Melgarn S, Bjursell M, Gerdin AK, Svensson L, Michaëlsson E, and Bohlooly-Y M. Mice with experimental colitis show an altered metabolism with decreased metabolic rate. Am J Physiol Gastrointest Liver Physiol 292: G165-G172, 2007. First published July 13, 2006; doi:10.1152/ajpgi.00152.2006.-Patients with inflammatory bowel disease (IBD) suffer from body weight loss, malnutrition, and several other metabolic alterations affecting their quality of life. The aim of this study was to investigate the metabolic changes that may occur during acute and chronic colonic inflammation induced by dextran sulfate sodium (DSS) in mice. Clinical symptoms and inflammatory markers revealed the presence of an ongoing inflammatory response in the DSS-treated mice. Mice with acute inflammation had decreased body weight, respiratory exchange ratios (RER), food intake, and body fat content. Mice with chronic inflammation had decreased nutrient uptake, body fat content, locomotor activity, metabolic rates, and bone mineral density. Despite this, the body weight, food and water intake, lean mass, and RER of these mice returned to values similar to those in healthy controls. Thus, murine experimental colitis is associated with significant metabolic alterations similar to IBD patients. Our data show that the metabolic responses during acute and chronic inflammation are different, although the metabolic rate is reduced in both phases. These observations suggest compensatory metabolic alterations in chronic colitis resulting in a healthy appearance despite gross colon pathology. dual-energy X-ray absorptiometry; dextran sulfate sodium; colon inflammation; respiratory exchange ratio INFLAMMATORY BOWEL DISEASE (IBD) in humans consists of two main chronic diseases: ulcerative colitis (UC) and Crohn's disease (CD). Patients with CD can be affected anywhere along the gastrointestinal tract, with the majority being affected in the ileum or in the ileocolonic area. The inflammatory response can extend through all layers of the intestinal wall (28). In contrast, patients with UC are affected in the large intestine, where the inflammation starts in the rectum and spreads upward. The inflammatory response is usually confined to the mucosal layer (28). UC and CD are chronic diseases, and IBD patients have an affected quality of life, suffering from wasting and malnutrition, hypoalbuminemia, anemia, and various vitamin and mineral deficiencies (12). As a consequence, the body composition of an adult IBD patient is altered, e.g., with a reduction in bone mineral density (BMD), which implies that there is a high prevalence of osteopenia and osteoporosis in these patients (20). Nutritional impairment occurs in up to 60% of UC patients and in up to 75% of CD patients (6). It has been suggested that factors contributing to weight loss in CD patients are suppression of food intake secondary to anorexia and pain associated with eating (26, 29). Furthermore, an increased metabolic rate and a reduction in body fat mass may contribute to the decreased body weigh...