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Methane and fatty acid metabolism pathways are predictive of Low-FODMAP diet efficacy for patients with irritable bowel syndrome.

Clinical nutrition (Edinburgh, Scotland)
June 1, 2021
Ameen Eetemadi et al. (2 authors)
Journal ArticleResearch Support, U.S. Gov't, Non-P.H.S.Human Study
Study Details

Study Goal

The researchers aimed to identify microbiota-based biomarkers to predict response to a low-FODMAP diet and design a personalized diet recommendation strategy for IBS patients.

Results Summary

The study found that pre-diet fecal microbiome data could predict patient response to a low-FODMAP diet, with higher accuracy for hypothesis-driven predictors. High responders had elevated methane and SCFA metabolism pathways, and specific genera (Ruminococcus 1, Ruminococcaceae UCG-002, Anaerostipes) were identified as predictive biomarkers.

Population

IBS patients

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-FODMAP diet treatment
neutral
patient's response
IBS patients
F1 accuracy scores of 0.750 and 0.875
was predictable
#1
low-FODMAP diet treatment
increase
methane and SCFA metabolism pathways
patients with high response
p-values < 6 × 10-3
had higher abundance
#2
low-FODMAP diet
neutral
followers
-
F1-score of 0.656
were identifiable
#3
low-FODMAP diet
increase
response
patients with high colonic methane and SCFA production
-
will respond well
#4
dietary supplementation containing butyrate and propionate, as well as probiotics with SCFA-producing bacteria, such as lactobacillus
increase
benefit
all others
-
would benefit
#5
Abstract

OBJECTIVE: Identification of microbiota-based biomarkers as predictors of low-FODMAP diet response and design of a diet recommendation strategy for IBS patients. DESIGN: We created a compendium of gut microbiome and disease severity data before and after a low-FODMAP diet treatment from published studies followed by unified data processing, statistical analysis and predictive modeling. We employed data-driven methods that solely rely on the compendium data, as well as hypothesis-driven methods that focus on methane and short chain fatty acid (SCFA) metabolism pathways that were implicated in the disease etiology. RESULTS: The patient's response to a low-FODMAP diet was predictable using their pre-diet fecal samples with F1 accuracy scores of 0.750 and 0.875 achieved through data-driven and hypothesis-driven predictors, respectively. The fecal microbiome of patients with high response had higher abundance of methane and SCFA metabolism pathways compared to patients with no response (p-values < 6 × 10-3). The genera Ruminococcus 1, Ruminococcaceae UCG-002 and Anaerostipes can be used as predictive biomarkers of diet response. Furthermore, the low-FODMAP diet followers were identifiable given their microbiome data (F1-score of 0.656). CONCLUSION: Our integrated data analysis results argue that there are two types of patients, those with high colonic methane and SCFA production, who will respond well on a low-FODMAP diet, and all others, who would benefit a dietary supplementation containing butyrate and propionate, as well as probiotics with SCFA-producing bacteria, such as lactobacillus. This work demonstrates how data integration can lead to novel discoveries and paves the way towards personalized diet recommendations for IBS.

Medical Subject Headings (MeSH)
BacteriaDiet, Carbohydrate-RestrictedFatty Acids, VolatileFecesGastrointestinal MicrobiomeHumansIrritable Bowel SyndromeMetabolic Networks and PathwaysMetagenomeMethane
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations26
Citations/Year6.5
Relative Citation Ratio1.97
NIH Percentile74.1%
Research Impact Scores
APT Score0.75
Weight Score1.32
Normalized Score0.70
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