RT Journal Article T1 Elevated circulating levels of succinate in human obesity are linked to specific gut microbiota. A1 Serena, Carolina A1 Ceperuelo-Mallafre, Victoria A1 Keiran, Noelia A1 Queipo-Ortuño, Maria Isabel A1 Bernal, Rosa A1 Gomez-Huelgas, Ricardo A1 Urpi-Sarda, Mireia A1 Sabater, Monica A1 Perez-Brocal, Vicente A1 Andres-Lacueva, Cristina A1 Moya, Andres A1 Tinahones, Francisco J A1 Fernandez-Real, Jose Manuel A1 Vendrell, Joan A1 Fernandez-Veledo, Sonia K1 Bacteria K1 Biomarkers K1 Cross-Sectional Studies K1 Diabetes Mellitus, Type 2 AB Gut microbiota-related metabolites are potential clinical biomarkers for cardiovascular disease (CVD). Circulating succinate, a metabolite produced by both microbiota and the host, is increased in hypertension, ischemic heart disease, and type 2 diabetes. We aimed to analyze systemic levels of succinate in obesity, a major risk factor for CVD, and its relationship with gut microbiome. We explored the association of circulating succinate with specific metagenomic signatures in cross-sectional and prospective cohorts of Caucasian Spanish subjects. Obesity was associated with elevated levels of circulating succinate concomitant with impaired glucose metabolism. This increase was associated with specific changes in gut microbiota related to succinate metabolism: a higher relative abundance of succinate-producing Prevotellaceae (P) and Veillonellaceae (V), and a lower relative abundance of succinate-consuming Odoribacteraceae (O) and Clostridaceae (C) in obese individuals, with the (P + V/O + C) ratio being a main determinant of plasma succinate. Weight loss intervention decreased (P + V/O + C) ratio coincident with the reduction in circulating succinate. In the spontaneous evolution after good dietary advice, alterations in circulating succinate levels were linked to specific metagenomic signatures associated with carbohydrate metabolism and energy production with independence of body weight change. Our data support the importance of microbe-microbe interactions for the metabolite signature of gut microbiome and uncover succinate as a potential microbiota-derived metabolite related to CVD risk. PB Oxford University Press YR 2018 FD 2018-02-12 LK http://hdl.handle.net/10668/12118 UL http://hdl.handle.net/10668/12118 LA en NO Serena C, Ceperuelo-Mallafré V, Keiran N, Queipo-Ortuño MI, Bernal R, Gomez-Huelgas R, et al. Elevated circulating levels of succinate in human obesity are linked to specific gut microbiota. ISME J. 2018 Jun;12(7):1642-1657 DS RISalud RD Apr 6, 2025