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Appetite-Controlling Gut Hormone Found to Inhibit Fungal Pathogen

Researchers at the University of Chicago have discovered that a hormone known as peptide YY (PYY), which is produced by gut endocrine cells and known to be involved in controlling appetite by signaling satiety, also appears to play an important role in maintai

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Researchers at the University of Chicago have discovered that a hormone known as peptide YY (PYY), which is produced by gut endocrine cells and known to be involved in controlling appetite by signaling satiety, also appears to play an important role in maintaining the balance of fungi in the digestive system.

The team’s studies in human and mouse tissue found that specialized immune cells, called Paneth cells (PCs), in the small intestine express a form of PYY that prevents the fungus Candida albicans from turning into its more virulent form, allowing commensal yeast forms of C. albicans to flourish while keeping its more dangerous forms in check.

“So little is known about what regulates these fungi in our in our microbiome,” said Eugene B. Chang, MD, Martin Boyer Professor of Medicine at UChicago and senior author of the team’s published study in Science. “We know that they’re there, but we have no idea what keeps them in a state that provides health benefit to us. We now think that this peptide we discovered is actually important for maintaining fungal commensalism in the gut.”

The findings indicate that while PYY could be useful as a tool to combat fungal infections, its newly discovered function may also play a role in digestive diseases. Patients with Crohn’s disease of the ileum, the last portion of the small intestine, often have dysfunctional Paneth cells. Chang said it’s possible that this dysfunction, and lack of PYY, could create an environment for fungi to overgrow and trigger the onset of disease.

The team reported on the findings in a paper titled “Peptide YY: A Paneth cell antimicrobial peptide that maintains Candida gut commensalism.”

Gut microbes form “region-specific stable and resilient communities that are essential for processes such as immune and metabolic development and overall intestinal homeostasis,” the authors wrote. And while gut bacteria have been investigated extensively, less is known about gut fungi, they noted. The mammalian gut also secretes a family of multifunctional peptides that affect appetite, intestinal secretions, and motility, and regulate the microbiota.

Chang and his team didn’t initially set to explore the fungal side of the gut microbiome, or “mycobiome.” Joseph Pierre, PhD, a former postdoctoral scholar in Chang’s lab, and now an assistant professor of nutritional sciences at the University of Wisconsin-Madison, was studying the enteroendocrine cells (EECs) in mice that produce PYY, when he noticed that PYY was also present in Paneth cells. These are important immune system defenders in the gut of mammals, secreting several antimicrobial compounds to prevent dangerous bacteria from flourishing. “This finding was notable as PCs are gut mucosal epithelial cells found in most mammals, which secrete AMPs against pathogens and regulate the local gut microbiota,” the investigators stated.

This initially made little sense, because PYY was until then recognized as an appetite-related hormone. Further experiments also showed that PYY didn’t have significant antibacterial properties against the bacteria tested. But when the investigators ran a computer search for other classes of peptides with a similar structure, they discovered a molecule called magainin 2, which was similar to PYY, and which is found on the skin of the African clawed frog. “PC expression of PYY indicated it might have an antimicrobial function, the investigators explained in their paper. “The predicted structure of PYY resembles the alpha-helical, amphipathic AMP, magainin-2, produced in the skin of Xenopus laevis.”

The magainin-2 peptide protects the frogs from infection by both bacteria and fungi, so Chang’s team thought to test PYY’s antifungal properties. And in doing this they found that PYY is an effective antifungal agent, and specifically against C. albicans, a yeast which typically grows in small amounts in the mouth, on the skin, and in the intestines. The basic yeast form of C. albicans is commensal, in that it coexists peacefully in the body, but given the right conditions it transforms into what are called hyphae that branch out to form biofilms. “The yeast Candida albicans is found in 70% of humans but can transition into an opportunistic pathogen,” the team noted. When too much grows it can then cause thrush, an infection in the mouth and throat, as well as vaginal yeast infections, or more serious generalized infections in the body.

When Chang’s team tested PYY against both forms of the fungus, it effectively prevented growth and killed the more dangerous hyphae while sparing the commensal Candida yeast. And as the scientists further explained in their paper, “… we show that PC-PYY drives transcriptional programming in C. albicans hyphae consistent with cell death and down-regulation of virulence, whereas commensal yeast respond by downregulating pathways that promote the yeast-to-hypha transition.” Chang added, “This is a unique example of an ‘innate’ antimicrobial peptide secreted by Paneth cells that specifically kills the virulent form of this fungi and has no effect on the on the commensal form.”

The PYY peptides found in the Paneth cells and in the endocrine cells were slightly different. The full, unmodified version of PYY in the Paneth cells is a molecule with 36 amino acids, and when secreted into the gut acts as an effective antifungal peptide. But when endocrine cells produce PYY, an enzyme clips off two amino acids to turn it into a hormone that can travel through the bloodstream and signal to the brain that you’re not hungry. “PC-PYY is strictly the unmodified, full length PYY(1-36)whereas the circulating endocrine form, PYY(3-36), is formed by removal of two N-terminal amino acids by dipeptidyl peptidase IV (DPP-IV),” the authors wrote.

Just like discovering its function from a frog, Chang hopes more research on this peptide will turn up more surprises. “This is an example of the wisdom and beauty of nature that has repurposed a molecule, so it has two different functions,” he said. “That’s really cool, because this is an efficient way of making the most out of things you already have.”

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Related questions

01How do these peptides act?

These peptides, like the parent compound AC253, acted as antagonists at the AMY receptor. They were also resistant to protein breakdown, and crossed the blood-brain barrier easily when injected into the abdominal cavity, to localize in the hippocampus, which is crucial in memory. These peptides protected the brain against beta-amyloid injury, and normalized the AD-associated impairment of the memory-associated long-term potentiation of nerve impulses in the hippocampus. They improved memory testing results, and reduced the level of inflammation in the brain. These effects appear to be mediated via the blockade of AMY receptors. For instance, inhibition of microglial AMY receptors reduce the activation of the inflammasome NLRP3. This reduces the secretion of inflammatory chemicals in the surrounding brain tissue, which offers another mechanism for lower amyloid production. In addition, these peptides increase the rate of outflow of amyloid beta from the brain, which also contributes to a lower level of amyloid after treatment. These marked changes all occurred within a relatively short span of treatment. A very important additional finding was that treatment with these peptides brought about improvement in mice which were showing signs of well-established AD in the brain as well as in their behavior. This is unique in that most therapies fail to affect the progress of AD once it has begun to manifest clinically. Peptides also have fewer off-target effects. Small molecules are easy to administer, inexpensive to make and cross the blood-brain barrier more rapidly. For this reason, the team resorted to computational tools and artificial intelligence to come up with a new small molecular drug based on these peptides. This can be taken orally, and is similar in size and structure to the medications used for medical conditions like high blood pressure. An optimized version is being developed to enable human trials to be conducted. The work so far has taken about two decades, building step upon painstaking step to come up with the right solution. However, says Jhamandas, “Occasionally you come across a discovery that has the potential to change the game in a very fundamental way, like hitting a home run, and I'm very excited that we are really on to something here.” Short amylin receptor antagonist peptides improve memory deficits in Alzheimer’s disease mouse model. Rania Soudy, Ryoichi Kimura, Aarti Patel, Wen Fu, Kamaljit Kaur, David Westaway, Jing Yang & Jack Jhamandas. Scientific Reports, volume 9, Article number: 10942 (2019). https://doi.org/10.1038/s41598-019-47255-9. https://www.nature.com/articles/s41598-019-47255-9

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02So, how can this definition challenge be overcome?

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Source: www.news-medical.net ↗
03What is nisin?

Some bacterial species produce antimicrobial peptides known as bacteriocins that have been used in the food industry as preservatives. For example, nisin, which is produced by Lactococcus lactis, has broad-spectrum bactericidal activity and has been used as a food preservative throughout the world. Nisin is effective in controlling Gram-positive bacteria such as Clostridioides difficile. In combination with other compounds like ethylene diamine tetra-acetic acid and cinnamaldehyde, nisin has been effective in controlling enterotoxigenic Gram-negative bacteria such as Escherichia coli. Previous studies have used chicken and mouse models to demonstrate the in vivo efficacy of nisin on the microbiome, whereas nisin efficacy has been proven in ex vivo experiments on the human microbiome. To date, no studies have assessed the in vivo effects of nisin in large mammals.

Source: www.news-medical.net ↗
04What was this study about?

It has been noted in around 20 percent of the world population suffers from some form of pain or the other. In many individuals, pain may be relieved initially with pain medications, but soon tolerance develops, and there is a decrease in the efficacy of pain relievers. One of the main symptoms of IBS seen commonly in many sufferers is chronic abdominal pain. Professor Lewis said, "All pains are complex, but gut pain is particularly challenging to treat and affects around 20 percent of the world's population. Current drugs are failing to produce effective pain relief in many patients before side effects limit the dose that can be administered." Professor Brierley echoed this statement saying, "Internal organs have a complex network of sensory nerves that have a wide array of voltage-gated ion channels and receptors to detect stimuli... The hypersensitivity of these nerves in disease often contributes to the development of pain."

Source: www.news-medical.net ↗
05What are functional peptides?

Conventional pharmacological studies on spices have traditionally focused on secondary metabolites like polyphenols, alkaloids, and terpenes. More recently, food science research has also examined spice proteins and their enzymatic hydrolysates, using proteomic methods such as liquid chromatography–tandem mass spectrometry (LC-MS/MS) to identify short bioactive peptide sequences released from larger precursor proteins.6 Once released during food processing, fermentation, or gastrointestinal digestion, these functional peptides can act as metabolic regulators, antimicrobials, or antioxidants.1 Functional peptides refer to specific protein fragments that, once released from their parent proteins, exert biological activities.1,2 In the context of foods, these activities are most often demonstrated using in vitro biochemical or cell-based assays, and their physiological relevance depends on bioavailability and dose.2 Unlike intact proteins, which can have the potential to be allergenic or difficult to absorb due to their complex tertiary structures, functional peptides may exhibit improved bioaccessibility, and some small peptides can cross the intestinal epithelial barrier via peptide transport systems. However, absorption efficiency varies substantially by peptide sequence and digestive conditions.6 Nutriomics and mechanistic investigations have established that the bioactivity of a peptide is dictated by its physicochemical properties, particularly its amino acid composition, molecular weight, and net charge. For example, the presence of hydrophobic amino acids like proline, leucine, and valine often correlates with high antioxidant and enzyme-inhibitory activity.2,3 Smaller peptides, typically those less than three kilodaltons (kDa) in size, exhibit greater stability against proteolytic degradation in the gastrointestinal tract.3 Moreover, cationic peptides are particularly effective as antimicrobial agents through their electrostatic interactions with bacterial membranes.3

Source: www.news-medical.net ↗
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Longevity, Performance & Obesity Research

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Peptide Therapy Guide Editorial Team

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