1. Vitamin D administration leads to a shift of the intestinal bacterial composition in Crohn's disease patients, but not in healthy controls
- Author
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Robert Jaster, Peggy Berlin, Daniel P. R. Herlemann, Georg Lamprecht, Holger Schäffler, Paul Klinitzke, and Bernd Kreikemeyer
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0301 basic medicine ,Crohn's disease ,biology ,business.industry ,Gastroenterology ,medicine.disease ,biology.organism_classification ,vitamin D deficiency ,Pathogenesis ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Immunology ,medicine ,Vitamin D and neurology ,030211 gastroenterology & hepatology ,Microbiome ,Roseburia ,business ,Alistipes ,Dysbiosis - Abstract
Objective Dysbiosis is a common feature in the pathogenesis of inflammatory bowel diseases (IBD). Environmental factors, such as vitamin D deficiency, seem to play a role in the intestinal inflammation of IBD. The aim of this study was to investigate whether vitamin D administration has an impact on the bacterial composition in Crohn's disease (CD) compared to healthy controls (HC). Methods A prospective, longitudinal, controlled interventional analysis was conducted in seven patients with CD in clinical remission and 10 HC to investigate the effect of orally administrated vitamin D on the intestinal bacterial composition using 16S ribosomal RNA gene amplicon sequencing. Clinical parameters were assessed. Results In contrast to HC, microbial communities of CD patients changed significantly during early vitamin D administration. However, a further increase in vitamin D level was associated with a reversal of this effect and additionally with a decrease in the bacterial richness in the CD microbiome. Specific species with a high abundancy were found during vitamin D administration in CD, but not in HC; the abundancy of Alistipes, Barnesiella, unclassified Porphyromonadaceae (both Actinobacteria), Roseburia, Anaerotruncus, Subdoligranulum and an unclassified Ruminococaceae (all Firmicutes) increased significantly after 1-week vitamin D administration in CD. Conclusions Vitamin D has a specific influence on the bacterial communities in CD, but not in HC. Administration of vitamin D may have a positive effect in CD by modulating the intestinal bacterial composition and also by increasing the abundance of potential beneficial bacterial strains.
- Published
- 2018
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