The Intestinal Microbiota in the Irritable Bowel Syndrome
Abstract
The irritable bowel syndrome (IBS) is a chronic abdominal symptom complex occurring in a bowel devoid of discernible relevant pathology. There is growing interest in the role of the intestinal microbiota as a basis for the intestinal and possibly behavioral manifestations of this condition. Molecular-based microbial profiling has revealed compositional changes in the microbiota of at least a subset of IBS patients but the data are often conflicting and no microbial signature for this condition has yet been defined. Animal studies in which a previously stable intestinal microbiota is perturbed, by antibiotics or dietary change, results in alterations in intestinal function reminiscent of that seen in IBS patients. These include visceral sensitivity to painful stimuli, altered motility and intestinal barrier function as well as immune activation, and low-grade inflammation. More recent studies have shown that perturbation of the microbial composition of the gut alters brain chemistry and behavior. In a step toward establishing a causal link between an altar microbiota and gut-brain manifestations of IBS, colonization of germ-free mice with microbiota from IBS patients results in an IBS-like phenotype, including alterations and behavior if the donor exhibited psychiatric comorbidity, such as high levels of anxiety. This model provides an opportunity for exploring the mechanisms underlying host-microbe interactions relevant to the pathogenesis of IBS and for developing novel ther…
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Hepatic encephalopathy could be broadly treated by targeting the microbiota with antibiotics in humans.
“Finally, these data synergized with the long known clinical situation that hepatic encephalopathy could be broadly treated by targeting the microbiota with antibiotics in humans (see (Collins, 2016)).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Collins, 2016
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- Authors
- Collins, S. M.
- Affiliations
- McMaster University (CA)
- Corresponding author
- Collins, S.M.
- ORCID
- Collins, S.M.
- Venue
- International Review of Neurobiology
- Publisher
- Elsevier
- Published
- 2016
- Volume
- 131
- Pages
- 247-261
- ISSN
- 0074-7742 (ISSN-L)
- OpenAlex
- W2526049941
- Cited by
- 30
- References
- 15
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 5 · 2018: 7 · 2017: 3 · 2015: 1
- FWCI
- 25.89
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- International review of neurobiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Epidemiology › Microscopic Colitis
- Keywords
- irritable bowel syndrome, gut microbiota, gut dysbiosis, gut-brain axis, visceral hypersensitivity, intestinal motility, intestinal barrier function, low-grade inflammation, anxiety, germ-free mice, host-microbe interactions, IBS pathogenesis, microbiota-based therapy
- MeSH terms
- Gastrointestinal Microbiome, Animals, Brain, Humans, Irritable Bowel Syndrome
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