The Effects of Enteral Nutrition on the Intestinal Environment in Patients in a Persistent Vegetative State

Enteral nutrition (EN) is a rational approach to providing nutritional intake via the intestines in patients who are unable to tolerate parenteral nutrition. We conducted a preliminary study to investigate the effects of EN on the intestinal environment in 10 patients in a persistent vegetative stat...

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Main Authors: Hiroshi Matsuoka, Takumi Tochio, Ayako Watanabe, Kohei Funasaka, Yoshiki Hirooka, Tenagy Hartanto, Yuka Togashi, Misa Saito, Yuichiro Nishimoto, Yoshinori Mizuguchi, Masanobu Kumon, Chieko Sakuragi, Kouichi Suda, Yuichi Hirose, Isao Morita
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Foods
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Online Access:https://www.mdpi.com/2304-8158/11/4/549
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author Hiroshi Matsuoka
Takumi Tochio
Ayako Watanabe
Kohei Funasaka
Yoshiki Hirooka
Tenagy Hartanto
Yuka Togashi
Misa Saito
Yuichiro Nishimoto
Yoshinori Mizuguchi
Masanobu Kumon
Chieko Sakuragi
Kouichi Suda
Yuichi Hirose
Isao Morita
author_facet Hiroshi Matsuoka
Takumi Tochio
Ayako Watanabe
Kohei Funasaka
Yoshiki Hirooka
Tenagy Hartanto
Yuka Togashi
Misa Saito
Yuichiro Nishimoto
Yoshinori Mizuguchi
Masanobu Kumon
Chieko Sakuragi
Kouichi Suda
Yuichi Hirose
Isao Morita
author_sort Hiroshi Matsuoka
collection DOAJ
description Enteral nutrition (EN) is a rational approach to providing nutritional intake via the intestines in patients who are unable to tolerate parenteral nutrition. We conducted a preliminary study to investigate the effects of EN on the intestinal environment in 10 patients in a persistent vegetative state (PVS) (<i>n</i> = 5 each in the EN and EN with probiotics; <i>Clostridium butyricum MIYAIRI 588</i>) groups compared with 10 healthy controls. The results of 16S amplicon sequencing of the intestinal microbiota showed that EN led to dysbiosis with a decrease in α-diversity and an obvious change in β-diversity. A particularly significant decrease was seen in useful intestinal bacteria such as <i>Bifidobacterium</i> and butyrate-producing bacteria. Analysis of intestinal metabolites also supported these results, showing significant decreases in butyric and pyruvic acid after EN. Although <i>C. butyricum</i><i>MIYAIRI 588</i> improved some intestinal metabolites that were decreased after EN, it did not improve the dysbiosis of the intestinal microbiota. These findings indicate that EN causes dysbiosis of the intestinal microbiota and an imbalance in some intestinal metabolites in patients in a PVS. Moreover, although <i>C. butyricum</i><i>MIYAIRI 588</i> improved the imbalance of some intestinal metabolites after EN, it did not prevent dysbiosis of the intestinal microbiota.
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spelling doaj.art-89c4985ddbf54127bd36999fb5e24efd2023-11-23T19:53:37ZengMDPI AGFoods2304-81582022-02-0111454910.3390/foods11040549The Effects of Enteral Nutrition on the Intestinal Environment in Patients in a Persistent Vegetative StateHiroshi Matsuoka0Takumi Tochio1Ayako Watanabe2Kohei Funasaka3Yoshiki Hirooka4Tenagy Hartanto5Yuka Togashi6Misa Saito7Yuichiro Nishimoto8Yoshinori Mizuguchi9Masanobu Kumon10Chieko Sakuragi11Kouichi Suda12Yuichi Hirose13Isao Morita14Department of Surgery, Fujita Health University, Toyoake 470-1192, Aichi, JapanDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Aichi, JapanDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Aichi, JapanDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Aichi, JapanDepartment of Gastroenterology and Hepatology, Fujita Health University, Toyoake 470-1192, Aichi, JapanMetabologenomics, Inc., Tsuruoka 997-0052, Yamagata, JapanMetabologenomics, Inc., Tsuruoka 997-0052, Yamagata, JapanMetabologenomics, Inc., Tsuruoka 997-0052, Yamagata, JapanMetabologenomics, Inc., Tsuruoka 997-0052, Yamagata, JapanMetabologenomics, Inc., Tsuruoka 997-0052, Yamagata, JapanDepartment of Neurosurgery, Fujita Health University, Toyoake 470-1192, Aichi, JapanNursing Department, Fujita Health University Hospital, Toyoake 470-1192, Aichi, JapanDepartment of Surgery, Fujita Health University, Toyoake 470-1192, Aichi, JapanDepartment of Neurosurgery, Fujita Health University, Toyoake 470-1192, Aichi, JapanDepartment of Neurosurgery, Fujita Health University, Toyoake 470-1192, Aichi, JapanEnteral nutrition (EN) is a rational approach to providing nutritional intake via the intestines in patients who are unable to tolerate parenteral nutrition. We conducted a preliminary study to investigate the effects of EN on the intestinal environment in 10 patients in a persistent vegetative state (PVS) (<i>n</i> = 5 each in the EN and EN with probiotics; <i>Clostridium butyricum MIYAIRI 588</i>) groups compared with 10 healthy controls. The results of 16S amplicon sequencing of the intestinal microbiota showed that EN led to dysbiosis with a decrease in α-diversity and an obvious change in β-diversity. A particularly significant decrease was seen in useful intestinal bacteria such as <i>Bifidobacterium</i> and butyrate-producing bacteria. Analysis of intestinal metabolites also supported these results, showing significant decreases in butyric and pyruvic acid after EN. Although <i>C. butyricum</i><i>MIYAIRI 588</i> improved some intestinal metabolites that were decreased after EN, it did not improve the dysbiosis of the intestinal microbiota. These findings indicate that EN causes dysbiosis of the intestinal microbiota and an imbalance in some intestinal metabolites in patients in a PVS. Moreover, although <i>C. butyricum</i><i>MIYAIRI 588</i> improved the imbalance of some intestinal metabolites after EN, it did not prevent dysbiosis of the intestinal microbiota.https://www.mdpi.com/2304-8158/11/4/549enteral nutritionintestinal environmentdysbiosisprobiotics
spellingShingle Hiroshi Matsuoka
Takumi Tochio
Ayako Watanabe
Kohei Funasaka
Yoshiki Hirooka
Tenagy Hartanto
Yuka Togashi
Misa Saito
Yuichiro Nishimoto
Yoshinori Mizuguchi
Masanobu Kumon
Chieko Sakuragi
Kouichi Suda
Yuichi Hirose
Isao Morita
The Effects of Enteral Nutrition on the Intestinal Environment in Patients in a Persistent Vegetative State
Foods
enteral nutrition
intestinal environment
dysbiosis
probiotics
title The Effects of Enteral Nutrition on the Intestinal Environment in Patients in a Persistent Vegetative State
title_full The Effects of Enteral Nutrition on the Intestinal Environment in Patients in a Persistent Vegetative State
title_fullStr The Effects of Enteral Nutrition on the Intestinal Environment in Patients in a Persistent Vegetative State
title_full_unstemmed The Effects of Enteral Nutrition on the Intestinal Environment in Patients in a Persistent Vegetative State
title_short The Effects of Enteral Nutrition on the Intestinal Environment in Patients in a Persistent Vegetative State
title_sort effects of enteral nutrition on the intestinal environment in patients in a persistent vegetative state
topic enteral nutrition
intestinal environment
dysbiosis
probiotics
url https://www.mdpi.com/2304-8158/11/4/549
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