{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T18:53:05Z","timestamp":1788807185912,"version":"build-2803163510"},"reference-count":147,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T00:00:00Z","timestamp":1695859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012363","name":"Saudi Arabia Cultural Bureau in London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012363","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although no causative microbe has been yet identified or successfully targeted in the treatment of inflammatory bowel disease (IBD), the role of <jats:italic>Escherichia coli<\/jats:italic> in the pathogenesis of Crohn's disease has attracted considerable interest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>In this review, we present a literature overview of the interactions between diet and <jats:italic>E. coli<\/jats:italic> and other Proteobacteria in the aetiology, outcomes and management of IBD and suggest future research directions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An extensive literature search was performed to identify in vitro studies and research in animal models that explored mechanisms by which dietary components can interact with <jats:italic>E. coli<\/jats:italic> or Proteobacteria to initiate or propagate gut inflammation. We also explored the effect diet and dietary therapies have on the levels of <jats:italic>E. coli<\/jats:italic> or Proteobacteria in patients with IBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Preclinical data suggest that the Western diet and its components influence the abundance, colonisation and phenotypic behaviour of <jats:italic>E. coli<\/jats:italic> in the gut, which may in turn initiate or contribute to gut inflammation. In contrast, the Mediterranean diet and specific dietary fibres may abrogate these effects and protect from inflammation. There are limited data from clinical trials, mostly from patients with Crohn's disease during treatment with exclusive enteral nutrition, with findings often challenging observations from preclinical research. Data from patients with ulcerative colitis are sparse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Preclinical and some clinical trial data suggest that <jats:italic>E. coli<\/jats:italic> and other Proteobacteria interact with certain dietary components to promote gut inflammation. Well\u2010designed clinical trials are required before dietary recommendations for disease management can be made.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apt.17720","type":"journal-article","created":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T06:57:17Z","timestamp":1695970637000},"page":"984-1004","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Review article: The complex interplay between diet and <i>Escherichia coli<\/i> in inflammatory bowel disease"],"prefix":"10.1111","volume":"58","author":[{"given":"Nojoud","family":"Faqerah","sequence":"first","affiliation":[{"name":"Human Nutrition, School of Medicine, Dentistry and Life Sciences University of Glasgow, New Lister Building, Glasgow Royal Infirmary  Glasgow UK"},{"name":"School of Infection and Immunity University of Glasgow  Glasgow UK"},{"name":"Microbiology, Rabigh Medical College King Abdulaziz University  Jeddah Kingdom of Saudi 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