RT Journal Article SR Electronic T1 Impairment of spermatogenesis and sperm motility by the high-fat diet-induced dysbiosis of gut microbes JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 1608 OP 1619 DO 10.1136/gutjnl-2019-319127 VO 69 IS 9 A1 Ning Ding A1 Xin Zhang A1 Xue Di Zhang A1 Jun Jing A1 Shan Shan Liu A1 Yun Ping Mu A1 Li Li Peng A1 Yun Jing Yan A1 Geng Miao Xiao A1 Xin Yun Bi A1 Hao Chen A1 Fang Hong Li A1 Bing Yao A1 Allan Z Zhao YR 2020 UL http://gut.bmj.com/content/69/9/1608.abstract AB Objective High-fat diet (HFD)-induced metabolic disorders can lead to impaired sperm production. We aim to investigate if HFD-induced gut microbiota dysbiosis can functionally influence spermatogenesis and sperm motility.Design Faecal microbes derived from the HFD-fed or normal diet (ND)-fed male mice were transplanted to the mice maintained on ND. The gut microbes, sperm count and motility were analysed. Human faecal/semen/blood samples were collected to assess microbiota, sperm quality and endotoxin.Results Transplantation of the HFD gut microbes into the ND-maintained (HFD-FMT) mice resulted in a significant decrease in spermatogenesis and sperm motility, whereas similar transplantation with the microbes from the ND-fed mice failed to do so. Analysis of the microbiota showed a profound increase in genus Bacteroides and Prevotella, both of which likely contributed to the metabolic endotoxaemia in the HFD-FMT mice. Interestingly, the gut microbes from clinical subjects revealed a strong negative correlation between the abundance of Bacteroides-Prevotella and sperm motility, and a positive correlation between blood endotoxin and Bacteroides abundance. Transplantation with HFD microbes also led to intestinal infiltration of T cells and macrophages as well as a significant increase of pro-inflammatory cytokines in the epididymis, suggesting that epididymal inflammation have likely contributed to the impairment of sperm motility. RNA-sequencing revealed significant reduction in the expression of those genes involved in gamete meiosis and testicular mitochondrial functions in the HFD-FMT mice.Conclusion We revealed an intimate linkage between HFD-induced microbiota dysbiosis and defect in spermatogenesis with elevated endotoxin, dysregulation of testicular gene expression and localised epididymal inflammation as the potential causes.Trial registration number NCT03634644.