2019
DOI: 10.1101/630350
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A Clostridia-rich microbiota contributes to increased excretion of bile acids in diarrhea-predominant irritable bowel syndrome

Abstract: 1Objective: An excess of fecal bile acids (BAs) is thought to be one of the mechanisms for diarrhea-2 predominant irritable bowel syndrome (IBS-D). However, the factors causing excessive BA excretion 3 remains unclear. Given the importance of gut microbiota in BA metabolism, we hypothesized that gut 4 dysbiosis might contribute to excessive BA excretion in IBS-D. 5Design: Metabolomic and metagenomic analyses were performed of specimens from 290 IBS-D 6 patients and 89 healthy volunteers. By transplanting human… Show more

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Cited by 3 publications
(1 citation statement)
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“…On the other hand, UDCA has also been described as an FXR antagonist able to increase BA synthesis and reduce FGF19 levels in obese patients (306). Similarly, a Clostridia-rich microbiota and their BA metabolites, including UDCA, were shown to suppress intestinal FGF19 expression contributing to excessive BA excretion in patients with diarrhea-predominant irritable bowel syndrome (480). Remodeling of the gut microbiota and alteration of the BA profile also takes place after chronic alcohol consumption (159).…”
Section: F1 the Gut Microbiome Shapes The Ba Poolmentioning
confidence: 99%
“…On the other hand, UDCA has also been described as an FXR antagonist able to increase BA synthesis and reduce FGF19 levels in obese patients (306). Similarly, a Clostridia-rich microbiota and their BA metabolites, including UDCA, were shown to suppress intestinal FGF19 expression contributing to excessive BA excretion in patients with diarrhea-predominant irritable bowel syndrome (480). Remodeling of the gut microbiota and alteration of the BA profile also takes place after chronic alcohol consumption (159).…”
Section: F1 the Gut Microbiome Shapes The Ba Poolmentioning
confidence: 99%