{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:15:54Z","timestamp":1791234954577,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,4,5]],"date-time":"2016-04-05T00:00:00Z","timestamp":1459814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004388","name":"Cephalon","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004388","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Irritable bowel syndrome (<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>) physiopathology is multifactorial and roles for both microbiota and bile acid (<jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content>) modifications have been proposed. We investigated role of dysbiosis, transit pattern and <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> metabolism in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Clinical data, serum, and stool samples were collected in 15 healthy subjects (<jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>), 16 diarrhea\u2010predominant (<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010D) and 15 constipation\u2010predominant <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010C). Fecal microbiota composition was analyzed by real\u2010time <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content>. Sera and fecal <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> profiles, 7<jats:italic>\u03b1<\/jats:italic>\u2010C4 levels, and <jats:italic>in vitro <\/jats:italic><jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> transformation activity by fecal microbiota were measured by mass spectrometry. Serum Fibroblast Growth Factor 19 (FGF19) was assayed by <jats:styled-content style=\"fixed-case\">ELISA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Keys Results<\/jats:title><jats:p>Dysbiosis was present in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> patients with an increase in <jats:italic>Escherichia coli<\/jats:italic> in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010D patients (<jats:italic>p<\/jats:italic> = 0.03), and an increase in <jats:italic>Bacteroides<\/jats:italic> (<jats:italic>p<\/jats:italic> = 0.01) and <jats:italic>Bifidobacterium<\/jats:italic> (<jats:italic>p<\/jats:italic> = 0.04) in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010C patients. Sera primary and amino\u2010conjugated <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> were increased in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010D (63.5 \u00b1 5.5%, <jats:italic>p<\/jats:italic> = 0.01 and 78.9 \u00b1 6.3%, <jats:italic>p<\/jats:italic> = 0.03) and <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010C patients (55.9 \u00b1 5.5%, <jats:italic>p<\/jats:italic> = 0.04 and 65.3 \u00b1 6.5%, <jats:italic>p<\/jats:italic> = 0.005) compared to <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content> (37.0 \u00b1 5.8% and 56.7 \u00b1 8.1%). Serum 7<jats:italic>\u03b1<\/jats:italic>\u2010C4 and <jats:styled-content style=\"fixed-case\">FGF<\/jats:styled-content>19 levels were not different among all three groups. Fecal primary <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> were increased in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010D patients compared to <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>, including chenodeoxycholic acid which has laxative properties (25.6 \u00b1 8.5% <jats:italic>vs<\/jats:italic> 3.5 \u00b1 0.6%, <jats:italic>p<\/jats:italic> = 0.005). Bile acid deconjugation activity was decreased in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010D (<jats:italic>p<\/jats:italic> = 0.0001) and <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010C (<jats:italic>p<\/jats:italic> = 0.003) feces. Abdominal pain was positively correlated with serum (<jats:italic>R<\/jats:italic> = 0.635, <jats:italic>p<\/jats:italic> &lt; 0.001) and fecal (<jats:italic>R<\/jats:italic> = 0.391, <jats:italic>p<\/jats:italic> = 0.024) primary <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Inferences<\/jats:title><jats:p>Different sera and fecal <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> profiles in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> patients could be secondary to dysbiosis and further differences between <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010C and <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>\u2010D could explain stool patterns. This study opens new fields in <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> physiopathology and suggests that modification of <jats:styled-content style=\"fixed-case\">BA<\/jats:styled-content> profiles could have therapeutic potential.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nmo.12829","type":"journal-article","created":{"date-parts":[[2016,4,10]],"date-time":"2016-04-10T12:57:13Z","timestamp":1460293033000},"page":"1330-1340","source":"Crossref","is-referenced-by-count":120,"title":["Interplay between bile acid metabolism and microbiota in irritable bowel syndrome"],"prefix":"10.1111","volume":"28","author":[{"given":"M.","family":"Dior","sequence":"first","affiliation":[{"name":"ERL U1157\/UMR 7203. 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