Review Article

Insights into the Roles of Gut Microbes in Obesity

Figure 2

Schematic diagram of signaling pathways triggered by bacterial components, saturated fatty acids, and adipokines in epithelial and innate immune cells leading to either activation or negative regulation of proinflammatory pathways related to obesity and insulin resistance. (1) Lipopolysaccharide (LPS) from Gram-negative bacteria and saturated fatty acids (SFAs) is recognized by toll-like receptor (TLR) 4 activating proinflammatory pathways involving the MyD88 (myeloid differentiation primary-response protein 88)-dependent and -independent pathways that may lead to activation of nuclear factor (NF)- B and activator protein-1 (AP-1) with production of pro-inflammatory cytokines. (2) Peptidoglycan (PGL) and lipoteichoic acid from Gram-positive bacteria are recognized by TLR-2 triggering the activation of the MyD88-dependent pathway. (3) Commensal bacteria and some probiotics may suppress activation of NF- B cascade by (i) promotion of nuclear export of NF- B subunit relA in complex with PPAR- ; (ii) inhibition of I B ubiquitination and degradation, (iii) induction of anti-inflammatory (IL10) cytokine production. (4) Leptin interacts with its receptors (OBR) activating the signal transducer and activator of transcription (STAT), and induces production of CCL2, proinflammatory cytokines, and reactive oxygen species (ROS) causing endoplasmic reticulum (ER) stress.
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