Abstract
Host-gut microbiota metabolic interactions are closely associated with health and disease. A manifestation of such co-metabolism is the vast structural diversity of bile acids (BAs) involving both oxidative stereochemistry and conjugation. Herein, we describe the development and validation of a LC-MS-based method for the analysis of human C24 BA metabolome in serum and urine. The method has high throughput covering the discrimination of oxidative stereochemistry of unconjugated species in a 15-min analytical cycle. The validated quantitative performance provided an indirect way to ascertain the conjugation patterns of BAs via enzyme-digestion protocols that incorporated the enzymes, sulfatase, β-glucuronidase, and choloylglycine hydrolase. Application of the method has led to the detection of at least 70 unconjugated BAs including 27 known species and 43 newly found species in the post-prandial serum and urine samples from 7 nonalcoholic steatohepatitis patients and 13 healthy volunteers. Newly identified unconjugated BAs included 3α, 12β-dihydroxy-5β-cholan-24-oic acid, 12α-hydroxy-3-oxo-5β-cholan-24-oic acid, and 3α, 7α, 12β-trihydroxy-5β-cholan-24-oic acid. High-definition negative fragment spectra of the other major unknown species were acquired to facilitate future identification endeavors. An extensive conjugation pattern is the major reason for the “invisibility” of the newly found BAs to other common analytical methods. Metabolomic analysis of the total unconjugated BA profile in combination with analysis of their conjugation patterns and urinary excretion tendencies have provided substantial insights into the interconnected roles of host and gut microbiota in maintaining BA homeostasis. It was proposed that the urinary total BA profile may serve as an ideal footprint for the functional status of the host-gut microbial BA co-metabolism. In summary, this work provided a powerful tool for human C24 BA metabolome analysis that bridges the gap between GC-MS techniques in the past age and LC-MS techniques currently prevailing in biomedical researches. Further applications of the present method in clinical, translational research, and other biomedical explorations will continue to boost the construction of a host-gut microbial co-metabolism network of BAs and thus facilitate the decryption of BA-mediated host-gut microbiota crosstalk in health and diseases.

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References
Nicholson JK, Holmes E, Kinross J, Burcelin R, Gibson G, Jia W, et al. Host-gut microbiota metabolic interactions. Science. 2012;336(6086):1262–7. https://doi.org/10.1126/science.1223813.
de Aguiar Vallim TQ, Tarling EJ, Edwards PA. Pleiotropic roles of bile acids in metabolism. Cell Metab. 2013;17(5):657–69. https://doi.org/10.1016/j.cmet.2013.03.013.
Wahlstrom A, Sayin SI, Marschall HU, Backhed F. Intestinal crosstalk between bile acids and microbiota and its impact on host metabolism. Cell Metab. 2016;24(1):41–50. https://doi.org/10.1016/j.cmet.2016.05.005.
Jia W, Xie G, Jia W. Bile acid-microbiota crosstalk in gastrointestinal inflammation and carcinogenesis. Nat Rev Gastroenterol Hepatol. 2018;15(2):111–28. https://doi.org/10.1038/nrgastro.2017.119.
Thomas C, Pellicciari R, Pruzanski M, Auwerx J, Schoonjans K. Targeting bile-acid signalling for metabolic diseases. Nat Rev Drug Discov. 2008;7(8):678–93. https://doi.org/10.1038/nrd2619.
Tiwari A, Maiti P. TGR5: an emerging bile acid G-protein-coupled receptor target for the potential treatment of metabolic disorders. Drug Discov Today. 2009;14(9–10):523–30. https://doi.org/10.1016/j.drudis.2009.02.005.
Theriot CM, Koenigsknecht MJ, Carlson PE Jr, Hatton GE, Nelson AM, Li B, et al. Antibiotic-induced shifts in the mouse gut microbiome and metabolome increase susceptibility to Clostridium difficile infection. Nat Commun. 2014;5:3114. https://doi.org/10.1038/ncomms4114.
Theriot CM, Bowman AA, Young VB. Antibiotic-induced alterations of the gut microbiota alter secondary bile acid production and allow for clostridium difficile spore germination and outgrowth in the large intestine. mSphere. 2016;1(1) https://doi.org/10.1128/mSphere.00045-15.
Buffie CG, Bucci V, Stein RR, McKenney PT, Ling L, Gobourne A, et al. Precision microbiome reconstitution restores bile acid mediated resistance to Clostridium difficile. Nature. 2015;517(7533):205–8. https://doi.org/10.1038/nature13828.
Inagaki T, Moschetta A, Lee YK, Peng L, Zhao G, Downes M, et al. Regulation of antibacterial defense in the small intestine by the nuclear bile acid receptor. Proc Natl Acad Sci U S A. 2006;103(10):3920–5. https://doi.org/10.1073/pnas.0509592103.
Vavassori P, Mencarelli A, Renga B, Distrutti E, Fiorucci S. The bile acid receptor FXR is a modulator of intestinal innate immunity. J Immunol. 2009;183(10):6251–61. https://doi.org/10.4049/jimmunol.0803978.
Pavlidis P, Powell N, Vincent RP, Ehrlich D, Bjarnason I, Hayee B. Systematic review: bile acids and intestinal inflammation-luminal aggressors or regulators of mucosal defence? Aliment Pharmacol Ther. 2015;42(7):802–17. https://doi.org/10.1111/apt.13333.
Jia W, Li H, Zhao L, Nicholson JK. Gut microbiota: a potential new territory for drug targeting. Nat Rev Drug Discov. 2008;7(2):123–9. https://doi.org/10.1038/nrd2505.
Hofmann AF, Hagey LR, Krasowski MD. Bile salts of vertebrates: structural variation and possible evolutionary significance. J Lipid Res. 2010;51(2):226–46. https://doi.org/10.1194/jlr.R000042.
Trottier J, Milkiewicz P, Kaeding J, Verreault M, Barbier O. Coordinate regulation of hepatic bile acid oxidation and conjugation by nuclear receptors. Mol Pharm. 2006;3(3):212–22. https://doi.org/10.1021/mp060020t.
Alnouti Y. Bile acid sulfation: a pathway of bile acid elimination and detoxification. Toxicol Sci. 2009;108(2):225–46. https://doi.org/10.1093/toxsci/kfn268.
Wishart DS, Jewison T, Guo AC, Wilson M, Knox C, Liu Y, et al. HMDB 3.0—The Human Metabolome Database in 2013. Nucleic Acids Res. 2013;41(Database issue):D801–7. https://doi.org/10.1093/nar/gks1065.
Sud M, Fahy E, Cotter D, Brown A, Dennis EA, Glass CK, et al. LMSD: LIPID MAPS structure database. Nucleic Acids Res. 2007;35(Database):D527–32. https://doi.org/10.1093/nar/gkl838.
Sjövall J, Griffiths WJ, Setchell KDR, Mano N, Goto J. Analysis of bile acids. Steroid analysis: Springer; 2010.
Garcia-Canaveras JC, Donato MT, Castell JV, Lahoz A. Targeted profiling of circulating and hepatic bile acids in human, mouse, and rat using a UPLC-MRM-MS-validated method. J Lipid Res. 2012;53(10):2231–41. https://doi.org/10.1194/jlr.D028803.
Jantti SE, Kivilompolo M, Ohrnberg L, Pietilainen KH, Nygren H, Oresic M, et al. Quantitative profiling of bile acids in blood, adipose tissue, intestine, and gall bladder samples using ultra high performance liquid chromatography-tandem mass spectrometry. Anal Bioanal Chem. 2014;406(30):7799–815. https://doi.org/10.1007/s00216-014-8230-9.
Han J, Liu Y, Wang R, Yang J, Ling V, Borchers CH. Metabolic profiling of bile acids in human and mouse blood by LC-MS/MS in combination with phospholipid-depletion solid-phase extraction. Anal Chem. 2015;87(2):1127–36. https://doi.org/10.1021/ac503816u.
Sarafian MH, Lewis MR, Pechlivanis A, Ralphs S, McPhail MJ, Patel VC, et al. Bile acid profiling and quantification in biofluids using ultra-performance liquid chromatography tandem mass spectrometry. Anal Chem. 2015;87(19):9662–70. https://doi.org/10.1021/acs.analchem.5b01556.
Wegner K, Just S, Gau L, Mueller H, Gerard P, Lepage P, et al. Rapid analysis of bile acids in different biological matrices using LC-ESI-MS/MS for the investigation of bile acid transformation by mammalian gut bacteria. Anal Bioanal Chem. 2017;409(5):1231–45. https://doi.org/10.1007/s00216-016-0048-1.
Gustafsson J, Andersson S, Sjovall J. Bile acid metabolism during development: metabolism of taurodeoxycholic acid in human fetal liver. Biol Neonate. 1985;47(1):26–31.
Bodin K, Lindbom U, Diczfalusy U. Novel pathways of bile acid metabolism involving CYP3A4. Biochim Biophys Acta. 2005;1687(1–3):84–93. https://doi.org/10.1016/j.bbalip.2004.11.003.
Hayes MA, Li XQ, Gronberg G, Diczfalusy U, Andersson TB. CYP3A specifically catalyzes 1beta-hydroxylation of deoxycholic acid: characterization and enzymatic synthesis of a potential novel urinary biomarker for CYP3A activity. Drug Metab Dispos. 2016;44(9):1480–9. https://doi.org/10.1124/dmd.116.070805.
Lan K, Su M, Xie G, Ferslew BC, Brouwer KL, Rajani C, et al. Key role for the 12-hydroxy group in the negative ion fragmentation of unconjugated C24 bile acids. Anal Chem. 2016;88(14):7041–8. https://doi.org/10.1021/acs.analchem.6b00573.
Yin S, Su M, Xie G, Li X, Wei R, Liu C, et al. Factors affecting separation and detection of bile acids by liquid chromatography coupled with mass spectrometry in negative mode. Anal Bioanal Chem. 2017;409(23):5533–45. https://doi.org/10.1007/s00216-017-0489-1.
Hofmann AF, Sjovall J, Kurz G, Radominska A, Schteingart CD, Tint GS, et al. Setchell KD. A proposed nomenclature for bile acids. J Lipid Res. 1992;33(4):599–604.
Ferslew BC, Xie G, Johnston CK, Su M, Stewart PW, Jia W, et al. Altered bile acid metabolome in patients with nonalcoholic steatohepatitis. Dig Dis Sci. 2015;60(11):3318–28. https://doi.org/10.1007/s10620-015-3776-8.
U.S. Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research, Center for Veterinary Medicine. Guidance for industry: bioanalytical method validation. Rockville, MD, USA; 2013.
Momose T, Maruyama J, Iida T, Goto J, Nambara T. Comparative abilities and optimal conditions for beta-glycosidase enzymes to hydrolyse the glucuronide, glucoside, and N-acetylglucosaminide conjugates of bile acids. Biol Pharm Bull. 1997;20(8):828–33.
Takahashi S, Fukami T, Masuo Y, Brocker CN, Xie C, Krausz KW, et al. Cyp2c70 is responsible for the species difference in bile acid metabolism between mice and humans. J Lipid Res. 2016;57(12):2130–7. https://doi.org/10.1194/jlr.M071183.
Ridlon JM, Kang DJ, Hylemon PB. Bile salt biotransformations by human intestinal bacteria. J Lipid Res. 2006;47(2):241–59. https://doi.org/10.1194/jlr.R500013-JLR200.
Ridlon JM, Harris SC, Bhowmik S, Kang DJ, Hylemon PB. Consequences of bile salt biotransformations by intestinal bacteria. Gut Microbes. 2016;7(1):22–39. https://doi.org/10.1080/19490976.2015.1127483.
Horai H, Arita M, Kanaya S, Nihei Y, Ikeda T, Suwa K, et al. MassBank: a public repository for sharing mass spectral data for life sciences. J Mass Spectrom. 2010;45(7):703–14. https://doi.org/10.1002/jms.1777.
Eneroth P, Gordon B, Ryhage R, Sjovall J. Identification of mono- and dihydroxy bile acids in human feces by gas-liquid chromatography and mass spectrometry. J Lipid Res. 1966;7(4):511–23.
Ali SS, Kuksis A, Beveridge JM. Excretion of bile acids by three men on corn oil and butterfat diets. Can J Biochem. 1966;44(10):1377–88.
Setchell KD, Harrison DL, Gilbert JM, Mupthy GM. Serum unconjugated bile acids: qualitative and quantitative profiles in ileal resection and bacterial overgrowth. Clin Chim Acta. 1985;152(3):297–306.
Andersen E, Karlaganis G, Sjovall J. Altered bile acid profiles in duodenal bile and urine in diabetic subjects. Eur J Clin Investig. 1988;18(2):166–72.
Yamaga N, Ikebuchi J, Kohara H, Ogura Y, Yamada K. Analysis of bile acids in urine specimens from healthy humans: determination of several bile acids with beta-hydroxyl and carbonyl groups. J Biochem. 1996;119(4):725–30.
Macdonald IA, Chang FC. The stereospecificity of 3 alpha- and 12 alpha-bile salt hydroxysteroid dehydrogenase systems from four microbial sources. Enzyme. 1982;28(4):392–5.
Deo AK, Bandiera SM. Identification of human hepatic cytochrome p450 enzymes involved in the biotransformation of cholic and chenodeoxycholic acid. Drug Metab Dispos. 2008;36(10):1983–91. https://doi.org/10.1124/dmd.108.022194.
Trulzsch D, Roboz J, Greim H, Czygan P, Rudick J, Hutterer F, et al. Hydroxylation of taurolithocholate by isolated human liver microsomes. I Identification of metabolic product. Biochem Med. 1974;9(2):158–66.
Araya Z, Wikvall K. 6alpha-hydroxylation of taurochenodeoxycholic acid and lithocholic acid by CYP3A4 in human liver microsomes. Biochim Biophys Acta. 1999;1438(1):47–54.
Deo AK, Bandiera SM. 3-ketocholanoic acid is the major in vitro human hepatic microsomal metabolite of lithocholic acid. Drug Metab Dispos. 2009;37(9):1938–47. https://doi.org/10.1124/dmd.109.027763.
Deo AK, Bandiera SM. Biotransformation of lithocholic acid by rat hepatic microsomes: metabolite analysis by liquid chromatography/mass spectrometry. Drug Metab Dispos. 2008;36(2):442–51. https://doi.org/10.1124/dmd.107.017533.
Parquet M, Pessah M, Sacquet E, Salvat C, Raizman A, Infante R. Glucuronidation of bile acids in human liver, intestine and kidney. An in vitro study on hyodeoxycholic acid. FEBS Lett. 1985;189(2):183–7.
Radominska-Pyrek A, Zimniak P, Irshaid YM, Lester R, Tephly TR, St Pyrek J. Glucuronidation of 6 alpha-hydroxy bile acids by human liver microsomes. J Clin Invest. 1987;80(1):234–41. https://doi.org/10.1172/JCI113053.
Pillot T, Ouzzine M, Fournel-Gigleux S, Lafaurie C, Radominska A, Burchell B, et al. Glucuronidation of hyodeoxycholic acid in human liver. Evidence for a selective role of UDP-glucuronosyltransferase 2B4. J Biol Chem. 1993;268(34):25636–42.
Sacquet E, Parquet M, Riottot M, Raizman A, Jarrige P, Huguet C, et al. Intestinal absorption, excretion, and biotransformation of hyodeoxycholic acid in man. J Lipid Res. 1983;24(5):604–13.
Acknowledgements
We are grateful to Prof. Dr. Takashi Iida (Nihon University) for the gift of the βUCA synthesized standard. This study was supported, in part, by the National Institute of General Medical Sciences of the National Institutes of Health under Award Number R01 GM041935 and R35 GM122576. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
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The human urine and serum samples used in this work were collected from the clinical trial approved by the UNC-CH Biomedical Institutional Review Board and published in ClinicalTrials.gov of U.S. National Library of Medicine (NCT01766960). Informed consent was obtained from the individual participants who provided the urine and serum samples.
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Zhu, P., Zhang, J., Chen, Y. et al. Analysis of human C24 bile acids metabolome in serum and urine based on enzyme digestion of conjugated bile acids and LC-MS determination of unconjugated bile acids. Anal Bioanal Chem 410, 5287–5300 (2018). https://doi.org/10.1007/s00216-018-1183-7
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DOI: https://doi.org/10.1007/s00216-018-1183-7


