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Effect of butyrate enemas on inflammation and antioxidant status in the colonic mucosa of patients with ulcerative colitis in remission
Dept Internal Med, Div Gastroenterol Hepatol, Med Ctr, Maastricht Univ, Maastricht, Netherlands; TI Food & Nutr, Wageningen, Netherlands.
Dept Internal Med, Div Gastroenterol Hepatol, Med Ctr, Maastricht Univ, Maastricht, Netherlands; TI Food & Nutr, Wageningen, Netherlands.
Dept Internal Med, Div Gastroenterol Hepatol, Med Ctr, Maastricht Univ, Maastricht, Netherlands; TI Food & Nutr, Wageningen, Netherlands.
Dept Internal Med, Div Gastroenterol Hepatol, Med Ctr, Maastricht Univ, Maastricht, Netherlands; TI Food & Nutr, Wageningen, Netherlands.
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2010 (English)In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 29, no 6, p. 738-744Article in journal (Refereed) Published
Abstract [en]

Background & Aims: Butyrate, produced by colonic fermentation of dietary fibers is often hypothesized to beneficially affect colonic health. This study aims to assess the effects of butyrate on inflammation and oxidative stress in subjects with chronically mildly elevated parameters of inflammation and oxidative stress.

Methods: Thirty-five patients with ulcerative colitis in clinical remission daily administered 60 ml rectal enemas containing WO mM sodium butyrate (n = 17) or saline (n = 18) during 20 days (NCT00696098). Before and after the intervention feces, blood and colonic mucosal biopsies were obtained. Parameters of antioxidant defense and oxidative damage, myeloperoxidase, several cytokines, fecal calprotectin and CRP were determined.

Results: Butyrate enemas induced minor effects on colonic inflammation and oxidative stress. Only a significant increase of the colonic IL-10/IL-12 ratio was found within butyrate-treated patients (p = 0.02), and colonic concentrations of CCL5 were increased after butyrate compared to placebo treatment (p = 0.03). Although in general butyrate did not affect colonic glutathione levels, the effects of butyrate enemas on total colonic glutathione appeared to be dependent on the level of inflammation.

Conclusion: Although UC patients in remission were characterized by low-grade oxidative stress and inflammation, rectal butyrate enemas showed only minor effects on inflammatory and oxidative stress parameters.

Place, publisher, year, edition, pages
Amsterdam, Netherlands: Elsevier, 2010. Vol. 29, no 6, p. 738-744
Keywords [en]
Butyrate, colonic inflammation, cytokines, glutathione, oxidative stress, ulcerative colitis
National Category
Medical and Health Sciences Nutrition and Dietetics
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-18857DOI: 10.1016/j.clnu.2010.04.002ISI: 000286354000005PubMedID: 20471725Scopus ID: 2-s2.0-77955472405OAI: oai:DiVA.org:oru-18857DiVA, id: diva2:445643
Available from: 2011-10-04 Created: 2011-09-30 Last updated: 2018-04-24Bibliographically approved

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