“…The ability of HPMC to modulate the intestinal microbiota and maintain stable changes, whether due to a primary effect or to a secondary increase in fecal fats, indicates that it may be used as a prebiotic agent, able to reduce populations of specific microbes, including members of Lachnospiraceae (which contains common intestinal genera Blautia, Butyrivibrio, Coprococcus, Dorea, Johnsonella and Roseburia) and Ruminococcaceae (containing Faecalibacterium, Oscillospira, Ruminococcus, and Subdoligranulum), and induce the growth of specific microbes, such as members of Erysipelotrichaceae (containing Allobaculum, Coprobacillus, Holdemania, and Turicibacter) HPMC is considered to be not fermentable by gut microbiota in vitro (78) and consequently, is not absorbed. In a study administering 14 C-radiolabeled HPMC to rats, 99% of the radioactivity was detected in the feces, 1% detected in the urine, and none detected in the tissues of the animal, demonstrating that HPMC does not undergo substantial degradation in the intestinal tract (46); thus, the way in which it alters the intestinal microbiota and improves health must differ from other commonly used prebiotic dietary fibers. The increases in fecal fats may be a primary source of microbiome perturbation; examination of similarly structured nonfermentable fibers may provide further insights.…”