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Improved gastrointestinal health for irritable bowel syndrome with metagenome-guided interventions

Precision Clinical Medicine 2020年第2期3卷 136-146页

作者： Cem Meydan Ebrahim Afshinnekoo Nate Rickard Guy Daniels laura kunces Theresa Hardy Loukia Lili Sarah Pesce Paul Jacobson Christopher E.Mason Joel Dudley Bodi Zhang Onegevity Health 152 W 57thNew YorkNY 10019USA Thorne Research 152 W 57thNew YorkNY 10019USA

Irritable bowel syndrome(IBS)is the most prevalent functional gastrointestinal disorder worldwide,and the most common reason for referral to gastroenterology ***,the pathophysiology is still not fully understood and consequently current management guidelines are very symptom-specific,leading to mixed *** we present a study of 88 individuals with IBS who had baseline sequencing of their gut microbiome(stool samples),received targeted interventions that included dietary,supplement,prebiotic/probiotic,and lifestyle recommendations for a 30-day period,and a follow-up sequencing of their gut *** study’s objectives were to demonstrate unique metagenomic signatures across the IBS phenotypes and to validate whether metagenomic-guided interventions could lead to improvement of symptom scores in individuals with *** subjects also completed a baseline and post-intervention questionnaire that assessed their symptom *** average symptom score of an individual with IBS at baseline was 160 and at the endpoint of the study the average symptom score of the cohort was *** mixed IBS subtype showed the most significant reduction in symptom scores across the different subtypes(average decrease by 102 points,P=0.005).The metagenomics analysis reveals shifts in the microbiome post-intervention that have been cross-validated with the literature as being associated with improvement of IBS *** the complex nature of IBS,further studies with larger sample sizes,more targeted analyses,and a broader population cohort are needed to explore these results further.

关键词： irritable bowel syndrome microbiome metagenomics

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