DOE PAGES title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Manipulation of the Gut Microbiome Alters Acetaminophen Biodisposition in Mice

Journal Article · · Scientific Reports
 [1];  [1];  [1];  [2];  [2];  [1];  [1];  [2]
  1. Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)
  2. Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Univ. of California, Merced, CA (United States)

The gut microbiota is a vast and diverse microbial community that has co-evolved with its host to perform a variety of essential functions involved in the utilization of nutrients and the processing of xenobiotics. Shifts in the composition of gut microbiota can disturb the balance of organisms which can infuence the biodisposition of orally administered drugs. To determine how changes in the gut microbiome can alter drug disposition, the pharmacokinetics (PK), and biodistribution of acetaminophen were assessed in C57Bl/6 mice after treatment with the antibiotics ciprofoxacin, amoxicillin, or a cocktail of ampicillin/neomycin. Altered PK, and excretion profles of acetaminophen were observed in antibiotic exposed animals. Plasma Cmax was signifcantly decreased in antibiotic treated animals suggesting decreased bioavailability. Urinary metabolite profles revealed decreases in acetaminophen-sulfate metabolite levels in both the amoxicillin and ampicillin/neomycin treated animals. The ratio between urinary and fecal excretion was also altered in antibiotic treated animals. Analysis of gut microbe composition revealed that changes in microbe content in antibiotic treated animals was associated with changes in acetaminophen biodisposition. These results suggest that exposure to amoxicillin or ampicillin/neomycin can alter the biodisposition of acetaminophen and that these alterations could be due to changes in gut microbiome composition.

Research Organization:
Lawrence Livermore National Laboratory (LLNL), Livermore, CA (United States)
Sponsoring Organization:
USDOE Office of Science (SC); USDOE Laboratory Directed Research and Development (LDRD) Program; National Institutes of Health (NIH); National Institute of General Medical Sciences (NIGMS); USDOE National Nuclear Security Administration (NNSA)
Grant/Contract Number:
AC52-07NA27344
OSTI ID:
1619817
Alternate ID(s):
OSTI ID: 1624526; OSTI ID: 1661045
Report Number(s):
LLNL-JRNL-770539; PII: 60982
Journal Information:
Scientific Reports, Vol. 10, Issue 1; ISSN 2045-2322
Publisher:
Nature Publishing GroupCopyright Statement
Country of Publication:
United States
Language:
English
Citation Metrics:
Cited by: 13 works
Citation information provided by
Web of Science

References (67)

Pharmacometabonomic identification of a significant host-microbiome metabolic interaction affecting human drug metabolism journal August 2009
The Footprints of Gut Microbial–Mammalian Co-Metabolism journal December 2011
Drug Metabolism by the Host and Gut Microbiota: A Partnership or Rivalry? journal August 2015
Urinary excretion of reduced metabolites of digoxin journal July 1981
Geographic differences in digoxin inactivation, a metabolic activity of the human anaerobic gut flora. journal July 1989
The role of intestinal microbiota in murine models of acetaminophen-induced hepatotoxicity journal October 2014
Evaluation of pharmacokinetic differences of acetaminophen in pseudo germ-free rats: PHARMACOKINETICS OF ACETAMINOPHEN IN PSEUDO GERM-FREE RATS journal July 2012
The role of intestinal flora in metabolism of phenolic sulfate esters journal October 1986
Effect of Probiotics on Pharmacokinetics of Orally Administered Acetaminophen in Mice journal December 2017
Antibiotics-induced gut microbiota dysbiosis promotes tumor initiation via affecting APC-Th1 development in mice journal June 2017
The role of intestinal microflora in the formation of the methylthio adduct metabolites of paracetamol journal April 1988
Reduced stem cell mobilization in mice receiving antibiotic modulation of the intestinal flora: involvement of endotoxins as cofactors in mobilization journal January 2004
Simultaneous delivery of antibiotics neomycin and ampicillin in drinking water inhibits fermentation of resistant starch in rats journal December 2016
Gut microbiome-host interactions in health and disease journal January 2011
Acetaminophen (Paracetamol) Oral Absorption and Clinical Influences journal October 2013
Administration of a Probiotic Can Change Drug Pharmacokinetics: Effect of E. coli Nissle 1917 on Amidarone Absorption in Rats journal February 2014
Gut microbiome interactions with drug metabolism, efficacy, and toxicity journal January 2017
Cytochrome P450 enzymes involved in acetaminophen activation by rat and human liver microsomes and their kinetics journal July 1993
The influence of gut microbiota on drug metabolism and toxicity journal November 2015
Host-microbial interactions in the metabolism of therapeutic and diet-derived xenobiotics journal August 2014
Quinolone Activity Against Anaerobes journal January 1999
Short-Term Effect of Antibiotics on Human Gut Microbiota journal April 2014
Use of Microdosing and Accelerator Mass Spectrometry To Evaluate the Pharmacokinetic Linearity of a Novel Tricyclic GyrB/ParE Inhibitor in Rats journal August 2014
The identification of [2-14C]2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine metabolites in humans journal April 1999
A microbial detection array (MDA) for viral and bacterial detection journal January 2010
The Microbial Detection Array Combined with Random Phi29-Amplification Used as a Diagnostic Tool for Virus Detection in Clinical Samples journal August 2011
Ancient pathogen DNA in archaeological samples detected with a Microbial Detection Array journal March 2014
Discovery of Swine as a Host for the Reston ebolavirus journal July 2009
Detection of Adventitious Viruses from Biologicals Using a Broad-Spectrum Microbial Detection Array journal November 2011
Microarrays for Pathogen Detection and Analysis journal September 2011
Panmicrobial Oligonucleotide Array for Diagnosis of Infectious Diseases journal January 2007
Large scale multiplex PCR improves pathogen detection by DNA microarrays journal January 2009
Microarray-based detection and genotyping of viral pathogens journal November 2002
Optimization and clinical validation of a pathogen detection microarray journal January 2007
Application of a pathogen microarray for the analysis of viruses and bacteria in clinical diagnostic samples from pigs journal April 2015
The Microbial Detection Array for Detection of Emerging Viruses in Clinical Samples - A Useful Panmicrobial Diagnostic Tool journal June 2014
Analysis of sensitivity and rapid hybridization of a multiplexed Microbial Detection Microarray journal June 2014
Genomic approaches to studying the human microbiota journal September 2012
The Pervasive Effects of an Antibiotic on the Human Gut Microbiota, as Revealed by Deep 16S rRNA Sequencing journal November 2008
The Madness of Microbiome: Attempting To Find Consensus “Best Practice” for 16S Microbiome Studies journal February 2018
Xenobiotics Shape the Physiology and Gene Expression of the Active Human Gut Microbiome journal January 2013
Evaluation of pharmacokinetic differences of acetaminophen in pseudo germ-free rats: PHARMACOKINETICS OF ACETAMINOPHEN IN PSEUDO GERM-FREE RATS journal July 2012
Urinary excretion of reduced metabolites of digoxin journal July 1981
Antibiotics-induced gut microbiota dysbiosis promotes tumor initiation via affecting APC-Th1 development in mice journal June 2017
Analysis of sensitivity and rapid hybridization of a multiplexed Microbial Detection Microarray journal June 2014
Gut microbiome interactions with drug metabolism, efficacy, and toxicity journal January 2017
The Footprints of Gut Microbial–Mammalian Co-Metabolism journal December 2011
Ancient pathogen DNA in archaeological samples detected with a Microbial Detection Array journal March 2014
Microarray-based detection and genotyping of viral pathogens journal November 2002
Microarrays for Pathogen Detection and Analysis journal September 2011
The identification of [2-14C]2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine metabolites in humans journal April 1999
Evaluation of general 16S ribosomal RNA gene PCR primers for classical and next-generation sequencing-based diversity studies journal August 2012
Acetaminophen (Paracetamol) Oral Absorption and Clinical Influences journal October 2013
Drug Metabolism by the Host and Gut Microbiota: A Partnership or Rivalry? journal August 2015
Effect of Probiotics on Pharmacokinetics of Orally Administered Acetaminophen in Mice journal December 2017
Reduced stem cell mobilization in mice receiving antibiotic modulation of the intestinal flora: involvement of endotoxins as cofactors in mobilization journal January 2004
A microbial detection array (MDA) for viral and bacterial detection journal January 2010
Optimization and clinical validation of a pathogen detection microarray journal January 2007
Gut microbiome-host interactions in health and disease journal January 2011
Gut Reaction: Pyrosequencing Provides the Poop on Distal Gut Bacteria journal November 2008
Administration of a Probiotic Can Change Drug Pharmacokinetics: Effect of E. coli Nissle 1917 on Amidarone Absorption in Rats journal February 2014
The Microbial Detection Array for Detection of Emerging Viruses in Clinical Samples - A Useful Panmicrobial Diagnostic Tool journal June 2014
The influence of gut microbiota on drug metabolism and toxicity journal November 2015
Quinolone Activity Against Anaerobes journal January 1999
Panmicrobial Oligonucleotide Array for Diagnosis of Infectious Diseases journal January 2007
Metagenomic Analysis of Antibiotic-Induced Changes in Gut Microbiota in a Pregnant Rat Model journal April 2016
Detection of Adventitious Viruses from Biologicals Using a Broad-Spectrum Microbial Detection Array journal November 2011

Figures / Tables (6)