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  • Bednarska, OlgaLinköpings universitet,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Mag- tarmmedicinska kliniken (author)

A postbiotic fermented oat gruel may have a beneficial effect on the colonic mucosal barrier in patients with irritable bowel syndrome

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2022-12-08
  • FRONTIERS MEDIA SA,2022
  • electronicrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:liu-190940
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-190940URI
  • https://doi.org/10.3389/fnut.2022.1004084DOI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

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  • Funding Agencies|P. Hakanssons Stiftelse, Esloev, Sweden; ALF Grants, Region OEstergoetland; Region OEstergoetland [LIO-938303, ROE-960493]; Bengt Ihre Foundation [ROE-969343]; Ruth and Richard Julin Foundation; Mucosa Infection and Inflammation Center-MIIC [2022-00270]; Nordic Rebalance
  • Background: Impaired intestinal permeability and microbial dysbiosis are important pathophysiological mechanisms underlying irritable bowel syndrome (IBS). ReFerm (R)( ), also called Profermin (R), is a postbiotic product of oat gruel fermented with Lactobacillus plantarum 299v. In this study, we investigated whether ReFerm (R) has a beneficial effect on the intestinal epithelial barrier function in patients with IBS.Materials and methods: Thirty patients with moderate to severe IBS-diarrhoea (IBS-D) or IBS-mixed (IBS-M) were treated with enema containing ReFerm (R) or placebo. The patients underwent sigmoidoscopy with biopsies obtained from the distal colon at baseline and after 14 days of treatment with ReFerm (R) or placebo twice daily. The biopsies were mounted in Ussing chambers, and paracellular and transcellular permeabilities were measured for 120 min. In addition, the effects of ReFerm (R) or placebo on the epithelial barrier were investigated in vitro using Caco-2 cells.Results: ReFerm (R) reduced paracellular permeability (p < 0.05) and increased transepithelial resistance (TER) over time (p < 0.01), whereas the placebo had no significant effect in patients. In ReFerm (R)-treated Caco-2 cells, paracellular and transcellular permeabilities were decreased compared to the control (p < 0.05) and placebo (p < 0.01). TER was increased in Caco-2 ReFerm (R)-treated cells, and normalised TER was increased in ReFerm (R)-treated Caco-2 cells compared to control (p < 0.05) and placebo-treated (p < 0.05) cells.Conclusion: ReFerm (R) significantly reduced paracellular permeability and improved TER in colonic biopsies collected from patients with IBS and in a Caco-2 cell model. Our results offer new insights into the potential benefits of ReFerm (R) in IBS management. Further studies are needed to identify the molecular mechanisms underlying the barrier-protective properties of ReFerm (R).

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  • Biskou, OlgaLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten(Swepub:liu)olgbi16 (author)
  • Israelsen, HansNord Rebalance AS, Denmark (author)
  • Tinnerfelt Winberg, MartinLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten(Swepub:liu)marwi07 (author)
  • Walter, SusannaLinköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Mag- tarmmedicinska kliniken(Swepub:liu)suswa35 (author)
  • Keita, ÅsaLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten(Swepub:liu)asave24 (author)
  • Linköpings universitetAvdelningen för inflammation och infektion (creator_code:org_t)

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  • In:Frontiers in Nutrition: FRONTIERS MEDIA SA92296-861X

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