<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
<issn pub-type="epub">2296-861X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnut.2022.886256</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Nutrition</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Rhamnolipids Regulate Lipid Metabolism, Immune Response, and Gut Microbiota in Rats</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Bing</given-names></name>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1207639/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Qin</surname> <given-names>Songke</given-names></name>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wu</surname> <given-names>Yanping</given-names></name>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Ruiqiang</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/1445181/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Xu</surname> <given-names>Yinglei</given-names></name>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Yang</surname> <given-names>Caimei</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1132372/overview"/>
</contrib>
</contrib-group>
<aff><institution>Key Laboratory of Applied Technology on Green-Eco-Healthy Animal Husbandry of Zhejiang Province, Zhejiang Provincial Engineering Laboratory for Animal Health and Internet Technology, College of Animal Science and Technology, College of Veterinary Medicine, Zhejiang Agriculture and Forestry University</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Kai Wang, Chinese Academy of Agricultural Sciences (CAAS), China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Xihong Zhou, Institute of Subtropical Agriculture (CAS), China; Eduardo J. Gudi&#x000F1;a, University of Minho, Portugal; Ghadir El Housseiny, Ain Shams University, Egypt</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Caimei Yang <email>yangcaimei2012&#x00040;163.com</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Nutrition and Microbes, a section of the journal Frontiers in Nutrition</p></fn>
<fn fn-type="equal" id="fn002"><p>&#x02020;These authors have contributed equally to this work and share first authorship</p></fn></author-notes>
<pub-date pub-type="epub">
<day>28</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>9</volume>
<elocation-id>886256</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2022 Zhang, Qin, Wu, Zhang, Xu and Yang.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Zhang, Qin, Wu, Zhang, Xu and Yang</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>
<sec>
<title>Objectives</title>
<p>Gut microbes influence lipid metabolism and immune responses that are key features of metabolic disorders. This study examined effects of bacterial rhamnolipids (RLS) on lipid metabolism, immune response, and gut microbiota in rats.</p>
</sec>
<sec>
<title>Methods</title>
<p>Twenty-four Sprague-Dawley rats were randomly divided into three groups and gavage-fed for seven weeks with normal saline (NCO group), 50 mg/kg bw RLS (RLS1 group), and 100 mg/kg bw RLS (RLS2 group).</p>
</sec>
<sec>
<title>Results</title>
<p>Compared with those of the NCO group, the RLS1 and RLS2 groups showed significantly decreased fat weight, relative fat weight, and adipocyte size (<italic>P</italic> &#x0003C; 0.05). Furthermore, RLS1 and RLS2 significantly decreased concentrations of triglycerides, low-density lipoprotein-cholesterol, and non-esterified fatty acids and increased high-density lipoprotein-cholesterol levels (<italic>P</italic> &#x0003C; 0.05). However, the total cholesterol content among the three groups (<italic>P</italic> &#x0003E; 0.05) were not significantly different. Serum concentrations of interleukin-1&#x003B2;, interleukin-6, and tumor necrosis factor-&#x003B1; were significantly lower in the RLS2 group than those in the NCO group (<italic>P</italic> &#x0003C; 0.05). The relative mRNA expression of fatty acid synthase was significantly decreased, while those of carnitine palmitoyltransferase-1, carnitine palmitoyltransferase-2, and peroxisome proliferator-activated receptor-gamma coactivator-1&#x003B1; were significantly increased in the RLS2 group compared with those in the NCO group (<italic>P</italic> &#x0003C; 0.05). Moreover, the relative abundances of <italic>Lactobacillus, Roseburia, Ruminococcus-1</italic>, and <italic>Parabacteroides</italic> were significantly higher in the RLS2 group than those in the NCO group (<italic>P</italic> &#x0003C; 0.05).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Our findings suggest that RLS reduces fat deposition, inhibits inflammation, regulates intestinal flora, and promotes the proliferation of beneficial bacteria in rats.</p>
</sec></abstract>
<kwd-group>
<kwd>rhamnolipids</kwd>
<kwd>lipid metabolism</kwd>
<kwd>immune response</kwd>
<kwd>gut microbiota</kwd>
<kwd>Sprague-Dawley rats</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="48"/>
<page-count count="10"/>
<word-count count="5852"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>In mammals, lipid metabolism is a key player in several metabolic disorders, including diabetes, metabolic syndromes, and systemic diseases such as cancer (<xref ref-type="bibr" rid="B1">1</xref>). Therefore, lipid metabolism disorders are among the most important types of metabolic abnormalities and cannot be ignored. Lipid metabolism is associated with immune responses and inflammatory processes in mammals (<xref ref-type="bibr" rid="B2">2</xref>). However, the exact mechanism underlying the interaction between abnormal lipid metabolism and inflammatory responses remains unclear. Furthermore, obvious correlations between the proportions of specific gut bacteria taxa and lipid levels indicate a role of intestinal microorganisms in regulating host lipid metabolism (<xref ref-type="bibr" rid="B3">3</xref>). The gut microbiome can mechanistically affect host lipid levels (<xref ref-type="bibr" rid="B4">4</xref>&#x02013;<xref ref-type="bibr" rid="B6">6</xref>). Another possible underlying mechanism whereby intestinal microorganisms affect lipid metabolism may involve fermentation of undigested carbohydrates (<xref ref-type="bibr" rid="B7">7</xref>). Moreover, intestinal microbiota may possibly produce intermediate precursors that are further metabolized to products that directly affect lipid levels of the host (<xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>Rhamnolipids (RLS) are glycolipids produced by <italic>Pseudomonas aeruginosa</italic> and are composed of one or two rhamnose molecules linked to one or two fatty acid alkyl chains (<xref ref-type="bibr" rid="B9">9</xref>). Several useful properties of RLS biosurfactants such as surface activity, emulsifying properties, biodegradability, and low toxicity have been exploited in the processing industry (<xref ref-type="bibr" rid="B10">10</xref>). Furthermore, RLS have broad-spectrum antimicrobial activity against both gram-positive and gram-negative bacteria (<xref ref-type="bibr" rid="B11">11</xref>&#x02013;<xref ref-type="bibr" rid="B13">13</xref>). RLS also participate in immune defense responses in plants, animals, and humans and play a significant role in the treatment of various immune diseases (<xref ref-type="bibr" rid="B14">14</xref>). In our previous study, RLS improved growth performance, regulated immune responses, increased the abundance of intestinal flora, and promoted the proliferation of beneficial bacteria in broiler chickens (<xref ref-type="bibr" rid="B15">15</xref>). Gut microbes provide essential nutrients, affect lipid metabolism and levels in blood and tissues, and modulate the host immune system (<xref ref-type="bibr" rid="B16">16</xref>). Therefore, in this study, we evaluated effects of RLS on lipid metabolism and inflammatory factors in rats to provide a theoretical basis for the subsequent in-depth study on the mechanism by which RLS regulates lipid metabolism and inflammatory responses.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and Methods</title>
<sec>
<title>Animals and Study Design</title>
<p>All experiments were conducted in accordance with the Guidelines for the Care and Use of Laboratory Animals of Zhejiang Agriculture and Forestry University and were approved by the Animal Ethics Committee of Zhejiang Agriculture and Forestry University (SYXKzhe 2019-054).</p>
<p>RLS (purity 99.9%, mixture) used in the present work were provided by Zhejiang Vegamax Biological Technology Co. Ltd. (Huzhou, China). RLS were weighed according to the body weight of the rat, put into a 1.5 mL centrifuge tube, and 1 mL phosphate buffered saline (PBS) was added to prepare RLS suspension.</p>
<p>A total of 24 adult male Sprague-Dawley rats weighing 200 &#x000B1; 20 g were purchased from Zhejiang Academy of Medical Sciences (Hangzhou, China). Prior to the experiment, all rats were housed in an independently ventilated cage with free access to food and water for 1 week to acclimatize to the environment. Rats were randomly divided into three treatment groups (<italic>n</italic> = 8 per group). The control group (NCO group) was gavage-fed normal saline. The RLS1 and RLS2 groups were gavage-fed 50 and 100 mg/kg bw RLS, respectively. Gavage feeding was performed for seven weeks.</p>
</sec>
<sec>
<title>Sample Collection</title>
<p>At the end of the experiment, each rat was weighed and euthanized. Blood was obtained from the abdominal aorta after rats were anesthetized with sodium pentobarbital. Serum samples were collected by centrifugation at 6,000 rpm for 10 min and stored at&#x02212;80&#x000B0;C. Inguinal, epididymal, and subscapular adipose tissues were weighed and preserved in 4% formalin or were immediately frozen in liquid nitrogen. Liver and colonic contents were collected and frozen at -80&#x000B0;C.</p>
</sec>
<sec>
<title>Body Weight and Fat Weight</title>
<p>Body weight and inguinal, epididymal, and subscapular fat weights of each rat were measured by electronic analytical balance (BSA124S, Sartorius, Beijing, China) at the end of the experiment. Relative fat weight was calculated as: relative weight = weight of specific adipose tissue/weight of the rat.</p>
</sec>
<sec>
<title>Serum Biochemical Indicators</title>
<p>Serum biochemical parameters, such as levels of total cholesterol (TC), triglyceride (TG), low-density lipoprotein-cholesterol (LDL-C), high-density lipoprotein-cholesterol (HDL-C), non-esterified fatty acid (NEFA), interleukin-1&#x003B2; (IL-1&#x003B2;), interleukin-6 (IL-6), interleukin-10 (IL-10), and tumor necrosis factor-&#x003B1; (TNF-&#x003B1;), were measured according to the manufacturer&#x00027;s instructions (Nanjing Jiancheng Bioengineering Institute, Nanjing, China).</p>
</sec>
<sec>
<title>Adipose Tissue Morphology</title>
<p>Inguinal, epididymal, and subscapular adipose tissues were fixed with 4% formaldehyde for at least 24 h. Samples were dehydrated using graded ethanol solutions, cleared using xylol, and embedded in paraffin. Sections (5 &#x003BC;m thick) were washed with xylene to remove residual paraffin, rinsed with different concentrations of alcohol, and finally stained with hematoxylin-eosin (HE). Tissue sections from each group were examined under an optical microscope (Eclipse Ci, Nikon, Japan). Three visual fields were randomly selected to capture photographs, and the magnification of the view was 200&#x000D7;. The average adipocyte size was measured using the ImageJ software (National Institute of Mental Health, Bethesda, USA).</p>
</sec>
<sec>
<title>Real-Time Quantitative PCR</title>
<p>Total RNA in the liver was extracted using the RNAiso reagent (Takara Bio, Inc., Japan). A Nano-300 micro-spectrophotometer (AllSheng Instruments Co. Ltd., Hangzhou, China) was used to measure the quality and concentration of the isolated RNA. RNA samples were reverse transcribed using the PrimeScript RT Master Mix reagent kit (RR047A, Takara Bio, Inc., Japan) with a gDNA eraser. &#x003B2;-actin was used as an internal control. Primer sequences used in this study were synthesized by TSINGKE Biological Technology (Hangzhou, China), and are listed in <xref ref-type="table" rid="T1">Table 1</xref>. The CFX96 Real-Time System (Bio-Rad, Singapore) was used to perform PCR using an RT-PCR kit (RR420A, Takara Bio, Inc., Japan). The reaction was performed as follow: denaturation at 95&#x000B0;C for 30s, followed by 40 cycles (95&#x000B0;C for 5 s and 60&#x000B0;C for 30 s). The crossing threshold (Ct) values of different treatments were obtained to calculate relative mRNA levels using the 2<sup>&#x02212;&#x00394;&#x00394;Ct</sup> method. The mRNA level of each target gene in the control group was considered to represent the baseline level, with an assigned fold change of one.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Sequences of the oligonucleotide primers used for quantitative real-time PCR.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Gene<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></bold></th>
<th valign="top" align="left"><bold>GenBank accession number</bold></th>
<th valign="top" align="left"><bold>Sequence (5<sup><bold>&#x02032;</bold></sup>-3<sup><bold>&#x02032;</bold></sup>)</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>&#x003B2;-actin</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="NM_031144">NM_031144</ext-link></td>
<td valign="top" align="left">Forward: GATTACTGCCCTGGCTCCTA</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="left">Reverse: TCATCGTACTCCTGCTTGCT</td>
</tr>
<tr>
<td valign="top" align="left"><italic>ACC</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="NM_022193.1">NM_022193.1</ext-link></td>
<td valign="top" align="left">Forward: TGAAGGGCTACCTCTAATG</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="left">Reverse: TCACAACCCAAGAACCAC</td>
</tr>
<tr>
<td valign="top" align="left"><italic>FAS</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="NM_017332">NM_017332</ext-link></td>
<td valign="top" align="left">Forward: AGCCGCCGACCAGTAT</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="left">Reverse: CACAGACACCTTCCCATCA</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Srebf-1c</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="AF286470">AF286470</ext-link></td>
<td valign="top" align="left">Forward: GGAGCCATGGATTGCACATT</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="left">Reverse: AGGAAGGCTTCCAGAGAGGA</td>
</tr>
<tr>
<td valign="top" align="left"><italic>CPT-1</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="NM_009948">NM_009948</ext-link></td>
<td valign="top" align="left">Forward: CAACACTACACGCATCCC</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="left">Reverse: GAAAGATTTGTCAAACCACC</td>
</tr>
<tr>
<td valign="top" align="left"><italic>CPT-2</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="NM_012930.1">NM_012930.1</ext-link></td>
<td valign="top" align="left">Forward: TGACCAGTGAGAACCGAGAT</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="left">Reverse: GGCAGAGGCAGAAGACAG</td>
</tr>
<tr>
<td valign="top" align="left"><italic>PGC-1&#x003B1;</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="NC_005113.4">NC_005113.4</ext-link></td>
<td valign="top" align="left">Forward: TGGAGTCCACGCATGTGAAG</td>
</tr>
<tr>
<td/>
<td/>
<td valign="top" align="left">Reverse: CGCCAGCTTTAGCCGAATAG</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="TN1"><label>a</label><p><italic>ACC, acetyl-CoA carboxylase; FAS, fatty acid synthase; Srebp-1c, sterol regulatory-element binding proteins-1c; CPT-1, carnitine palmitoyltransferase-1; CPT-2, carnitine palmitoyltransferase-2; PGC-1&#x003B1;, peroxisome proliferator-activated receptor-gamma coactivator-1&#x003B1;</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>Colonic Microflora</title>
<p>Total genomic DNA was extracted from colonic samples of rats using a DNA extraction kit, and the DNA concentration was determined using NanoDrop 2000 and agarose gel electrophoresis. Genomic DNA was used as a template for PCR amplification, which was performed using barcoded primers and Tks Gflex DNA Polymerase (Takara Bio). The V3&#x02013;V4 region of the 16s rRNA gene was analyzed using specific primers with the following sequences: 343F (5&#x02032;-TACGGRAGGCAGCAG-3&#x02032;) and 798R (5&#x02032;-AGGGTATCTAATCCT-3&#x02032;). The amplification quality was examined using gel electrophoresis. PCR products were purified using AMPure XP beads (Agencourt) and amplified in another round of PCR. After purification, the final amplification was quantified using a Qubit dsDNA detection kit. Equal amounts of purified amplification products were pooled for subsequent sequencing. Library construction and sequencing were performed by the Shanghai OE Biotech. Co., Ltd (Shanghai, China).</p>
</sec>
<sec>
<title>Statistical Analysis</title>
<p>One-way analysis of variance was performed using SPSS (version 25.0; SPSS Inc., USA) and GraphPad Prism 8.0 (GraphPad Software Inc., USA). Values are expressed as mean. Differences among treatments were examined using the least significant difference test. Significance levels: <sup>&#x0002A;</sup> <italic>P</italic> &#x0003C; 0.05, <sup>&#x0002A;&#x0002A;</sup> <italic>P</italic> &#x0003C; 0.01, <sup>&#x0002A;&#x0002A;&#x0002A;</sup> <italic>P</italic> &#x0003C; 0.001.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>Relative Fat Weight</title>
<p>The relative weight of epididymal fat was significantly lower in RLS1 rats than that in NCO rats (<italic>P</italic> &#x0003C; 0.05). Moreover, the relative weights of the inguinal, epididymal, and subscapular adipose tissues were significantly lower in the RLS2 group than that in the control group (<italic>P</italic> &#x0003C; 0.05) (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Effects of RLS on relative fat weight in rats<xref ref-type="table-fn" rid="TN2"><sup>1</sup></xref>.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Items</bold></th>
<th valign="top" align="center" colspan="3" style="border-bottom: thin solid #000000;"><bold>Treatments<xref ref-type="table-fn" rid="TN3">2</xref></bold></th>
<th valign="top" align="center"><bold>SEM<xref ref-type="table-fn" rid="TN4">3</xref></bold></th>
<th valign="top" align="center"><bold><italic>P-</italic>value</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="center"><bold>NCO</bold></th>
<th valign="top" align="center"><bold>RLS1</bold></th>
<th valign="top" align="center"><bold>RLS2</bold></th>
<th/>
<th/>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Inguinal relative fat weight (%)</td>
<td valign="top" align="center">2.91<sup>a</sup></td>
<td valign="top" align="center">2.64<sup>a</sup></td>
<td valign="top" align="center">2.08<sup>b</sup></td>
<td valign="top" align="center">0.12</td>
<td valign="top" align="center">0.010</td>
</tr>
<tr>
<td valign="top" align="left">Epididymal relative fat weight (%)</td>
<td valign="top" align="center">2.37<sup>a</sup></td>
<td valign="top" align="center">1.62<sup>b</sup></td>
<td valign="top" align="center">1.35<sup>b</sup></td>
<td valign="top" align="center">0.13</td>
<td valign="top" align="center">&#x0003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Subscapular relative fat weight (%)</td>
<td valign="top" align="center">0.20<sup>a</sup></td>
<td valign="top" align="center">0.17<sup>a</sup></td>
<td valign="top" align="center">0.15<sup>b</sup></td>
<td valign="top" align="center">0.01</td>
<td valign="top" align="center">0.002</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="TN2"><label>1</label><p><italic>Data are expressed as mean, n = 8. Values in the same line with different superscripts are significantly different (P &#x0003C; 0.05), while those with the same superscripts are not significantly different (P &#x0003E; 0.05)</italic>.</p></fn>
<fn id="TN3"><label>2</label><p><italic>NCO, rats were gavage-fed normal saline; RLS1, rats were gavage-fed 50 mg/kg&#x000B7;bw RLS; RLS2, rats were gavage-fed 100 mg/kg&#x000B7;bw RLS</italic>.</p></fn>
<fn id="TN4"><label>3</label><p><italic>Pooled SEM values</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>Adipocyte Size</title>
<p>HE staining demonstrated that the size of inguinal adipocytes in the RLS2 group was significantly smaller than that in the NCO group (<italic>P</italic> &#x0003C; 0.05). However, the dosage of RLS administered in the RLS1 group had no significant impact on inguinal adipocyte size (<italic>P</italic> &#x0003E; 0.05). A significant reduction in epididymal and subscapular adipocyte sizes was observed in both RLS1 and RLS2 rats (<italic>P</italic> &#x0003C; 0.05). Furthermore, adipocyte size was significantly smaller in the RLS2 group than in the RLS1 (<italic>P</italic> &#x0003C; 0.05) (<xref ref-type="fig" rid="F1">Figure 1</xref>).</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Effects of RLS on adipocyte size in rats. NCO, rats were gavage-fed normal saline; RLS1, rats were gavage-fed 50 mg/kg&#x000B7;bw RLS; RLS2, rats were gavage-fed 100 mg/kg&#x000B7;bw RLS. HE staining (200&#x000D7;). The histograms represent quantification of the adipocyte sizes. Values are expressed as the mean &#x000B1; SEM, <italic>n</italic> = 8. Different letters represent a significant difference of <italic>P</italic> &#x0003C; 0.05. Part labels represent standard error for the sample mean (SEM).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-886256-g0001.tif"/>
</fig>
</sec>
<sec>
<title>Serum Lipid Levels</title>
<p>The TG level in the RLS1 group was significantly lower than that in the control group (<italic>P</italic> &#x0003C; 0.05). The RLS2 group induced a significant decrease in LDL-C and NEFA levels, and a significant increase in HDL-C levels (<italic>P</italic> &#x0003C; 0.05). However, TC levels did not differ significantly among the three groups (<italic>P</italic> &#x0003E; 0.05) (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Effects of RLS on serum lipid levels in rats. NCO, rats were gavage-fed normal saline; RLS1, rats were gavage-fed 50 mg/kg&#x000B7;bw RLS; RLS2, rats were gavage-fed 100 mg/kg&#x000B7;bw RLS. TC, total cholesterol; TG, triglyceride; LDL-C, low-density lipoprotein-cholesterol; HDL-C, high-density lipoprotein-cholesterol; NEFA, non-esterified fatty acid. Values are expressed as the mean &#x000B1; SEM, <italic>n</italic> = 8. Different letters represent a significant difference of <italic>P</italic> &#x0003C; 0.05. Part labels represent standard error for the sample mean (SEM).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-886256-g0002.tif"/>
</fig>
</sec>
<sec>
<title>Lipid Synthesis and Degradation-Related Gene Expression</title>
<p>Compared with those of the NCO group, relative mRNA levels of the lipid synthesis-related gene fatty acid synthase (<italic>FAS</italic>) were significantly decreased in the RLS2 group (<italic>P</italic> &#x0003C; 0.05). We also observed a decreasing trend in the expression of the lipid synthesis-related genes&#x02014; acetyl-CoA carboxylase (<italic>ACC</italic>) and sterol regulatory-element binding proteins-1c (<italic>Srebp-1c</italic>) (<italic>P</italic> &#x0003E; 0.05). Additionally, expressions of lipid degradation-related genes, namely carnitine palmitoyltransferase-1 and 2 (<italic>CPT-1 and CPT-2</italic>), and peroxisome proliferator-activated receptor-gamma coactivator-1&#x003B1; (<italic>PGC-1</italic>&#x003B1;), were significantly higher in RLS2 rats than those in NCO rats (<italic>P</italic> &#x0003C; 0.05). However, differences in lipid degradation-related gene expression were not significant between the RLS1 and NCO groups (<italic>P</italic> &#x0003E; 0.05) (<xref ref-type="fig" rid="F3">Figure 3</xref>).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Effects of RLS on the expression of lipid synthesis and degradation-related genes in the liver of rats. NCO, rats were gavage-fed normal saline; RLS1, rats were gavage-fed 10 mg RLS / 200 g body weight; RLS2, rats were gavage-fed 20 mg RLS / 200 g body weight. ACC, acetyl-CoA carboxylase; FAS, fatty acid synthase; Srebp-1c, sterol regulatory-element binding proteins-1c; CPT-1, carnitine palmitoyltransferase-1; CPT-2, carnitine palmitoyltransferase-2; PGC-1&#x003B1;, peroxisome proliferator-activated receptor-gamma coactivator-1&#x003B1;. Values are expressed as the mean &#x000B1; SEM, <italic>n</italic> = 8. Different letters represent a significant difference of <italic>P</italic> &#x0003C; 0.05. Part labels represent standard error for the sample mean (SEM).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-886256-g0003.tif"/>
</fig>
</sec>
<sec>
<title>Serum Inflammatory Cytokines</title>
<p>Serum IL-1&#x003B2; and IL-6 concentrations significantly decreased in the RLS1 and RLS2 groups (<italic>P</italic> &#x0003C; 0.05). Moreover, RLS2 significantly reduced the TNF-&#x003B1; concentration in the serum of rats compared with NCO group (<italic>P</italic> &#x0003C; 0.05). However, no significant alterations in the serum levels of anti-inflammatory cytokines (IL-10) were observed (<italic>P</italic> &#x0003E; 0.05) between the three groups (<xref ref-type="fig" rid="F4">Figure 4</xref>).</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Effects of RLS on serum inflammatory cytokine levels in rats. NCO, rats were gavage-fed normal saline; RLS1, rats were gavage-fed 10 mg RLS / 200 g body weight; RLS2, rats were gavage-fed 20 mg RLS / 200 g body weight. IL-1&#x003B2;, interleukin-1&#x003B2;; IL-6, interleukin-6; IL-10, interleukin-10; TNF-&#x003B1;, tumor necrosis factor-&#x003B1;. Values are expressed as the mean &#x000B1; SEM, <italic>n</italic> = 8. Different letters represent a significant difference of <italic>P</italic> &#x0003C; 0.05. Part labels represent standard error for the sample mean (SEM).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-886256-g0004.tif"/>
</fig>
</sec>
<sec>
<title>Colonic Microflora</title>
<p>There were 2,481 common operational taxonomic units (OTUs) shared across the three groups and 194, 188, and 222 unique OTUs were present in the NCO, RLS1, and RLS2 groups, respectively (<xref ref-type="fig" rid="F5">Figure 5A</xref>). Compared with those of the NCO group, the Shannon and Simpson (&#x003B1;-diversity) indices were significantly increased in the RLS2 group (<italic>P</italic> &#x0003C; 0.001 each) (<xref ref-type="fig" rid="F5">Figures 5B,C</xref>). The Simpson index in the RLS1 group was significantly higher (<italic>P</italic> &#x0003C; 0.001) than that in the NCO group (<xref ref-type="fig" rid="F5">Figure 5C</xref>). Colonic microflora among the three groups differed, as indicated by the principal component analysis and principal coordinate analysis (<xref ref-type="fig" rid="F5">Figures 5D,E</xref>). In addition, non-metric multidimensional scaling plots indicated a greater distance between the NCO, RLS1, and RLS2 groups (<xref ref-type="fig" rid="F5">Figure 5F</xref>). Firmicutes, Bacteroidetes, Actinobacteria, Proteobacteria, and Tenericutes were the dominant bacterial phyla in all the treatment groups (<xref ref-type="fig" rid="F5">Figures 5G,H</xref>). Meanwhile, <italic>Lachnospiraceae, Bacteroides, Lactobacillus, Romboutsia</italic>, and <italic>Prevotellaceae</italic> were highly abundant in all the RLS groups, as shown in <xref ref-type="fig" rid="F5">Figure 5I</xref>.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>Effects of RLS on the colonic microflora in rats. NCO, rats were gavage-fed normal saline; RLS1, rats were gavage-fed 10 mg RLS / 200 g body weight; RLS2, rats were gavage-fed 20 mg RLS / 200 g body weight. <bold>(A)</bold> Venn diagram. <bold>(B)</bold> Shannon index. <bold>(C)</bold> Simpson index. <bold>(D)</bold> Principal component analysis (PCA). <bold>(E)</bold> Principal coordinate analysis (PCoA). <bold>(F)</bold> Non-metric multidimensional scaling (NMDS). <bold>(G)</bold> The microbiota composition at phylum level. <bold>(H)</bold> Ternary phase diagram of the dominant phyla. <bold>(I)</bold> The microbiota composition at genus level. Data are shown as mean &#x000B1; SEM and analyzed by one-way ANOVA LSD test (<italic>n</italic> = 8 in each group). &#x0002A; represents <italic>P</italic> &#x0003C; 0.05, &#x0002A;&#x0002A;&#x0002A; represents <italic>P</italic> &#x0003C; 0.001, ns represents not-significant.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-886256-g0005.tif"/>
</fig>
<p>Differences at the genus level are shown in panels A&#x02013;D of <xref ref-type="fig" rid="F6">Figure 6</xref>. Rats in the RLS1 group had a higher abundance of <italic>Ruminococcus-1</italic> than those in the NCO group (<italic>P</italic> &#x0003C; 0.01). Meanwhile, rats in the RLS2 group had a higher abundance of <italic>Lactobacillus, Roseburia, Ruminococcus-1</italic>, and <italic>Parabacteroides spp</italic>. than those in rats of the NCO group (<italic>P</italic> &#x0003C; 0.01, <italic>P</italic> &#x0003C; 0.001, <italic>P</italic> &#x0003C; 0.001, and <italic>P</italic> &#x0003C; 0.01, respectively). At the genus level, LEfSe analysis showed that <italic>Firmicutes</italic> and <italic>Lactobacillus</italic> were abundant in the RLS2 group, <italic>Actinobacteria</italic> and <italic>Corynebacteriaceae</italic> in the RLS1 group, and <italic>Muribaculaceae</italic> and uncultured bacteria in the NCO group (<xref ref-type="fig" rid="F6">Figure 6E</xref>).</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p>Significant genera and LEfSe analysis. NCO, rats were gavage-fed normal saline; RLS1, rats were gavage-fed 10 mg RLS / 200 g body weight; RLS2, rats were gavage-fed 20 mg RLS / 200 g body weight. <bold>(A&#x02013;D)</bold> The significant genera in the three treatment groups. <bold>(E)</bold> Histogram of LDA scores for taxonomic biomarkers by LEfSe analysis. LDA scores (log 10) &#x0003E; 2 indicate enriched taxa in cases. Data are shown as mean &#x000B1; SEM and are analyzed by one-way ANOVA LSD test (<italic>n</italic> = 8 in each group). &#x0002A;&#x0002A; represents <italic>P</italic> &#x0003C; 0.01, &#x0002A;&#x0002A;&#x0002A; represents <italic>P</italic> &#x0003C; 0.001, ns represents not-significant.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-886256-g0006.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>Impaired adipose tissue function is a major contributor to lipid metabolism disorders (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>). Adipose tissue is the main site of fat storage in the body and is involved in the de novo synthesis of fat and oxidative decomposition of fatty acids, which is essential to maintain fat metabolism balance (<xref ref-type="bibr" rid="B19">19</xref>). Adipose tissue stores energy mainly in the form of triglycerides (TG). When fat intake exceeds the storage capacity of adipocytes, lipids cannot be effectively utilized by the body, leading to increased lipid levels (<xref ref-type="bibr" rid="B20">20</xref>). Furthermore, excessive deposition of lipids in adipose tissues causes adipocytes to secrete large amounts of pro-inflammatory cytokines and recruit a large number of white blood cells into the adipose tissue (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>). As the number of infiltrating leukocytes increases, pro-inflammatory cytokines produced by adipose tissues continue to be released into the circulatory system, leading to mild systemic chronic inflammation (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>). This inflammation further aggravates any existing metabolic disorders in the body and promotes the development of common metabolic diseases such as cardiovascular disease and type II diabetes (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>). Therefore, screening and using active substances to regulate fat metabolism and inflammation are extremely important for the treatment and prevention of diseases related to metabolic disorders and for the protection of animal and human health. In this study, RLS regulated lipid metabolism and immune responses by inhibiting the expression of lipid synthesis-related genes, promoting the expression of lipid decomposition-related genes, and decreasing the secretion of inflammatory factors in rats. Therefore, this study provided a theoretical basis for the subsequent in-depth study on the mechanism underlying the regulation of lipid metabolism and inflammatory responses by RLS.</p>
<p>Fat weight and adipocyte size are important parameters for evaluating lipid accumulation in adipose tissues (<xref ref-type="bibr" rid="B23">23</xref>). Lipid metabolism disorders lead to excessive accumulation of lipids in adipocytes, resulting in increased adipocyte size (<xref ref-type="bibr" rid="B24">24</xref>). Our results indicated that RLS decreased the weight of inguinal, epididymal, and subscapular adipose tissues. Additionally, adipocyte sizes in different adipose tissues in RLS-fed rats was significantly decreased compared with those in rats of the NCO group. These results suggest that RLS treatment can significantly inhibit lipid accumulation in different adipose tissues in rats. The main reason for this may be that RLS modulates fat deposition by modulating the expression of lipid metabolism-related genes. However, the effects of RLS on fat metabolism are scarcely reported in literature.</p>
<p>Dyslipidemia is a disorder of lipid metabolism and is defined by higher levels of TC, TG, and LDL-C as well as lower concentrations of HDL-C in the serum (<xref ref-type="bibr" rid="B25">25</xref>). Suarez-Sanchez et al. (<xref ref-type="bibr" rid="B26">26</xref>) reported that a decrease in lipid levels of serum is associated with a reduced risk of metabolic diseases. Furthermore, Frohnert et al. (<xref ref-type="bibr" rid="B27">27</xref>) showed that elevated serum NEFA levels can increase the risk of adiposity, insulin resistance, and angina pectoris. In our study, RLS reduced levels of TC, TG, and LDL-C, and increased the HDL-C and NEFA levels, indicating that RLS improve the serum lipid profiles of rats.</p>
<p>To further clarify the mechanism underlying the inhibitory effects of RLS on lipid accumulation in rats, we examined gene expression levels of key factors regulating fat metabolism in the livers of rats. The maintenance of intracellular lipid homeostasis is highly dependent on the dynamic balance between lipid biosynthesis and degradation (<xref ref-type="bibr" rid="B28">28</xref>). In the liver, acetyl-CoA is catalyzed by ACC to produce malonyl-CoA and FAS catalyzes the synthesis of fatty acids (<xref ref-type="bibr" rid="B29">29</xref>). Srebp-1c modulates the expression levels of lipogenic genes such as <italic>ACC</italic> and <italic>FAS</italic>, thereby regulating the synthesis of fatty acids and TG (<xref ref-type="bibr" rid="B30">30</xref>). Our findings revealed that RLS inhibit the expression of lipid synthesis-related genes (<italic>ACC, FAS</italic>, and <italic>Srebp-1c</italic>) to reduce hepatic lipid accumulation. CPT-1 and CPT-2 are mitochondrial membrane-associated enzymes that regulate the flow of fatty acids into the mitochondria where &#x003B2;-oxidation occurs (<xref ref-type="bibr" rid="B31">31</xref>). PGC-1&#x003B1; participates in the regulation of sugar and lipid metabolism by affecting mitochondrial function. Loss of PGC-1&#x003B1; expression leads to the development of insulin resistance (<xref ref-type="bibr" rid="B32">32</xref>). The results from our experiment revealed that RLS treatment significantly increased mRNA levels of lipolysis-related factors CPT-1, CPT-2, and PGC-1&#x003B1; in the livers of rats. These results suggested that RLS promote oxidative decomposition of fatty acids in adipocytes. In summary, RLS maintain the lipid metabolism balance in rats by regulating the expression of key factors involved in fat metabolism.</p>
<p>Lipid metabolic disorders can induce adipocytes to continuously produce pro-inflammatory cytokines and trigger inflammation, further aggravating these disorders (<xref ref-type="bibr" rid="B33">33</xref>). Inflammatory cytokines lead to inflammatory reactions and act as pro-inflammatory (IL-1&#x003B2;, IL-6, and TNF-&#x003B1;) and anti-inflammatory (IL-10) cytokines, depending on their roles (<xref ref-type="bibr" rid="B34">34</xref>). Biosurfactants modulate the humoral and cellular immune systems. RLS stimulate immune cells to produce pro-inflammatory cytokines (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>). Moreover, Andr&#x000E4; et al. (<xref ref-type="bibr" rid="B35">35</xref>) stated that RLS from <italic>Burkholderia plantarii</italic> induced human mononuclear cells to produce TNF-&#x003B1;. In this study, we detected a reduction in levels of pro-inflammatory cytokines (IL-1&#x003B2;, IL-6, and TNF-&#x003B1;) in rats following intragastric RLS administration. These results differed from those of previous studies described above. This discrepancy was likely because of the differences in the structure of the RLS used, experimental subjects and intervention times. RLS may inhibit inflammation by reducing concentrations of pro-inflammatory factors; however, the mechanism remains to be elucidated.</p>
<p>Intestinal flora plays a key role in regulating lipid metabolism, immunity, and inflammation (<xref ref-type="bibr" rid="B37">37</xref>). Therefore, we analyzed the structure and composition of microflora in rat colon from each treatment group. The results indicated that RLS increased the diversity of intestinal flora in rats. In our previous study, dietary RLS supplementation increased the relative abundance of gut microbiota and promoted the proliferation of beneficial bacteria in broilers, which is similar to the results of this study (<xref ref-type="bibr" rid="B15">15</xref>). Additionally, RLS significantly increased the abundance of <italic>Lactobacillus, Roseburia, Ruminococcus-1</italic>, and <italic>Parabacteroides</italic> in the colon. <italic>Lactobacillus</italic> species are known to be probiotics. Specific probiotic <italic>Lactobacillus</italic> strains affect host innate and adaptive immune responses, such as the pro-inflammatory and anti-inflammatory responses of antigen-presenting cells, T cell differentiation, and secretion of antibodies (<xref ref-type="bibr" rid="B38">38</xref>&#x02013;<xref ref-type="bibr" rid="B40">40</xref>). Butyrate-producing <italic>Roseburia</italic> species are potential health markers (<xref ref-type="bibr" rid="B41">41</xref>). <italic>Roseburia</italic> is a beneficial probiotic in alleviating inflammation in autoimmune diseases (<xref ref-type="bibr" rid="B42">42</xref>). <italic>Roseburia</italic> also protects colon epithelial cells from inflammatory damage (<xref ref-type="bibr" rid="B43">43</xref>). <italic>Ruminococcus-1</italic> modulates butyrate production by fermenting complex non-digestible polysaccharides, which is thought to be correlated with gut anti-inflammatory responses (<xref ref-type="bibr" rid="B44">44</xref>). <italic>Parabacteroides</italic> species have immunoregulatory functions (<xref ref-type="bibr" rid="B45">45</xref>). Zeng et al. (<xref ref-type="bibr" rid="B46">46</xref>) showed that <italic>Parabacteroides</italic> inhibit systemic inflammatory responses by modulating IL-10 levels and Treg cells. Moreover, <italic>Parabacteroides</italic> exert anti-inflammatory effects by producing short-chain fatty acids (<xref ref-type="bibr" rid="B47">47</xref>). Wang et al. (<xref ref-type="bibr" rid="B48">48</xref>) demonstrated that <italic>Parabacteroides</italic> attenuate obesity and metabolic dysfunction by producing succinate and secondary bile acids. Altogether, RLS treatment increased the diversity of intestinal flora and improved the relative abundance of beneficial bacteria in rats. However, the effect of rhamnolipids on the gut microbiota is still in the preliminary stage, and its specific mechanism needs to be further studied.</p>
</sec>
<sec sec-type="conclusions" id="s5">
<title>Conclusion</title>
<p>In conclusion, RLS reduced relative fat weight and adipocyte size, improved the serum lipid profiles, and maintained the lipid metabolism balance by regulating lipid synthesis and degradation-related gene expression, thereby inhibiting inflammation. Additionally, findings from our study demonstrate that RLS increased the diversity of colonic microflora and the relative abundance of beneficial bacteria in rats, which is of great significance for gut health. The specific mechanism needs further study.</p>
</sec>
<sec sec-type="data-availability" id="s6">
<title>Data Availability Statement</title>
<p>The data presented in the study are deposited in the National Center for Biotechnology (NCBI) repository, <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/bioproject/">https://www.ncbi.nlm.nih.gov/bioproject/</ext-link>, accession number <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="PRJNA818170">PRJNA818170</ext-link>.</p>
</sec>
<sec id="s7">
<title>Ethics Statement</title>
<p>All experiments were conducted in accordance with the Guidelines for the Care and Use of Laboratory Animals of Zhejiang Agriculture and Forestry University and were approved by the Animal Ethics Committee of Zhejiang Agriculture and Forestry University (SYXKzhe 2019-054).</p>
</sec>
<sec id="s8">
<title>Author Contributions</title>
<p>BZ and CY conceptualized the study, developed the protocol, and wrote the manuscript. SQ carried out the experiments. YW, RZ, and YX analyzed the data and performed statistical analyses. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec sec-type="funding-information" id="s9">
<title>Funding</title>
<p>This research was supported by the Program for Zhejiang Leading Team of Innovation and Entrepreneurship (No. 2020R01015), Key Research and Development Plan Projects of Zhejiang Province (Nos. 2019C02051 and 2020C02032), and National Key Research and Development Program Intergovernmental Cooperation in International Science and Technology Innovation (No. 2018YFE0112700).</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<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 sec-type="disclaimer" id="s10">
<title>Publisher&#x00027;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>
</body>
<back>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ghosh</surname> <given-names>A</given-names></name> <name><surname>Nishtala</surname> <given-names>K</given-names></name></person-group>. <article-title>Biofluid lipidome: a source for potential diagnostic biomarkers</article-title>. <source>Clin Transl Med.</source> (<year>2017</year>) <volume>6</volume>:<fpage>22</fpage>. <pub-id pub-id-type="doi">10.1186/s40169-017-0152-7</pub-id><pub-id pub-id-type="pmid">28639235</pub-id></citation></ref>
<ref id="B2">
<label>2.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Grigoletto</surname> <given-names>L</given-names></name> <name><surname>Ferraz</surname> <given-names>JBS</given-names></name> <name><surname>Oliveira</surname> <given-names>HR</given-names></name> <name><surname>Eler</surname> <given-names>JP</given-names></name> <name><surname>Bussiman</surname> <given-names>FO</given-names></name> <name><surname>Abreu Silva</surname> <given-names>BC</given-names></name> <etal/></person-group>. <article-title>Genetic architecture of carcass and meat quality traits in montana tropical&#x000AE; composite beef cattle</article-title>. <source>Front Genet.</source> (<year>2020</year>) <volume>11</volume>:<fpage>123</fpage>. <pub-id pub-id-type="doi">10.3389/fgene.2020.00123</pub-id><pub-id pub-id-type="pmid">32180796</pub-id></citation></ref>
<ref id="B3">
<label>3.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ghazalpour</surname> <given-names>A</given-names></name> <name><surname>Cespedes</surname> <given-names>I</given-names></name> <name><surname>Bennett</surname> <given-names>BJ</given-names></name> <name><surname>Allayee</surname> <given-names>H</given-names></name></person-group>. <article-title>Expanding role of gut microbiota in lipid metabolism</article-title>. <source>Curr Opin Lipidol.</source> (<year>2016</year>) <volume>27</volume>:<fpage>141</fpage>&#x02013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1097/MOL.0000000000000278</pub-id><pub-id pub-id-type="pmid">26855231</pub-id></citation></ref>
<ref id="B4">
<label>4.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Watanabe</surname> <given-names>M</given-names></name> <name><surname>Houten</surname> <given-names>SM</given-names></name> <name><surname>Mataki</surname> <given-names>C</given-names></name> <name><surname>Christoffolete</surname> <given-names>MA</given-names></name> <name><surname>Kim</surname> <given-names>BW</given-names></name> <name><surname>Sato</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title>Bile acids induce energy expenditure by promoting intracellular thyroid hormone activation</article-title>. <source>Nature.</source> (<year>2006</year>) <volume>439</volume>:<fpage>484</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1038/nature04330</pub-id><pub-id pub-id-type="pmid">16400329</pub-id></citation></ref>
<ref id="B5">
<label>5.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Thomas</surname> <given-names>C</given-names></name> <name><surname>Gioiello</surname> <given-names>A</given-names></name> <name><surname>Noriega</surname> <given-names>L</given-names></name> <name><surname>Strehle</surname> <given-names>A</given-names></name> <name><surname>Oury</surname> <given-names>J</given-names></name> <name><surname>Rizzo</surname> <given-names>G</given-names></name> <etal/></person-group>. <article-title>TGR5-mediated bile acid sensing controls glucose homeostasis</article-title>. <source>Cell Metab.</source> (<year>2009</year>) <volume>10</volume>:<fpage>167</fpage>&#x02013;<lpage>77</lpage>. <pub-id pub-id-type="doi">10.1016/j.cmet.2009.08.001</pub-id><pub-id pub-id-type="pmid">19723493</pub-id></citation></ref>
<ref id="B6">
<label>6.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ryan</surname> <given-names>KK</given-names></name> <name><surname>Tremaroli</surname> <given-names>V</given-names></name> <name><surname>Clemmensen</surname> <given-names>C</given-names></name> <name><surname>Kovatcheva-Datchary</surname> <given-names>P</given-names></name> <name><surname>Myronovych</surname> <given-names>A</given-names></name> <name><surname>Karns</surname> <given-names>R</given-names></name> <etal/></person-group>. <article-title>FXR is a molecular target for the effects of vertical sleeve gastrectomy</article-title>. <source>Nature.</source> (<year>2014</year>) <volume>509</volume>:<fpage>183</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1038/nature13135</pub-id><pub-id pub-id-type="pmid">24670636</pub-id></citation></ref>
<ref id="B7">
<label>7.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Macfarlane</surname> <given-names>GT</given-names></name> <name><surname>Macfarlane</surname> <given-names>S</given-names></name></person-group>. <article-title>Bacteria, colonic fermentation, and gastrointestinal health</article-title>. <source>J AOAC Int.</source> (<year>2012</year>) <volume>95</volume>:<fpage>50</fpage>&#x02013;<lpage>60</lpage>. <pub-id pub-id-type="doi">10.5740/jaoacint.SGE_Macfarlane</pub-id><pub-id pub-id-type="pmid">22468341</pub-id></citation></ref>
<ref id="B8">
<label>8.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>Z</given-names></name> <name><surname>Klipfell</surname> <given-names>E</given-names></name> <name><surname>Bennett</surname> <given-names>BJ</given-names></name> <name><surname>Koeth</surname> <given-names>R</given-names></name> <name><surname>Levison</surname> <given-names>BS</given-names></name> <name><surname>Dugar</surname> <given-names>B</given-names></name> <etal/></person-group>. <article-title>Gut flora metabolism of phosphatidylcholine promotes cardiovascular disease</article-title>. <source>Nature.</source> (<year>2011</year>) <volume>472</volume>:<fpage>57</fpage>&#x02013;<lpage>63</lpage>. <pub-id pub-id-type="doi">10.1038/nature09922</pub-id><pub-id pub-id-type="pmid">21475195</pub-id></citation></ref>
<ref id="B9">
<label>9.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>El-Housseiny</surname> <given-names>GS</given-names></name> <name><surname>Aboshanab</surname> <given-names>KM</given-names></name> <name><surname>Aboulwafa</surname> <given-names>MM</given-names></name> <name><surname>Hassouna</surname> <given-names>NA</given-names></name></person-group>. <article-title>Structural and physicochemical characterization of rhamnolipids produced by <italic>Pseudomonas aeruginosa</italic> P6</article-title>. <source>AMB Express.</source> (<year>2020</year>) <volume>10</volume>:<fpage>201</fpage>. <pub-id pub-id-type="doi">10.1186/s13568-020-01141-0</pub-id><pub-id pub-id-type="pmid">33146788</pub-id></citation></ref>
<ref id="B10">
<label>10.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Magalh&#x000E3;es</surname> <given-names>L</given-names></name> <name><surname>Nitschke</surname> <given-names>M</given-names></name></person-group>. <article-title>Antimicrobial activity of rhamnolipids against Listeria monocytogenes and their synergistic interaction with nisin</article-title>. <source>Food Control.</source> (<year>2013</year>) <volume>29</volume>:<fpage>138</fpage>&#x02013;<lpage>42</lpage>. <pub-id pub-id-type="doi">10.1016/j.foodcont.2012.06.009</pub-id></citation>
</ref>
<ref id="B11">
<label>11.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Benincasa</surname> <given-names>M</given-names></name> <name><surname>Abalos</surname> <given-names>A</given-names></name> <name><surname>Oliveira</surname> <given-names>I</given-names></name> <name><surname>Manresa</surname> <given-names>A</given-names></name></person-group>. <article-title>Chemical structure, surface properties and biological activities of the biosurfactant produced by Pseudomonas aeruginosa LBI from soapstock</article-title>. <source>Antonie Leeuwenhoek.</source> (<year>2004</year>) <volume>85</volume>:<fpage>1</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1023/B:ANTO.0000020148.45523.41</pub-id><pub-id pub-id-type="pmid">15028876</pub-id></citation></ref>
<ref id="B12">
<label>12.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haba</surname> <given-names>E</given-names></name> <name><surname>Pinazo</surname> <given-names>A</given-names></name> <name><surname>Jauregui</surname> <given-names>O</given-names></name> <name><surname>Espuny</surname> <given-names>MJ</given-names></name> <name><surname>Infante</surname> <given-names>MR</given-names></name> <name><surname>Manresa</surname> <given-names>A</given-names></name></person-group>. <article-title>Physicochemical characterization and antimicrobial properties of rhamnolipids produced by <italic>Pseudomonas aeruginosa</italic> 47T2 NCBIM 40044</article-title>. <source>Biotechnol Bioeng.</source> (<year>2003</year>) <volume>81</volume>:<fpage>316</fpage>&#x02013;<lpage>22</lpage>. <pub-id pub-id-type="doi">10.1002/bit.10474</pub-id><pub-id pub-id-type="pmid">12474254</pub-id></citation></ref>
<ref id="B13">
<label>13.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sha</surname> <given-names>R</given-names></name> <name><surname>Jiang</surname> <given-names>L</given-names></name> <name><surname>Meng</surname> <given-names>Q</given-names></name> <name><surname>Zhang</surname> <given-names>G</given-names></name> <name><surname>Song</surname> <given-names>Z</given-names></name></person-group>. <article-title>Producing cell-free culture broth of rhamnolipids as a cost-effective fungicide against plant pathogens</article-title>. <source>J Basic Microbiol.</source> (<year>2012</year>) <volume>52</volume>:<fpage>458</fpage>&#x02013;<lpage>66</lpage>. <pub-id pub-id-type="doi">10.1002/jobm.201100295</pub-id><pub-id pub-id-type="pmid">22052667</pub-id></citation></ref>
<ref id="B14">
<label>14.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>J</given-names></name> <name><surname>Wu</surname> <given-names>Q</given-names></name> <name><surname>Hua</surname> <given-names>Y</given-names></name> <name><surname>Chen</surname> <given-names>J</given-names></name> <name><surname>Zhang</surname> <given-names>H</given-names></name> <name><surname>Wang</surname> <given-names>H</given-names></name></person-group>. <article-title>Potential applications of biosurfactant rhamnolipids in agriculture and biomedicine</article-title>. <source>Appl Microbiol Biotechnol.</source> (<year>2017</year>) <volume>101</volume>:<fpage>8309</fpage>&#x02013;<lpage>19</lpage>. <pub-id pub-id-type="doi">10.1007/s00253-017-8554-4</pub-id><pub-id pub-id-type="pmid">29018916</pub-id></citation></ref>
<ref id="B15">
<label>15.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>B</given-names></name> <name><surname>Chen</surname> <given-names>G</given-names></name> <name><surname>Zhang</surname> <given-names>H</given-names></name> <name><surname>Lan</surname> <given-names>J</given-names></name> <name><surname>Yang</surname> <given-names>C</given-names></name></person-group>. <article-title>Effects of rhamnolipids on growth performance and intestinal health parameters in Linnan yellow broilers</article-title>. <source>Poult Sci.</source> (<year>2021</year>) <volume>100</volume>:<fpage>810</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1016/j.psj.2020.10.041</pub-id><pub-id pub-id-type="pmid">33518135</pub-id></citation></ref>
<ref id="B16">
<label>16.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Greer</surname> <given-names>RL</given-names></name> <name><surname>Morgun</surname> <given-names>A</given-names></name> <name><surname>Shulzhenko</surname> <given-names>N</given-names></name></person-group>. <article-title>Bridging immunity and lipid metabolism by gut microbiota</article-title>. <source>J Allergy Clin Immunol</source>. (<year>2013</year>) <volume>132</volume>:<fpage>253</fpage>&#x02013;<lpage>62</lpage>. <pub-id pub-id-type="doi">10.1016/j.jaci.2013.06.025</pub-id><pub-id pub-id-type="pmid">23905915</pub-id></citation></ref>
<ref id="B17">
<label>17.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mulder</surname> <given-names>P</given-names></name> <name><surname>Morrison</surname> <given-names>MC</given-names></name> <name><surname>Wielinga</surname> <given-names>PY</given-names></name> <name><surname>Van Duyvenvoorde</surname> <given-names>W</given-names></name> <name><surname>Kooistra</surname> <given-names>T</given-names></name> <name><surname>Kleemann</surname> <given-names>R</given-names></name></person-group>. <article-title>Surgical removal of inflamed epididymal white adipose tissue attenuates the development of non-alcoholic steatohepatitis in obesity</article-title>. <source>Int J Obes.</source> (<year>2016</year>) <volume>40</volume>:<fpage>675</fpage>&#x02013;<lpage>84</lpage>. <pub-id pub-id-type="doi">10.1038/ijo.2015.226</pub-id><pub-id pub-id-type="pmid">26499443</pub-id></citation></ref>
<ref id="B18">
<label>18.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wellen</surname> <given-names>KE</given-names></name> <name><surname>Hotamisligil</surname> <given-names>GS</given-names></name></person-group>. <article-title>Obesity-induced inflammatory changes in adipose tissue</article-title>. <source>J Clin Invest.</source> (<year>2003</year>) <volume>112</volume>:<fpage>1785</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1172/JCI20514</pub-id><pub-id pub-id-type="pmid">14679172</pub-id></citation></ref>
<ref id="B19">
<label>19.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mersmann</surname> <given-names>HJ</given-names></name> <name><surname>Smith</surname> <given-names>SB</given-names></name> <name><surname>Chapter</surname> <given-names>11</given-names></name></person-group>. <article-title>Development of white adipose tissue lipid metabolism</article-title>. <source>Biol Grow Anim</source>. (<year>2005</year>) <volume>3</volume>:<fpage>275</fpage>&#x02013;<lpage>302</lpage>. <pub-id pub-id-type="doi">10.1016/S1877-1823(09)70018-9</pub-id></citation>
</ref>
<ref id="B20">
<label>20.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Be&#x00142;towski</surname> <given-names>J</given-names></name></person-group>. <article-title>Role of leptin in blood pressure regulation and arterial hypertension</article-title>. <source>J Hypertens.</source> (<year>2006</year>) <volume>24</volume>:<fpage>789</fpage>&#x02013;<lpage>801</lpage>. <pub-id pub-id-type="doi">10.1097/01.hjh.0000222743.06584.66</pub-id><pub-id pub-id-type="pmid">16612235</pub-id></citation></ref>
<ref id="B21">
<label>21.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Grant</surname> <given-names>RW</given-names></name> <name><surname>Dixit</surname> <given-names>VD</given-names></name></person-group>. <article-title>Adipose tissue as an immunological organ</article-title>. <source>Obesity.</source> (<year>2015</year>) <volume>23</volume>:<fpage>512</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1002/oby.21003</pub-id><pub-id pub-id-type="pmid">25612251</pub-id></citation></ref>
<ref id="B22">
<label>22.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Calder</surname> <given-names>PC</given-names></name> <name><surname>Ahluwalia</surname> <given-names>N</given-names></name> <name><surname>Brouns</surname> <given-names>F</given-names></name> <name><surname>Buetler</surname> <given-names>T</given-names></name> <name><surname>Clement</surname> <given-names>K</given-names></name> <name><surname>Cunningham</surname> <given-names>K</given-names></name> <etal/></person-group>. <article-title>Dietary factors and low-grade inflammation in relation to overweight and obesity</article-title>. <source>Br J Nutr.</source> (<year>2011</year>) <volume>106</volume>:<fpage>S5</fpage>&#x02013;<lpage>78</lpage>. <pub-id pub-id-type="doi">10.1017/S0007114511005460</pub-id><pub-id pub-id-type="pmid">35260214</pub-id></citation></ref>
<ref id="B23">
<label>23.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Miyoshi</surname> <given-names>H</given-names></name> <name><surname>Perfield</surname> <given-names>JW2nd</given-names></name> <name><surname>Obin</surname> <given-names>MS</given-names></name> <name><surname>Greenberg</surname> <given-names>AS</given-names></name></person-group>. <article-title>Adipose triglyceride lipase regulates basal lipolysis and lipid droplet size in adipocytes</article-title>. <source>J Cell Biochem.</source> (<year>2008</year>) <volume>105</volume>:<fpage>1430</fpage>&#x02013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.1002/jcb.21964</pub-id><pub-id pub-id-type="pmid">18980248</pub-id></citation></ref>
<ref id="B24">
<label>24.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nie</surname> <given-names>J</given-names></name> <name><surname>Sage</surname> <given-names>EH</given-names></name></person-group>. <article-title>SPARC functions as an inhibitor of adipogenesis</article-title>. <source>J Cell Commun Signal.</source> (<year>2009</year>) <volume>3</volume>:<fpage>247</fpage>&#x02013;<lpage>54</lpage>. <pub-id pub-id-type="doi">10.1007/s12079-009-0064-4</pub-id><pub-id pub-id-type="pmid">19798596</pub-id></citation></ref>
<ref id="B25">
<label>25.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Al-Duais</surname> <given-names>MA</given-names></name> <name><surname>Al-Awthan</surname> <given-names>YS</given-names></name></person-group>. <article-title>Prevalence of dyslipidemia among students of a Yemeni University</article-title>. <source>J Taibah Univ Med Sci.</source> (<year>2019</year>) <volume>14</volume>:<fpage>163</fpage>&#x02013;<lpage>71</lpage>. <pub-id pub-id-type="doi">10.1016/j.jtumed.2018.12.003</pub-id><pub-id pub-id-type="pmid">31435407</pub-id></citation></ref>
<ref id="B26">
<label>26.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suarez-Sanchez</surname> <given-names>F</given-names></name> <name><surname>Vazquez-Moreno</surname> <given-names>M</given-names></name> <name><surname>Herrera-Lopez</surname> <given-names>E</given-names></name> <name><surname>Gomez-Zamudio</surname> <given-names>JH</given-names></name> <name><surname>Peralta-Romero</surname> <given-names>JJ</given-names></name> <name><surname>Castelan-Martinez</surname> <given-names>OD</given-names></name> <etal/></person-group>. <article-title>Association of rs2000999 in the haptoglobin gene with total cholesterol, HDL-C, and LDL-C levels in Mexican type 2 diabetes patients</article-title>. <source>Med.</source> (<year>2019</year>) <volume>98</volume>:<fpage>e17298</fpage>. <pub-id pub-id-type="doi">10.1097/MD.0000000000017298</pub-id><pub-id pub-id-type="pmid">31574854</pub-id></citation></ref>
<ref id="B27">
<label>27.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Frohnert</surname> <given-names>BI</given-names></name> <name><surname>Jacobs</surname> <given-names>DR</given-names></name> <name><surname>Steinberger</surname> <given-names>J</given-names></name> <name><surname>Moran</surname> <given-names>A</given-names></name> <name><surname>Steffen</surname> <given-names>LM</given-names></name> <name><surname>Sinaiko</surname> <given-names>AR</given-names></name></person-group>. <article-title>Relation between serum free fatty acids and adiposity, insulin resistance, and cardiovascular risk factors from adolescence to adulthood</article-title>. <source>Diabetes.</source> (<year>2013</year>) <volume>62</volume>:<fpage>3163</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.2337/db12-1122</pub-id><pub-id pub-id-type="pmid">23670973</pub-id></citation></ref>
<ref id="B28">
<label>28.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>C</given-names></name> <name><surname>Yang</surname> <given-names>W</given-names></name> <name><surname>Zhang</surname> <given-names>J</given-names></name> <name><surname>Zheng</surname> <given-names>X</given-names></name> <name><surname>Yao</surname> <given-names>Y</given-names></name> <name><surname>Tu</surname> <given-names>K</given-names></name> <etal/></person-group>. <article-title>SREBP-1 has a prognostic role and contributes to invasion and metastasis in human hepatocellular carcinoma</article-title>. <source>Int J Mol Sci.</source> (<year>2014</year>) <volume>15</volume>:<fpage>7124</fpage>&#x02013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.3390/ijms15057124</pub-id><pub-id pub-id-type="pmid">24776759</pub-id></citation></ref>
<ref id="B29">
<label>29.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schadinger</surname> <given-names>SE</given-names></name> <name><surname>Bucher</surname> <given-names>NL</given-names></name> <name><surname>Schreiber</surname> <given-names>BM</given-names></name> <name><surname>Farmer</surname> <given-names>SR</given-names></name></person-group>. <article-title>PPARgamma2 regulates lipogenesis and lipid accumulation in steatotic hepatocytes</article-title>. <source>Am J Physiol Endocrinol Metab.</source> (<year>2005</year>) <volume>288</volume>:<fpage>E1195</fpage>&#x02013;<lpage>205</lpage>. <pub-id pub-id-type="doi">10.1152/ajpendo.00513.2004</pub-id><pub-id pub-id-type="pmid">15644454</pub-id></citation></ref>
<ref id="B30">
<label>30.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>T</given-names></name> <name><surname>Hu</surname> <given-names>SM</given-names></name> <name><surname>Pang</surname> <given-names>XY</given-names></name> <name><surname>Wang</surname> <given-names>JF</given-names></name> <name><surname>Yin</surname> <given-names>JY</given-names></name> <name><surname>Li</surname> <given-names>FH</given-names></name> <etal/></person-group>. <article-title>The marine-derived furanone reduces intracellular lipid accumulation in vitro by targeting LXR&#x003B1; and PPAR &#x003B1;</article-title>. <source>J Cell Mol Med.</source> (<year>2020</year>) <volume>24</volume>:<fpage>3384</fpage>&#x02013;<lpage>98</lpage>. <pub-id pub-id-type="doi">10.1111/jcmm.15012</pub-id><pub-id pub-id-type="pmid">31981312</pub-id></citation></ref>
<ref id="B31">
<label>31.</label>
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Wilcken</surname> <given-names>B</given-names></name></person-group>. <article-title>Disorders of the carnitine cycle and detection by newborn screening</article-title>. <source>Ann Acad Med Singap.</source> (<year>2008</year>) <volume>37</volume>:<fpage>71</fpage>&#x02013;<lpage>3</lpage>. Available online at: <ext-link ext-link-type="uri" xlink:href="https://annals.edu.sg/pdf/37VolNo12SupplDec2008/V37N12(Suppl)p71.pdf">https://annals.edu.sg/pdf/37VolNo12SupplDec2008/V37N12(Suppl)p71.pdf</ext-link> (accessed February 28, 2022). <pub-id pub-id-type="pmid">19904456</pub-id></citation></ref>
<ref id="B32">
<label>32.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kleiner</surname> <given-names>S</given-names></name> <name><surname>Mepani</surname> <given-names>RJ</given-names></name> <name><surname>Laznik</surname> <given-names>D</given-names></name> <name><surname>Ye</surname> <given-names>L</given-names></name> <name><surname>Jurczak</surname> <given-names>MJ</given-names></name> <name><surname>Jornayvaz</surname> <given-names>FR</given-names></name> <etal/></person-group>. <article-title>Development of insulin resistance in mice lacking PGC-1&#x003B1; in adipose tissues</article-title>. <source>Proc Natl Acad Sci USA.</source> (<year>2012</year>) <volume>109</volume>:<fpage>9635</fpage>&#x02013;<lpage>40</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1207287109</pub-id><pub-id pub-id-type="pmid">22645355</pub-id></citation></ref>
<ref id="B33">
<label>33.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shoelson</surname> <given-names>SE</given-names></name> <name><surname>Herrero</surname> <given-names>L</given-names></name> <name><surname>Naaz</surname> <given-names>A</given-names></name></person-group>. <article-title>Obesity, inflammation, and insulin resistance</article-title>. <source>Gastroenterol.</source> (<year>2014</year>) <volume>132</volume>:<fpage>2169</fpage>&#x02013;<lpage>80</lpage>. <pub-id pub-id-type="doi">10.1053/j.gastro.2007.03.059</pub-id><pub-id pub-id-type="pmid">17498510</pub-id></citation></ref>
<ref id="B34">
<label>34.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zong</surname> <given-names>Y</given-names></name> <name><surname>Chen</surname> <given-names>T</given-names></name> <name><surname>Dong</surname> <given-names>H</given-names></name> <name><surname>Zhu</surname> <given-names>L</given-names></name> <name><surname>Ju</surname> <given-names>W</given-names></name></person-group>. <article-title>Si-ni-san prevents reserpine-induced depression by inhibiting inflammation and regulating CYP450 enzymatic activity</article-title>. <source>Front Pharmacol.</source> (<year>2019</year>) <volume>10</volume>:<fpage>1518</fpage>. <pub-id pub-id-type="doi">10.3389/fphar.2019.01518</pub-id><pub-id pub-id-type="pmid">32009949</pub-id></citation></ref>
<ref id="B35">
<label>35.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Andr&#x000E4;</surname> <given-names>J</given-names></name> <name><surname>Rademann</surname> <given-names>J</given-names></name> <name><surname>Howe</surname> <given-names>J</given-names></name> <name><surname>Koch</surname> <given-names>MH</given-names></name> <name><surname>Heine</surname> <given-names>H</given-names></name> <name><surname>Z&#x000E4;hringer</surname> <given-names>U</given-names></name> <etal/></person-group>. <article-title>Endotoxin-like properties of a rhamnolipid exotoxin from Burkholderia (Pseudomonas) plantarii: immune cell stimulation and biophysical characterization</article-title>. <source>Biol Chem.</source> (<year>2006</year>) <volume>387</volume>:<fpage>301</fpage>&#x02013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1515/BC.2006.040</pub-id><pub-id pub-id-type="pmid">16542152</pub-id></citation></ref>
<ref id="B36">
<label>36.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>McClure</surname> <given-names>CD</given-names></name> <name><surname>Schiller</surname> <given-names>NL</given-names></name></person-group>. <article-title>Effects of pseudomonas aeruginosa rhamnolipids on human monocyte-derived macrophages</article-title>. <source>J Leukoc Biol.</source> (<year>1992</year>) <volume>51</volume>:<fpage>97</fpage>&#x02013;<lpage>102</lpage>. <pub-id pub-id-type="doi">10.1002/jlb.51.2.97</pub-id><pub-id pub-id-type="pmid">1431557</pub-id></citation></ref>
<ref id="B37">
<label>37.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gao</surname> <given-names>J</given-names></name> <name><surname>Xu</surname> <given-names>K</given-names></name> <name><surname>Liu</surname> <given-names>H</given-names></name> <name><surname>Liu</surname> <given-names>G</given-names></name> <name><surname>Bai</surname> <given-names>M</given-names></name> <name><surname>Peng</surname> <given-names>C</given-names></name> <etal/></person-group>. <article-title>Impact of the gut microbiota on intestinal immunity mediated by tryptophan metabolism</article-title>. <source>Front Cell Infect Microbiol.</source> (<year>2018</year>) <volume>8</volume>:<fpage>13</fpage>. <pub-id pub-id-type="doi">10.3389/fcimb.2018.00013</pub-id><pub-id pub-id-type="pmid">29468141</pub-id></citation></ref>
<ref id="B38">
<label>38.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lebeer</surname> <given-names>S</given-names></name> <name><surname>Vanderleyden</surname> <given-names>J</given-names></name> <name><surname>De Keersmaecker</surname> <given-names>SC</given-names></name></person-group>. <article-title>Genes and molecules of Lactobacilli supporting probiotic action</article-title>. <source>Microbiol Mol Biol Rev.</source> (<year>2008</year>) <volume>72</volume>:<fpage>728</fpage>&#x02013;<lpage>64</lpage>. <pub-id pub-id-type="doi">10.1128/MMBR.00017-08</pub-id><pub-id pub-id-type="pmid">19052326</pub-id></citation></ref>
<ref id="B39">
<label>39.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ng</surname> <given-names>SC</given-names></name> <name><surname>Hart</surname> <given-names>AL</given-names></name> <name><surname>Kamm</surname> <given-names>MA</given-names></name> <name><surname>Stagg</surname> <given-names>AJ</given-names></name> <name><surname>Knight</surname> <given-names>SC</given-names></name></person-group>. <article-title>Mechanisms of action of probiotics: recent advances</article-title>. <source>Inflamm Bowel Dis.</source> (<year>2009</year>) <volume>15</volume>:<fpage>300</fpage>&#x02013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1002/ibd.20602</pub-id><pub-id pub-id-type="pmid">18626975</pub-id></citation></ref>
<ref id="B40">
<label>40.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Forsythe</surname> <given-names>P</given-names></name> <name><surname>Bienenstock</surname> <given-names>J</given-names></name></person-group>. <article-title>Immunomodulation by commensal and probiotic bacteria</article-title>. <source>Immunol Invest.</source> (<year>2010</year>) <volume>39</volume>:<fpage>429</fpage>&#x02013;<lpage>48</lpage>. <pub-id pub-id-type="doi">10.3109/08820131003667978</pub-id><pub-id pub-id-type="pmid">20450286</pub-id></citation></ref>
<ref id="B41">
<label>41.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname> <given-names>R</given-names></name> <name><surname>Bai</surname> <given-names>M</given-names></name> <name><surname>Zhao</surname> <given-names>J</given-names></name> <name><surname>Wang</surname> <given-names>D</given-names></name> <name><surname>Ning</surname> <given-names>X</given-names></name> <name><surname>Sun</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>comparative study of the gut microbiota associated with immunoglobulin A nephropathy and membranous nephropathy</article-title>. <source>Front Cell Infect Microbiol.</source> (<year>2020</year>) <volume>10</volume>:<fpage>557368</fpage>. <pub-id pub-id-type="doi">10.3389/fcimb.2020.557368</pub-id><pub-id pub-id-type="pmid">33194798</pub-id></citation></ref>
<ref id="B42">
<label>42.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ling</surname> <given-names>Z</given-names></name> <name><surname>Cheng</surname> <given-names>Y</given-names></name> <name><surname>Yan</surname> <given-names>X</given-names></name> <name><surname>Shao</surname> <given-names>L</given-names></name> <name><surname>Liu</surname> <given-names>X</given-names></name> <name><surname>Zhou</surname> <given-names>D</given-names></name> <etal/></person-group>. <article-title>Alterations of the fecal microbiota in Chinese patients with multiple sclerosis</article-title>. <source>Front Immunol.</source> (<year>2020</year>) <volume>11</volume>:<fpage>590783</fpage>. <pub-id pub-id-type="doi">10.3389/fimmu.2020.590783</pub-id><pub-id pub-id-type="pmid">33391265</pub-id></citation></ref>
<ref id="B43">
<label>43.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Quan</surname> <given-names>Y</given-names></name> <name><surname>Song</surname> <given-names>K</given-names></name> <name><surname>Zhang</surname> <given-names>Y</given-names></name> <name><surname>Zhu</surname> <given-names>C</given-names></name> <name><surname>Shen</surname> <given-names>Z</given-names></name> <name><surname>Wu</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Roseburia intestinalis-derived flagellin is a negative regulator of intestinal inflammation</article-title>. <source>Biochem Biophys Res Commun.</source> (<year>2018</year>) <volume>501</volume>:<fpage>791</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbrc.2018.05.075</pub-id><pub-id pub-id-type="pmid">29772233</pub-id></citation></ref>
<ref id="B44">
<label>44.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xie</surname> <given-names>J</given-names></name> <name><surname>Liu</surname> <given-names>Y</given-names></name> <name><surname>Chen</surname> <given-names>B</given-names></name> <name><surname>Zhang</surname> <given-names>G</given-names></name> <name><surname>Ou</surname> <given-names>S</given-names></name> <name><surname>Luo</surname> <given-names>J</given-names></name> <etal/></person-group>. <article-title>Ganoderma lucidum polysaccharide improves rat DSS-induced colitis by altering cecal microbiota and gene expression of colonic epithelial cells</article-title>. <source>Food Nutr Res.</source> (<year>2019</year>) <volume>63</volume>:<fpage>1</fpage>&#x02013;<lpage>12</lpage>. <pub-id pub-id-type="doi">10.29219/fnr.v63.1559</pub-id><pub-id pub-id-type="pmid">30814921</pub-id></citation></ref>
<ref id="B45">
<label>45.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gong</surname> <given-names>X</given-names></name> <name><surname>Liu</surname> <given-names>X</given-names></name> <name><surname>Li</surname> <given-names>C</given-names></name> <name><surname>Chen</surname> <given-names>C</given-names></name> <name><surname>Lin</surname> <given-names>J</given-names></name> <name><surname>Li</surname> <given-names>A</given-names></name> <etal/></person-group>. <article-title>Alterations in the human gut microbiome in anti-N-methyl-D-aspartate receptor encephalitis</article-title>. <source>Ann Clin Transl Neurol.</source> (<year>2019</year>) <volume>6</volume>:<fpage>1771</fpage>&#x02013;<lpage>81</lpage>. <pub-id pub-id-type="doi">10.1002/acn3.50874</pub-id><pub-id pub-id-type="pmid">31448571</pub-id></citation></ref>
<ref id="B46">
<label>46.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zeng</surname> <given-names>Q</given-names></name> <name><surname>Li</surname> <given-names>D</given-names></name> <name><surname>He</surname> <given-names>Y</given-names></name> <name><surname>Li</surname> <given-names>Y</given-names></name> <name><surname>Yang</surname> <given-names>Z</given-names></name> <name><surname>Zhao</surname> <given-names>X</given-names></name> <etal/></person-group>. <article-title>Discrepant gut microbiota markers for the classification of obesity-related metabolic abnormalities</article-title>. <source>Sci Rep.</source> (<year>2019</year>) 9:13424 <pub-id pub-id-type="doi">10.1038/s41598-019-49462-w</pub-id><pub-id pub-id-type="pmid">31530820</pub-id></citation></ref>
<ref id="B47">
<label>47.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>Y</given-names></name> <name><surname>Du</surname> <given-names>T</given-names></name> <name><surname>Zhang</surname> <given-names>W</given-names></name> <name><surname>Lu</surname> <given-names>W</given-names></name> <name><surname>Peng</surname> <given-names>Z</given-names></name> <name><surname>Huang</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>Modified Huang-Lian-Jie-Du decoction ameliorates a &#x003B2; synaptotoxicity in a murine model of Alzheimer&#x00027;s disease</article-title>. <source>Oxid Med Cell Longev.</source> (<year>2019</year>) <volume>2019</volume>:<fpage>1</fpage>&#x02013;<lpage>27</lpage>. <pub-id pub-id-type="doi">10.1155/2019/8340192</pub-id><pub-id pub-id-type="pmid">31781354</pub-id></citation></ref>
<ref id="B48">
<label>48.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>K</given-names></name> <name><surname>Liao</surname> <given-names>M</given-names></name> <name><surname>Zhou</surname> <given-names>N</given-names></name> <name><surname>Bao</surname> <given-names>L</given-names></name> <name><surname>Ma</surname> <given-names>K</given-names></name> <name><surname>Zheng</surname> <given-names>Z</given-names></name> <etal/></person-group>. <article-title>Parabacteroides distasonis alleviates obesity and metabolic dysfunctions via production of succinate and secondary bile acids</article-title>. <source>Cell Rep.</source> (<year>2019</year>) <volume>26</volume>:<fpage>222</fpage>&#x02013;<lpage>35</lpage>. <pub-id pub-id-type="doi">10.1016/j.celrep.2018.12.028</pub-id><pub-id pub-id-type="pmid">30605678</pub-id></citation></ref>
</ref-list> 
</back>
</article>