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Distinct Profiles of Fecal Volatile Organic Compounds Discriminate Ulcerative Colitis Patients With an Ileoanal Pouch From Those With an Intact Colon

Title: Distinct Profiles of Fecal Volatile Organic Compounds Discriminate Ulcerative Colitis Patients With an Ileoanal Pouch From Those With an Intact Colon
Authors: Yao, Chu K.; Green, Kraig; Day, Alice S.; Ardalan, Zaid M.; Slater, Rachael; Bryant, Robert V.; Gibson, Peter R.; Probert, Chris
Source: Molecular Nutrition & Food Research ; volume 69, issue 7 ; ISSN 1613-4125 1613-4133
Publisher Information: Wiley
Publication Year: 2025
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Fecal volatile organic compounds (VOCs) offer insights into gut microbiota function that may drive the pathogenesis of ulcerative colitis (UC). This cross‐sectional study aimed to compare dietary intake and VOC patterns in UC patients with an ileoanal pouch compared to those with an intact colon. Seven‐day food records and fecal samples were collected from UC patients with an intact colon ( n = 28) or an ileoanal pouch ( n = 11). Fecal VOC profiles were analyzed using gas chromatography‐mass spectrometry. Dietary intake in both groups was largely similar. The mean Jaccard similarity index of VOC was 0.55 (95% CI:0.53, 0.56) in the pouch compared with 0.48 (0.47, 0.49) in the colon group ( p < 0.01). A lower proportion of VOC classes was detected in the pouch, including sulfide (9% vs. 57%; p < 0.01), branched‐chain fatty acids (BCFAs; 45%–64% vs. 93%–96%; p < 0.01), and ketones (45%–64% vs. 93%–96%; p < 0.01), along with a higher proportion of butyric acid (91% vs. 29%; p < 0.001). Unrelated to diet, VOC profiles show less functional diversity, reduced protein and greater carbohydrate fermentation, and altered production of secondary metabolites in the UC‐pouch compared with the intact colon. These differences in the metabolic environment of the gut microbiota provide insights into pathogenesis and suggest that microbial‐targeted interventions should be tailored accordingly.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/mnfr.70003
Availability: https://doi.org/10.1002/mnfr.70003; https://onlinelibrary.wiley.com/doi/pdf/10.1002/mnfr.70003
Rights: http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.8092843
Database: BASE