B</b>,<b>C</b>, Modification on the association between MO3FA intakes and CRP level by carriages of <i>E. rectale </i>(<b>B</b>) or <i>P. vulgatus</i> <b>(C)</b> <b>D-G, </b>The modification by <i>E. rectale</i>-contributed EC enzymes (<b>D</b>) and MetaCyc pathways (<b>E</b>), and <i>P. vulgatus</i>-contributed EC enzymes (<b>F</b>) and MetaCyc pathways (<b>G</b>) on the association of MO3FA intake and CRP level. <b>H, </b>Modification of 5 EC enzymes on the association between docosapentaenoic acid intakes and CRP level, including mannosyltransferase PimA of<i> P. vulgatus.</i> (<b>I</b>)

Figure 2. The effect modification of gut microbiome on the association between Marine omega-3 fatty acids (MO3FAs) intakes and plasma C-reactive protein (CRP) levels. Eubacterium rectale, Phocaeicola vulgatus and their enzymes and pathways modify the association between MO3FA intakes and CRP level. A, The interaction of the top 10 abundant species with MO3FA intakes on the CRP level. B,C, Modification on the association between MO3FA intakes and CRP level by carriages of E. rectale (B) or P. vulgatus (C) D-G, The modification by E. rectale-contributed EC enzymes (D) and MetaCyc pathways (E), and P. vulgatus-contributed EC enzymes (F) and MetaCyc pathways (G) on the association of MO3FA intake and CRP level. H, Modification of 5 EC enzymes on the association between docosapentaenoic acid intakes and CRP level, including mannosyltransferase PimA of P. vulgatus. (I)

Sunjeong Bae

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