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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Endocrinol.</journal-id>
<journal-title>Frontiers in Endocrinology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Endocrinol.</abbrev-journal-title>
<issn pub-type="epub">1664-2392</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fendo.2023.1123364</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Endocrinology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Regulation of enteroendocrine cell respiration by the microbial metabolite hydrogen sulfide</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Larraufie</surname>
<given-names>Pierre</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/613615"/>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Haroun</surname>
<given-names>Kenza</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fleury</surname>
<given-names>Carla</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Andriamihaja</surname>
<given-names>Mireille</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Blachier</surname>
<given-names>Fran&#xe7;ois</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/421742"/>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
</contrib>
</contrib-group>    <aff id="aff1">
<sup>1</sup>
<institution>Universit&#xe9; Paris-Saclay, AgroParisTech, INRAE, UMR PNCA</institution>, <addr-line>Palaiseau</addr-line>, <country>France</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Universit&#xe9; Paris-Saclay, INRAE, AgroParisTech, Micalis Institute</institution>, <addr-line>Jouy-en-Josas</addr-line>, <country>France</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Guilherme Zweig Rocha, State University of Campinas, Brazil</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Frank Duca, University of Arizona, United States; Milos R. Filipovic, Technical University of Dortmund, Germany</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Pierre Larraufie, <email xlink:href="mailto:pierre.larraufie@inrae.fr">pierre.larraufie@inrae.fr</email>
</p>
</fn>
<fn fn-type="other" id="fn004">
<p>&#x2021;ORCID: Pierre Laraufie, <uri xlink:href="https://orcid.org/0000-0001-7718-6200">orcid.org/0000-0001-7718-6200</uri>; Kenza Haroun, <uri xlink:href="https://orcid.org/0000-0002-3540-4262">orcid.org/0000-0002-3540-4262</uri>; Carla Fleury, <uri xlink:href="https://orcid.org/0000-0001-9154-4158">orcid.org/0000-0001-9154-4158</uri>; Mireille Andriamihaja, <uri xlink:href="https://orcid.org/0000-0001-6322-187X">orcid.org/0000-0001-6322-187X</uri>; Fran&#xe7;ois Blachier, <uri xlink:href="https://orcid.org/0000-0002-8501-0990">orcid.org/0000-0002-8501-0990</uri>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>09</day>
<month>05</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1123364</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>12</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>04</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Larraufie, Haroun, Fleury, Andriamihaja and Blachier</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Larraufie, Haroun, Fleury, Andriamihaja and Blachier</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Endocrine functions of the gut are supported by a scattered population of cells, the enteroendocrine cells (EECs). EECs sense their environment to secrete hormones in a regulated manner. Distal EECs are in contact with various microbial compounds including hydrogen sulfide (H<sub>2</sub>S) which modulate cell respiration with potential consequences on EEC physiology. However, the effect of H<sub>2</sub>S on gut hormone secretion remains discussed and the importance of the modulation of cell metabolism on EEC functions remains to be deciphered. The aim of this project was to characterize the metabolic response of EECs to H<sub>2</sub>S and the consequences on GLP-1 secretion. We used cell line models of EECs to assess their capacity to metabolize H<sub>2</sub>S at low concentration and the associated modulation of cell respiration. We confirmed that like what is observed in colonocytes, colonic EEC model, NCI-h716 cell line rapidly metabolizes H<sub>2</sub>S at low concentrations, resulting in transient increased respiration. Higher concentrations of H<sub>2</sub>S inhibited this respiration, with the concentration threshold for inhibition depending on cell density. However, increased or inhibited oxidative respiration had little effect on acute GLP-1 secretion. Overall, we present here a first study showing the EEC capacity to detoxify low concentrations of H<sub>2</sub>S and used this model to acutely address the importance of cell respiration on secretory activity.</p>
</abstract>
<kwd-group>
<kwd>enteroendocrine cells</kwd>
<kwd>GLP-1</kwd>
<kwd>cell respiration</kwd>
<kwd>hormone secretion</kwd>
<kwd>hydrogen sulfide</kwd>
</kwd-group>
<contract-sponsor id="cn001">AgroParisTech<named-content content-type="fundref-id">10.13039/501100005264</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">European Foundation for the Study of Diabetes<named-content content-type="fundref-id">10.13039/501100001648</named-content>
</contract-sponsor>
<counts>
<fig-count count="3"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="30"/>
<page-count count="7"/>
<word-count count="3257"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Gut Endocrinology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Enteroendocrine cells (EECs) sense their environment to secrete hormones in a highly controlled manner. These hormones regulate key host functions including glucose metabolism, food intake or digestive functions (<xref ref-type="bibr" rid="B1">1</xref>), representing targets of interest for drug development in diseases such as diabetes. Recent single-cell analysis have provided a better description of the different EEC populations along the gut (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>) highlighting the different potential regulations of these cells, mainly through the analysis of receptor and nutrient channel expression. Proximal EECs have been shown to be regulated by nutrient absorption, resulting in high postprandial gut hormone levels. Regulations of distal EECs is less known despite their importance (<xref ref-type="bibr" rid="B4">4</xref>), and microbial compounds participate in the regulation of these cells (<xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>Among these microbial metabolites, hydrogen sulfide (H<sub>2</sub>S) has been shown to modulate EEC secretion, but with conflicting results. H<sub>2</sub>S is produced by specific intestinal bacteria through cysteine catabolism and by reduction of sulphate as well as by endogenous production, although this latter production is presumably much lower than the production by the intestinal microbiota (<xref ref-type="bibr" rid="B6">6</xref>). Bala and colleagues showed that H<sub>2</sub>S at millimolar concentration inhibited TGR5-induced secretion, reducing the GLP-1 and PYY secretion in response to bile acids in STC-1 cells, a mouse cell line model of duodenal EECs (<xref ref-type="bibr" rid="B7">7</xref>). They showed that H<sub>2</sub>S reduced the hydrolysis of phosphatidylinositol-4,5-bisphosphate into inositol triphosphate under cAMP stimulation induced by TGR5 activation. In contrast, Pichette and colleagues showed that high concentrations of H<sub>2</sub>S (10 mM) could directly increase GLP-1 secretion in the mouse colonic EEC cell line GluTag cells and proposed that the mechanism was mediated by MAPK activation (<xref ref-type="bibr" rid="B8">8</xref>). Interestingly, they showed that mice fed prebiotics, which increase H<sub>2</sub>S production, was associated with increased GLP-1 circulating levels. Finally, in stomach EECs, Slade and collaborators showed that H<sub>2</sub>S donors or H<sub>2</sub>S cell endogenous production inhibited ghrelin secretion in mouse stomach primary culture and <italic>in vivo</italic> (<xref ref-type="bibr" rid="B9">9</xref>). All these results indicate that different EEC subpopulations may have different sensitivity to H<sub>2</sub>S depending on their localization, on the experimental conditions, but also on the tested concentrations. Interestingly, no H<sub>2</sub>S receptor has been identified so far and it is believed that H<sub>2</sub>S mainly acts through post translational protein persulfidation (<xref ref-type="bibr" rid="B10">10</xref>) and modulation of mitochondrial functions with dual functions on the respiration (<xref ref-type="bibr" rid="B11">11</xref>).</p>
<p>Regarding this latter aspect, it has been shown that H<sub>2</sub>S at low (micromolar) concentration is oxidized in absorptive colonocytes by the sulfide oxidation unit (SOU) to thiosulfate in three successive steps involving the sulfide quinone reductase (encoded by <italic>SQR</italic> or <italic>Sqrdl</italic>), the sulfur dioxygenase (<italic>ETHE1</italic>) and the thiosulfate sulfur transferase (<italic>TST</italic>) (<xref ref-type="bibr" rid="B12">12</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>). The first site of oxidation takes place in the inner membrane of the mitochondria, leading to the transfer of two electrons to Co-enzyme Q and then to the electron transport chain. This results in increased oxygen consumption and ATP production, and H<sub>2</sub>S is therefore considered as an inorganic substrate for oxidative respiration and energy production in cells (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>). On the other hand, H<sub>2</sub>S has a poisoning effect on mitochondrial oxidative respiration by inhibiting complex IV (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>) that also prevents its own detoxification. Studies on colonocytes have shown that the main effect of H<sub>2</sub>S was dependent on its concentration and the capacity of the cell to metabolize it, resulting in this dual effect in which low concentrations are associated with increased oxidative respiration whereas concentrations above 50&#xb5;M inhibit it (<xref ref-type="bibr" rid="B20">20</xref>).</p>
<p>To our knowledge, very little is known about the role of energy metabolism in EECs, and if this can regulate production or secretion of gut hormones. In this study, we propose to analyze the response of EECs to different concentrations of H<sub>2</sub>S and we use this model to assess the consequences of acute modulation of EEC respiration on hormone secretion.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s2_1">
<title>Cell culture and secretion assay</title>
<p>NCI-h716 and HuTu-80 cells were cultivated in respectively RPMI and DMEM, both supplemented with 10% Fetal Bovine Serum (FBS), 2&#x2009;mM&#x2009;L-glutamine and 50&#x2009;IU&#x2009;ml<sup>&#x2212;1</sup> penicillin and 50&#x2009;&#xb5;g&#x2009;ml<sup>&#x2212;1</sup> streptomycin in humidified incubator at 37&#xb0;C with 5% CO2. Oxygen consumption and secretion assays were performed in a secretion buffer composed of NaCl 140&#x2009;mM, KCl 5&#x2009;mM, MgCl<sub>2</sub> 2&#x2009;mM, CaCl<sub>2</sub> 2&#x2009;mM, Hepes 10&#x2009;mM, pH adjusted to 7.3. Na<sub>2</sub>S (from Sigma) was dissolved in the secretory buffer and pH adjusted to 7.3 with NaOH.</p>
<p>For secretion, 4 million cells per sample were rinsed in secretion buffer and resuspended in 2mL. Na<sub>2</sub>S was added either every 90s or at once, all resulting in the same final volume of 2.1mL. After 15 minutes of experiment, cells were centrifuged at 300g at 4&#xb0;C and supernatant was frozen at -20&#xb0;C. GLP-1 was then measured using a GLP-1 Elisa (EZGLP1T-36K from Merck Millipore) and data analyzed using R. Experiments were performed in duplicate and replicated 4 times, resulting in 8 independent measures of GLP-1 in each condition. Data were normalized with the basal secretion of each experiment and differences between conditions assessed using a Kruskall-Wallis test followed by a Dunn test, excluding the positive control Forskolin/IBMX high glucose from the analysis. A p adjusted value below 0.05 was considered to indicate difference between groups.</p>
</sec>
<sec id="s2_2">
<title>Oxygen consumption</title>
<p>Cell respiration was assessed by measuring real time O<sub>2</sub> concentration in a sealed chamber of an oxygraph (O2k Oroboros) at 37&#xb0;C. O<sub>2</sub> concentrations were kept above 60nmol/mL during each experiments to avoid any effect of low O<sub>2</sub> concentrations on cell respiration. Indicated number of cells were suspended in 2mL of secretory buffer and placed in the chamber and treatments were successively added. Oxygen consumption was calculated as the opposite of the oxygen concentration derivate using Oroboros Datlab5 software. Basal respiration was calculated as the average cell respiration during 5 minutes before addition of the first treatment. Additional oxygen consumption was measured as the area of the peak corresponding to increased respiration calculated as the mean respiration over the peak minus basal respiration multiplied by the duration of the peak. Experiments were repeated 3 to 5 times for each condition.</p>
</sec>
<sec id="s2_3">
<title>Gene expression analysis</title>
<sec id="s2_3_1">
<title>Mouse sorted cells gene expression</title>
<p>Available transcriptomic databases of sorted live EECs from Neurod1-cre x EYFP mice (<xref ref-type="bibr" rid="B21">21</xref>), a mouse model enabling the labelling of all EECs in the intestines, were reanalyzed to assess gene of interest expression. Bulk transcriptomics data (<xref ref-type="bibr" rid="B22">22</xref>) (GSE114913) were analyzed using Deseq2 R package (<xref ref-type="bibr" rid="B23">23</xref>) and single cell transcriptomics (<xref ref-type="bibr" rid="B2">2</xref>) (GSE137572) using Seurat package (<xref ref-type="bibr" rid="B24">24</xref>), designating the cells high expression of <italic>Gcg</italic> L-cells, those with high expression of <italic>Sst</italic> D cells and those with high <italic>Tph1</italic> enterochromaffin cells (ECC).</p>
</sec>
<sec id="s2_3_2">
<title>Cell lines gene expression</title>
<p>1 million cells per sample were harvested and lysed in 500&#xb5;L Trizol. RNA was extracted using phenol/chloroform extraction. 100&#xb5;L chloroform was added to the homogenates, and after centrifugation at 12000g during 15 minutes at 4&#xb0;C, the aqueous phase retrieved. RNA was precipitated with 1mL isopropanol and centrifuged at 12000g during 10 minutes at 4&#xb0;C. RNA precipitate was washed twice with 500&#xb5;L 70% (vol/vol) ethanol solution before being resuspended in RNAse free water.</p>
<p>0.5&#xb5;g of RNA was reverse transcribed using the High capacity cDNA Reverse transcription kit (Applied Biosystems) and qPCR performed on a StepOne Real Time PCR system (applied Biosystems) in 12&#xb5;L reaction (6&#xb5;L of SybrGreen MasterMix (Applied Biosystems), 1&#xb5;L of cDNA diluted 20 times and 200nM of reverse and forward primers sequences (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). Data were analyzed using the Stepone software, normalizing gene expression to RNA18S expression.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Primer sequences.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Gene</th>
<th valign="top" align="left">Forward Sequence</th>
<th valign="top" align="left">Reverse Sequence</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">SQR</td>
<td valign="top" align="left">AGCGCCTTTCCATGTATCTCA</td>
<td valign="top" align="left">TCCCCAGTAACCCCTTAGCA</td>
</tr>
<tr>
<td valign="top" align="left">ETHE1</td>
<td valign="top" align="left">GGCTGCTCTATGCTGTGAATACC</td>
<td valign="top" align="left">AGCCCCGAGCCTGTAATGT</td>
</tr>
<tr>
<td valign="top" align="left">TST</td>
<td valign="top" align="left">TGCTGGAGAACCTTGAATCTAAGA</td>
<td valign="top" align="left">GCCCGAGTCCAGTCCTACTG</td>
</tr>
<tr>
<td valign="top" align="left">18S</td>
<td valign="top" align="left">ACGGAAGGGCACCACCAGGAG</td>
<td valign="top" align="left">GCACCACCACCCACGGAAACG</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="s2_4">
<title>Calcium signaling</title>
<p>NCI-h716 expressing GCamp5G (<xref ref-type="bibr" rid="B25">25</xref>), a protein which fluorescence depends on calcium signaling was used to analyze calcium responses. Rapidly, 50 000 cells were washed twice in secretion buffer and left 30 minutes at room temperature to equilibrate. Cells were then analyzed on a microscope Olympus CKX53, and images were acquired with Infinity Analyser software v6.5 every second. Secretion buffer or Na2S were added after 30s of acquisition. Cell fluorescence was analyzed using ImageJ from 3 experiments and representative cells selected for plotting.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Expression of genes involved in H<sub>2</sub>S metabolism in EECs and model cell lines</title>
<p>We first assessed whether EECs expressed the three enzymes of the SOU complex involved in H<sub>2</sub>S oxidation and detoxification. Using bulk transcriptomics analysis of EEC sorted cells from different regions of the mouse gut (<xref ref-type="bibr" rid="B22">22</xref>), we found that the three enzymes were expressed in EECs as well as in other epithelial cells (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). We also confirmed that the H<sub>2</sub>S detoxification machinery is more highly expressed in the colon than in the small intestine, in line with the higher production of H<sub>2</sub>S in the distal gut. Using single-cell transcriptomic data to compare expression of these enzymes in the main colonic EEC subpopulations (<xref ref-type="bibr" rid="B2">2</xref>), we found that expression was lower in <italic>Sst</italic>-expressing D-cells and could be detected in a higher percentage of cells in <italic>Gcg</italic>-expressing L-cells (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). This indicates that probably D-cells are less able to detoxify H<sub>2</sub>S compared to L-cells, and that only a proportion of enterochromaffin cells can efficiently metabolize H<sub>2</sub>S. We then measured the expression of these genes in commonly used intestinal cell line models, including NCI-h716 and HuTu-80, respectively models for colonic GLP-1 producing cells and duodenal GLP-1/GIP producing EECs. While NCI-h716 cells expressed the three main enzymes involved in H<sub>2</sub>S metabolism like HT-29 and Caco2 colonocytes, HuTu-80 cells expressed <italic>SQR</italic>, the first enzyme involved in H<sub>2</sub>S detoxification, at much lower level (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Expression of SOU genes in EECs. <bold>(A)</bold> Normalized expression from transcriptomics data of main three enzyme coding genes of SOU in sorted EECs (, red) and other intestinal cells (blue) in three different regions of mouse gut. <bold>(B)</bold> Normalized expression of the three genes of SOU in single cell transcriptomics data in colonic sorted EECs clustered in the three main subpopulations (L for GLP-1 producing cells, D for Somatostatin cells and ECC for enterochromaffin cells). In <bold>(A, B)</bold> sorted EECs were collected as GFP positive cells from Neurod1-cre x EYFP mice while non-EECs were GFP negative sorted cells <bold>(C)</bold> Expression of the SOU encoding genes in cell lines NCI-h716, HuTu-80, HT29 and Caco2. * indicates significant differences between two populations using a Dunn test and a confidence of 5%.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-14-1123364-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Dual responses of NCI-h716 to H<sub>2</sub>S</title>
<p>Respiration of NCI-h716 cell was measured by oxygen consumption in a liquid sealed chamber with no change of volume, and as with other colonocyte cell lines, the addition of a low quantities of Na<sub>2</sub>S, a rapid donor of H<sub>2</sub>S, was associated with a transient increase of oxygen consumption. This is in line with the fact that these cells are able to oxidize H<sub>2</sub>S, giving electrons to the mitochondrial electron transport chain. Increased amount of Na<sub>2</sub>S resulted in higher O<sub>2</sub> consumption up to a threshold at which respiration was inhibited (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). In contrast, HuTu-80 cells did not seem to be able to metabolize H<sub>2</sub>S, and addition of Na<sub>2</sub>S only resulted in the inhibition of oxidative respiration without the observed increased O<sub>2</sub> consumption at low concentration (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>), which is consistent with a low expression of <italic>SQR</italic>.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>EEC respiration modulation by H<sub>2</sub>S. <bold>(A&#x2013;C)</bold>: representative oxygen consumption of different densities (2 <bold>(A)</bold> or 4 <bold>(C)</bold> million NCI-h716 cells) or cell types (4 million HuTu-80 cells <bold>(C)</bold>). Plain line represents the cell respiration over time, and the horizontal dotted line the basal respiration in the experiment. Transient additional respiration is indicated with blue surfaces while respiration inhibition colored in red. Vertical dotted lines indicates the moment different amounts of Na<sub>2</sub>S were added to the cells. <bold>(D)</bold> average additional oxygen consumption by NCI-h716 cells in response to different Na<sub>2</sub>S quantities additions (n=3-6).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-14-1123364-g002.tif"/>
</fig>
<p>Interestingly, increasing cell number increased the quantity threshold at which H<sub>2</sub>S inhibits cell respiration. This suggests that the rate of H<sub>2</sub>S oxidation per cell is the important limit to determine the threshold at which H<sub>2</sub>S poisons the cell respiration (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2C, D</bold>
</xref>). At low quantities, the same amount of oxygen was consumed regardless of the number of cells (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>). Once all the H<sub>2</sub>S had been metabolized, cells retrieved their basal respiration and could metabolize additional Na<sub>2</sub>S added to the media (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). We could therefore perform successive additions of Na<sub>2</sub>S to the media without inhibiting respiration as long as the concentration of H<sub>2</sub>S in the media did not reach the threshold of inhibition.</p>
<p>We therefore determined a rate at which cells could be maintained with increased oxygen consumption by sequentially adding low quantities of Na<sub>2</sub>S to the media (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Conversely, adding the same amount of Na<sub>2</sub>S as a single bolus resulted in the inhibition of respiration (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Altogether, these conditions were used to maintain NCI-h716 cells at high, normal, or low respiratory rate.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Effect of modulated respiration on acute GLP-1 secretion. <bold>(A, B)</bold> Respiration of 4million NCI-716 cells in response to the addition of 100nmol Na<sub>2</sub>S; either as a single bolus <bold>(B)</bold>, inducing cell respiration inhibition or as 10 successive additions of 10nmol doses, resulting in sustained increased respiration. <bold>(C, E)</bold> GLP-1 secretion in NCI-h716 cells <bold>(C)</bold> or HuTu-80 cells <bold>(E)</bold> in response to Na2S addition to cell media, either as a single 100nmol injection or 10 successive injections of 4 or 10nmol (noted 4c and 10c) Na<sub>2</sub>S. 10&#xb5;M Forskolin 10&#xb5;M IBMX in 10mM glucose was used as a control for GLP-1 secretion. Secretion experiments were performed either in the absence of glucose or with 1mM glucose. * indicates significant differences between two populations using a Dunn test and a confidence of 5%. <bold>(D)</bold> Calcium response to addition of 0.5 nmol and 5 nmol of Na2S in 100&#xb5;L of media of NCI-h716 cells expressing a Gcamp-5G calcium probe. Acetate 2mM is used as control for calcium response.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-14-1123364-g003.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>Effect of sustained increased or decreased oxygen consumption on GLP-1 secretion</title>
<p>We then asked if the modifications of EEC respiration could have an impact on acute GLP-1 secretion. We considered these conditions both in cells deprived of glucose, and therefore mostly depending on utilization of endogenous oxidative substrates for energy production, or with a low glucose concentration in which glycolysis could provide in addition cytosolic ATP in low amounts. Surprisingly, we observed that oxidative respiration inhibition (with 100nmol of Na<sub>2</sub>S) had no acute effect on GLP-1 secretion, whereas increased oxidative respiration was associated with a slight but significant GLP-1 secretion decrease (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>). This decreased secretion was independent of the presence of glucose. We therefore concluded that in the short term, inhibiting oxidative respiration did not alter the secretory activity of the cells, whereas increased oxygen consumption was associated with a slight decreased GLP-1 secretion. Interestingly, this effect was not associated with a detectable change in calcium signaling in these cells, confirming that low concentration of Na<sub>2</sub>S did not induce an important response in these cells (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). In HuTu80 cells, the low concentration of Na<sub>2</sub>S, which does not increase the respiration within these cells, did not change GLP-1 secretion, nor the higher dose (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3E</bold>
</xref>).</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Distal but not proximal EECs express the machinery to detoxify H<sub>2</sub>S. Here, using a cell line model of human colonic L-cells, namely the NCI-h716 cell line, we showed that similar to colonocytes (<xref ref-type="bibr" rid="B14">14</xref>), they respond in a dual manner to H<sub>2</sub>S with low concentrations increasing oxygen consumption while higher concentrations inhibit it. We determined a threshold of H<sub>2</sub>S poisoning capacity per cell that we estimated at about 15 nmol of H<sub>2</sub>S per million NCI-h716 cells.</p>
<p>The concentrations we used here were much lower than those used in previous studies studying GLP-1 secretion in response to H<sub>2</sub>S (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>). It is therefore likely that oxidative respiration was inhibited in these studies. Luminal H<sub>2</sub>S concentration in the human large intestine may reach millimolar levels (<xref ref-type="bibr" rid="B26">26</xref>), but is dependent on the dietary conditions and microbial composition and metabolic activity, resulting in high variability of H<sub>2</sub>S fecal concentration measurements between individuals (<xref ref-type="bibr" rid="B27">27</xref>). Most of the luminal sulfide is presumably bound to compounds present in the intestinal content or in form of gaz (<xref ref-type="bibr" rid="B28">28</xref>), with micromolar concentrations of free solubilized sulfide being estimated to be likely in contact with cells at the surface of the epithelium that can rapidly be metabolized by colonocytes.</p>
<p>H<sub>2</sub>S could therefore act as a short term signal to regulate epithelial cell energy metabolism as its effect are reversible, but the importance of this regulation on different intestinal epithelial cell functions remain to be clearly established (<xref ref-type="bibr" rid="B11">11</xref>).</p>
<p>In this study, we show that EECs can discard hydrogen sulfide, and by doing so, can use this bacterial metabolite as a substrate for oxidative respiration and thus presumably to produce energy in the form of ATP. To our knowledge, the consequences of a modulation of the metabolic status of EEC remain unclear, even if it can be hypothesized that the energy status in hormone-secreting cells may affect the stimulus-secretion coupling, as observed in other endocrine cells, namely pancreatic beta cells (<xref ref-type="bibr" rid="B29">29</xref>). However, in these latter cells, it has been shown that insulin secretion provoked by D-glucose can be further enhanced independently of a modification of the cellular energy status (<xref ref-type="bibr" rid="B30">30</xref>) pointing out that numerous mechanisms of action are involved in the process of insulin secretion.</p>
<p>Here we show that in the short term, the inhibition of mitochondria respiration in EECs had no impact on hormone secretion while increased respiration was associated with a slight reduction of GLP-1 secretion. Similar doses of hydrogen sulfide on cells that did not respond through increased respiration had no effect on secretion, pointing towards an association between increased respiration and a small decrease in GLP-1 secretion. As our experiments were limited to the first 15 minutes during mitochondria respiration alteration due to our experimental conditions, we have no information on the long-term effects of change in the metabolic state of the cell on gut hormone production and/or secretion or a possible shift in EEC energy metabolism. The decrease of gut hormone secretion correlated to higher energy production can seem a paradox as these hormones are mostly secreted in response to energy intake to regulate host metabolism, however the role of distal hormones on these functions are not clear. Many distal hormones also modulate intestinal functions, and hormones co-secreted with GLP-1 such as GLP-2 and PYY regulate respectively epithelial proliferation and electrolyte balance and intestinal transit. A reduced secretion can therefore limit the nutrient absorption capacity in the distal gut.</p>
<p>With these reservations in mind, the results of the present study are compatible with the view that colonic enteroendocrine cells, which are facing changing luminal H<sub>2</sub>S concentrations like colonocytes, are equipped with the enzymatic machinery involved in sulfide disposal. However, in the short term, both effects of low and higher concentrations of H<sub>2</sub>S on mitochondrial energy metabolism do not appear to represent crucial modulators of hormone secretion.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author contributions</title>
<p>PL, MA, and FB conceived the project and designed the experiments, KH, CF, PL, and MA performed the experiments and data analysis, PL produced the final analysis of all data and wrote the first draft. All authors contributed to manuscript revision, read, and approved the submitted version.</p>
</sec>
</body>
<back>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>This project was funded by AgroParisTech (<italic>Fond d&#x2019;amor&#xe7;age</italic>), and an award supported by EFSD/NovoNordisk (Rising Star 2020).</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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