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Applied and Environmental Microbiology, May 2008, p. 3069-3075, Vol. 74, No. 10
0099-2240/08/$08.00+0 doi:10.1128/AEM.02933-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Department of Microbiology I, University of Duisburg-Essen, Universitaetsstr. 5, 45117 Essen, Germany,1 Institute of Environmental and Analytical Chemistry, University of Duisburg-Essen, Universitaetsstr. 5, 45117 Essen, Germany,2 Institute of Hygiene and Occupational Medicine, University Hospital Essen, Hufelandstr. 55, 45122 Essen, Germany,3 Central Animal Laboratory, University Hospital, Essen, Hufelandstr. 55, 45122 Essen, Germany,4 Central Animal Laboratory, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany5
Received 29 December 2007/ Accepted 19 March 2008
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Since many of these volatile derivatives are more toxic than their (mostly inorganic) precursors, such as Sb, Te, and Bi (1, 11, 14, 24), these processes may have an impact on human health. A high risk can be expected from scenarios in which these derivatives are accumulated in closed systems such as compartments of living organisms. The preliminary observation that feces from human volunteers emit volatile derivatives of metal(loid)s following incubation of feces samples under in vivo-like conditions (strict anaerobiosis, 37°C) suggests that the human gut microbiota is able to catalyze these transformation reactions in situ (12). Therefore, such processes may occur within the human body.
In the present study, we focused on the transformation of bismuth (administered to human volunteers and mice as colloidal bismuth subcitrate [CBS]) into its volatile derivatives monomethylbismuthdihydride [(CH3)BiH2], dimethylbismuthhydride [(CH3)2BiH], trimethylbismuth [(CH3)3Bi], and bismuthine (BiH3), since bismuth is widely used in a variety of applications: e.g., in pharmaceuticals (for example, in the treatment of peptic ulcers and of hemorrhoids), cosmetics (e.g., pigments), catalysts, industrial pigments, alloys, and ceramical additives (8). Especially the use of bismuth in cosmetics and pharmaceutical products such as the pearlescent pigment bismuth oxychloride (BiOCl) in cosmetics and the use of bismuth tartrate, aluminate, carbonate, subgallate, subcitrate, nitrate, or subsalicylate in pharmaceutical products leads to an intimate exposure of humans to bismuth. Poisonings by bismuth and bismuth compounds have occurred mainly during prolonged medical therapy, causing renal failures or mental disorders. Some hundred cases of encephalopathy—some of them fatal—were reported in France and Australia after prolonged intake of bismuth subgallate and subnitrate in high dosages in the 1970s and 1980s (3, 4). However, the clinical use of CBS does not appear to cause neurotoxicity (23).
To check how widespread the processes of metal(loid) derivatization are in the human population, we extended our study to a larger number of human volunteers (14 male subjects); to investigate if the gut microbiota is responsible for these derivatization processes, conventionally raised as well as germfree mice were used. The mouse model was also used to determine the transformation capabilities of various segments of the mammalian gut (small intestine, cecum, and large intestine).
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Sampling and incubation studies.
The first feces samples were collected from the human volunteers before the ingestion of the tablet (control), and up to six samples were taken over the following 5 days (65 samples in total). The human volunteers transferred 10 to 50 g feces into argon-filled, autoclaved (121°C, 20 min) 300-ml gas-tight-sealed glass bottles. To remove oxygen, the bottles were purged with helium after sample transfer. Subsequently, the samples were suspended in an autoclaved phosphate-buffered saline (PBS) buffer (1 ml g–1 feces; 8 g liter–1 NaCl, 0.2 g liter–1 KCl, 1.8 g liter–1 Na2PO4·2H2O, 0.24 g liter–1 KH2PO4 [pH 7.4]), which was equilibrated in an anaerobic (95% N2-5% H2) chamber (CoyLab Inc., Grass Lake, MI) before being added to the sample with a sterile syringe. The bottles were mantled with aluminum foil to darken and thus to prevent decomposition of the produced volatile metal(loid) derivatives by light and were incubated at 37°C while being shaken (200 rpm). The gas phases were analyzed for the production of volatile metal(loid) compounds in intervals of 5 to 60 h by PT-GC/ICP-MS over a time period of up to 4 weeks. Methane production was monitored by GC-FID. The frequency of the measurements depended on the amount of volatile metal(loid) compounds produced.
Mouse study.
To investigate the role of the gut microbiota in bismuth transformation, we conducted feeding experiments with conventionally raised and germfree C3H/HeJ mice (Mus musculus, males, ages 12 to 17 weeks). All experiments were carried out in accordance with the German guidelines for animal studies. Animal husbandry for conventionally raised mice was performed by the Central Animal Laboratory of the University Hospital Essen, and germfree mice were bred in the Central Animal Laboratory of the University Hospital Hannover and kept under sterile conditions.
The animals were housed individually in standard Macrolone cages type III (38 by 22 by 15 cm) with sawdust as bedding material under standard laboratory conditions (12-h light-12-h dark cycle with lights on at 8 a.m.; temperature, 21 ± 1°C; relative humidity, 55% ± 10%). The mice were fed either with a commercial standard mouse diet (SNIFF V1534) or a gamma radiation-sterilized, CBS-enriched standard diet (SNIFF V1534Bi; bismuth content of 35 mg kg–1) (SNIFF GmbH, Soest, Germany). The diet and bottled tap water were available ad libitum. The bismuth uptake of mice on the bismuth-enriched diet was calculated to be approximately 7 mg kg–1 day–1. For reinfection experiments, each germfree male mouse was housed together with a conventionally raised female mouse for 10 days to allow a recolonization of the germfree mouse gut by uptake of feces from the conventionally raised mouse before the feeding experiments.
The feeding experiments were conducted for 7 days in four groups: a control group (seven individuals of conventionally raised mice) fed with standard diet, a bismuth group (eight conventionally raised mice fed with a bismuth-enriched diet), a germfree bismuth group (three germfree mice fed with bismuth-containing chow), and a reinfected bismuth group (five reinfected conventionally raised mice fed with bismuth-containing diet).
Sampling and incubation studies.
After 7 days of feeding with the standard diet or the bismuth-containing diet, the mice were dissected under sterile and anaerobic conditions (sterile cages filled with argon before dissection). Their colon segments (divided into cecum and large and small intestine) were extracted and transferred into autoclaved, argon-filled, and gas-tight-sealed 10-ml brown glass tubes, and oxygen-free sterile filtrated PBS buffer was added (10 ml g–1 sample).
All samples were incubated at 37°C in a darkened shaker (200 rpm) and examined at intervals of 12 to 60 h for the production of volatile metal(loid) derivatives by PT-GC/ICP-MS and for the production of methane by GC-FID during a time period of up to 3 weeks, depending on the production of volatile metal(loid) compounds observed in each sample.
Biotransformation in mouse feces.
To further investigate the role of the gut microbiota in bismuth transformation, feces samples from conventionally raised and germfree mice fed with CBS-containing chow as well as feces samples from germfree mice, which were infected with feces from conventionally raised mice, were examined for biotransformation. Feces samples (0.5 to 1 g) were transferred into autoclaved, argon-filled, and gas-tight-sealed 10-ml brown glass tubes, and anaerobic sterile filtrated PBS buffer was added (10 ml g–1 sample). For the infection of germfree mouse feces, samples were inoculated with 20% of a feces suspension from conventionally raised mice. All samples were incubated at 37°C in a darkened shaker (200 rpm) and examined after 3 days for the production of volatile bismuth derivatives by PT-GC/ICP-MS.
Analytical methods.
The volatile metal(loid) compounds in the headspace of the samples were analyzed using a modified PT-GC system coupled to an ICP-MS as an element-specific detector as described previously (22). The different volatile species were detected by chromatographic retention and the mass/charge ratios of the respective metal(loid)s (m/z 75 As, m/z 120 Sn, m/z 121 Sb, m/z 126 Te, m/z 208 Pb, m/z 209 Bi). Limits of detection (LOD) of the analytes were calculated with the 3
criterion: i.e., 57.9 fmol for antimony, 149.1 fmol for arsenic, 11 fmol for bismuth, 8.7 fmol for lead, 317.6 fmol for tellurium, and 4.3 fmol for tin.
For the determination of the total metal(loid) content of the feces and the colon segments, samples of 0.2 to 0.7 g were suspended in 4 ml HNO3 (65%, subboiled) and 2 ml H2O2 (30%, Suprapur; Merck, Darmstadt, Germany), digested in a microwave-accelerated reaction system (MARS 5; CEM, Kamp Lintfort, Germany), and analyzed by ICP-MS-analysis (12). All determinations were calculated per kg (dry weight) as determined by heating the samples at 110°C until a constant weight was achieved.
The methane concentration in the sample headspace was analyzed by withdrawing a defined gas sample with a gas-tight syringe and injecting it into a Hewlett Packard gas chromatograph (5890 II) equipped with a J&W Scientific capillary column (DB 5; 30 m by 0.25-mm inside diameter, coated with 5% phenylsilicon-95% methylsilicon) and an FID, as described previously (21).
Statistics.
The nonparametric Mann-Whitney-Wilcoxon U test was used (significance level, P < 0.05) for statistical analysis of the data.
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Metal(loid) transformation in the human distal gut was analyzed by means of feces samples collected from 14 male human volunteers prior to and after a single administration of 215 mg bismuth as CBS. To elucidate the transformation capabilities of the various segments of the mammalian gut (small intestine, cecum, and large intestine), conventionally raised mice were continuously fed with chow containing or devoid of CBS. To find additional evidence that the mammalian gut microbiota is mainly responsible for these derivatization processes, germfree mice were analyzed in parallel for the production of the volatile derivatives. Analyses of the transformation processes were performed by anaerobic incubation of the samples ex situ. To get as direct as possible a measure of transformation in vivo, we determined the initial rates of transformation immediately after sampling, which represents generally also the maximal rates, to avoid restriction of the reactions by substrate limitation or by interfering products of the microbial metabolism accumulated over a prolonged period of incubation. Long-term incubation, however, was also performed to detect slowly evolving derivatives. Methane production was monitored to check for correlation with the metal(loid) derivatization. As an example, Fig. 1 shows a representative time course for the production of (CH3)3Bi, (CH3)BiH2, and BiH3 in an anaerobically incubated feces sample collected from participant 1, 23 h after a single administration of 215 mg bismuth as CBS.
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FIG. 1. Production of volatile bismuth derivatives in a feces sample delivered by human volunteer 1 after 23 h of CBS administration. , BiH3; , CH3BiH2; and X, (CH3)3Bi. d.w., dry weight.
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TABLE 1. Maximum production rates of volatile metal(loid) derivatives in the headspace of incubated feces samples from human volunteers before and after administration of CBS
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TABLE 2. Element content in feces samples from human volunteers before and after administration of CBS
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In postadministration samples containing more than 1 mmol Bi kg–1 (dry weight), the maximum production rates increased, being highest for (CH3)3Bi (approximately 500-fold). However, no correlation was found between the bismuth content of the samples containing bismuth at concentrations of 1.4 to 60.7 mmol Bi kg–1 (dry weight) and the production of volatile bismuth derivatives (Fig. 2).
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FIG. 2. Relationship between total Bi content and maximum (CH3)3Bi production rate in incubated human feces samples. d.w., dry weight.
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FIG. 3. Total Bi content (solid bars) and production rates of (CH3)3Bi (open bars) in feces samples from human volunteers 2 (a) and 3 (b) delivered before and after administration of CBS. d.w., dry weight.
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Remarkably, not only the production of volatile bismuth derivatives increased in the postadministration samples, but also the production rates of volatile derivatives of the elements arsenic, antimony, tin, and lead (Table 1), although the contents of these metal(loid)s in the feces samples remained virtually unchanged upon the administration of CBS (Table 2).
Continuous bismuth administration to conventionally raised and germfree mice: effects on the metal(loid) derivatization in the various gut segments (small intestine, cecum, and large intestine) and the role of the gut microbiota in biovolatilization of metal(loid)s.
To investigate the influence of bismuth on the transformation of metal(loid)s into volatile derivatives in mice, the animals were fed with CBS-enriched chow. After adaptation for 7 days, the production of volatile derivatives was monitored in the small intestine, the cecum, and the large intestine by incubating the dissected gut parts separately under anaerobic conditions. Conventionally raised mice fed without CBS were used as a control. Similar to the preadministration feces samples of the human volunteers, the samples of the large intestine from the control mice showed significant production of several volatile derivatives of metal(loid)s present only at rather low concentrations (such as bismuth, tellurium, and antimony). This indicates high-affinity transformation activities of the murine gut (Tables 3 and 4). Contrary to the preadministration feces of the human volunteers, however, (CH3)3Bi represents the only transformation product of bismuth in the large intestine of the control mice (this finding applies also to the cecum and the small intestine) (Table 5). As exemplified in the case of the large intestine of mice and in accordance with the studies of the human feces samples, the production of volatile bismuth derivatives [besides (CH3)3Bi] is significantly stimulated by the increased concentration of bismuth in mice fed with CBS-enriched chow (Tables 3 and 4). In mice fed with CBS-enriched chow, the highest production rates of (CH3)3Bi were found in the cecum, whereas the small intestine showed the lowest productivity of (CH3)3Bi (Table 5).
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TABLE 3. Maximum production rates of volatile metal(loid) derivatives in the headspace of incubated large intestine samples from conventionally raised mice fed with standard or CBS-containing chow
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TABLE 4. Element content in feces samples from large intestine samples from conventionally raised mice fed with standard or CBS-containing chow
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TABLE 5. Production of (CH3)3Bi and CH4 in incubated gut segments from conventional, germfree, and reinfected mice fed with standard or CBS-containing chow
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To find further support for the assumption that the gut microbiota plays a crucial or even the essential role in the production of these volatile metal(loid) derivatives, we investigated the production of these compounds by gut segments of germfree mice fed with CBS-containing chow. In three independent experiments, none of the dissected gut segments was able to produce (CH3)3Bi (Table 5) or any other volatile metal(loid) derivatives. In contrast, three other germfree mice fed with CBS-containing chow, which were reinfected by common housing with conventionally raised mice for 10 days to recolonize their gut, showed transformation activities in the dissected gut sections which are comparable to those of conventionally raised mice fed with CBS-containing chow (Table 5). Further support for the assumption that the gut microbiota plays an essential role in the production of volatile metal(loid) derivatives comes from the restoration of (CH3)3Bi production in germfree mouse feces samples which were inoculated with a suspension of feces from conventionally raised mice fed without CBS. The (CH3)3Bi production rates in these samples (0.12 ± 0.09 pmol h–1 kg–1) were comparable to feces samples from conventionally raised mice fed with CBS-containing chow (0.16 ± 0.06 pmol h–1 kg–1), whereas in incubated feces samples from germfree mice no production of (CH3)3Bi was detectable.
Volatilization of metal(loid)s and methane production in the gut: hints for a correlation?
A recent study (17) suggested that members of methanoarchaea in general play a pivotal role in processes transforming ionic species of metal(loid)s into volatile derivatives. Since methanoarchaeal strains of the human gut such as Methanosphaera stadtmanae and Methanobrevibacter smithii also showed a higher derivatization potential in comparison to bacterial gut isolates, it is reasonable to assume that methanoarchaea play a notable role in these processes in the human gut as well. A further argument for their general involvement in metal(loid) derivatization is their obligatory presence in the human gut, as shown by DNA analyses of Eckburg et al. (7), which is confirmed by our present analyses detecting methane production in the feces samples of all 14 human volunteers (mean value of methane production, 650 µmol h–1 kg–1 [dry weight]). Also, the gut samples of all conventionally raised mice used in the present study produced methane in the same order of magnitude (Table 5). However, no relationship between the maximum rates of methane production and (CH3)3Bi formation of all feces samples containing more than 0.5 mmol Bi kg–1 dry weight (to avoid bismuth limitations) could be found (data not shown).
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The transformations of metal(loid)s into volatile hydride and methyl metal(loid) derivatives in humans and mice described in the present study are characterized by a similar precursor/product spectrum comprising inorganic species of antimony, bismuth, tellurium, and lead as precursors and the permethylated derivatives of these elements as the main products. Similarly, in both humans and mice, the reactions exhibit a remarkably high affinity to inorganic metal(loid) species. In our experiments with bismuth, we found derivatization in feces and gut at concentrations of 0.2 to 1.0 µmol kg–1 (dry weight) only. Furthermore—as shown for bismuth—the addition of an element susceptible to transformation is answered in both systems not only by an increase of its own transformation but also by enhanced production of derivatives of other elements, although not firmly statistically supported in every case. Both effects—the strikingly high affinity of the transformation reactions and their synergistic interaction—point to a risk of poisoning by these processes either directly [by their high general susceptibility to metal(loid)s at low concentrations] or indirectly [by the production of toxic metal(loid) derivatives through ingestion of other metal(loid) species].
We are very close to assuming that the observed similarities are mainly determined by the gut microbiota involved in both systems. Its leading role in the described transformation processes can be deduced from the transformation activity of feces samples, which consists for the overwhelming part of prokaryotic cells without noteworthy counts of viable epithelial cells, and from the observation that the gut parts of germfree mice are unable to transform administered bismuth into (CH3)3Bi. As found by Ley et al. (15), the compositions of the gut microbiota of mice and humans seem to be comparable; this would support our assumption concerning the main responsibility of the microbiota for the similar transformation phenotypes in humans and mice. Despite everything, we cannot explicitly exclude that epithelial cells also contribute to the transformation processes under in vivo conditions, assuming that the presence of an intact gut microbiota is required for such activity. Such interactions have been verified by several investigations which showed that gut microbiota can have considerable influence on mucosal tissues resulting in strong modulations of the host cell metabolism (13, 15, 16).
The observation that all incubation assays for measuring the production of volatile metal(loid) derivatives showed methane production—often in parallel—and the generally high capability of methanoarchaea to transform metal(loid)s into volatile derivatives (17) led to the suggestion that methanoarchaea play an essential role in these transformation processes also in the mammalian gut. As shown by statistical analyses, however, the production of volatile metal(loid) derivatives does not correlate with methane production, indicating that such a simple monofactorial correlation does not exist in our rather heterogeneous reaction assays.
The fact that the methane production by the intestine of reinfected mice was strikingly lower than that of "normal" conventionally raised mice despite comparable (CH3)3Bi production (Table 5), which could be due to an incomplete adaptation of the gut microbiota to the previously sterile gut environment, may be a hint that microorganisms other than methanoarchaea contribute to the metal(loid) derivatization of the intestine.
Published ahead of print on 31 March 2008. ![]()
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