Response to Letter to the Editor Re: The Effect of PPI Use on Human Gut Microbiota and Weight Loss in Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass

Austin, Gregory L.; Ward, Emily K.

doi:10.1007/s11695-015-1660-4

Cited by 1 publication

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“…In contrast, in two previous studies it was found that the use of PPIs is associated with lower diversity [ 37 , 38 ], while yet another study revealed no impact of PPI use on overall bacterial diversity [ 35 ]. PPI use is associated with weight loss [ 39 ], but this may depend upon an individual’s underlying obesity or gut microbiota [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Repertoire of the gut microbiota from stomach to colon using culturomics and next-generation sequencing

et al. 2018

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BackgroundMost studies on the human microbiota have analyzed stool samples, although a large proportion of the absorption of nutrients takes place in upper gut tract. We collected samples from different locations along the entire gastrointestinal tract from six patients who had simultaneously undergone upper endoscopy and colonoscopy, to perform a comprehensive analysis using culturomics with matrix assisted laser desorption ionisation - time of flight (MALDI-TOF) identification and by metagenomics targeting the 16S ribosomal ribonucleic acid (rRNA) gene.ResultsUsing culturomics, we isolated 368 different bacterial species, including 37 new species. Fewer species were isolated in the upper gut: 110 in the stomach and 106 in the duodenum, while 235 were isolated from the left colon (p < 0.02). We isolated fewer aero-intolerant species in the upper gut: 37 from the stomach and 150 from the left colon (p < 0.004). Using metagenomics, 1,021 species were identified. The upper gut microbiota was revealed to be less rich than the lower gut microbiota, with 37,622 reads from the stomach, 28,390 from the duodenum, and 79,047 from the left colon (p < 0.009). There were fewer reads for aero-intolerant species in the upper gut (8,656 in the stomach, 5,188 in the duodenum and 72,262 in the left colon, p < 0.02).Patients taking proton pump inhibitors (PPI) were then revealed to have a higher stomach pH and a greater diversity of species in the upper digestive tract than patients not receiving treatment (p < 0.001).ConclusionSignificant modifications in bacterial composition and diversity exist throughout the gastrointestinal tract. We suggest that the upper gut may be key to understanding the relationship between the gut microbiota and health.Electronic supplementary materialThe online version of this article (10.1186/s12866-018-1304-7) contains supplementary material, which is available to authorized users.

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