Exclusive Enteral Nutrition Beneficially Modulates Gut Microbiome in a Preclinical Model of Crohn’s-like Colitis

Exclusive enteral nutrition (EEN) is an established dietary treatment for Crohn’s disease (CD) by alleviating inflammation and inducing remission. However, the mechanisms of action of EEN are incompletely understood. As CD is associated with gut microbiome dysbiosis, we investigated the effect of EE...

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Main Authors: Ramasatyaveni Geesala, Neeraja Recharla, Ke Zhang, John C. Johnson, George Golovko, Kamil Khanipov, Douglas L. Brining, Xuan-Zheng Shi
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/3/363
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author Ramasatyaveni Geesala
Neeraja Recharla
Ke Zhang
John C. Johnson
George Golovko
Kamil Khanipov
Douglas L. Brining
Xuan-Zheng Shi
author_facet Ramasatyaveni Geesala
Neeraja Recharla
Ke Zhang
John C. Johnson
George Golovko
Kamil Khanipov
Douglas L. Brining
Xuan-Zheng Shi
author_sort Ramasatyaveni Geesala
collection DOAJ
description Exclusive enteral nutrition (EEN) is an established dietary treatment for Crohn’s disease (CD) by alleviating inflammation and inducing remission. However, the mechanisms of action of EEN are incompletely understood. As CD is associated with gut microbiome dysbiosis, we investigated the effect of EEN on the microbiome in a rat model of CD-like colitis. The rat model of CD-like colitis was established by an intracolonic instillation of TNBS at 65 mg/kg in 250 µL of 40% ethanol. Sham control rats were instilled with saline. Rats were fed ad libitum with either regular pellet food or EEN treatment with a clear liquid diet (Ensure). Rats were euthanized at 7 days. Fecal pellets were collected from the distal colon for 16S rRNA sequencing analysis of gut microbiota. In addition, colon tissues were taken for histological and molecular analyses in all the groups of rats. EEN administration to TNBS-induced CD rats significantly improved the body weight change, inflammation scores, and disease activity index. The mRNA expression of IL-17A and interferon-γ was significantly increased in the colonic tissue in TNBS rats when fed with regular food. However, EEN treatment significantly attenuated the increase in IL-17A and interferon-γ in TNBS rats. Our 16S rRNA sequencing analysis found that gut microbiota diversity and compositions were significantly altered in TNBS rats, compared to controls. However, EEN treatment improved alpha diversity and increased certain beneficial bacteria such as <i>Lactobacillus</i> and <i>Dubosiella</i> and decreased bacteria such as <i>Bacteroides</i> and <i>Enterorhabdus</i> in CD-like rats, compared to CD-like rats with the regular pellet diet. In conclusion, EEN treatment increases the diversity of gut microbiota and the composition of certain beneficial bacteria. These effects may contribute to the reduced inflammation by EEN in the rat model of CD-like colitis.
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spelling doaj.art-426de744de324ec8a5ebc9fa8a910ca62024-02-09T15:19:43ZengMDPI AGNutrients2072-66432024-01-0116336310.3390/nu16030363Exclusive Enteral Nutrition Beneficially Modulates Gut Microbiome in a Preclinical Model of Crohn’s-like ColitisRamasatyaveni Geesala0Neeraja Recharla1Ke Zhang2John C. Johnson3George Golovko4Kamil Khanipov5Douglas L. Brining6Xuan-Zheng Shi7Department of Internal Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX 77555, USADepartment of Internal Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX 77555, USADepartment of Internal Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX 77555, USADepartment of Internal Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX 77555, USADepartment of Pharmacology & Toxicology, The University of Texas Medical Branch at Galveston, Galveston, TX 77555, USADepartment of Pharmacology & Toxicology, The University of Texas Medical Branch at Galveston, Galveston, TX 77555, USADepartment of Microbiology & Immunology, The University of Texas Medical Branch at Galveston, Galveston, TX 77555, USADepartment of Internal Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX 77555, USAExclusive enteral nutrition (EEN) is an established dietary treatment for Crohn’s disease (CD) by alleviating inflammation and inducing remission. However, the mechanisms of action of EEN are incompletely understood. As CD is associated with gut microbiome dysbiosis, we investigated the effect of EEN on the microbiome in a rat model of CD-like colitis. The rat model of CD-like colitis was established by an intracolonic instillation of TNBS at 65 mg/kg in 250 µL of 40% ethanol. Sham control rats were instilled with saline. Rats were fed ad libitum with either regular pellet food or EEN treatment with a clear liquid diet (Ensure). Rats were euthanized at 7 days. Fecal pellets were collected from the distal colon for 16S rRNA sequencing analysis of gut microbiota. In addition, colon tissues were taken for histological and molecular analyses in all the groups of rats. EEN administration to TNBS-induced CD rats significantly improved the body weight change, inflammation scores, and disease activity index. The mRNA expression of IL-17A and interferon-γ was significantly increased in the colonic tissue in TNBS rats when fed with regular food. However, EEN treatment significantly attenuated the increase in IL-17A and interferon-γ in TNBS rats. Our 16S rRNA sequencing analysis found that gut microbiota diversity and compositions were significantly altered in TNBS rats, compared to controls. However, EEN treatment improved alpha diversity and increased certain beneficial bacteria such as <i>Lactobacillus</i> and <i>Dubosiella</i> and decreased bacteria such as <i>Bacteroides</i> and <i>Enterorhabdus</i> in CD-like rats, compared to CD-like rats with the regular pellet diet. In conclusion, EEN treatment increases the diversity of gut microbiota and the composition of certain beneficial bacteria. These effects may contribute to the reduced inflammation by EEN in the rat model of CD-like colitis.https://www.mdpi.com/2072-6643/16/3/363exclusive enteral nutritionliquid dietCrohn’s diseasemicrobiotacolitisdysbiosis
spellingShingle Ramasatyaveni Geesala
Neeraja Recharla
Ke Zhang
John C. Johnson
George Golovko
Kamil Khanipov
Douglas L. Brining
Xuan-Zheng Shi
Exclusive Enteral Nutrition Beneficially Modulates Gut Microbiome in a Preclinical Model of Crohn’s-like Colitis
Nutrients
exclusive enteral nutrition
liquid diet
Crohn’s disease
microbiota
colitis
dysbiosis
title Exclusive Enteral Nutrition Beneficially Modulates Gut Microbiome in a Preclinical Model of Crohn’s-like Colitis
title_full Exclusive Enteral Nutrition Beneficially Modulates Gut Microbiome in a Preclinical Model of Crohn’s-like Colitis
title_fullStr Exclusive Enteral Nutrition Beneficially Modulates Gut Microbiome in a Preclinical Model of Crohn’s-like Colitis
title_full_unstemmed Exclusive Enteral Nutrition Beneficially Modulates Gut Microbiome in a Preclinical Model of Crohn’s-like Colitis
title_short Exclusive Enteral Nutrition Beneficially Modulates Gut Microbiome in a Preclinical Model of Crohn’s-like Colitis
title_sort exclusive enteral nutrition beneficially modulates gut microbiome in a preclinical model of crohn s like colitis
topic exclusive enteral nutrition
liquid diet
Crohn’s disease
microbiota
colitis
dysbiosis
url https://www.mdpi.com/2072-6643/16/3/363
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