Antipsychotics and the gut microbiome: olanzapine-induced metabolic dysfunction is attenuated by antibiotic administration in the rat

Typeset version

 

TY  - JOUR
  - Davey, KJ,Cotter, PD,O'Sullivan, O,Crispie, F,Dinan, TG,Cryan, JF,O'Mahony, SM
  - 2013
  - October
  - Translational Psychiatry
  - Antipsychotics and the gut microbiome: olanzapine-induced metabolic dysfunction is attenuated by antibiotic administration in the rat
  - Published
  - Altmetric: 31 ()
  - antipsychotics metabolism microbiota obesity olanzapine weight gain DIET-INDUCED OBESITY WEIGHT-GAIN INSULIN-RESISTANCE BODY-WEIGHT ATYPICAL ANTIPSYCHOTICS ADIPOSE-TISSUE FAT DEPOSITION FEMALE RATS SCHIZOPHRENIA MICE
  - 3
  - The atypical antipsychotic olanzapine is often associated with serious metabolic side effects including weight gain and increased visceral fat. These adverse events are a considerable clinical problem and the mechanisms underlying them are multifactorial and poorly understood. Growing evidence suggests that the gut microbiota has a key role in energy regulation and disease states such as obesity. Moreover, we recently showed that chronic olanzapine altered the composition of the gut microbiome in the rat. It is thus possible that treatments that alter gut microbiota composition could ameliorate olanzapine-induced weight gain and associated metabolic syndrome. To this end, we investigated the impact of antibiotic-induced alteration of the gut microbiota on the metabolic effects associated with chronic olanzapine treatment in female rats. Animals received vehicle or olanzapine (2 mg kg(-1) per day) for 21 days, intraperitoneal injection, two times daily. Animals were also coadministered vehicle or an antibiotic cocktail consisting of neomycin (250 mg kg(-1) per day), metronidazole (50 mg kg(-1) per day) and polymyxin B (9 mg kg(-1) per day) by oral gavage, daily, beginning 5 days before olanzapine treatment. The antibiotic cocktail drastically altered the microbiota of olanzapine-treated rats, and olanzapine alone was also associated with an altered microbiota. Coadministration of the antibiotic cocktail in olanzapine-treated rats attenuated: body weight gain, uterine fat deposition, macrophage infiltration of adipose tissue, plasma free fatty acid levels, all of which were increased by olanzapine alone. These results suggest that the gut microbiome has a role in the cycle of metabolic dysfunction associated with olanzapine, and could represent a novel therapeutic target for preventing antipsychotic-induced metabolic disease.
  - 10.1038/tp.2013.83
DA  - 2013/10
ER  - 
@article{V243941448,
   = {Davey,  KJ and Cotter,  PD and O'Sullivan,  O and Crispie,  F and Dinan,  TG and Cryan,  JF and O'Mahony,  SM },
   = {2013},
   = {October},
   = {Translational Psychiatry},
   = {Antipsychotics and the gut microbiome: olanzapine-induced metabolic dysfunction is attenuated by antibiotic administration in the rat},
   = {Published},
   = {Altmetric: 31 ()},
   = {antipsychotics metabolism microbiota obesity olanzapine weight gain DIET-INDUCED OBESITY WEIGHT-GAIN INSULIN-RESISTANCE BODY-WEIGHT ATYPICAL ANTIPSYCHOTICS ADIPOSE-TISSUE FAT DEPOSITION FEMALE RATS SCHIZOPHRENIA MICE},
   = {3},
   = {{The atypical antipsychotic olanzapine is often associated with serious metabolic side effects including weight gain and increased visceral fat. These adverse events are a considerable clinical problem and the mechanisms underlying them are multifactorial and poorly understood. Growing evidence suggests that the gut microbiota has a key role in energy regulation and disease states such as obesity. Moreover, we recently showed that chronic olanzapine altered the composition of the gut microbiome in the rat. It is thus possible that treatments that alter gut microbiota composition could ameliorate olanzapine-induced weight gain and associated metabolic syndrome. To this end, we investigated the impact of antibiotic-induced alteration of the gut microbiota on the metabolic effects associated with chronic olanzapine treatment in female rats. Animals received vehicle or olanzapine (2 mg kg(-1) per day) for 21 days, intraperitoneal injection, two times daily. Animals were also coadministered vehicle or an antibiotic cocktail consisting of neomycin (250 mg kg(-1) per day), metronidazole (50 mg kg(-1) per day) and polymyxin B (9 mg kg(-1) per day) by oral gavage, daily, beginning 5 days before olanzapine treatment. The antibiotic cocktail drastically altered the microbiota of olanzapine-treated rats, and olanzapine alone was also associated with an altered microbiota. Coadministration of the antibiotic cocktail in olanzapine-treated rats attenuated: body weight gain, uterine fat deposition, macrophage infiltration of adipose tissue, plasma free fatty acid levels, all of which were increased by olanzapine alone. These results suggest that the gut microbiome has a role in the cycle of metabolic dysfunction associated with olanzapine, and could represent a novel therapeutic target for preventing antipsychotic-induced metabolic disease.}},
   = {10.1038/tp.2013.83},
  source = {IRIS}
}
AUTHORSDavey, KJ,Cotter, PD,O'Sullivan, O,Crispie, F,Dinan, TG,Cryan, JF,O'Mahony, SM
YEAR2013
MONTHOctober
JOURNAL_CODETranslational Psychiatry
TITLEAntipsychotics and the gut microbiome: olanzapine-induced metabolic dysfunction is attenuated by antibiotic administration in the rat
STATUSPublished
TIMES_CITEDAltmetric: 31 ()
SEARCH_KEYWORDantipsychotics metabolism microbiota obesity olanzapine weight gain DIET-INDUCED OBESITY WEIGHT-GAIN INSULIN-RESISTANCE BODY-WEIGHT ATYPICAL ANTIPSYCHOTICS ADIPOSE-TISSUE FAT DEPOSITION FEMALE RATS SCHIZOPHRENIA MICE
VOLUME3
ISSUE
START_PAGE
END_PAGE
ABSTRACTThe atypical antipsychotic olanzapine is often associated with serious metabolic side effects including weight gain and increased visceral fat. These adverse events are a considerable clinical problem and the mechanisms underlying them are multifactorial and poorly understood. Growing evidence suggests that the gut microbiota has a key role in energy regulation and disease states such as obesity. Moreover, we recently showed that chronic olanzapine altered the composition of the gut microbiome in the rat. It is thus possible that treatments that alter gut microbiota composition could ameliorate olanzapine-induced weight gain and associated metabolic syndrome. To this end, we investigated the impact of antibiotic-induced alteration of the gut microbiota on the metabolic effects associated with chronic olanzapine treatment in female rats. Animals received vehicle or olanzapine (2 mg kg(-1) per day) for 21 days, intraperitoneal injection, two times daily. Animals were also coadministered vehicle or an antibiotic cocktail consisting of neomycin (250 mg kg(-1) per day), metronidazole (50 mg kg(-1) per day) and polymyxin B (9 mg kg(-1) per day) by oral gavage, daily, beginning 5 days before olanzapine treatment. The antibiotic cocktail drastically altered the microbiota of olanzapine-treated rats, and olanzapine alone was also associated with an altered microbiota. Coadministration of the antibiotic cocktail in olanzapine-treated rats attenuated: body weight gain, uterine fat deposition, macrophage infiltration of adipose tissue, plasma free fatty acid levels, all of which were increased by olanzapine alone. These results suggest that the gut microbiome has a role in the cycle of metabolic dysfunction associated with olanzapine, and could represent a novel therapeutic target for preventing antipsychotic-induced metabolic disease.
PUBLISHER_LOCATION
ISBN_ISSN
EDITION
URL
DOI_LINK10.1038/tp.2013.83
FUNDING_BODY
GRANT_DETAILS